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    Exam Review

    1. A nurse is assessing a client who is at 33 weeks of gestation.Which of the following findings should the nurse report to the provider?
      A)
      Leukorrhea.
      B)
      Excessive salivation.
      C)
      Darkening of the skin on the face.
      D)
      Epigastric pain.
    2. A nurse is teaching a class to clients who are pregnant.Which of the following topics should the nurse include in the discussion about cesarean birth? (Select all that apply.)
      A)
      Delay in initiating breastfeeding.
      B)
      Routine use of intubation equipment during birth.
      C)
      The need for an indwelling urinary catheter.
      D)
      Management of postpartum pain.
    3. A nurse is caring for a 2-day-old newborn who has a bilirubin level of 14 mg/dL (1 to 12 mg/dL) and is to begin phototherapy.Which of the following actions should the nurse take?
      A)
      Give glucose water after feedings.
      B)
      Instruct the client to avoid breastfeeding during treatment.
      C)
      Monitor intake and output.
      D)
      Apply lotions and ointments throughout the treatment.
    4. A nurse is caring for an adolescent client who is at 24 weeks of gestation.The client's prepregnancy weight was within the recommended range for their height and they have gained 2.7 kg (6 lb) during the pregnancy.Which of the following statements should the nurse make?
      A)
      It is important to gain 2 pounds per week throughout the rest of your pregnancy.
      B)
      You can cause problems for your baby if you try to diet while pregnant.
      C)
      It would be helpful for us to meet with the dietitian to see how they can help you meet and assess your nutritional needs.
      D)
      You should eat an additional 700 calories per day while you are pregnant.
    Page 1 of 14

    Exam Review

    1. A nurse is caring for a group of clients who are postpartum.Which of the following clients is at an increased risk for a fall?
      A)
      A client who has an indwelling urinary catheter.
      B)
      A client who has a second-degree perineal laceration.
      C)
      A client who is saturating a perineal pad every 5 to 6 hr.
      D)
      A client who is experiencing breast engorgement.
    2. A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn.Which of the following instructions should the nurse include in the teaching?
      A)
      The parent should hold the newborn during the initial visit with the older sibling.
      B)
      The parent should plan to spend individual time with the older sibling.
      C)
      The parent should have the older sibling purchase a gift for the newborn.
      D)
      The parent should postpone introducing the older sibling to the newborn until discharge.
    3. A nurse is caring for a newborn immediately following birth.The newborn has meconium-stained amniotic fluid.Which of the following actions should the nurse take first?
      A)
      Determine if the newborn's mouth and nose require bulb suctioning.
      B)
      Initiate skin-to-skin contact between parent and newborn.
      C)
      Place the newborn under a radiant warmer.
      D)
      Provide tactile stimulation for the newborn.
    4. A nurse is assessing a newborn.Which of the following findings indicates a need to check the newborn's blood glucose level for hypoglycemia?
      A)
      Shrill cry.
      B)
      Weak peripheral pulses.
      C)
      Yellowish skin.
      D)
      Hypotonia.
    Page 2 of 14

    Exam Review

    1. A nurse is teaching a new parent how to correctly use a car seat.Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      I should keep my baby in a rear-facing car seat until they are 2 years old.
      B)
      I should strap my baby in the seat with a four-point harness.
      C)
      I should place the shoulder harness in the slots above my baby's shoulders.
      D)
      I should position my baby's car seat at a 30-degree angle.
    2. A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.Which of the following instructions should the nurse include in the teaching?
      A)
      Feed your baby only from the unaffected breast until the infection has resolved.
      B)
      Pump your breasts and discard the milk until the infection has resolved.
      C)
      Apply moist heat to the affected breast.
      D)
      Ensure you are drinking at least 1500 milliliters of fluid per day.
    3. A nurse is receiving a report on four newborns born in the past 12 hr. Which of the following newborns should the nurse assess first?
      A)
      A newborn who has a respiratory rate of 34/min.
      B)
      A newborn who has acrocyanosis.
      C)
      A newborn who has caput succedaneum.
      D)
      A newborn who has an axillary temperature of 36°C (96.8°F).
    4. A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity.Which of the following findings should the nurse identify as an indication that calcium gluconate was effective?
      A)
      Respiratory rate 12/min.
      B)
      Absent deep tendon reflexes.
      C)
      Slurred speech.
      D)
      Urine output 22 mL/hr.
    Page 3 of 14

