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    Exam Review

    1. A nurse is reinforcing teaching with a client who is at 38 weeks of gestation and has a positive group B streptococcus B-hemolytic screening.Which of the following medications should the nurse discuss as the prophylaxis treatment during labor for this client?
      A)
      Penicillin.
      B)
      Cefazolin.
      C)
      Erythromycin.
      D)
      Vancomycin.
    2. A nurse has just received change-of-shift report about four clients who are postpartum.Which of the following clients should the nurse plan to see first?
      A)
      A client whose labor lasted for 6 hours.
      B)
      A client who received magnesium sulfate during labor.
      C)
      A client who has a history of oligohydramnios.
      D)
      A client whose newborn is having difficulty latching-on.
    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)
      Take an over-the-counter antacid.
      B)
      Increase intake of fresh fruits.
      C)
      Eat dry, bland foods in the morning.
      D)
      Restrict fluids to 1,000 mL/day.
    4. 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.
    Page 1 of 16

    Exam Review

    1. A nurse is reinforcing teaching about perineal care to a client who is 2 hours postpartum and has an episiotomy and hemorrhoids.Which of the following statements by the client indicates understanding of the teaching?
      A)
      "I will remain in the sitz bath for 10 minutes.”.
      B)
      "I will use the numbing spray prior to cleansing the area.”.
      C)
      "I will place a heat pack to the area several times a day.”.
      D)
      "I will apply witch hazel pads after urination.”. .
    2. A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate. Which of the following should the nurse recommend as the food with the highest folate content?
      A)
      1/2 cup (4 oz) orange juice.
      B)
      1 cup cooked spinach.
      C)
      1 large egg.
      D)
      1 cup pasta.
      E)
      None
      F)
      None
    3. A nurse is caring for a client who is postpartum and has inverted nipples.Which of the following actions should the nurse take?
      A)
      Encourage the client to wear an underwire bra.
      B)
      Place breast shells in the client's bra.
      C)
      Provide plastic-lined breast pads.
      D)
      Have the client apply breast cream on a regular basis.
    4. A nurse is caring for a client who is at 39 weeks of gestation and is in active labor.The nurse notes maternal exposure to rubella during pregnancy.After delivery, the nurse should monitor the newborn for which of the following conditions?
      A)
      Mongolian spot.
      B)
      Jaundice.
      C)
      Transient strabismus.
      D)
      Deafness.
    Page 2 of 16

    Exam Review

    1. A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy.Which of the following instructions should the nurse include in the teaching?
      A)
      Disable the vehicle's driver-side airbags.
      B)
      Move the seat as far away as possible from the steering wheel.
      C)
      Wear the lap belt high across the abdomen.
      D)
      Place the shoulder harness across the gravid uterus.
    2. A nurse is caring for a client who is at 41 weeks of gestation.The nurse should understand that which of the following findings can indicate a prenatal complication in this client?
      A)
      Leukorrhea.
      B)
      Shortness of breath.
      C)
      Non-pitting ankle edema.
      D)
      Blurred vision.
    3. A nurse is reinforcing preoperative teaching with a client who is scheduled for a cesarean birth.Which of the following client statements indicates an understanding of the teaching?
      A)
      "I can have regular food once I am able to swallow safely.”.
      B)
      "I will need to stay flat on my back in bed for the first 24 hours after surgery.”.
      C)
      "The nurse will take out my urinary catheter 48 hours after surgery.”.
      D)
      "The nurse might need to massage my uterus frequently after surgery.”.
    4. A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. The amount available is phytonadione 1 mg/0.5 mL. How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 3 of 16

    Exam Review

    1. A nurse is caring for a client who asks about the purpose of a Papanicolaou test.Which of the following responses should the nurse make?
      A)
      "This test allows for the removal of uterine fibroids."
      B)
      "This test detects the presence of endometriosis."
      C)
      "This test detects the presence of cervical cancer."
      D)
      "This test determines your ovulation status."
    2. A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy.Which of the following findings indicates that the fetus is at risk?
      A)
      Recurrent variable deceleration of the FHR
      B)
      Uterine contractions every 6 min
      C)
      Uterine contractions lasting 30 to 45 seconds
      D)
      Moderate variability of the FHR
    3. Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?
      A)
      "Decreased muscle tone"
      B)
      "Exaggerated Moro reflex"
      C)
      "Weak cry"
      D)
      "Consoles easily"
    4. A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will need to start chemotherapy immediately."
      B)
      "I will need to attend a support group when I get home."
      C)
      "I will need an amniocentesis within 1 month."
      D)
      "I will need home palliative services after I am discharged from the hospital."
    Page 4 of 16

    Exam Review

    1. A nurse is reinforcing teaching with a client who tested positive for group B streptococcus β-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation.Which of the following statements should the nurse make?
      A)
      "You will be tested again for GBS at about 36 weeks of gestation.”.
      B)
      "If you test positive for GBS, the provider will need to perform a cesarean birth.”.
      C)
      "You will take an antibiotic during the last 2 weeks of pregnancy to avoid transferring GBS to your baby.”.
      D)
      "This infection can cause your baby to experience hearing loss at birth.”.
    2. A 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)
      Encourage the client to continue to breastfeed.
      B)
      Prepare the client for an abdominal sonogram.
      C)
      Encourage the client to wear a loose-fitting bra.
      D)
      Limit the client's daily fluid intake.
    3. A nurse is reinforcing teaching with a client who tested positive for group B streptococcus β-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation.Which of the following statements should the nurse make?
      A)
      "You will be tested again for GBS at about 36 weeks of gestation.”.
      B)
      "If you test positive for GBS, the provider will need to perform a cesarean birth.”.
      C)
      "You will take an antibiotic during the last 2 weeks of pregnancy to avoid transferring GBS to your baby.”.
      D)
      "This infection can cause your baby to experience hearing loss at birth.”.
    4. A nurse is caring for a client who had a vaginal delivery 1 day ago.The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left.Which of the following actions should the nurse take first?
      A)
      Monitor perineal pads for clots.
      B)
      Assist the client to empty her bladder.
      C)
      Notify the provider.
      D)
      Administer a prescribed analgesic.
    Page 5 of 16

    Exam Review

    1. A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.Which of the following manifestations should the nurse expect?
      A)
      Pruritus
      B)
      Decreased BP
      C)
      Hemoglobin 18 g/dL (11 to 16 g/dL)
      D)
      WBC count 15,000/mm³ (5,000 to 15,000/mm³)
    2. A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)
      Cleanse the heel with an antiseptic.
      B)
      Cover the heel with an adhesive bandage.
      C)
      Puncture the heel and collect the blood.
      D)
      Apply pressure with a dry gauze pad.
      E)
      Wrap a warm, moist cloth around the heel.
    3. A nurse is reinforcing teaching with a client who is breastfeeding and reports nipple soreness.Which of the following recommendations should the nurse include in the teaching?
      A)
      "Increase the frequency of feedings from the affected nipple."
      B)
      "Apply vitamin E oil to the affected nipple before each feeding."
      C)
      "Wash the affected nipple with soap and water before each feeding."
      D)
      "Expose the affected nipple to the air between feedings."
    4. A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.Which of the following manifestations is a possible indication of postpartum hemorrhage?
      A)
      Blood pressure 156/80 mm Hg
      B)
      Temperature 38.3° C (101° F)
      C)
      Respiratory rate 32/min
      D)
      Apical pulse 66/min
      E)
      None
      F)
      None
    Page 6 of 16