RETAKE EXAM 4 2026 FETAL DEVELOPMENT
AND LABOR REVIEW QUESTIONS ANSWERS
VERIFIED GUIDE
◉ A nurse is caring for a client who is at 39 weeks gestation and in
active labor. Which of the following actions should the nurse
include in the plan of care?
A. Keep all 4 side rails up while the client is in bed
B. Monitor the fetal heart rate every hour
C. Insert an indwelling urinary catheter
D. Check the cervix prior to analgesic administration.
Answer: D. Check the cervix prior to analgesic administration
◉ A nurse is teaching a client during the client's first prenatal visit.
Which of the following instructions should the nurse include?
A. "A fetal stethoscope can first detect your baby's heart rate at 22
weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A Doppler device can detect your baby's heart rate at 12 weeks."
,D. "You will first feel the baby move at about 8 weeks.".
Answer: C. "A Doppler device can detect your baby's heart rate at 12
weeks."
◉ A nurse is providing postpartum discharge teaching about proper
storage of breast milk for a client who is breastfeeding. Which
of the following client statements indicates an understanding of the
teaching?
A. "I can store my pumped milk in the door of the refrigerator."
B. "I can use the microwave to thaw my frozen breast milk."
C. "I will discard any unused breastmilk that is left in the bottle."
D. "I can refreeze any breastmilk after it has been thawed.".
Answer: C. "I will discard any unused breastmilk that is left in the
bottle."
◉ A nurse is caring for a newborn. The nurse should obtain
informed consent before taking which of the following actions?
A. Administering erythromycin ophthalmic ointment
B. Conducting a newborn hearing screening
C. Giving the hepatitis B vaccine
D. Screening for critical congenital heart disease.
,Answer: C. Giving the hepatitis B vaccine
◉ A nurse is admitting a client who is in post-term labor. Which of
the following statements should the nurse identify as the
priority?
A. "I had blood-streaked discharge a few hours ago."
B. "When my water broke, it was not clear."
C. "I have not felt my baby move as much today."
D. "I feel like I cannot breathe when I walk up the stairs..
Answer: B. "When my water broke, it was not clear."
◉ A nurse is providing teaching to a client who is planning to
breastfeed her newborn. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I must drink milk every day in order to assure good-quality
breast milk."
B. "Drinking lots of fluids will increase my breast milk production."
C. "After the first few weeks, my nipples will toughen, and
breastfeeding won't hurt anymore."
D. "My baby may sometimes feed every hour for several hours in a
row.".
, Answer: D. "My baby may sometimes feed every hour for several
hours in a row."
◉ A nurse is providing teaching about newborn care to the parent of
a newborn. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I will wash my baby's umbilical cord stump with antibacterial
soap."
B. "I will cover my baby with a lightweight blanket during nap time."
C. "I will use a cotton-tipped swab to clean my baby's ear canals."
D. "I will place a hat on my baby's head prior to going outside.".
Answer: D. "I will place a hat on my baby's head prior to going
outside."
◉ A nurse is providing breastfeeding education to a client who
delivered 12 hours ago. Which of the following client statements
indicates an understanding of the teaching?
A. "I should have less cramping while I'm breastfeeding."
B. "I should breastfeed at least 8 to 12 times in a 24-hour period."
C. "I should wait to breastfeed until my baby awakens from her nap."
D. "I should switch breasts after 5 minutes of nursing.".