Answers 2023
During the transition phase of labor, a client complains of tingling and numbness in her fingers and tells
the nurse that she feels like she is going to pass out. What action should the nurse take?
A. Encourage her to pant between contractions and blow with contractions.
B. Coach her to take a deep cleansing breath and then refocus.
C. Instruct her to pant three times and then exhale through pursed lips.
D. Have her cup both hands over her nose and mouth while breathing. Ans- D. Have her cup both hands
over her nose and mouth while breathing.
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice rather
than the food on her breakfast tray. The client states that she has a craving for ice and then feels too full
to eat anything else. Which is the best response by the nurse?
A. Remove all ice from the client's room.
B. Ask the client what foods she might consider eating.
C. Remind the client that what she eats affects her baby.
D. Notify the health care provider. Ans- D. Notify the health care provider.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for
administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of
disease causes infections in babies that can be prevented by using this ointment?" Which response by
the nurse is accurate?
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis Ans- C. Gonorrhea
The client comes to the hospital assuming she is in labor. Which assessment findings by the nurse would
indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
, B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions Ans- A,C,E
A. Pain in the lower back that radiates to abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of
tingling fingers and dizziness. Which action should the nurse take?
A. Administer oxygen by facemask.
B. Notify the health care provider of the client's symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate. Ans- C. Have the client breathe into her
cupped hands.
The nurse is counseling a couple who has sought information about conceiving. The couple asks the
nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?
A. Two weeks before menstruation
B. Immediately after menstruation
C. Immediately before menstruation
D. Three weeks before menstruation Ans- A. Two weeks before menstruation
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is
screaming for someone to help his wife. Which intervention has the highest priority?
A. Use thread to tie off the umbilical cord.
B. Provide privacy for the woman.
C. Reassure the husband and keep him calm.
D. Put the newborn to the breast immediately. Ans- D. Put the newborn to the breast immediately.