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    Exam Review

    1. A nurse is educating the parents of a newborn about the Plastibell circumcision technique. Which piece of information should the nurse include?
      A)
      Ensure the newborn’s diaper is snug.
      B)
      Alert the provider if the tip of your baby’s penis appears dark red.
      C)
      Yellow exudate will form at the surgical site within 24 hours.
      D)
      The Plastibell will be removed 4 hours after the procedure.
    2. A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?
      A)
      Ovulation will remain the same.
      B)
      Premenstrual tension will no longer be present.
      C)
      My monthly menstrual period will be shorter.
      D)
      Hormone replacements will be needed following this procedure.
    3. A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.What action should the nurse take?
      A)
      Obtain a specimen for a Kleihauer-Betke test.
      B)
      Anticipate a prescription for misoprostol.
      C)
      Administer betamethasone IM.
      D)
      Avoid performing sterile vaginal examinations.
    4. A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, what is the patient’s estimated date of delivery?
      A)
      May 17
      B)
      May 3
      C)
      May 20
      D)
      May 13
    Page 1 of 12

    Exam Review

    1. A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?
      A)
      Provide the patient with photos of the fetus.
      B)
      Instruct the patient that an autopsy should be performed within 24 hours.
      C)
      Limit the amount of time the fetus is in the patient’s room.
      D)
      Inform the patient that the law requires them to name the fetus.
    2. A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago. Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
      (SATA)
      A)
      Vacuum-assisted delivery
      B)
      Newborn weight 2.948 kg (6 lb 8 oz)
      C)
      Labor induction with oxytocin
      D)
      History of uterine atony
      E)
      History of human papillomavirus
    3. A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, what action should the nurse take?
      A)
      Initiate an amnioinfusion.
      B)
      Place the patient in a supine position.
      C)
      Instruct the patient to bear down and push with contractions.
      D)
      Administer oxygen at 10 L/min via non-rebreather face mask.
    4. A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following Questions should the nurse ask to assess the client’s dietary intake?
      A)
      Are you taking a Vitamin C supplement?
      B)
      When was the last time you ate meat?
      C)
      How much protein do you eat in a day?
      D)
      Have you considered eating shellfish?
    Page 2 of 12

    Exam Review

    1. A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.Which of the following Questions should the nurse ask to evaluate the effectiveness of this intervention?
      A)
      Has your back labor improved?
      B)
      Are you feeling relief from your pelvic pressure?
      C)
      Does that lessen your suprapubic pain?
      D)
      Do your contractions feel further apart?
    2. A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
      A)
      Apply a moist, warm compress to the perineum.
      B)
      Administer methylergonovine 0.2 mg IM.
      C)
      Provide the client with a cool sitz bath.
      D)
      Apply povidone-iodine to the client’s perineum after she voids.
    3. A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
      A)
      Use a lubricant during intercourse.
      B)
      Take daily hot baths.
      C)
      Drink herbal tea two times daily.
      D)
      Maintain a healthy weight.
    4. A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
      A)
      Hematocrit 37% (37% to 47%)
      B)
      Fasting blood glucose 180 mg/dL (74 to 106 mg/dL)
      C)
      Creatinine 0.9 mg/dL (0.5 to 1 mg/dL)
      D)
      WBC count 11,000/mm (5,000 to 10,000/mm)
    Page 3 of 12

    Exam Review

    1. A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
      A)
      Place a bumper pad in your baby’s crib.
      B)
      Bathe your baby immediately after a feeding.
      C)
      Wash your baby’s face with plain water.
      D)
      Put a soft mattress in your baby’s crib.
    2. A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
      A)
      Bronchopulmonary dysplasia
      B)
      Polycythemia
      C)
      Facial palsy
      D)
      Hypoglycemia
    3. A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
      A)
      Insert a urinary catheter.
      B)
      Pour warm water over the client’s perineum.
      C)
      Offer the client a sitz bath.
      D)
      Assist the client to the bathroom.
    4. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
      A)
      Breast tenderness.
      B)
      Urinary frequency.
      C)
      Chills.
      D)
      Tinnitus.
    Page 4 of 12

    Exam Review

    1. A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
      A)
      The newborn weighs less than 2.5 kg (5.5 lb).
      B)
      The newborn was delivered via cesarean birth.
      C)
      To allow manifestations of infection to be identified.
      D)
      To facilitate bonding between the newborn and parent.
    2. A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
      A)
      Assess the client’s kidney function.
      B)
      Check the client’s serum medication level.
      C)
      Determine the client’s apical pulse rate.
      D)
      Ask the client if they are taking the medication as prescribed.
    3. A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
      A)
      Your provider will schedule a chorionic villus sampling to determine the sex of your baby. This procedure determines if your baby has genetic or congenital disorders.
      B)
      You cannot have an amniocentesis until you are at least 35 years of age.
      C)
      We can schedule the procedure for later today if you’d like.
      D)
      The procedure is not necessary to determine the sex of the fetus.
    4. A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
      A)
      Lesions are visible on the mother’s genitalia.
      B)
      This infection requires that airborne precautions be initiated for the newborn.
      C)
      Mothers will receive prophylactic treatment with acyclovir prior to delivery.
      D)
      Transmission can occur via the saliva and urine of the newborn.
    Page 5 of 12

    Exam Review

    1. A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
      A)
      Oatmeal.
      B)
      Lentils.
      C)
      Cabbage.
      D)
      Asparagus.
    2. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse offer?
      A)
      Expect two to four wet diapers every 24 hr.
      B)
      Feed the newborn 5 to 10 min per breast.
      C)
      Give the newborn 30 ml (1 oz) of water between feedings.
      D)
      Allow the baby to feed at least every 3 hr. .
    3. A nurse is educating a client who follows a vegan diet and wants to increase their vitamin B intake. Which food should the nurse suggest?
      A)
      Fresh citrus fruits
      B)
      Raw carrots
      C)
      Brown rice
      D)
      Fortified soy milk
    4. A nurse is helping a provider administer a dinoprostone insert to induce labor in a client. What action should the nurse take?
      A)
      Confirm that informed consent has been obtained before administration.
      B)
      Position the client in a semi-Fowler’s position for 1 hour after administration.
      C)
      Allow the medication to reach room temperature before administration.
      D)
      Advise the client to avoid urinating until after administration.
    Page 6 of 12