QUESTIONS AND CORRECT SOLUTIONS 100% A
GRADED/LATEST 2025
A nurse is developing a plan of care for a newborn who is to undergo phototherapy
for hyperbillirubinemia. Which of the following actions should the nurse include in the
plan? - correct Answers ✔✔ -Remove all clothing form the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has
just had an amniocentesis. Which of the following interventions is the nurse's priority
following the procedure? - correct Answers ✔✔ -Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation.
Which of the following findings should the nurse report to the provider? - correct
Answers ✔✔ -Reports of decreased fetal movement
A nurse is admitting a client to the labor and delivery unit when the client states, "My
water just broke". Which of the following interventions is the nurse's priority? - correct
Answers ✔✔ -Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic test? - correct Answers ✔✔ -Biophysicial profile
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in
preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in
water (D5W). The nurse should set the IV infusion pump to administer how many
mL/hr? - correct Answers ✔✔ -50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider? - correct Answers ✔✔ -BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations
is an indication of hypoglycemia? - correct Answers ✔✔ -Respiratory distress
A nurse in a provider's office is reviewing the medical record of a client who is in the
first trimester of pregnancy. Which of the following should the nurse identify as a risk
,factor for the development of preeclampsia - correct Answers ✔✔ -Pregestational
Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following findings
should the nurse report to the provider? - correct Answers ✔✔ -Fundal Height
Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following findings
should the nurse report to the provider? - correct Answers ✔✔ -Substernal Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
client head to the side, which of the following actions should the nurse take
immediately after the seizure? - correct Answers ✔✔ -Administer oxygen via a
nonrebreather mask
A nurse is providing teaching about nonpharmological pain management to a client
who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items? - correct Answers ✔✔ -Cold cabbage leaves
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? - correct Answers ✔✔ -
Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation using the
New Ballard Score. Which of the following findings should the nurse expect? - correct
Answers ✔✔ -Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility
policy for newborn safety. Which of the following client statements indicates an
understanding of the teaching? - correct Answers ✔✔ -the person who comes to take
my baby's pictures will be wearing a photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following
findings should the nurse report to the provider? - correct Answers ✔✔ -Report of visual
disturbances
A nurse is providing teaching to a client about the physiological changes that occur
during pregnancy. The client is at 10 weeks of gestation and has a BMI within the
expected reference range. Which of the following client statements indicates an
, understanding of the teaching? - correct Answers ✔✔ -"I will likely need to use
alternative positions for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the
following outcomes should the nurse expect? - correct Answers ✔✔ -A reduction in
respiratory distress in the newborn
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should the
nurse anticipate administering if the client develops magnesium toxicity? - correct
Answers ✔✔ -Calcium Gluconate
A nurse is caring for a client who 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? - correct Answers ✔✔ -Respiratory rate
10/min
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which
of the following findings contraindicates the infusion of the oxytocin infusion and
should be reported to the provider? - correct Answers ✔✔ -Late Decelerations
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription
for a non-stress test. Which of the following instructions should the nurse include? -
correct Answers ✔✔ -"You should press the handheld button when you feel your baby
move."
A nurse is assessing a newborn who was delivered vaginally and experienced a tight
nuchal cord. Which of the following findings should the nurse expect? - correct Answers
✔✔ -Petechiae over the head
A nurse is transporting a newborn back to the parent's room following a procedure.
Which of the following actions should the nurse take? - correct Answers ✔✔ -Verify that
the parent's identification band matches the newborn's identification band
A nurse is creating a plan of care who is postpartum and adheres to traditional
Hispanic cultural beliefs. Which of the following cultural practices should the nurse
include in the plan of care? - correct Answers ✔✔ -Protects the client's head and feet
from cold air
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how
to perform Leopoid maneuvers. Which of the following images indicates the first step