1
A nurse is assessing a client who is pregnant and reports increased nasal stuffiness. The nurse should inform the client that
which of the following hormones is responsible for this discomfort?
• A. Relaxin
• B. Estrogen
• C. Progesterone
• D. Human chorionic somatomammotropin (HCS)
2
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the
test is. Which of the following responses should the nurse provide?
•
A. "This test will determine if you are likely to deliver within the next week."
• B."This test will help determine if your baby is healthy."
• C."This test can see how your baby responds when you have contractions."
• D. "This test will determine if your baby's lungs are mature."
3
A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture
line. Which of the following pieces of information should the nurse provide to the mother when she asks about this finding?
•
A. "This will resolve in 3 to 6 weeks without treatment."
• B. "This will resolve on its own within 3 to 4 days."
• C. "The provider might drain this area with a syringe."
• D. "This appearance is expected at birth, so you don't need to worry."
4
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For which of the following findings should the
nurse monitor to identify a cervical laceration?
•
A. Continuous lochia flow and a flaccid uterus
• B. Report of increasing pain and pressure in the perineal area
, • C. Slow trickle of bright vaginal bleeding and a firm fundus
• D. Gush of rubra lochia when the uterus is massaged
5
A nurse is caring for a client who is at 38 weeks of gestation and is receiving an oxytocin IV for labor augmentation. The nurse
notes variable decelerations on the FHR tracing. Which of the following actions should the nurse take first?
•
A. Place the client in a side-lying position
• B. Discontinue the oxytocin infusion
• C. Apply oxygen to the client via a face mask
• D. Check for umbilical cord prolapse
6
A nurse is caring for a client who is in the first stage of labor. Which of the following findings should the nurse identify as a cause
for concern?
•
A. Pink, mucoid vaginal discharge
• B. Brownish vaginal discharge
• C. Contractions lasting 100 seconds
• D. Contractions occurring every 4 to 5 minutes
7
A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect?
•
A. Atrial septal defect
• B. Renal agenesis
• C. Spina bifida
• D. Hydrocephalus
8
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following statements
should the nurse include?
, •
A. "Notify your provider if you notice cracking on your nipples."
• B. "Notify your provider if you have not had a bowel movement within 5 days."
• C. "Notify your provider if your breasts leak when you shower."
• D. "Notify your provider if your vaginal discharge is a brownish-red color."
9
A nurse is performing a physical assessment of a full-term newborn and eliciting the Moro reflex. Which of the following
movements are expected responses to this reflex? (Select all that apply.)
•
A. Thumb and forefinger forming a "C"
• B. Legs extending before pulling upward
• C. Arms and legs adducting
• D. Arms falling backward after startling
• E. Head turning to the right
10
A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following
complications should the nurse expect?
•
A. Gestational diabetes
• B. Preterm labor
• C. Inadequate milk supply
• D. Inadequate uterine growth
11
A nurse is providing teaching to the parents of a newborn about bottle-feeding. Which of the following instructions should the
nurse include in the teaching?
, •
A. Dilute ready-to-feed formula if the newborn is gaining weight too quickly
• B. Prop the bottle with a blanket for the last feeding of the day
• C. Discard unused refrigerated formula after 72 hr
• D. Boil water for powdered formula for 1–2 min
12
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will
indicate whether the bleeding is caused by placenta previa or an abruptio placenta?
•
A. Uterine tone
• B. Fetal heart rate
• C. Blood pressure
• D. Amount of bleeding
13
A nurse is caring for a client who is in labor and asks her partner to perform effleurage. The client has on a monitor belt for
electronic fetal monitoring. Which of the following instructions should the nurse provide to the client's partner?
•
A. "Lightly stroke the upper thighs."
• B. "Steadily apply pressure to the sacrum."
• C. "Gently massage the mid-abdominal area."
• D. "Firmly squeeze both hips."
14
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states, "I've heard that I can't use
any birth control until I stop breastfeeding." Which of the following responses should the nurse make?
