ACTUAL EXAM 100 Questions and Verified
Answers| 100% Correct –Rasmussen.
A nurse is assisting with the preparation of a laboring client who is
scheduled to receive an intrauterine pressure catheter. The client asks
why this type of monitoring is needed. Which of the following
responses should the nurse make?
A. "This type of monitoring is necessary for timing of the frequency of
your contractions."
B. "This type of monitoring is noninvasive, so it is the best to monitor
your labor contractions."
C. "This type of monitor allows us to evaluate your baby's heart rate
while you are in labor."
D. "This type of monitoring will allow us to measure the intensity of
your contractions." - ANSWER >>> "This type of monitoring will allow
us to measure the intensity of your contractions."
A nurse is assisting with the care of client who is pospartum and
reports abdominal cramping. Which of the following actions should the
nurse take?
A. Advise the client to lie on her side
B. Request a prescription for an opioid analgesic
C. Offer a sitz bath to the client
D. Encourage the client to interact with the newborn - ANSWER >>>
Encourage the client to interact with the newborn
A nurse is assisting with the care of a client who is labor and is
receiving an infusion of oxytocin. The nurse should monitor the client
for which of the following potential adverse effects?
A. Diarrhea
,B. Thromboembolism
C. Fetal asphyxia
D. Oliguria - ANSWER >>> Fetal asphyxia
A nurse is reinforcing nutritional teaching with a pregnant client who
has a BMI of 32. Which of the following statements should the nurse
make?
A. "You should have considered losing weight before getting
pregnant."
B. "You baby has a higher chance of low birth weight duse to your
BMI."
C. "You might want to consider a weight-reduction diet."
D. "You might be at risk for a longer stay than planned." - ANSWER
>>> "You might be at risk for a longer stay than planned."
A nurse is reinforcing teaching with a client who asks about using
essential oils for her labor and delivery expected to occur next month.
Which of the following responses should the nurse make?
A. "Studies show that jasmine has an antidepressant effect during
labor."
B. "Studies show that the use of lavender is effective for strengthening
contractions."
C. "Studies do not promote diffusing essential oils during labor due to
the possibility of respiratory compromise."
D. "Studies show no evidence that essential oils improve labor
outcomes." - ANSWER >>> "Studies show no evidence that essential
oils improve labor outcomes."
A nurse is calculating is calculating a client's estimated date of
delivery using Naegele's rule. The client's last menstrual period
started on January 20. Which of the following is the client's expected
date of delivery?
A. October 13
B. November 13
, C. October 27
D. November 27 - ANSWER >>> October 27
A nurse is teaching the guardian of a newborn about caring for the
newborn's umbilical cord. For which of the following reasons should
the nurse instruct the guardian to avoid using antimicrobial agents on
the cord?
A. They can cause increased pain from the cord
B. They can cause delayed cord separation
C. They can cause swelling of the surrounding tissue
D. They can cause skin discoloration - ANSWER >>> They can
cause delayed cord separation
A nurse is collecting data from a newborn. Which of the following
findings should the nurse report to the provider?
A. Respiratory rate 52/min
B. Weight 2500 grams (5.5 lb)
C. Head circumference 28 cm (11 in)
D. Blood glucose 48 mg/dL - ANSWER >>> Head circumference 28
cm (11 in)
A nurse is assisting with the care of a client in active labor who is
experiencing hypotension following epidural placement. Which of the
following actions should the nurse take?
A. Decrease IV fluids
B. Give oxygen at 2 L/min via nasal cannula
C. Place the client in a lateral position
D. Administer indomethacin - ANSWER >>> Place the client in a
lateral position
A nurse is assisitng with the plan of care for a client who is postpartum
and has a history of a pulmonary embolus. The provider has
prescribed heparin therapy prophylactically. Which if the following
interventions should the nurse recommend to include in the plan?