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    Exam Review

    1. Complete the following statement. The client is at risk of developing ▾ Hyperemesis gravidarum due to the client’s ▾ Laboratory results
      Dropdown 1:
      Option 1: Hyperemesis gravidarum
      Option 2: Gestational diabetes mellitus
      Option 3: Hydatidiform mole
      Dropdown 2:
      Option 1: Obstetrical history
      Option 2: Dietary restrictions
      Option 3: Laboratory results
    2. A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns. What should the nurse include in the policy?
      A)
      Check the newborn’s identification using the crib card.
      B)
      Require visitors to wear an identification band.
      C)
      Replace the infant’s identification band after his name has been recorded.
      D)
      Obtain an imprint of the infant’s feet prior to taking him to the nursery.
    3. A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb). Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
      A)
      Blood pressure 88/40 mm Hg
      B)
      Moderate rubra lochia
      C)
      Heart rate 90/min
      D)
      Urinary output 40 mL/hr
    4. A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
      A)
      The client takes charge of all mothering tasks.
      B)
      The client desires privacy with their newborn.
      C)
      The client puts their personal needs aside.
      D)
      The client reviews their birth experience with others.
    Page 1 of 19

    Exam Review

    1. A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
      A)
      Progressive sacral discomfort during contractions
      B)
      An urge to have a bowel movement during contractions
      C)
      Intense contractions lasting 45 to 60 seconds
      D)
      A sense of excitement and warm, flushed skin
    2. A nurse is caring for a client who is in labor.The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
      A)
      Decrease the rate of IV fluids.
      B)
      Elevate the client’s head.
      C)
      Perform fetal scalp stimulation.
      D)
      Administer oxygen via a face mask.
    3. A nurse is administering a 500 mL bolus of lactated Ringer’s for a client who is in labor and has a prescription for spinal anesthesia. Which of the following findings indicates that the IV bolus was effective?
      A)
      Report of perineal pain as 0 on a scale of 0 to 10
      B)
      Report of relief of pruritus
      C)
      Increased urinary output
      D)
      Blood pressure 110/70 mm Hg .
    4. A nurse is caring for a client in labor who is experiencing abruptio placentae. What findings should the nurse expect?
      A)
      Leukorrhea
      B)
      Hypertension
      C)
      Uterine tenderness
      D)
      Fetal tachycardia
    Page 2 of 19

    Exam Review

    1. A nurse is caring for a newborn with jaundice who has a new prescription for phototherapy. What actions should the nurse take?
      A)
      Apply hydrating lotion to the newborn’s skin prior to treatment.
      B)
      Provide the newborn with 15 mL glucose water after each feeding.
      C)
      Turn the newborn every 4 hours.
      D)
      Close the newborn’s eyes before applying eyepatches.
    2. A nurse is assessing a newborn of a client who reported methadone use during pregnancy. What manifestations should the nurse expect the newborn to exhibit?
      A)
      Absent Moro reflex
      B)
      Weak cry
      C)
      Poor feeding
      D)
      Respiratory rate of 30/min
    3. A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization. What information should the nurse provide to the client?
      A)
      Instruct the client not to use donor oocytes.
      B)
      Inform the client that sperm will be introduced to the uterus during ovulation.
      C)
      Instruct the client to avoid freezing embryos for possible use in the future.
      D)
      Inform the client about the possible need for reduction of multiple fetuses.
    4. A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization. What information should the nurse provide to the client?
      A)
      Instruct the client not to use donor oocytes.
      B)
      Inform the client that sperm will be introduced to the uterus during ovulation.
      C)
      Instruct the client to avoid freezing embryos for possible use in the future.
      D)
      Inform the client about the possible need for reduction of multiple fetuses.
    Page 3 of 19

    Exam Review

    1. A nurse is caring for a client following a vaginal delivery of a term fetal demise. What statements should the nurse make?
      A)
      “If you don’t hold the baby, it will make letting go much harder.”.
      B)
      “I’m sure you will be able to have another baby when you’re ready.”.
      C)
      “You can bathe and dress your baby if you’d like to.”.
      D)
      “You should name the baby so she can have an identity.”.
    2. A nurse is caring for a client who is experiencing an amniotic fluid embolism during labor. What actions should the nurse take?
      A)
      Prepare to initiate cardiopulmonary resuscitation.
      B)
      Plan to administer ephedrine IV.
      C)
      Assess for the presence of clonus.
      D)
      Assist the client to empty their bladder.
    3. A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets. How many tablet(s) should the nurse plan to administer per dose? .
    4. A nurse is planning care for a client in the postpartum unit. What goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
      A)
      The client will demonstrate proper bathing of the infant.
      B)
      The client will verbalize appropriate car seat safety.
      C)
      The client will have adequate nutritional intake.
      D)
      The client will identify necessary family roles.
    Page 4 of 19

    Exam Review

    1. A nurse is caring for a client who is receiving terbutaline to treat preterm labor. What findings should the nurse identify as a potential adverse effect of this medication?
      A)
      Heart palpitations
      B)
      Bradycardia
      C)
      Hot flashes
      D)
      Shortness of breath
    2. A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection. What type of isolation precautions should the nurse initiate for the client?
      A)
      Airborne
      B)
      Droplet
      C)
      Contact
      D)
      Protective environment .
    3. A nurse is caring for a client who is postpartum and has a perineal laceration. What findings place the client at risk for delayed wound healing?
      A)
      The client is changing the perineal pad once daily.
      B)
      The client cleans the perineum with a squeeze bottle after urinating.
      C)
      The client’s perineal suture line is well approximated.
      D)
      The client is using witch hazel pads on the perineum.
    4. A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min. What actions should the nurse take first?
      A)
      Prepare the client to receive a plasma expander.
      B)
      Administer oxygen via face mask at 10 L/min.
      C)
      Insert an indwelling urinary catheter.
      D)
      Collect hemoglobin and hematocrit levels.
    Page 5 of 19

    Exam Review

    1. A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. What actions should the nurse plan to take?
      A)
      Assess for edema.
      B)
      Administer an IV bolus of lactated Ringer’s.
      C)
      Obtain a prescription for misoprostol.
      D)
      Assist the client with food intake.
    2. A nurse is preparing to administer phytonadione 0.5 mg to a newborn. What routes should the nurse choose for administration of the medication?
      A)
      Intramuscular in the right deltoid
      B)
      Subcutaneous in the right deltoid
      C)
      Intramuscular in the left vastus lateralis
      D)
      Subcutaneous in the left vastus lateralis .
    3. A nurse is caring for a client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta. What clinical manifestations should the nurse expect as a therapeutic effect of the medication?
      A)
      The client’s fundus is firm and midline.
      B)
      The client saturates a perineal pad in 1 hr.
      C)
      The client reports a feeling of vaginal fullness.
      D)
      The client’s umbilical cord lengthens.
    4. A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.What actions should the nurse take?
      A)
      Perform a fundal massage.
      B)
      Assess for abdominal tenderness.
      C)
      Obtain serial hemoglobin and hematocrit.
      D)
      Monitor vital signs closely.
    Page 6 of 19