questionsin this set (108)
At 10-weeks gestation, a high- A. Uterine cramping
risk multiparous client with a
family history of Down syndrome
is admitted for observation
following a chorionic villi
sampling (CVS) procedure.
What assessment finding
requires immediate intervention
A client states, "During the D. The growing uterus is putting pressure on the bladder.
three months I've been pregnant,
it seems like I have had to go to
the bathroom every five minutes."
Which explanation should the
nurse provide to this client?
The nurse assesses a male C. Assess the infant's blood glucose level
newborn and determines that he
has the following vital signs:
axillary temperature 95.1 F, heart
rate 136 beats/minute, and a
respiratory rate 48
breaths/minute. Based on these
findings,
which action should the nurse take
first?
An infant in respiratory distress is B. Begin humidified oxygen via hood
placed on pulse ox. The O2 sat is
85%. What is the priority
nursing intervention?
,When assessing a newborn C. Count the heart rate for at least one full minute
infant's heart rate, which
technique is most important for
the nurse to use?
The nurse prepares to B. Explore the mother's concerns about the infant receiving an injection of
administer an injection of vitamin vitamin K
K to a newborn infant. The mother
tells the nurse, "Wait! I don't want
my baby to have a shot." Which
response would be best for the
nurse to make?
The nurse is teaching a new A. Avoid alcohol because it is excreted in breast milk
mother about diet and
breastfeeding. Which instruction is
most important to include in the
teaching plan?
Which nursing intervention best D. Encourage early initiation of breast of formula feeding
enhances maternal-infant
bonding during the fourth stage
of labor?
A client at 8-weeks gestation asks D. The heart develops in the third to fifth weeks after conception
the nurse about the risk fora
congenital heart defect (CHD) in
her baby. Which response best
explains when a CHD may
occur?
A client at 8-months gestation B. The fetus in utero is capable of hearing and does respond to the mother's
tells the nurse that she knows voice
her baby listens to her, but her
husband thinks she is imagining
things. What information should
the nurse
provide?
A client at 25-weeks gestation B. The fetus can respond to sound by 24-weeks gestation
tells the nurse that she
dropped a cooking utensil last
week and her baby jumped in
response to the noise. What
information should the
nurse provide?
A woman whose pregnancy is C. Secretes both estrogen and progesterone
, confirmed asks the nurse what
the function of the placenta is
in early pregnancy. What
information supports the
explanation that the nurse
should provide?
Which cardiovascular findings A. Decrease in pulse rate
should the nurse assess further in
a client who is at 20-
weeks gestation?