23. A nurse is caring for a client who experienced a fetal loss. When initiating
communication with this client. Which of the following statements should the nurse
make?
- I’m here for you if you would like to talk
...
23. A nurse is caring for a client who experienced a fetal loss. When initiating
communication with this client. Which of the following statements should the nurse
make?
- I’m here for you if you would like to talk
24. A nurse is assessing a client who is at 35 weeks gestation and has mild gestational
hypertension. Which of the following findings should the nurse identify as the priority?
- 480 mL urine output in 24 hours
1. A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding.
Which of the following assessments will indicate whether the bleeding is caused by
placenta previa or an abruptio placenta?
- Uterine tone
2. A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight
gain during pregnancy. Which of the following responses should the nurse make?
- Gaining weight will promote a healthy pregnancy
3. A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For
which of the following findings should the nurse assign a score of 1?
- Weak cry
4. A nurse is caring for a client who is 12 hour postpartum. Which of the following
interventions should the nurse implement?
- Administer ferrous sulfate orally
5. A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of
the following clients should the nurse see first?
- A client who is in active labor and has late decelerations on the fetal heart monitor
strip
6. A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test.
The fetal heart rate is 130/min without acceleration for the past 10 min. which of the
following actions should the nurse take?
- Use vibroacoustic stimulation on the clients abdomen for 3 sec
7. A nurse is caring for a client who has a prescription for naloxone. Which of the following
is the intended action of the medication in relation to the central nervous system?
- Block the effects of narcotics on the CNS
8. A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and
verbalizes a fear of gaining weight during pregnancy. Which of the following actions
should the nurse take?
-
9. A
nurse is providing care to a client who is 2 hour postpartum and is receiving an oxytocin
iv. The client asks the nurse, “ why is there so little bleeding”? which of the following
responses should the nurse make?
- The bleeding is minimal until I discontinue your iv medication
10. A nurse is teaching a client who is at 12 weeks gestation and has human
immunodeficiency virus . which of the following statement should the nurse include in
the teaching?
- You should continue to take zidovudine throughout the pregnancy
11. A nurse is caring for a client who is pregnant and whose last menstrual period began on
April 8th . using Naegele’s rule, which of the following dates would be the clients
estimated date of birth ( Estimated date of birth) ?
- January 15th
12. A nurse is preparing to administer routine medications to a newborn following birth.
Which of the following actions should the nurse take?
- Administer vitamin k in the newborn’s thigh
13. A nurse is discussing risk factors for necrotizing enterocolitis in the newborns with a
newly licensed nurse. Which of the following risks factors should the nurse include?
- Respiratory distress syndrome
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