RETAKE 2 QUESTIONS AND ANSWERS UPDATED STUDY
GUIDE VERSION 2024
1. A nurse is performing a vaginal examination on a
client who is in laborand observes the umbilical cord
protruding from the vagina after calling for assistance
which of the following actions should the nurse take
next ANS Apply internal upward pressure to the
presenting part using two gloved fingers
• A nurse is planning care for a client who is two hours
postpartum whichof the following intervention should the
nurse plan to implement during the taking hold phase of
postpartum behavioral adjustment ANS Demonstrate to
the client how to perform a newborn bath
• A nurse is teaching a client who is at 36 weeks of
gestation and has a prescription for a nonstress test
which of the following statements shouldthe nurse
include in the teaching ANS You will be offered orange
juice todrink during a test
,• A nurse in a women's health clinic is providing
teaching aboutnutritional intake to a client who is it
eight weeks of gestation the nurse should instruct the
client to increase her daily intake of which of thefollowing
nutrients ANS Iron
• A nurse is caring for a client who is at 35 weeks of
gestation and has placenta previa which of the following
actions should the nurse take ANSInitiate continuous
external fetal monitoring
• A nurse is assessing fetal heart tones for a client who
is pregnant the nurse is determined the fetal position as
left occipital anterior to which ofthe following areas of
the clients abdomen sure the nurse apply the ultrasound
transducer to assess the point of maximum intensity to
the fetal heart ANS Left lower quadrant
• A nurse is preparing to administer azithromycin to a
client who is at 16weeks of gestation and has a positive
chlamydia culture the prescription states administer is it
from ice in 1 g Orly now available is 250 mg tablets how
, many tablets for the nurse administer round the answer
to the nearest whole number using leading zero if it
applies do not use a trailingzero ANS 4 tablets
8. A nurse is caring for a newborn who is undergoing
photo therapy totreat hyperbilirubinemia which of the
following actions should the nurse take ANS Cover the
newborns eyes while under the phototherapy light
9. A school nurse is providing teaching to an
adolescent about lev- onorgestrel contraception which
of the following information should thenurse include in
the teaching ANS You should take the medication within
72 hours following unprotected sexual intercourse
10.A nurse is providing teaching about family planning to
a client who hasa new prescription for a diaphragm which
of the following statement should the nurse include in the
teaching ANS You should leave the diaphragm in place for
at least six hours after intercourse