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    Exam Review

    1. A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      My platelet count identifies if I am at risk for bleeding.
      B)
      White blood cell count is an indicator of anemia.
      C)
      Urine specific gravity identifies my risk for pregnancy-induced hypertension.
      D)
      Sedimentation rate checks for signs of cancer.
    2. A nurse is reinforcing teaching to a client with gestational diabetes mellitus. Which of the following information should the nurse include in the teaching?
      A)
      Set daily carbohydrate intake to 40
      B)
      Strive to eat foods low in dietary fiber.
      C)
      Monitor blood glucose twice daily.
      D)
      Plan to limit snacks to once per day.
    3. A nurse is collecting data from a client prior to the administration of oxytocin for labor augmentation. Which of the following findings should the nurse identify as a contraindication to administering the medication?
      A)
      Vertex presentation.
      B)
      Fetal station of 0.
      C)
      Irregular contraction frequency.
      D)
      Vesicular lesions on labia.
    4. A nurse is reinforcing teaching with a client who is breastfeeding and experiencing engorgement. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I will apply ointment to my nipples after breastfeeding.
      B)
      I will make sure to take all of my antibiotics.
      C)
      I should not take ibuprofen.
      D)
      I should apply warm compresses prior to breastfeeding.
    Page 1 of 15

    Exam Review

    1. A nurse is preparing to administer doxycycline 100 mg tablet PO qid. The amount available is 50 mg tablets. How many tablets should the nurse administer each day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
      Correct Answer:8 tablets
    2. A nurse on a postpartum unit is reviewing facility protocol for administering the rubella vaccine to clients. Which of the following actions is appropriate for the nurse to take?
      (SATA)
      A)
      Avoid administering the vaccine to clients who are breastfeeding.
      B)
      Inform clients to use contraception for 4 weeks following administration of the vaccine.
      C)
      Give the vaccine to clients who have a rubella titer of 1:10.
      D)
      Provide the vaccine to clients if household members are immunocompromised.
    3. A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level. Which of the following foods should the nurse recommend the client increase in her diet?
      A)
      Peanut butter.
      B)
      Avocados.
      C)
      Yogurt.
      D)
      Long grain rice.
    4. A nurse is obtaining vital signs during the admission of a newborn to the nursery. Which of the following findings should the nurse report to the provider?
      A)
      Respiratory rate 68/min.
      B)
      Blood pressure 72/48 mm Hg.
      C)
      Axillary temperature 36.5 C (97.7 F).
      D)
      Apical pulse 166/min while crying.
    Page 2 of 15

    Exam Review

    1. A nurse is caring for a client who has hyperemesis gravidarum. The nurse should identify that the client is at risk for which of the following conditions?
      A)
      Leukopenia.
      B)
      Elevated blood pressure.
      C)
      Ketonuria.
      D)
      Hydramnios.
    2. A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?
      A)
      Magnesium sulfate.
      B)
      Terbutaline.
      C)
      Calcium gluconate.
      D)
      Methotrexate.
    3. A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?
      A)
      Warm the newborn’s heel for 5 to 10 minutes before the puncture.
      B)
      Use a lancet to puncture the inner aspect of the newborn’s heel.
      C)
      Leave the newborn’s heel open to the air after the puncture.
      D)
      Apply an antiseptic to the newborn’s heel after collecting the specimen.
    4. A nurse is caring for a client who is 4 hr postpartum. The nurse notes four saturated perineal pads in the past hour. Which of the following actions should the nurse take first?
      A)
      Administer misoprostol.
      B)
      Increase maintenance IV fluid.
      C)
      Perform perineal hygiene.
      D)
      Perform fundal assessment and massage.
    Page 3 of 15

    Exam Review

    1. A nurse is reviewing signs of pregnancy prior to collecting data from a client at their initial prenatal visit. Which of the following is a probable sign of pregnancy?
      A)
      Fatigue.
      B)
      Amenorrhea.
      C)
      Chadwick sign.
      D)
      Urinary frequency.
    2. A nurse is collecting data from a newborn who is 24 hr old. Which of the following findings should the nurse identify as a risk factor for developing hyperbilirubinemia?
      A)
      Polycythemia of the newborn.
      B)
      Postmaturity of the newborn.
      C)
      Preeclampsia in the client.
      D)
      Placenta previa in the client.
    3. A nurse in an antepartum clinic is collecting data from a client who is at 28 weeks of gestation and has preeclampsia. Which of the following findings is the priority?
      A)
      Epigastric pain.
      B)
      Blood pressure 146/92 mm Hg.
      C)
      Ankle edema.
      D)
      1+ proteinuria.
    4. 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.”. .
    Page 4 of 15

    Exam Review

    1. A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?
      A)
      Magnesium sulfate
      B)
      Methotrexate
      C)
      Calcium gluconate
      D)
      Terbutaline
    2. A nurse is assisting in the care of a client who is at 18 weeks of gestation and reports nausea and vomiting that lasts throughout the day. Which of the following interventions should the nurse discuss with the client?
      A)
      Avoid consuming dairy products.
      B)
      Eat a high-fat snack at bedtime.
      C)
      Eat small meals every 2 to 3 hours.
      D)
      Avoid drinking from a cup with a lid.
    3. A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?
      A)
      "My baby will have at least six wet diapers every day."
      B)
      "I should be able to feel my baby swallowing during breastfeeding."
      C)
      "My baby will have at least one bowel movement every day."
      D)
      "I should expect moderate tenderness during breastfeeding."
    4. A nurse is reinforcing teaching to a prenatal class about the benefits of breastfeeding for infants. Which of the following information should the nurse include in the teaching?
      A)
      Decreased risk of thrush.
      B)
      Decreased risk of group B streptococcus.
      C)
      Decreased risk of sudden unexpected infant death syndrome.
      D)
      Decreased risk of patent ductus arteriosus.
    Page 5 of 15

    Exam Review

    1. A nurse in a provider's office is reinforcing teaching with a client who has hyperemesis gravidarum. Which of the following statements should the nurse include in the teaching?
      A)
      You should avoid simple carbohydrates.
      B)
      You should eat every 2 hours.
      C)
      You should drink cold diet ginger ale with meals.
      D)
      You should avoid eating 3 hours before bedtime.
    2. A nurse is reinforcing teaching with a client who has a prepregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?
      A)
      16.4 to 20.5 kg (36 to 45 lb)
      B)
      5 to 7.7 kg (11 to 17 lb)
      C)
      11.4 to 15.9 kg (25 to 35 lb)
      D)
      8.2 to 10.9 kg (18 to 24 lb)
    3. A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?
      A)
      Uterine atony.
      B)
      Painless vaginal bleeding.
      C)
      Polyhydramnios.
      D)
      Boardlike abdomen.
    4. A nurse is collecting data from a client who is at 28 weeks of gestation. Which of the following findings is the nurse's priority?
      A)
      FHR 160/min
      B)
      Fundal height 24 cm
      C)
      Blood pressure 136/84 mm Hg
      D)
      Trace protein on urine reagent strip (expected: none)
    Page 6 of 15