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    Exam Review

    1. A nurse is assisting with the care of a client who was admitted to the postpartum unit.The client is diaphoretic, skin is clammy, pulse is rapid and strong, respirations are shallow.The client reports headache, nausea, and feeling weak.Which of the following actions should the nurse take?
      A)
      Administer oxygen.
      B)
      Offer an ice pack.
      C)
      Provide a warm blanket.
      D)
      Elevate the client’s legs.
    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)
      Serum bilirubin.
      B)
      Liver enzymes.
      C)
      CBC.
      D)
      Urinalysis for ketones.
    3. 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.
    4. 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)
      Oral contraceptives decrease the risk for endometrial cancer.
      B)
      Combined estrogen-progestin contraceptive pills cause longer periods.
      C)
      You will need to receive a medroxyprogesterone acetate injection once per month.
      D)
      You will need to have your diaphragm replaced every 4 years.
    Page 1 of 16

    Exam Review

    1. A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding. Which of the following instructions should the nurse include?
      A)
      You should use a breast pump if you plan to return to work.
      B)
      Cover your breasts immediately after feedings.
      C)
      Wear an underwire bra between feedings.
      D)
      Wash your nipples with soap and water daily.
    2. A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum.Which of the following actions should the nurse take?
      A)
      Verify that the newborn is Rh-negative.
      B)
      Verify that the client’s Coombs test is positive.
      C)
      Administer the medication within 72 hours after birth.
      D)
      Administer the medication into the client’s abdomen.
    3. A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?
      A)
      Tetracycline.
      B)
      Acyclovir.
      C)
      Metronidazole.
      D)
      Amoxicillin.
    4. 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)
      BP of 132/84 mm Hg.
      B)
      Weight gain of 1 kg (2.2 lb).
      C)
      Pedal edema.
      D)
      Double vision.
    Page 2 of 16

    Exam Review

    1. 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)
      Right lateral.
      B)
      Left lateral.
      C)
      Prone.
      D)
      Supine.
    2. 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 press the provided button when you feel the baby moving during the test.”.
      C)
      “You will be required to lie flat on your back for the duration of the test.”.
      D)
      “You will receive medication through an IV line to stimulate contractions.”. .
    3. A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will need to start chemotherapy immediately."
      B)
      "I will need to attend a support group when I get home."
      C)
      "I will need an amniocentesis within 1 month."
      D)
      "I will need home palliative services after I am discharged from the hospital."
    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)
      Place the newborn supine and apply pressure to the soles of the feet.
      B)
      Stroke upward on the lateral aspect of the sole of the newborn’s foot.
      C)
      Pull the newborn up by the wrist from a supine position.
      D)
      Touch the corner of the newborn’s mouth.
    Page 3 of 16

    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 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."
    2. A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level.Which of the following foods should the nurse recommend the client increase in her diet?
      A)
      Yogurt
      B)
      Long-grain rice
      C)
      Avocados
      D)
      Peanut butter
      E)
      Peanut butter
    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 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 4 of 16

    Exam Review

    1. A nurse is preparing to collect a specimen for newborn screening.Which of the following actions should the nurse take?
      A)
      Warm the newborn’s heel for 5 to 10 minutes before the puncture.
      B)
      Use a lancet to puncture the inner aspect of the newborn’s heel.
      C)
      Leave the newborn’s heel open to the air after the puncture.
      D)
      Apply an antiseptic to the newborn’s heel after collecting the specimen.
    2. 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.
    3. 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
    4. A nurse is collecting data on a newborn who is 1 day old.Which of the following findings is a manifestation of dehydration?
      A)
      Presence of acrocyanosis.
      B)
      Capillary refill greater than 3 seconds.
      C)
      Voided four times in the past 24 hours.
      D)
      Flat soft anterior fontanel.
    Page 5 of 16

    Exam Review

    1. A nurse is collecting data from a client who is at 23 weeks of gestation.Which of the following client statements should the nurse identify as a potential psychosocial concern?
      A)
      “I’ve started to purchase furniture for the baby’s room.”.
      B)
      “I’m not sure if I want an epidural during labor.”.
      C)
      “My partner is planning to attend birthing classes with me.”.
      D)
      “I’m not sure my older child will accept the new baby.”.
    2. A nurse is assisting with the care of a client who is in the third trimester of gestation.Which of the following statements by the client’s partner indicates effective adaptation to their new role?
      A)
      “I don’t want to call the baby by name until the baby is born.”.
      B)
      “I need to start painting the baby’s room.”.
      C)
      “I can’t wait until my child is old enough to enjoy my hobbies with me.”.
      D)
      “I am waiting until the baby is born to share the news with coworkers.”.
    3. A nurse is collecting data from an adolescent during a routine prenatal visit at 26 weeks of gestation.Which of the following statements by the adolescent indicates they have accepted the pregnancy?
      A)
      I really miss drinking soda, but I know it is better for the baby.
      B)
      I am upset that I will have to quit school in a few weeks when the baby comes.
      C)
      My parents will probably end up raising the baby since I am so young.
      D)
      My partner says they want to help, but we did not plan for this baby.
    4. A nurse on the postpartum unit is assisting with the care of a group of clients.Which of the following clients should the nurse plan to see first?
      A)
      A client who gave birth 18 hours ago and has a temperature of 37.8°C (100°F).
      B)
      A G2P1 client who gave birth 8 hours ago and reports abdominal pain during breastfeeding.
      C)
      A client who gave birth 24 hours ago and reports not yet having a bowel movement.
      D)
      A G5P4 client who gave birth 6 hours ago and has saturated one perineal pad over the past 2 hours.
    Page 6 of 16