1. A client who had her first baby 3 months ago & is
breastfeeding her infant tells the nurse that she is currently
using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this
client?
A. After ceasing breastfeeding, the diaphragm should be
resized.
B. Avoid intercourse during ovulation until the size of the
diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy,
the diaphragm is safe to use.
D. Use an alternate form of contraceptive until a new diaphragm
is obtained.-
: D. Use an alternate form of contraceptive until a new diaphragm is
obtained.
2. The healthcare provider prescribes zidovudine 100mg po 5x
daily for a pregnant woman who is HIV positive. How much do
you administer? (?):: 10
3. The nurse is preparing a young couple and their 24-
hour-old infant for discharge from the hospital. In
conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the
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, parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge.: :
D. Evaluate infant feeding technique prior to discharge.
4. A 30-year-old primigravida delivers a 9-pound (4082 gram)
infant vaginally after a 30-hour labor. What is the priority
nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.: : A. Gently
massage the fundus every 4 hours.
5. A multiparous client with active herpes lesion is admitted
to the unit with spontaneous rupture of membranes. Which
action should the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section.: : D. Prepare for a cesarean
section.
6. The nurse is caring for a newborn who is 18 inches long,
weighs 4 pounds, 14 ounces, has a head circumference of 13
inches, and a chest circumference of 10 inches. Based on these
physical findings, assessments for which condition has the
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, highest priority?
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