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    Exam Review

    1. A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis. Which of the following actions should the nurse take?
      A)
      Insert the suppository along the posterior vaginal wall.
      B)
      Assist the client into a prone position.
      C)
      Apply petroleum jelly to the suppository.
      D)
      Insert the suppository 5 cm (2 in).
    2. A nurse is collecting data from a client who is 48 hr postpartum. Which of the following findings reported by the client should the nurse identify as a postpartum psychosocial concern?
      A)
      The newborn reminds the client of themself as a newborn.
      B)
      The client reports fatigue and a desire to sleep.
      C)
      The client does not want to feed the newborn.
      D)
      The client discusses a desire to have more children.
    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 with a client who is at 36 weeks of gestation prior to her nonstress test. Which of the following statements indicates the client understands the teaching?
      A)
      "This test will measure my baby's heart rate when he moves.”.
      B)
      "I can expect this test to take 2 to 4 hours to complete.”.
      C)
      "I am having this test because this is my first pregnancy.”.
      D)
      "This test will measure the strength of my contractions.”.
    Page 1 of 16

    Exam Review

    1. A nurse is collecting data from a late preterm newborn. Which of the following findings should the nurse expect?
      A)
      Alert, wide-eyed appearance.
      B)
      Thermal instability.
      C)
      Hyperglycemia.
      D)
      Leathery skin.
    2. A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?
      A)
      Ensure the crib has soft bumper pads on the inside.
      B)
      Place a small pillow under the newborn's head during naps.
      C)
      Wash the newborn's face with a warm, soapy washcloth.
      D)
      Set the temperature on the water heater to 48.8° C (120° F).
    3. A nurse is planning to administer phytonadione 0.5 mg to a newborn. Available is 1 mg/0.5 mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:0.25 mL
    4. A nurse is reinforcing teaching with the mother of a newborn about the proper use of a bulb syringe for suctioning. Which of the following instructions should the nurse include in the teaching?
      A)
      Suction the newborn's nose first, then the mouth.
      B)
      Depress the bulb prior to insertion.
      C)
      Lubricate the bulb with sterile water prior to use.
      D)
      Place the bulb in the center of the newborn's mouth.
    Page 2 of 16

    Exam Review

    1. A nurse is assisting a client who is in labor to the bathroom when the client reports a sudden gush of fluid. The nurse observes an umbilical cord protruding from the client's vagina. Which of the following actions should the nurse take first?
      A)
      Loosely wrap the cord with a saline saturated towel.
      B)
      Assist the client into a knee-chest position.
      C)
      Apply an external fetal monitor on the client.
      D)
      Administer oxygen 10 L/min via face mask.
    2. A nurse is reinforcing teaching about formula feeding with the guardian of a term newborn who was born 2 hr ago. Which of the following instructions should the nurse include?
      A)
      You should offer a bottle of formula every 3 to 3 1/2 hours.
      B)
      You should wake the baby for night feedings for the first few months.
      C)
      You should add filtered water to dilute ready-to-feed formula.
      D)
      You can keep prepared bottles in the refrigerator for 72 hours.
    3. A nurse is reinforcing teaching about the correct use of infant car seats with the parent of a newborn. Which of the following statements by the parent indicate an understanding of the teaching?
      A)
      I should move the shoulder harness to the slots that are slightly below my baby's shoulders.
      B)
      I should position the retainer clips at the level of my baby's umbilicus.
      C)
      I should adjust the car seat so my baby is at a 60-degree angle while riding in the car.
      D)
      I can change my baby to a forward-facing car seat when they weigh 15 pounds.
    4. A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?
      A)
      "Combined estrogen-progestin contraceptive pills cause longer periods.”.
      B)
      "You will need to receive a medroxyprogesterone acetate injection once per month.”.
      C)
      "You will need to have your diaphragm replaced every 4 years.”.
      D)
      "Oral contraceptives decrease the risk for endometrial cancer.”.
    Page 3 of 16

    Exam Review

    1. A nurse is caring for a client in an antepartum clinic following a maternal serum alpha-fetoprotein screening. The nurse should recognize that an elevated alpha-fetoprotein level is suggestive of which of the following?
      A)
      Neural tube defects.
      B)
      Phenylketonuria.
      C)
      Trisomy 21.
      D)
      Hemophilia.
    2. A nurse is assisting in the initiation of phototherapy. Which nursing action is indicated for the newborn?
      A)
      Cover the newborn's eyes with an eye shield.
      B)
      Apply lotion to the newborn's skin regularly.
      C)
      Ensure the newborn wears a hat during phototherapy.
      D)
      Move the lights closer to the newborn to increase body temperature.
    3. A nurse in a prenatal clinic is reinforcing teaching with a group of women about the use of acupressure to relieve discomfort during labor. Which of the following instructions should the nurse include in the teaching?
      A)
      Recognize specific signals, respond, and relax.
      B)
      Place tennis balls on the sacral area and lean against them.
      C)
      Use light strokes on the abdomen with a rhythmic breathing pattern.
      D)
      Immerse yourself in a tub of warm water.
    4. A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?
      A)
      "You will have a screening for gestational diabetes at 12 weeks of gestation."
      B)
      "You will have a group B strep culture at 36 weeks of gestation."
      C)
      "You will have to produce a clean catch urine specimen every 2 months."
      D)
      "You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation."
    Page 4 of 16

    Exam Review

    1. A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?
      A)
      Intrauterine growth restriction.
      B)
      Multiple gestation.
      C)
      Down syndrome.
      D)
      Neural tube defect.
    2. A nurse is collecting data from a newborn who has an infection of Candida albicans. Which of the following findings should the nurse expect?
      A)
      Vesicles on the skin, lips, and around the eyes.
      B)
      Temperature 37.5° C (99.5° F).
      C)
      Edematous red conjunctivae.
      D)
      White patches on the tongue that cannot be removed.
    3. A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?
      A)
      Carrots.
      B)
      Chicken breast.
      C)
      Apples.
      D)
      Feta cheese.
    4. A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?
      A)
      BP 105/62 mm Hg.
      B)
      Urinary retention.
      C)
      Respiratory rate 11/min.
      D)
      Blurred vision.
    Page 5 of 16

    Exam Review

    1. The nurse should further evaluate the cry characteristics, muscle tone, and respiratory characteristics to determine if the newborn is experiencing a complication.
      A)
      Babinski reflex.
      B)
      Heart rate.
      C)
      Moro reflex.
      D)
      Blood glucose.
    2. A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?
      A)
      Auscultate the newborn’s bowel sounds.
      B)
      Swaddle the newborn in blankets.
      C)
      Weigh the newborn’s wet diaper.
      D)
      Determine the newborn’s respiratory rate.
    3. A nurse is collecting data from a client who is 48 hours postpartum. Which of the following findings reported by the client should the nurse identify as a postpartum psychosocial concern?
      A)
      The client discusses desire to have more children.
      B)
      The client reports fatigue and desire to sleep.
      C)
      The newborn reminds the client of themself as a newborn.
      D)
      The client does not want to feed the newborn.
    4. A nurse is reinforcing teaching at a prenatal visit about the importance of adequate folic acid intake with a client who is at 12 weeks of gestation. Which of the following client statements indicates an understanding of the teaching?
      A)
      "It will prevent my baby from bleeding.”.
      B)
      "It will strengthen my baby's immune system.”.
      C)
      "It will make my baby's bones strong.”.
      D)
      "It will reduce my baby's risk of having a spinal cord defect.”.
    Page 6 of 16