NursGuru

    Exam Review

    1. A nurse who is caring for a newborn observes signs of respiratory distress, jitteriness, and lethargy. Which of the following actions should the nurse take?
      A)
      Place the newborn in a radiant warmer.
      B)
      Initiate phototherapy.
      C)
      Obtain blood glucose by heel stick.
      D)
      Measure the newborn's blood pressure.
    2. A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
      A)
      Facial edema
      B)
      Urinary frequency
      C)
      Decreased energy
      D)
      Mood swings
    3. A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.Which of the following information should the nurse include?
      A)
      Quickening starts during the last weeks of pregnancy.
      B)
      Quickening occurs between the second and third months of pregnancy.
      C)
      Quickening occurs between the fourth and fifth months of pregnancy.
      D)
      Quickening starts soon after implantation.
    4. A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?
      A)
      "Moderate exercise can help improve your circulation."
      B)
      "It is a good idea to increase your weight-bearing exercises."
      C)
      "Be careful about exercises that include stretching."
      D)
      "You should rest for 5 minutes following exercise."

    Exam Review

    1. A nurse is assisting in the care of a client who is 36 weeks of gestation and reported to the clinic for a routine visit.Physical Examination 0900Lungs clear to auscultation in all lobes, anterior, posterior, and lateral Abdomen gravid and soft to palpation. Fundal height 37 cm. Facial edema observed as well as 3 edema in the lower extremities. Mild anxiety. Patellar reflex 3, clonus negative. Fetal heart rate 172/min. BP 143/85. A nurse is assisting in the care of a client who is 36 weeks of gestations and reported to the clinic for a routine visit. Which of the following findings should the nurse report to the provider? (Select all that apply)
      (SATA)
      A)
      Blood pressure
      B)
      Respiratory rate
      C)
      Gastrointestinal assessment findings
      D)
      Cerebral manifestations
      E)
      Deep tendon reflexes
      F)
      Fetal heart rate
    2. A nurse is assisting with the care of a client who is at 37 weeks of gestation and has placenta previa. Which of the following risks is the primary reason the nurse should avoid performing a pelvic examination?
      A)
      Rupture of the fetal membranes
      B)
      Infection
      C)
      Profound bleeding
      D)
      Preterm labor
    3. A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following Instructions should the nurse include in the teaching?
      A)
      "Administer depot medroxyprogesterone every 6 to 8 weeks."
      B)
      "Massage the site after you administer the medication."
      C)
      "Give the medication intramuscularly."
      D)
      "Initiate depot medroxyprogesterone 14 days after the client's first day of her menstrual cycle."
    4. A nurse is assisting with a community program to educate adolescents about contraception.After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?
      A)
      "Because of your age, we need your parents' consent for an examination, and then we'll talk."
      B)
      "The doctor can best help you with that after your physical examination."
      C)
      "Before I can help you with that question, I need to know more about your sexual activity."
      D)
      "You are so young. Are you sure you are ready for the responsibilities of a sexual relationship?"

    Exam Review

    1. A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
      A)
      Craniofacial abnormalities
      B)
      Hyperactivity
      C)
      Hypersensitivity to noise
      D)
      Low birth weight
    2. A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
      A)
      When she does not desire future pregnancies
      B)
      Prior to discharge from the hospital after giving birth
      C)
      Two weeks before attempting pregnancy again
      D)
      Prior to giving birth
    3. A nurse is reinforcing teaching about nutritional needs with a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase during pregnancy?
      A)
      Vitamin E
      B)
      Calcium
      C)
      Vitamin D
      D)
      Iron
    4. A nurse is assisting with the care of a client who was recently diagnosed with endometriosis.History & Physical Nurse Notes Provider PrescriptionsNafarelin 200 mcg 1 spray intranasally every morning and 1 spray in the opposite nostril every eveningA nurse is assisting with the care of a client who was recently diagnosed with endometriosis and began taking medication to treat the condition. Which of the following manifestations reported by the client should the nurse identity as a therapeutic effect of the medication?(Select all that apply)
      A)
      Dermatological manifestations
      B)
      Breast changes
      C)
      Pain level during sexual intercourse
      D)
      Nasal mucosa changes
      E)
      CNS manifestations
      F)
      Missed previous month's menstrual cycle

    Exam Review

    1. A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?
      A)
      Only on days 13 to 17 of her menstrual cycle
      B)
      1 hr after vaginal intercourse
      C)
      Immediately after getting into bed at night
      D)
      Every morning before arising
    2. A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make?
      A)
      Maintenance of good posture
      B)
      Regular use of a laxative
      C)
      Regular use of glycerin suppositories
      D)
      Increased cellulose and fluid in the diet
    3. A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
      A)
      The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm below the ischial spines.
      B)
      The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm below the ischial spines.
      C)
      The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines.
      D)
      The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm above the ischial spines.
    4. A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?
      A)
      Offer the client orange and repeat the assessment after 1 hr.
      B)
      Assure the client that the score is within the expected range.
      C)
      Assist the client into a side-lying position.
      D)
      Administer oxygen and notify the provider.

    Exam Review

    1. A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?
      A)
      Milk
      B)
      A high-fiber meal
      C)
      Orange juice
      D)
      Scrambled eggs
    2. A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
      A)
      The client will be asked to stimulate her nipples for 5 min during the test.
      B)
      An external fetal monitor will be used to monitor the FHR.
      C)
      An IV will be initiated prior to the test.
      D)
      The client will receive an ultrasound prior to the test.
    3. A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
      A)
      Maternal battering
      B)
      Maternal hypertension
      C)
      Maternal cocaine use
      D)
      Maternal cigarette smoking
    4. A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
      A)
      The client is Rh negative and the newborn is Rh negative.
      B)
      The client is Rh negative and the newborn is Rh positive.
      C)
      The client is Rh positive and the newborn is Rh positive.
      D)
      The client is Rh positive and the newborn is Rh negative.

    Exam Review

    1. A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?
      A)
      Severe nausea and vomiting
      B)
      Copious vaginal bleeding
      C)
      Pelvic pain
      D)
      Uterine enlargement greater than expected for gestational age
    2. A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.Which of the following treatments should the infant receive?
      A)
      The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen
      B)
      Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
      C)
      Hepatitis immune globulin and the hepatitis B vaccine within 12 hr of birth
      D)
      The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days
    3. A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?
      A)
      "I can continue my daily swimming routine."
      B)
      "I will participate in a game of racquetball once a week."
      C)
      "I can go cycling daily."
      D)
      "I will attend a yoga class three times per week."
    4. A nurse is assisting in the care of a client who is in active labor. The nurse should identify which of the following as a cause of variable decelerations?
      A)
      Maternal fever
      B)
      Umbilical cord compression
      C)
      Fetal head compression
      D)
      Polyhydramnios