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1. A nurse is providing teaching about home care to the parent of a
newborn. Which of the following statements indicates an
understanding of the teach- ing?:
A. I should make sure the baby's bath water is between 115 and 120 degrees Fahrenheit
B.I should let my baby sleep on the sofa until he is old enough to roll over
C. I should ensure the airbag is functional when my baby is riding in the front seat of a car
D. I should remove the bumper paf and stuffed toys from my babies crib
D. The parent should remove bumper pads, stuffed toys and blankets from the babies
crib to decrease the risk of suffocation and SIDs
2. A nurse is assessing a female client 24 hours after delivery and notes the
fundus is 2 cm above the umbilicus. Which of the following actions should the
nurse take?:
A. Administer a tocolytic medication
B.Apply a heating pad to the mid-abdominal area
C. Reassess the fundus in 2 hours
D. Ambulate the client to the bathroom
,D. An increased fundal height in the postpartum period is a sign of non-
contracted uterus, which increases the risk for hemorrhage. The most
common postpartum cause of an elevated fundal height is an over-distended
bladder
3. A nurse is assessing a client who missed 2 menstrual cycles and reports that
she might be pregnant. Which of the following findings is a positive sign of
pregnancy?:
A. Quickening
B.Breast Tenderness
C. Uterine enlargement
D. Auscultation of a fetal heart rate
D. Auscultation of a fetal heart rate
The auscultation of a fetal heart rate is a conclusive sign of pregnancy
4. A nurse is reviewing the medical record of a client at 33 weeks gestation who
has placenta previa and bleeding. Which of the following prescriptions should
the nurse clarify with the provider?:
A. Perform a vaginal examination
B.Perform continuous external fetal monitoring
C. Insert a large bore IV catheter
D. Obtain a blood sample for laboratory testing
A. Perform a vaginal examination
When a client has placenta previa, the placenta implants in the lower part of the uterus
and obstructs the cervical os (the opening to the vagina). The nurse should clarify this
prescription because any manipulation can cause tearing of the placenta and increased
bleeding
, 5. A nurse is assessing a pregnant client who is at 38 weeks gestation. The
client reports that her breathing has become easier but notes an increased
frequency of urination. The nurse should document this occurrence as which
of the following?:
A. Effacement
B.Dilation
C. Lightening
D. Quickening
C. Lightening
Lightning describe the engagement of the fetal head into the pelvis. When this occurs,
breathing becomes easier, but urination is more frequent
6. A charge nurse is providing teaching for a newly hired nurse about the
potential side effects of an epidural anesthetic for a laboring client. Which of
the following effects should the charge nurse include in teaching?:
A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain
body temperature
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability
C. Impaired placental perfusion
Maternal hypotension can occur in 10% to 30% of women who receive epidural or
spinal anesthesia. This can result in decreased blood flow to the placenta and impaired
delivery of oxygen to the fetus
7. A nurse in a clinic is assessing a client who is at 13 weeks of gestation and