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    Exam Review

    1. A nurse is preparing to assist with the administration of medications to a client who is 72 hr postpartum following a caesarean birth. Exhibits Complete the following sentence by using the lists of options. Which of the following medications requires clarification prior to administration? The nurse should clarify the prescription for▾ Rho(D) immune globulin because▾ of the client's blood type.
      Dropdown 1:
      Option 1: Rho(D) immune globulin
      Option 2: ibuprofen
      Option 3: doxycycline
      Option 4: bisacodyl
      Dropdown 2:
      Option 1: of the client's blood type.
      Option 2: of the client's WBC count.
      Option 3: of the client's heart rate.
    2. A nurse is assisting with the care of a postpartum client who gave birth 3 days ago. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to evaluate the client's progress.
      ✓Plan to administer broad-spectrum antibiotic medication
      ✓Administer an oxytocic medication
      ✓Endometritis
      ✓Temperature
      ✓Lochia amount and odor
      Action to Take
      ✓Plan to administer broad-spectrum antibiotic medication
      ✓Administer an oxytocic medication
      ✕Apply ice packs to the breasts
      ✕Encourage the client to increase fluid intake
      ✕Initiate anticoagulant therapy
      Condition Most Likely
      ✕Engorgement
      ✓Endometritis
      ✕Deep vein thrombosis
      ✕Urinary tract infection
      Parameter to Monitor
      ✓Temperature
      ✓Lochia amount and odor
      ✕Bladder distension
      ✕Integrity of the nipples
      ✕Circumference of lower extremities
    3. A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?
      A)
      "You will be prescribed diazepam.”
      B)
      "You will be prescribed naloxone.”
      C)
      "You will be prescribed aripiprazole.”
      D)
      "You will be prescribed methadone.”
    4. A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?
      A)
      "You will not be able to eat or drink anything for 8 hours prior to the test."
      B)
      "You will receive medication through an IV line to stimulate contractions.”
      C)
      "You will press the provided button when you feel the baby moving during the test."
      D)
      "You will be required to lie flat on your back for the duration of the test."
    Page 1 of 15

    Exam Review

    1. A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?
      A)
      Round ligament pain
      B)
      Perineal discomfort and pressure
      C)
      Tingling in the fingers
      D)
      Urination urgency and frequency
    2. A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following instructions should the nurse include?
      A)
      Suggest the client apply warm compresses to the affected breast
      B)
      Tell the client to apply hydrocortisone ointment to the affected area of the breast
      C)
      Encourage the client to limit oral fluid intake to decrease milk production
      D)
      Recommend the client avoid wearing a nursing bra until symptoms resolve
    3. A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding. Which of the following instructions should the nurse include?
      A)
      "Wash your nipples with soap and water daily."
      B)
      "You should use a breast pump if you plan to return to work”
      C)
      "Cover your breasts immediately after feedings."
      D)
      "Wear an underwire bra between feedings.”
    4. A nurse is checking the reflexes of a newborn. Which of the following actions should the nurse use to elicit the Babinski reflex?
      A)
      Stroke upward on the lateral aspect of the sole of the newborn's foot.
      B)
      Place the newborn supine and apply pressure to the soles of the feet.
      C)
      Pull the newborn up by the wrist from a supine position
      D)
      Touch the corner of the newborn's mouth
    Page 2 of 15

    Exam Review

    1. A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
      A)
      Collect a dietary history
      B)
      Perform unbiased teaching
      C)
      Select the best method of contraception for the client
      D)
      Assess the client's socioeconomic status.
    2. A nurse is assisting with the admission of a client who has hyperemesis gravidarum. Which of the following laboratory tests is the priority to complete?
      A)
      CBC
      B)
      Serum bilirubin
      C)
      Urinalysis of ketones
      D)
      Liver enzymes
    3. A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?
      A)
      "Combined estrogen-progestin contraceptive pills cause longer periods.”
      B)
      "You will need to have your diaphragm replaced every 4 years.”
      C)
      "Oral contraceptives decrease the risk for endometrial cancer.”
      D)
      "You will need to receive a medroxyprogesterone acetate injection once per month.”
    4. A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      “I should expect to feel pain in my upper right abdomen if I’m having preterm labor."
      B)
      "I have contractions more often than every 10 minutes, I might be in preterm labor.”
      C)
      “I might be experiencing preterm labor if walking stops my contractions."
      D)
      “I can take a daily iron supplement to prevent preterm labor.”
    Page 3 of 15

