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    Exam Review

    1. A nurse is reinforcing discharge instructions about breastfeeding with a client. Which of the following statements should the nurse make?
      A)
      "You should recognize that your baby sucking on his hands is a hunger cue."
      B)
      "You should feed your baby for 10 minutes on each breast.”
      C)
      "You should feed your baby six times a day."
      D)
      "You should wake your baby at least every 6 hours at night for feedings."
    2. A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
      A)
      A client who smokes one pack of cigarettes per day
      B)
      A client who has a history of gallbladder disease
      C)
      A client who has a positive pregnancy test
      D)
      A client who is nulliparous
    3. A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?
      A)
      "You should check the identity of individuals who come to remove your baby from the room"
      B)
      "We will scan your baby's identification bracelet each time check on him
      C)
      "We will match the bracelet on your baby with his footprint record each shift"
      D)
      "Your baby will wear an electronic bracelet when he is out of your room
    4. nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?
      A)
      Prepare the client for an abdominal sonogram.
      B)
      Encourage the client to continue to breastfeed
      C)
      Encourage the client to wear a bra that is loose fitting
      D)
      Limit the client's daily fluid intake.
    Page 1 of 10

    Exam Review

    1. A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?
      A)
      Urination urgency and frequency
      B)
      Tingling in the fingers
      C)
      Round ligament pain
      D)
      Perineal discomfort and pressure
    2. A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
      A)
      Perform unbiased teaching
      B)
      Assess the client's socioeconomic status
      C)
      Collect a dietary history
      D)
      Select the best method of contraception for the client.
    3. A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following instructions should the nurse include?
      A)
      Tell the client to apply hydrocortisone ointment to the affected area of the breast.
      B)
      Suggest the client apply warm compresses to the affected breast
      C)
      Recommend the client avoid wearing a nursing bra until symptoms resolve
      D)
      Encourage the client to limit oral fluid intake to decrease milk production
    4. A nurse is collecting data from a client who has hyperemesis gravidarum. Which of the following findings should the nurse anticipate?
      A)
      Increased fundal height
      B)
      Poor skin turgor
      C)
      Decreased pulse rate
      D)
      Proteinuria
    Page 2 of 10

    Exam Review

    1. A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn. Which of the following recommendations should the nurse include in the teaching?
      A)
      Lie in a left side lying position for 30 min after meals
      B)
      Drink a cup of black coffee before breakfast
      C)
      Take sips of milk between meals
      D)
      Eat three large meals per day
    2. A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?
      A)
      "You will be prescribed methadone."
      B)
      "You will be prescribed aripiprazole."
      C)
      "You will be prescribed naloxone."
      D)
      "You will be prescribed diazepam."
    3. A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following interventions should the nurse recommend including in the plan?
      A)
      Reposition the newborn every 2 to 3 hr.
      B)
      Give the newborn 30 mL of distiled water after each feeding
      C)
      Apply a water-based ointment to the newborn's skin every 4 to 6 hr.
      D)
      Monitor the newborn's blood glucose level every 2 hr
    4. A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
      A)
      Maternal temperature 38.3°C (101°F).
      B)
      Fetal heart tones 98/min.
      C)
      Foul-smelling vaginal discharge.
      D)
      Amniotic fluid with meconium noted.
    Page 3 of 10

    Exam Review

    1. A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
      A)
      Place the client in knee-chest position.
      B)
      Give a bolus of lactated Ringer's.
      C)
      Administer methylergonovine IM.
      D)
      Assist the client to empty her bladder.
    2. A nurse is reinforcing teaching with a client about laboratory testing during pregnancy. Which of the following statements should the nurse include in the teaching?
      A)
      A group B streptococcus screening will be performed to determine the presence of STIs.
      B)
      A multiple marker screening will be performed to identify neural tube defects.
      C)
      A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.
      D)
      A glucose tolerance test will be performed to predict hyperglycemia in your baby.
    3. A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
      A)
      Administer NSAIDs every 4 to 6 hr.
      B)
      Have the client ambulate as often as possible.
      C)
      Apply warm, moist packs to the client's lower legs.
      D)
      Apply elastic stockings before the client gets out of bed.
    4. A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?
      A)
      Fever.
      B)
      Diarrhea.
      C)
      Sedation.
      D)
      Diuresis.
    Page 4 of 10

    Exam Review

    1. A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products. Which of the following food options should the nurse recommend as the best source of dietary calcium?
      A)
      1 large banana.
      B)
      1 cup kale.
      C)
      1 baked potato.
      D)
      1 cup white corn.
    2. A nurse is assisting in the care of a client who is 3 hours postpartum and reports complete saturation of their perineal pad in the past 30 minutes. Which of the following actions is the highest priority?
      A)
      Monitor urine output.
      B)
      Perform fundal massage.
      C)
      Apply oxygen by face mask.
      D)
      Weigh the perineal pad.
    3. A nurse is transporting a newborn to their parents from the nursery. Which of the following actions should the nurse perform to confirm the newborn's identity?
      A)
      Ask a parent to state the newborn's date of birth.
      B)
      Request a parent to verify the newborn's name.
      C)
      Check the newborn's footprint sheet with the medical record.
      D)
      Compare the numbers on the newborn's band to the parent's band.
    4. A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      “I should expect to feel pain in my upper right abdomen if I’m having preterm labor."
      B)
      "I have contractions more often than every 10 minutes, I might be in preterm labor.”
      C)
      “I might be experiencing preterm labor if walking stops my contractions."
      D)
      “I can take a daily iron supplement to prevent preterm labor.”
    Page 5 of 10

    Exam Review

    1. A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "White blood cell count is an indicator of anemia.”
      B)
      "Urine specific gravity identifies my risk for pregnancy induced hypertension.”
      C)
      "Platelet count identifies if I am at risk for bleeding.”
      D)
      "Sedimentation rate checks for signs of cancer.”
    2. A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse. Which of the following conditions should the nurse include as a risk factor?
      A)
      Retained placental fragments.
      B)
      Breech presentation.
      C)
      Urinary tract infection.
      D)
      Oligohydramnios.
    3. A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon. Which of the following actions should the nurse encourage the client to take?
      A)
      Increase intake of fresh fruits.
      B)
      Restrict fluids to 1,000 mL/day.
      C)
      Eat dry, bland foods in the morning.
      D)
      Take an over-the-counter antacid.
    4. A nurse is reinforcing teaching about breastfeeding with a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will nurse my baby for 5 to 10 minutes on each breast.”
      B)
      "I will make sure that just the nipple is in my baby's mouth.”
      C)
      "I will lay my baby on a pillow at the level of my breast."
      D)
      "I will apply vitamin E oil to my nipples after each feeding.”
    Page 6 of 10