Exam Review

A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum. Which of the following statements by the client indicates a need for further teaching?
A)
"I will place my baby on my stomach and cover her with a warm blanket.”.
B)
"My baby's temperature will be checked rectally every hour.”.
C)
"I should keep my baby's head covered.”.
D)
"My baby's bassinet should be kept away from fans and air conditioning.”.
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?
A)
Whitish vaginal discharge.
B)
Excessive uterine enlargement.
C)
Rapidly dropping human chorionic gonadotropin (hCG) levels.
D)
Fetal heart rate irregularities.
A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism during pregnancy. Which of the following statements should the nurse reinforce in the teaching?
A)
Clients who have this disorder may have an increased risk of lipid and glucose metabolism disorders.
B)
The client's human chorionic gonadotropin (hCG) levels will plateau in the first trimester of pregnancy.
C)
Thyroid replacement dosing will likely remain consistent throughout the pregnancy.
D)
Antenatal fetal surveillance will be required during the first trimester of pregnancy.
A nurse is collecting data on a 1-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?
A)
A hymenal tag and white discharge on genitalia.
B)
Edema on the scalp that crosses the suture line.
C)
A heart murmur.
D)
A large, deep sacral dimple above the gluteal cleft.

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Exam Review

A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
A)
Prepare for cesarean birth.
B)
Request the RN perform a cervical examination.
C)
Initiate an IV infusion of magnesium sulfate.
D)
Administer antibiotics.
A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?
A)
Need for increased insulin dosage in the first trimester.
B)
Development of hypotension.
C)
Weight gain higher than recommended.
D)
Polyphagia.
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions?
A)
Placenta previa.
B)
Threatened abortion.
C)
Abruptio placentae.
D)
Preterm labor.
A nurse is assisting in the care of a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
A)
Check the fetal heart rate pattern.
B)
Evaluate the client for signs of infection.
C)
Observe the color and consistency of amniotic fluid.
D)
Take the client's temperature.

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Exam Review

A nurse is assisting in the care of a client who gave birth 1 hour ago and is experiencing excessive vaginal bleeding. Which of the following medications should the nurse anticipate the provider will prescribe?
A)
Magnesium sulfate.
B)
Tranexamic acid.
C)
Betamethasone.
D)
Terbutaline.
A nurse is reinforcing teaching to a group of clients about genetic disorders. Which of the following statements should the nurse include in the education reinforcement?
A)
Recessive disorders will manifest in every subsequent generation.
B)
Single gene disorders are collectively prevalent and detectable.
C)
Genetic disorders are always passed down from one's biological predecessors.
D)
Single gene disorders can be traced through genetic lineage.
A nurse is reinforcing teaching with a client who has a new prescription for heparin for management of a postpartum deep vein thrombosis (DVT). Which of the following statements by the client indicates an understanding of the teaching?
A)
I will notify my provider if I notice bruises.
B)
I will take aspirin if I experience a headache.
C)
I should expect to experience temporary diarrhea.
D)
I may urinate frequently while taking this medication.
A nurse is assisting in the care of a client at 30 weeks of gestation who has a blood pressure reading of 160/116 mm Hg and 4 hours previously it was 164/114 mm Hg. The client reports blurred vision and a persistent frontal headache. Which of the following complications of gestation should the nurse suspect?
A)
Gestational hypertension.
B)
Preeclampsia with severe features.
C)
Preeclampsia without severe features.
D)
Chronic hypertension.

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Exam Review

A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?
A)
Abruptio placentae.
B)
Premature rupture of membranes.
C)
Placenta previa.
D)
Prolapsed cord.
A nurse is reviewing the electronic medical record (EMR) of a client who has a ruptured ectopic tubal pregnancy. Which of the following findings in the client’s medical record should the nurse identify as a risk factor for the client's condition?
A)
History of cocaine use.
B)
History of pelvic inflammatory disease (PID).
C)
History of three previous cesarean births.
D)
History of hypertension.
A nurse is reviewing the medical record of a client who is in active labor. Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?
A)
G6PD deficiency.
B)
Von Willebrand disease.
C)
History of hyperemesis gravidarum.
D)
Peripheral artery disease.
A nurse is providing discharge teaching for a client following surgery for a molar pregnancy. Which of the following client statements indicates an understanding of the discharge teaching?
A)
It's normal to have a fever for a few days following surgery.
B)
I will call my doctor if I experience heavy vaginal bleeding.
C)
I will start trying to get pregnant right away.
D)
I don't have to see my provider until I get pregnant again.

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Exam Review

A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse take?
A)
Check the client's temperature every 4 hours.
B)
Encourage the client to empty the bladder every 2 hours.
C)
Remind the client to bear down with each contraction.
D)
Maintain the client in the lithotomy position.
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation. The nurse should document which of the following as the client's present parity?
A)
One.
B)
Two.
C)
Three.
D)
Four.
A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?
A)
Heavy lochia alba.
B)
Heavy lochia rubra.
C)
Moderate lochia serosa.
D)
Scant lochia rubra.
A nurse is reinforcing teaching about fetal anatomy ultrasound to a client who is at 20 weeks of gestation. Which of the following information should the nurse include?
A)
The client will be positioned in a prone position.
B)
The ultrasound will occur at 13 weeks of gestation.
C)
The ultrasound will be transvaginal.
D)
The client must have a full bladder.

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Exam Review

A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor. Which of the following causes of pain by the newly licensed nurse would require follow-up?
A)
Cervical dilation.
B)
Stretching of the pelvic muscles.
C)
Nerve stimulation.
D)
Uterine contractions.
A nurse is assisting in the care of a client at 26 weeks of gestation who has just experienced an eclamptic seizure. Which of the following interventions should the nurse expect at this time?
A)
Continuous fetal monitoring.
B)
Antenatal steroid administration.
C)
Expectant management protocol.
D)
Umbilical artery blood flow analysis.
A nurse is assisting in the care of a newborn who is scheduled for a heel stick for genetic screening. Which of the following actions by the nurse demonstrates correct pain relief techniques for newborns?
A)
Feed the newborn water during the procedure.
B)
Place the newborn's arms and legs in flexion and close to the midline of the torso.
C)
Place the newborn supine during the procedure.
D)
Elevate the newborn's head during the procedure.
A nurse is reinforcing discharge instructions to a client who is 24 hr postpartum and has reported urge incontinence. Which of the following should the nurse reinforce as a first referral to treat the client?
A)
Referral to pelvic floor physical therapy.
B)
Referral to a urologist.
C)
Referral to sports medicine.
D)
Referral to a primary care physician.

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