    Exam Review

    1. A nurse is planning to administer Rho(D) immune globulin to a client who is postpartum. Which of the following actions should the nurse take?
      A)
      Administer the medication into the client's abdomen.
      B)
      Administer the medication within 72 h after birth
      C)
      Verify that the newborn is Rh-negative
      D)
      Verify that the client's Coombs test is positive
    2. A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products. Which of the following food options should the nurse recommend as the best source of dietary calcium?
      A)
      1 cup sweet white corn
      B)
      1 cup kale
      C)
      1 baked potato
      D)
      1 large banana
    3. A nurse is collecting data from a newborn. The nurse should recognize that which of the following images demonstrates a positive Babinski reflex? (IMAGES) A. B.
      A)
      A
      B)
      B
    4. 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)
      Eat dry, bland foods in the morning
      C)
      Restrict fluids to 1,000mL/day
      D)
      Increase intake of fresh fruits
    Page 4 of 15

    Exam Review

    1. A nurse is reinforcing teaching with a client about laboratory testing during pregnancy. Which of the following statements should the nurse include in the teaching?
      A)
      “A group B streptococcus screening will be performed to determine the presence of STIs.”
      B)
      "A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.”
      C)
      "A multiple marker screening will be performed to identify neural tube defects."
      D)
      "A glucose tolerance test will be performed to predict hyperglycemia in your baby.”
    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)
      Limit the client's daily fluid intake
      B)
      Encourage the client to wear a bra that is loose fitting
      C)
      Encourage the client to continue to breastfeed.
      D)
      Prepare the client for an abdominal sonogram
    3. A nurse is caring for a 2-day-old newborn who is undergoing phototherapy for treatment of hyperbilirubinemia. Which of the following actions should the nurse take?
      A)
      Provide additional hydration by offering glucose water.
      B)
      Apply a water-based lotion to the newborn's skin every 4 hr.
      C)
      Monitor the newborn's heart rate every 2 hr.
      D)
      Remove the newborn from phototherapy every 2 hr for breastfeeding
    4. A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?
      A)
      Polyuria
      B)
      Hyporeflexia
      C)
      Agitation
      D)
      Tachypnea
    Page 5 of 15

    Exam Review

    1. A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      “I should place my baby in the car seat at a 50 degree angle.”
      B)
      “I will place the retainer dip at the level of my baby's armpits.”
      C)
      "I will place a thick, soft pad behind my baby's back."
      D)
      “I can turn the car seat so it faces forward when my baby weighs 15 pounds.”
    2. A charge nurse is discussing risk factors for pastpartum hemorrhage with a newly licensed nurse. Which of the following conditions should the nurse include as a risk factor?
      A)
      Urinary tract infection
      B)
      Breech presentation
      C)
      Oligohydramnios
      D)
      Retained placental fragments
    3. A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
      A)
      Give a bolus of lactated Ringer's
      B)
      Assist the client to empty her bladder.
      C)
      Place the client in knee chest position.
      D)
      Administer methylergonovine IM.
    4. A nurse is reinforcing teaching about travel with a client who is pregnant. Which of the following instructions should the nurse include?
      A)
      “Position the lap belt across your navel.”
      B)
      "Wear the shoulder harness snug across your stomach."
      C)
      "Take a break and walk at least once every hour during long trips.”
      D)
      "Move your car seat forward, close to the steering wheel.”
    Page 6 of 15