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    Exam Review

    1. A nurse is reinforcing teaching with a client who has a pre-pregnancy 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)
    2. A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)
      Correct Answer:1123
    3. A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep- vein thrombosis. Which of the following instructions should the nurse include?
      A)
      "Use a disposable razor for shaving while taking this medication."
      B)
      "You should not take oral contraceptives while taking this medication."
      C)
      "Take 650 milligrams of aspirin for leg discomfort."
      D)
      "You will be able to stop taking this medication in 2 weeks."
    4. 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)
      Polyhydramnios
      C)
      Painless vaginal bleeding
      D)
      Board-like abdomen
      E)
      None
      F)
      None
    Page 1 of 15

    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
      A)
      Apply elastic stockings before the client gets out of bed.
      B)
      Apply warm, moist packs to the client's lower legs.
      C)
      Have the client ambulate as often as possible.
      D)
      Administer NSAIDs every 4 to 6 hours.
    2. A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
      (SATA)
      A)
      Check the newborn's skin for ecchymosis.
      B)
      Assist the mother to breastfeed the newborn after birth.
      C)
      Obtain a stool sample of meconium
      D)
      Check the newborn's blood glucose level.
      E)
      Assist with administering a blood transfusion to the newborn
    3. A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps byplacing them in the order of performance. Use all the steps.)
      A)
      Cleanse the urinary meatus from front to back with antiseptic towelettes.
      2
      B)
      Place the specimen container midstream in the flow of urine.
      3
      C)
      Secure the cap tightly on the specimen container.
      4
      D)
      Separate the labia with the nondominant hand
      1
    4. 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)
      Terbutaline
      B)
      Magnesium sulfate
      C)
      Methotrexate
      D)
      Calcium gluconate
    Page 2 of 15

    Exam Review

    1. A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?
      A)
      "I should elevate my baby's head on a cushion when she is sleeping."
      B)
      "I should use baby powder with each diaper change."
      C)
      "I should set my hot water heater to 130 degrees Fahrenheit."
      D)
      "I should replace the batteries in my smoke detector twice per year."
    2. A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?
      A)
      Tachypnea
      B)
      Hypertension
      C)
      Tachycardia
      D)
      Fever
    3. A nurse is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse attend to first?
      A)
      A newborn who has blue hands and feet with an axillary temperature of 36.6°C (97.9°F)
      B)
      A newborn who has lost 12% of her birth weight
      C)
      A newborn who is 24 hr post-circumcision and has yellow exudate
      D)
      A newborn who has a blood glucose level of 63 mg/dL
    4. A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
      A)
      Assess the client’s socioeconomic status.
      B)
      Select the best method of contraception for the client.
      C)
      Perform unbiased teaching.
      D)
      Provide information on all available methods.
    Page 3 of 15

    Exam Review

    1. A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I may have an infection if I develop a dark line in the middle of my abdomen."
      B)
      "I may develop discoloration on my cheeks from hormonal changes."
      C)
      "I should expect my fingers and face to be swollen."
      D)
      "I should expect to have burning when I urinate during the third trimester."
    2. A nurse is reinforcing teaching about breastfeeding with a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will nurse my baby for 5 to 10 minutes on each breast.”
      B)
      "I will make sure that just the nipple is in my baby's mouth.”
      C)
      "I will lay my baby on a pillow at the level of my breast."
      D)
      "I will apply vitamin E oil to my nipples after each feeding.”
    3. A nurse is collecting data from a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse report to the provider? Which of the following findings should the nurse report to the provider?
      A)
      Nausea
      B)
      Tremors
      C)
      Dizziness
      D)
      Crackles
    4. A nurse is caring for a newborn who requires a blood glucose test. Which of the following actions should the nurse take?
      A)
      Apply a warm pack to the puncture site prior to the procedure.
      B)
      Apply a mummy restraint to the newborn for the procedure.
      C)
      Apply antiseptic solution to the puncture site after the procedure.
      D)
      Elevate the extremity prior to the procedure.
    Page 4 of 15

    Exam Review

    1. A nurse is caring for a client who reports discomfort due to afterpains following breastfeeding. Which of the following actions should the nurse take?
      A)
      Apply a cool compress to the client's abdomen.
      B)
      Place the client in a side-lying position.
      C)
      Administer ibuprofen to the client.
      D)
      Encourage the client to perform Kegel exercises.
    2. A nurse is reinforcing teaching with a client who is at 12 weeks of gestation and is scheduled for placement of a cervical cerclage. Which of the following statements by the client indicates understanding of the teaching?
      A)
      "I plan to resume my exercise program in 24 hours."
      B)
      "I anticipate the cerclage will be removed in 10 weeks."
      C)
      "I will call the provider if I experience urinary frequency."
      D)
      "I will avoid sexual activity."
    3. A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?
      A)
      Hemoglobin 9.5 g/dL.
      B)
      White blood cell count 10,000/mm³.
      C)
      Glucose 60 mg/dL.
      D)
      Platelets 225,000/mm³.
    4. 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.
    Page 5 of 15

    Exam Review

    1. A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?
      A)
      Positive Homans' sign
      B)
      Full, firm breasts
      C)
      Firm fundus at midline
      D)
      Lochia serosa
    2. A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?
      A)
      History of spontaneous abortion
      B)
      Weight 98 kg (216 lb)
      C)
      Peptic ulcer disease
      D)
      BP 120/70 mm Hg
    3. A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?
      A)
      Intrauterine growth restriction.
      B)
      Multiple gestation.
      C)
      Down syndrome.
      D)
      Neural tube defect.
    4. A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
      A)
      Suprapubic area
      B)
      Umbilical area
      C)
      Above the left iliac crest
      D)
      Below the liver border on the right abdomen
    Page 6 of 15