and Answers (Verified Answers)
A nurse is caring for a client who is at 11 weeks of gestation and reports frequent
vomiting. Which of the following findings should the nurse identify as an indication that
the client has hyperemesis gravidarum
Ketonuria
A nurse is collecting data from a client who is at 36 weeks gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider
blurred vision
A nurse is caring for a newborn who has a high-pitched cry and does not respond to
consoling efforts. Which of the following neonatal data collection tolls should the nurse
expect to complete
Neonatal Abstinence scoring system
A nurse is caring for a newborn who is receiving phototherapy. Which of the following
actions should the nurse take
place an opaque mask over the newborn's eyes
A nurse is collecting data from a newborn who is 8 hr old. which of the following findings
should the nurse report to the provider
apical HR of 90/minute while crying
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale of 1 to 10. The nurse also
notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the
umbilicus with deviation to the right. Which of the following actions in the nurse's priority
Help the client ambulate to the toilet
A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has
gestational diabetes mellitus. Which of the following should the nurse include in the
teaching
Consume at least 2.000 cal/day
A nurse is reinforcing teaching about risk factors for respiratory distress syndrome
(RDS) in newborns with a group of clients who are pregnant. Which of the following risk
factors should the nurse include
prematurity
A nurse is caring for a client who is planning to become pregnant. The client asks the
nurse why folic acid supplements are necessary. The nurse should inform the client that
the purpose of folic acid supplements is to do which of the following?
prevent certain kinds of birth defects
A nurse is reinforcing discharge teaching about methods to prevent engorgement during
lactation suppression with a client who is bottle-feeding her newborn. Which of the
following statements should the nurse identify as an indication that the client
understands the instructions
I will apply cold cabbage leaves to my breasts throughout the day
A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in
active labor. Which of the following findings should the nurse report to the charge nurse
prolonged decelerations of the FHR