/ STUDY GUIDE ACTUAL EXAM WITH
QUESTIONS AND VERIFIED ANSWERS CC:
ALREADY GRADED A+
A nurse is providing care to a client who is in labor. A fetal heart tracing shows
early decelerations. Which of the following actions should the nurse take?
- CORRECT ANSWER Continue to monitor the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her
new laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and
slightly deviated to the right. The client reports a gush of blood when she ambulate's
and no bowel movement since delivery. Which of the following actions should the
nurse take?
- CORRECT ANSWER Assist the client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and
reports dizziness when lying on her back. Into which of the following positions should
the nurse assess the client?
- CORRECT ANSWER Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is
experiencing nausea and vomiting. Which of the following client statements
indicates to the nurse and understanding of the teaching?
- CORRECT ANSWER I should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following
manifestations should the nurse recognize as a potential prenatal complication and
report to the provider? - CORRECT ANSWER Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder
the nurse should notify the provider about which of the following assessment
findings?
- CORRECT ANSWER The client reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language
than the nurse and he's been missing. Which of the following
,actions should the nurse take while waiting for an interpreter? -CORRECT
ANSWER Change the clients position
A nurse is providing teaching for a client who is pregnant and has type one diabetes
mellitus. Which of the following statements should the nurse include in the teaching?
- CORRECT ANSWER You should expect to decrease your insulin dosage
immediately after you deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on
the fetal monitor. Which of the following actions should the nurse take? - CORRECT
ANSWER Document the findings and continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following
conditions can require administration of this medication? -CORRECT ANSWER
IV narcotics administered to the mother during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of
the following is a complication of the epidural block? -CORRECT ANSWER
Hypotension
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of
the following statements should the nurse include in the teaching? - CORRECT
ANSWER Before bedtime is a good time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for
newborns. Vitamin K helps prevent which of the following conditions in a newborn?
- CORRECT ANSWER Intracranial hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of the
following Clinical findings should the nurse expect? -CORRECT ANSWER
Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and
expresses a desire to use nonpharmacological methods of pain relief. Which of the
following intervention should the nurse include? -CORRECT ANSWER Assist the
client into a warm shower
,A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device IUD. Which of the following pieces of information
should the nurse provide to the client? -CORRECT ANSWER Your risk for ectopic
pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes
about dietary changes. Which of the following statements should the nurse
include in the teaching? - CORRECT ANSWER Carbohydrates should make up
55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs
more protein in her diet and suggest eating more meat after the provider leaves the
examination room the client tells the nurse that eating animal products will cause her
to miscarry. Which of the following responses should the nurse make? - CORRECT
ANSWER Let's discuss other foods that are also high in protein that you can
substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the
following findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this
information, which of the following fetal position should the nurse document in the
medical record? - CORRECT ANSWER Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which of
the following statements should the nurse include?
- CORRECT ANSWER These exercises should be done for 15 minutes each
day to strengthen the peroneal muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving
oxytocin IV. The client asked the nurse, why is there so little bleeding? Which of
the following responses should the nurse make? -CORRECT ANSWER The
bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For
which of the following prescriptions should the nurse seek clarification? -
CORRECT ANSWER Monitor the clients weights weekly
, A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to
undergo an amniocentesis. Which of the following statements should the nurse
make? - CORRECT ANSWER You will feel so much discomfort during this
procedure
A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the
following findings should the nurse report to the provider? - CORRECT ANSWER
3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of
the following pieces of information should the nurse include? -CORRECT ANSWER
Vigorous exercise it should be limited and should not be performed in hot humid
weather
A nurse is caring for several clients. Which of the following clients should the nurse
identify as a candidate for oral contraceptives a - CORRECT ANSWER A client
who is breast-feeding a seven month old infant
A nurse is caring for a newborn who was born to a client with a narcotic use disorder.
Which of the following nursing actions is contraindicated in the care of this newborn -
CORRECT ANSWER Frequent simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to
induce labor which of the following statements should the nurse make? -
CORRECT ANSWER An epidural given to early can prolong labor
A nurse is caring for a client who is in labor. The client questions application of an
internal fetal scalp monitor. Which of the following responses should the nurse
provide? - CORRECT ANSWER We need to observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days
postpartum which of the following pieces of information should the nurse include? -
CORRECT ANSWER Watch the newborns face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the
following assessments by the parent demonstrates an