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    Exam Review

    1. A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?
      A)
      We will scan your baby's identification bracelet each time we check on him.
      B)
      You should check the identity of individuals who come to remove your baby from the room.
      C)
      We will match the bracelet on your baby with his footprint record each shift.
      D)
      Your baby will wear an electronic bracelet when he is out of your room.
    2. A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
      A)
      A client who has a history of gallbladder disease.
      B)
      A client who has a positive pregnancy test.
      C)
      A client who smokes one pack of cigarettes per day.
      D)
      A client who is nulliparous.
    3. A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?
      A)
      Fever.
      B)
      Diarrhea.
      C)
      Sedation.
      D)
      Diuresis.
    4. A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
      A)
      Maternal temperature 38.3°C (101°F).
      B)
      Fetal heart tones 98/min.
      C)
      Foul-smelling vaginal discharge.
      D)
      Amniotic fluid with meconium noted.
    Page 1 of 15

    Exam Review

    1. The nurse is collecting data from the client 24 hr later. How should the nurse interpret the findings?
      A)
      Moderate lochia rubra: Sign of potential improvement.
      B)
      Client reports decreased level of pain: Sign of potential improvement.
      C)
      Temperature 38.4°C (101°F): Sign of potential worsening condition.
      D)
      WBC count 15,000/mm³ : Sign of potential worsening condition.
    2. 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)
      Place the client in knee-chest position.
      B)
      Give a bolus of lactated Ringer's.
      C)
      Administer methylergonovine IM.
      D)
      Assist the client to empty her bladder.
    3. A nurse is reinforcing discharge teaching about home safety with a client who is postpartum. In which of the following positions should the nurse instruct the client to place their newborn in the crib?
      A)
      Supine.
      B)
      Left lateral.
      C)
      Right lateral.
      D)
      Prone.
    4. A nurse is collecting data from a newborn. The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?
      A)
      Image showing toes fanning out when the sole is stroked.
      B)
      Image showing the newborn grasping a finger when the palm is touched.
      C)
      Image showing the newborn turning the head when the cheek is stroked.
      D)
      Image showing the newborn making stepping movements when held upright.
    Page 2 of 15

    Exam Review

    1. 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)
      Encourage the client to continue to breastfeed.
      B)
      Prepare the client for an abdominal sonogram.
      C)
      Encourage the client to wear a loose-fitting bra.
      D)
      Limit the client's daily fluid intake.
    2. A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following interventions should the nurse recommend including in the plan?
      A)
      Reposition the newborn every 2 hours.
      B)
      Give the newborn 30 ml of distilled water after each feeding.
      C)
      Monitor the newborn's blood glucose level every hour.
      D)
      Apply a water-based ointment to the newborn's skin every 6 hours.
    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 receive a medroxyprogesterone acetate injection once per month.”.
      C)
      "You will need to have your diaphragm replaced every 4 years.”.
      D)
      "Oral contraceptives decrease the risk for endometrial cancer.”.
    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)
      Increase intake of fresh fruits.
      B)
      Restrict fluids to 1,000 mL/day.
      C)
      Eat dry, bland foods in the morning.
      D)
      Take an over-the-counter antacid.
    Page 3 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)
      Urination urgency and frequency
      B)
      Tingling in the fingers
      C)
      Round ligament pain
      D)
      Perineal discomfort and pressure
    2. 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 keep my baby rear-facing in the carseat until she is 2 years old."
      B)
      "I should position the car seat's retainer clip at the level of my baby's belly button."
      C)
      "I should enable the airbag when my baby is in the front seat of the car."
      D)
      "I should place my baby in the car seat at a 90-degree angle."
    3. A nurse is reinforcing teaching about travel with a client who is pregnant. Which of the following instructions should the nurse include?
      A)
      Instruct the client to move their car seat forward, close to the steering wheel.
      B)
      Advise the client to wear the shoulder harness snug across their stomach.
      C)
      Direct the client to position the lap belt across their navel.
      D)
      Encourage the client to take a break and walk at least once every hour during long trips.
    4. A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?
      A)
      Fever.
      B)
      Diarrhea.
      C)
      Sedation.
      D)
      Diuresis.
    Page 4 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)
      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.
    2. A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
      A)
      A client who has a history of gallbladder disease.
      B)
      A client who has a positive pregnancy test.
      C)
      A client who smokes one pack of cigarettes per day.
      D)
      A client who is allergic to latex.
    3. A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago. Which of the following findings should the nurse report to the provider?
      A)
      Double vision
      B)
      Pedal edema
      C)
      Weight gain of 1 kg (2.2lb)
      D)
      BP of 132/84mm Hg
    4. 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 methadone.
      B)
      You will be prescribed aripiprazole.
      C)
      You will be prescribed diazepam.
      D)
      You will be prescribed naloxone.
    Page 5 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 multiple marker screening will be performed to identify neural tube defects.
      C)
      A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.
      D)
      A glucose tolerance test will be performed to predict hyperglycemia in your baby.
    2. 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)
      Urination urgency and frequency
      B)
      Tingling in the fingers
      C)
      Round ligament pain
      D)
      Perineal discomfort and pressure
    3. A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?
      A)
      Auscultate the newborn’s bowel sounds.
      B)
      Swaddle the newborn in blankets.
      C)
      Weigh the newborn’s wet diaper.
      D)
      Determine the newborn’s respiratory rate.
    4. A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10. Which of the following actions should the nurse take?
      A)
      Apply a corticosteroid cream to the perineal area twice daily.
      B)
      Increase the client’s fluid intake for 48 hours.
      C)
      Catheterize the client’s bladder.
      D)
      Offer an ice pack to the client during the first 24 hours.
    Page 6 of 15