    Exam Review

    1. A nurse is assessing a client who is in labor.Which of the following findings should the nurse expect?
      A)
      Decrease in WBC count.
      B)
      Decrease in blood glucose level.
      C)
      Decrease in respiratory rate.
      D)
      Decrease in temperature.
    2. A nurse is preparing to administer methotrexate to a client who is experiencing an ectopic pregnancy.Which of the following actions should the nurse take?
      A)
      Inform the client to expect to have dark-colored stools.
      B)
      Wear two pairs of gloves when handling the medication.
      C)
      Administer the medication subcutaneously.
      D)
      Instruct the client to use a condom during intercourse for the next 7 days.
    3. A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48 hr after birth.Which of the following findings should the nurse report to the provider?
      A)
      Meconium stools.
      B)
      Depressed fontanels.
      C)
      Rust-stained urine.
      D)
      Overlapping suture lines.
    4. A client who is in active labor is admitted to a labor and delivery unit reporting "My water just broke and my baby is breech.”. Which of the following actions should the nurse take first?
      A)
      Check fetal heart tones.
      B)
      Prepare for a cesarean birth.
      C)
      Check the color, amount, and odor of the fluid.
      D)
      Perform Nitrazine test to assess for rupture of membranes.
    Page 4 of 14

    Exam Review

    1. A nurse is providing discharge teaching to a postpartum client who had no immunity to rubella and received the rubella immunization.Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I should see my provider in 2 weeks for a second dose of the immunization.
      B)
      I need to prevent getting pregnant for 4 months after I receive the immunization.
      C)
      I will need an additional rubella immunization during the first trimester of my next pregnancy.
      D)
      I can breastfeed my baby even though I received this immunization.
    2. A nurse is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum.Which of the following are findings of this condition? (Select all that apply.)
      A)
      Hypertension.
      B)
      Dry mucous membranes.
      C)
      Tachycardia.
      D)
      Poor skin turgor.
      E)
      Polyuria.
    3. A nurse is caring for a postpartum client who is breastfeeding their newborn and reports that their nipples have become sore and cracked.Which of the following statements should the nurse make?
      A)
      Begin each feeding with the breast that is most sore, so the newborn spends less time on it.
      B)
      Use breast pads with a moisture-proof lining to keep the nipples moist.
      C)
      Breastfeed the baby less frequently to give the nipples time to heal.
      D)
      Apply colostrum to the nipples after feeding to help them heal.
    4. A nurse is assessing a 1-hour-old newborn.Which of the following findings should the nurse report to the provider?
      A)
      Transient circumoral cyanosis.
      B)
      Transient strabismus.
      C)
      Caput succedaneum.
      D)
      Generalized petechiae.
    Page 5 of 14

    Exam Review

    1. A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      Encourage clients who are prescribed methadone to breastfeed.
      B)
      Methamphetamine use during pregnancy is associated with fetal macrosomia.
      C)
      Environmental stimuli should be increased during the neonatal period.
      D)
      Increased head circumference is an expected finding in a newborn who has fetal alcohol syndrome.
    2. A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge.The newborn's guardian asks the nurse what a positive PKU test would mean.Which of the following statements should the nurse make?
      A)
      A positive finding indicates the inability to metabolize galactose.
      B)
      A positive finding indicates the infant will have a slow metabolism.
      C)
      A positive finding indicates an inability to metabolize certain amino acids.
      D)
      A positive finding indicates an increased risk for neurological anomalies.
    3. A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation and has a history of anemia.Which of the following results should the nurse identify and report as an indication of a prenatal complication?
      A)
      BUN 25 mg/dL (10 to 20 mg/dL).
      B)
      Hgb 10.2 mg/dL (11 to 16 mg/dL).
      C)
      Fasting blood glucose 70 mg/dL (70 to 110 mg/dL).
      D)
      Hct 32% (33 to 47%).
    4. A nurse is teaching a client about iron supplementation during pregnancy.Which of the following client statements indicates an understanding of the teaching?
      A)
      I will take this supplement with 8 ounces of milk.
      B)
      I will double my dose if I forget to take my supplement.
      C)
      I will be certain to consume 29 grams of fiber daily.
      D)
      I will take 100 milligrams of vitamin C per day while taking this supplement.
    Page 6 of 14