and Answers (Verified Answers)
A nurse is collecting data from a 28 year old client who is requesting a prescription for
an oral contraceptive. Which of the following information in the clients history should the
nurse identify as a contraindication for the use of oral contraceptives?
History of mononucleosis 1 year ago
Frequent headaches with visual changes
Reports of occasional heartburn in the evening
Irregular menstrual cycles with dysmenorrhea
Frequent headaches with visual changes
A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of
the following foods should the nurse recommend as the best source of folate?
1 cup cooked spinach
One medium apple
240 mL (8 oz) 2% milk
One large hard-boiled egg
1 cup cooked spinach
A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which
of the following information should the nurse include when helping to develop the
newborns plan of care?
Maternal group B streptococcus (GBS) status
Apgar score
Maternal urinary output
Type of birth
Maternal weight
GBS
Apgar score
Type of birth
A nurse is reinforcing teaching about preventing urinary tract infections with a client who
is at 25 weeks of gestation. Which of the following instructions should the nurse
include?
"You should perform Kegel exercises four times per day."
"You should empty your bladder before you go to bed at night."
"You should wipe from back to front after urinating."
"You should wear underwear made from nylon."
You should empty your bladder before you go to bed at night.
The nurse should instruct the client to urinate and empty the bladder completely before
, going to bed at night to prevent stasis of urine. A full bladder provides an environment
that fosters bacterial growth.
A nurse is reinforcing teaching about home safety precautions with a group of
guardians. Which of the following instructions should the nurse include?
"You should be able to place three fingers between the mattress and the sides of the
crib."
"You should ensure that crib slats are no more than 2.25 inches apart."
"You should attach a pacifier to your baby's clothing."
"You should set your water heater at 130 degrees Fahrenheit."
You should ensure that crib slats are no more than 2.25 inches apart
A nurse on a postpartum unit is contributing to the discharge teaching plan for a client.
Which of the following instructions should the nurse suggest for the plan?
Apply powder to the newborn's skin after baths.
Use a firm mattress in the newborn's crib.
Cover the newborn with a crib comforter.
Place the newborn on their stomach to sleep.
Use a firm mattress in the newborns crib
A nurse is assisting with the care of a client who is in the active phase of the first stage
of labor. Which of the following findings should the nurse report to the charge nurse?
FHR 155/min
Uterine contractions 70 seconds in duration
Green fluid from the vagina
Early decelerations
Green fluid from the vagina
A nurse is caring for a client following a cesarean birth. Which of the following actions
should the nurse take to decrease the client's risk of developing thrombophlebitis?
Have the client ambulate several times each day.
Administer aspirin 80 mg orally once per day.
Tell the client to expect leg pain for 48 hr.
Apply warm compresses to the client's legs.
have the client ambulate several times a day
a nurse is collecting data from a client who is 38 weeks of gestation. Which of the
following findings should the nurse report to the provider?
Glycosuria
Leg cramps
Insomnia
Leukorrhea
glycosuria
Glycosuria is a potential complication of gestational diabetes mellitus and the nurse
should report this finding to the provider.