1. 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.: :D. Have her cup both hands over her nose and
mouth while breathing.
2. 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.: :D. Notify the health care
provider.
3. 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: : C. Gonorrhea
4. The client comes to the hospital assuming she is in labor.
Which assess- ment 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: :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
5. 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.: :
C. Have the client breathe into her cupped hands.
6. 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: : A. Two weeks before
menstruation
7. 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.: : D. Put the
newborn to the breast immediately.