A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which
of the following actions is the nurse's priority? - Massage the clients fundus.
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following
findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? -
Late decelarations
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should
the nurse expect? - Blurred vision
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the
following manifestations should the nurse expect? - Vaginal Pressure
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test.
The nurse should plain to prepare the client for which of the following diagnostic tests? - Biophysical
profile
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives.
Which of the following findings should the nurse include as an adverse effect of this medication? -
Depression
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for
thrombophlebitis in her left calf. Which of the following actions should the nurse take? - Maintain the
client on bed rest.
A nurse is providing teaching to a client is at 40 weeks of gestation and has a new prescription for
misoprostol. Which of the following instructions should the nurse include in the teaching? - "I can
administer oxytocin 4 hours after the insertion of the medication."
, A nurse is assessing four newborns. Which of the following findings should the nurse report to the
provider? - A newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F)
A nurse is caring for a client is at 30 weeks of gestation and has a prescription for magnesium sulfate IV
to treat preterm labor. The nurse should notify the provider of which of the following adverse effects? -
Respiratory rate 10/min
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of
the following statements by the client indicates an understanding of the teaching? - "I should take 600
micrograms of folic acid each day"
A nurse is assessing a late preterm newborn. Which of the following manifestation is an indication of
hypoglycemia? - Respiratory distress
A nurse is a prenatal clinic is assessing a group of clients. Which of the following client should the nurse
see first? - A client who is 11 weeks of gestation and reports abdominal cramping
A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse
preform the following actions?
- 1. Wipe the newborns eyes from inner cants outward.
2. Wash the newborns neck by lifting the newborns chin
3. Cleanse the skin around the newborns umbilical stump
4. Wash the newborns legs and feet
5. Clean the newborns diaper area
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn
screening. Which of the following should the nurse include in the teaching?
- "Ensure that the. newborn has been receiving feedings for 24 hours prior to obtaining the specimen"
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic
culture beliefs. Which of the following culture practices should the nurse include in the plan of care? -
Protect the clients head and feet from the cold air