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    Exam Review

    1. A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?
      A)
      WBC count 35,000/mm³ (9,000 to 30,000/mm³)
      B)
      Glucose 35 mg/dL (greater than 40 to 45 mg/dL)
      C)
      Bilirubin 14.0 mg/dL (1.0 to 12.0 mg/dL)
      D)
      Platelet count 350,000/mm³ (150,000 to 300,000/mm³)
    2. A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse expect?
      A)
      BUN 30 mg/dL (10 to 20 mg/dL)
      B)
      Hgb 9.9 g/dL (11 to 16 g/dL)
      C)
      Serum uric acid 2.5 mg/dl (2.7 to 7.3 mg/dL)
      D)
      Casual blood glucose 228 mg/dL (less than 200 mg/dL)
    3. A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
      A)
      Hyporeactivity
      B)
      Excessive high-pitched cry
      C)
      Acrocyanosis
      D)
      Respiratory rate of 50/min
    4. A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor. Which of the following findings should the nurse report to the provider?
      A)
      Respiratory rate 11/min
      B)
      Deep tendon reflexes 2+
      C)
      Urine output 30 mL/hr
      D)
      Blood pressure 100/62 mm Hg
    Page 1 of 10

    Exam Review

    1. A nurse is caring for a client who is postoperative following a mastectomy. The client expresses concern that they will no longer be attractive to their partner. Which of the following actions should the nurse take?
      A)
      Discourage the client from looking at their breasts.
      B)
      Recommend a support group for the client to attend.
      C)
      Tell the client you are so sorry for how devastated they must feel.
      D)
      Tell the client to focus on their postoperative recovery for now.
    2. A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)
      (SATA)
      A)
      Instruct the client to wash their hands prior to breastfeeding.
      B)
      Teach the client about proper latching-on techniques.
      C)
      Encourage the client to alternate breastfeeding with formula feeding.
      D)
      Instruct the client to avoid using a breast pump.
      E)
      Encourage the client to allow their nipples to air dry after feedings.
    3. A nurse is providing teaching to a group of clients about risk factors for ovarian cancer. Which of the following risk factors should the nurse include? (Select all that apply)
      (SATA)
      A)
      Nulliparity
      B)
      History of breastfeeding
      C)
      Previous use of oral contraceptives
      D)
      History of breast cancer
      E)
      Use of postmenopausal estrogen
    4. A nurse providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include in the teaching?
      A)
      Peanut butter sandwich
      B)
      Sliced apples
      C)
      Glass of skim milk
      D)
      Scrambled egg
    Page 2 of 10

    Exam Review

    1. A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
      A)
      Prepare the necessary equipment to initiate an amnioinfusion.
      B)
      Assist with performing a vaginal/speculum exam to check for a prolapsed umbilical cord.
      C)
      Discontinue the infusion of oxytocin.
      D)
      Provide instructions for the client about potential preparation for birth.
    2. A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "If my partner is Rh-negative, I will not receive the shot."
      B)
      "I will receive the shot after delivery if my baby is Rh-negative."
      C)
      "I should not receive any immunizations for 3 months after the shot."
      D)
      "This shot may be given after birth to protect future pregnancies."
    3. A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation. Which of the following instructions should the nurse include?
      A)
      Increase your potassium intake.
      B)
      Increase your fluid intake to 3 liters per day.
      C)
      Refrain from consuming alcohol.
      D)
      Limit your daily intake of fiber.
    4. A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?
      A)
      Initiate continuous monitoring of the FHR.
      B)
      Administer a dose of betamethasone.
      C)
      Check the cervix for dilation every 8 hr.
      D)
      Request that the provider prescribe misoprostol PRN.
    Page 3 of 10

    Exam Review

    1. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
      A)
      Hypotonicity
      B)
      Moderate tremors of the extremities
      C)
      Axillary temperature 36.1° C (96.9° F)
      D)
      Excessive sleeping
    2. A nurse is teaching the parent of a newborn about car seat safety. Which of the following statements should the nurse make?
      A)
      "You should keep the car seat rear-facing until your baby is at least 2 years old."
      B)
      "Position the retainer clip over the upper part of your baby's abdomen."
      C)
      "You should place your baby in the car seat at a 90-degree angle."
      D)
      "Place the shoulder harness straps in the slots an inch above your baby's shoulders."
    3. A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication? (Select all that apply.)
      A)
      "Are you taking over-the-counter medications?"
      B)
      "Do you have a history of gastric problems?"
      C)
      "What kind of contraception will you be using?"
      D)
      "Are you being treated for high blood pressure?"
      E)
      "Do you have a history of cataracts?"
    4. A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
      A)
      Request a prescription for PRN aspirin from the provider.
      B)
      Massage the injection site thoroughly following administration.
      C)
      Instruct the client that they cannot breastfeed while receiving heparin.
      D)
      Administer the injection in the client's abdomen.
    Page 4 of 10

    Exam Review

    1. A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
      A)
      Gravida 3, Para 2
      B)
      Gravida 3, Para 3
      C)
      Gravida 4, Para 2
      D)
      Gravida 4, Para 3
    2. A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication?
      A)
      Heart disease
      B)
      Cervical dilation of 2 cm
      C)
      Gestational age of 34 weeks
      D)
      Allergy to penicillin
    3. A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
      A)
      Abruptio placentae
      B)
      Hydatidiform mole
      C)
      Preterm labor
      D)
      Placenta previa
    4. A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
      A)
      Elevate the client's legs to a 30° angle.
      B)
      Insert an indwelling urinary catheter.
      C)
      Massage the client's fundus.
      D)
      Initiate an infusion of oxytocin.
    Page 5 of 10

    Exam Review

    1. A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 8 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase their intake during the first trimester of pregnancy?
      A)
      Vitamin E
      B)
      Protein
      C)
      Fiber
      D)
      Calcium
    2. A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
      A)
      Nevus flammeus
      B)
      Caput succedaneum
      C)
      Cephalohematoma
      D)
      Erythema toxicum
    3. A nurse is providing teaching about newborn safety to a client who is being admitted for induction of labor. Which of the following client statements indicates an understanding of the teaching?
      A)
      "I will check the identification badge of anyone who removes my baby from our room."
      B)
      "I should include a photo of my baby in any public birth announcements to social media."
      C)
      "I will allow my baby to sleep on the bed in my room when I am in the shower."
      D)
      "I should expect the nurses to carry my baby in their arms to the nursery."
    4. A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the following client statements indicates an understanding of the teaching?
      A)
      "I will need to have the IUD replaced each year."
      B)
      "I will need to apply a spermicide prior to intercourse."
      C)
      "I should expect my periods to stop while I have the IUD."
      D)
      "I should check for the string each month after menstruation."
    Page 6 of 10