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1. A nurse is explaining physiological jaundice to a nurs- Gestational age of 35-38
ing student.Which of the following should the nurse weeks.
include when discussing risk factors for neonatal
physiological jaundice?
2. A baby boy is circumcised on the day of dis- Make sure the baby can
charge.Which observation should the nurse make pri- urinate normally without
or to the infant's discharge?. pain The time and amount
of the first post-procedure
voiding.
3. A patient who is 38 weeks pregnant is admitted to Test the patient's vaginal
the hospital in active labor.On admission, the patient secretions with nitrazine
says, "For the past ten hours, I have been leaking small paper.
amounts of urine." Which action should the nurse take
initially?
4. A nurse is caring for a female client who suspects she "Have you noticed any
is pregnant.Which question, if asked by the nurse, is tenderness in your
consistent with signs of early pregnancy? breasts?".
5. A nurse is caring for a newborn with a gestational Dryness and flaking of the
age of 42 weeks.Which finding would the nurse expect skin on the hands and
during the assessment of this newborn?. feet.
6. A patient who is 37 weeks pregnant and has gestation- Monitor the patient's
al diabetes is admitted to the labor and delivery unit blood pressure.
for induction.The patient is placed on an external fetal
monitor and receives an epidural anesthesia.Which
action should the nurse take to identify a potential
side effect of the epidural?
7. epidural anesthesia can cause
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Hypotension which can af-
fect placental blood flow
and fetal oxygenation
8. preeclampsia is characterized by hypertension, edema and
proteinuria
9. Deep tendon reflexes can be affected by Magnesium
10. a medication used to prevent seizures in patients with Magnesium Sulfate
preeclampsia
11. A patient is receiving magnesium sulfate.Which side Decreased Respirations it
effect should the nurse monitor for with this patient? can slow down or stop
breathing
12. Babinski reflex big toe bends upward and
the other toes fan out
when the sole of the foot
is stroked.
13. A nurse is caring for a patient who is in labor and is Count the time from the
placed on a monitor.How should the nurse determine beginning of one contrac-
the duration of contractions? tion to the end of the same
contraction.
14. A nurse is caring for a patient being evaluated for Syphilis
sexually transmitted infection (STI).A negative rapid
plasma reagin (RPR) indicates that a patient is prob-
ably not infected with which STI?
15. gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae
16. condylomata are genital warts caused by
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human papillomavirus
(HPV),
17. A patient comes to the family planning clinic request- The reason for the pa-
ing information.Which information should the nurse tient's visit at this time.
obtain initially to determine the patient's knowledge
base?.
18. A nurse is caring for a newborn of a diabetic mother Jitteriness
(IDM).What should the nurse monitor for during care
of the newborn?
19. Is hypoglycemia or hyperglycemia the cause of jitters Hypoglycemia
in infants of diabetic mothers (IDM)
20. Hypoglycemia in infants can also cause symptoms Jitteriness, seizures,
such as lethargy, poor feeding,
sweating, trembling, and
pale complexion.
21. Normal ranges for blood glucose in newborns 40 to 150 mg/dL (2.2 to
8.3 mmol/L).
22. A nurse is assessing a newborn.Which finding may The newborn's nostrils
indicate a problem? flare slightly during respi-
ration.
23. The nurse suspects drug abuse in a patient admitted What drugs have you used
with no prenatal care and a diagnosis of abruptio pla- during your pregnancy?".
centae.Which question would elicit the most informa-
tion from the patient concerning the suspected drug
use?
24.