NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?
      A)
      Contraction resting period 35 seconds
      B)
      Heart rate 100/min for a 10-min period
      C)
      Four contractions in a 10-min period
      D)
      Co Contraction lasting 85 seconds
    2. A nurse is caring for a client who is at 32 weeks of gestation and is in labor. Which of the following medications is contraindicated for this client?
      A)
      Misoprostol
      B)
      Folic acid
      C)
      Nifedipine
      D)
      Terbutaline sulfate
    3. A nurse is assisting with the care of a client who is in labor. Immediately after the delivery of a newborn, which of the following actions should the nurse take first?
      A)
      Examine the newborn for birth defects.
      B)
      Conduct a gestational age assessment
      C)
      Confirm identification and apply a bracelet.
      D)
      Dry the newborn.
    4. A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?
      A)
      Empty her bladder immediately prior to the procedure.
      B)
      Refrain from eating breakfast on the day of the procedure.
      C)
      Give herself a hypertonic enema the day before the procedure.
      D)
      Wash her abdomen with soap and water the morning of the procedure.
    Page 1 of 20

    Exam Review

    1. A nurse is preparing to auscultate fetal heart tones for a client who is pregnant. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundal portion of the uterus and a long, smooth surface on the mother's right side. In which of the following maternal quadrants should the nurse auscultate fetal heart tones?
      A)
      Right upper quadrant
      B)
      Left lower quadrant
      C)
      Right lower quadrant
      D)
      Left upper quadrant
    2. A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?
      A)
      Place the newborn in the Trendelenburg position.
      B)
      Administer saline drops into the newborn's nares.
      C)
      Suction the newborn's mouth with a bulb syringe.
      D)
      Perform deep suctioning of the newborn's trachea with an endotracheal tube.
    3. A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
      A)
      Two arteries and one vein
      B)
      Two arteries and two veins
      C)
      Two veins and one artery
      D)
      One artery and one vein
    4. A nurse is reinforcing teaching with the mother of a newborn who is small for gestational age. Which of the following should the nurse include as a cause of this condition?
      A)
      Primipara
      B)
      Maternal obesity
      C)
      Perinatal asphyxia.
      D)
      Placental insufficiency
    Page 2 of 20

    Exam Review

    1. A nurse is caring for a newborn who is small for gestational age. Which of the following findings is associated with this condition?
      A)
      Protruding abdomen
      B)
      Gray umbilical cord
      C)
      Moist skin
      D)
      Wide skull sutures
    2. A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include?
      A)
      Small for gestational age newborn
      B)
      Newborn hypoglycemia
      C)
      Oligohydramnios
      D)
      Placenta previa
    3. A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
      A)
      Two arteries and two veins.
      B)
      One artery and one vein.
      C)
      Two arteries and one vein.
      D)
      Two veins and one artery.
    4. A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
      A)
      Quickening
      B)
      Ballottement
      C)
      Chloasma
      D)
      Lightening
    Page 3 of 20

    Exam Review

    1. A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?
      A)
      "Go to the emergency room and your provider will meet you the
      B)
      "Come to the office and we will check things out."
      C)
      "What else have you been eating?"
      D)
      "This is expected because of the way iron is broken down during digestion."
    2. A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?
      A)
      Turn the client onto her left side.
      B)
      Encourage the client to walk around and then resume monitoring.
      C)
      Apply vibroacoustic stimulation to the woman's abdomen.
      D)
      Report the findings to the provider and prepare the client for induction of labor.
    3. A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider, which of the following interventions should the nurse suggest?
      A)
      Massage the area.
      B)
      Apply cold compresses
      C)
      Flex the knee while resting
      D)
      Elevate the leg
    4. 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)
      The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days
      C)
      Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth
      D)
      Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
    Page 4 of 20

    Exam Review

    1. A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?
      A)
      Hypercalcemia.
      B)
      Hypobilirubinemia.
      C)
      Hypoglycemia.
      D)
      Decreased RBC.
    2. A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus firm, slightly deviated to the right moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?
      A)
      Encourage the client to nurse more frequently so her milk will come in.
      B)
      Report the client's temperature elevation.
      C)
      Increase IV fluids.
      D)
      Ask the client to empty her bladder.
    3. A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses by the nurse is appropriate?
      A)
      "Your baby's mouth is rather small so she will only take part of nipple."
      B)
      "You should place your nipple and some of the areola into her mouth."
      C)
      "Try to place the nipple, the entire areola, and some breast tissue beyond the areola into her mouth."
      D)
      "Babies know instinctively exactly how much of the nipple to take into their mouth."
    4. A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?
      A)
      Increase the infusion rate of the IV fluid.
      B)
      Elevate the client's legs.
      C)
      Administer oxygen via face mask.
      D)
      Position the client on her side.
    Page 5 of 20

    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 with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
      A)
      This test will screen for ABO incompatibility.
      B)
      This test will screen for gestational diabetes.
      C)
      This test will screen for neural tube defects.
      D)
      This test will screen for fetal maturity.
    3. A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision using the Plastibell device. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)
      A)
      "I'll make sure his diaper is loose in the front."
      B)
      “I’ll apply petroleum jelly to his penis during diaper changes."
      C)
      "I’ll wash his penis with warm water and mild soap each day."
      D)
      "I’ll call the doctor if I see any bleeding."
      E)
      "I'll expect the plastic ring to fall off by itself within a week."
    4. A nurse is teaching a new mother about the signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?
      A)
      Your baby can lose 10% of his birth weight and should return to weight by 7-14 days of age.
      B)
      Your baby should gain 0.25 oz (7 grams) per day after the fourth day of life.
      C)
      Expect your baby to have less than 5 wet diapers per day after the fourth day of life.
      D)
      Expect your baby to feed constantly during the first week of life.
    Page 6 of 20