•
A. "You will not get pregnant while you are breastfeeding, so you will not need any birth control."
A nurse is assessing a client who is pregnant and reports increased nasal stuffiness. The nurse should inform the client that
which of the following hormones is responsible for this discomfort?
• A. Relaxin
• B. Estrogen
• C. Progesterone
• D. Human chorionic somatomammotropin (HCS)
2
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the
test is. Which of the following responses should the nurse provide?
•
A. "This test will determine if you are likely to deliver within the next week."
• B."This test will help determine if your baby is healthy."
• C."This test can see how your baby responds when you have contractions."
• D. "This test will determine if your baby's lungs are mature."
3
A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture
line. Which of the following pieces of information should the nurse provide to the mother when she asks about this finding?
•
A. "This will resolve in 3 to 6 weeks without treatment."
• B. "This will resolve on its own within 3 to 4 days."
• C. "The provider might drain this area with a syringe."
• D. "This appearance is expected at birth, so you don't need to worry."
4
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For which of the following findings should the
nurse monitor to identify a cervical laceration?
•
A. Continuous lochia flow and a flaccid uterus
• B. Report of increasing pain and pressure in the perineal area
, • C. Slow trickle of bright vaginal bleeding and a firm fundus
• D. Gush of rubra lochia when the uterus is massaged
5
A nurse is caring for a client who is at 38 weeks of gestation and is receiving an oxytocin IV for labor augmentation. The nurse
notes variable decelerations on the FHR tracing. Which of the following actions should the nurse take first?
•
A. Place the client in a side-lying position
• B. Discontinue the oxytocin infusion
• C. Apply oxygen to the client via a face mask
• D. Check for umbilical cord prolapse
6
A nurse is caring for a client who is in the first stage of labor. Which of the following findings should the nurse identify as a cause
for concern?
•
A. Pink, mucoid vaginal discharge
• B. Brownish vaginal discharge
• C. Contractions lasting 100 seconds
• D. Contractions occurring every 4 to 5 minutes
7
A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect?
•
A. Atrial septal defect
• B. Renal agenesis
• C. Spina bifida
• D. Hydrocephalus
8
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following statements
should the nurse include?
, •
A. "Notify your provider if you notice cracking on your nipples."
• B. "Notify your provider if you have not had a bowel movement within 5 days."
• C. "Notify your provider if your breasts leak when you shower."
• D. "Notify your provider if your vaginal discharge is a brownish-red color."
9
A nurse is performing a physical assessment of a full-term newborn and eliciting the Moro reflex. Which of the following
movements are expected responses to this reflex? (Select all that apply.)
•
A. Thumb and forefinger forming a "C"
• B. Legs extending before pulling upward
• C. Arms and legs adducting
• D. Arms falling backward after startling
• E. Head turning to the right
10
A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following
complications should the nurse expect?
•
A. Gestational diabetes
• B. Preterm labor
• C. Inadequate milk supply
• D. Inadequate uterine growth
11
A nurse is providing teaching to the parents of a newborn about bottle-feeding. Which of the following instructions should the
nurse include in the teaching?
, •
A. Dilute ready-to-feed formula if the newborn is gaining weight too quickly
• B. Prop the bottle with a blanket for the last feeding of the day
• C. Discard unused refrigerated formula after 72 hr
• D. Boil water for powdered formula for 1–2 min
12
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will
indicate whether the bleeding is caused by placenta previa or an abruptio placenta?
•
A. Uterine tone
• B. Fetal heart rate
• C. Blood pressure
• D. Amount of bleeding
13
A nurse is caring for a client who is in labor and asks her partner to perform effleurage. The client has on a monitor belt for
electronic fetal monitoring. Which of the following instructions should the nurse provide to the client's partner?
•
A. "Lightly stroke the upper thighs."
• B. "Steadily apply pressure to the sacrum."
• C. "Gently massage the mid-abdominal area."
• D. "Firmly squeeze both hips."
14
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states, "I've heard that I can't use
any birth control until I stop breastfeeding." Which of the following responses should the nurse make?
•
A. "You will not get pregnant while you are breastfeeding, so you will not need any birth control."
