1.At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV.
Thirty minutesafter admis
...
1.At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV.
Thirty minutesafter admission, the client reports feeling a sharp abdominal pain and a shoulder
pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood
pressure of 86/48. Which action should the nurse implement next?
A. Check the hematocrit results.
B. Administer painmedication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions.
Correct Answer: C
2. During a prenatal visit, the LPN/LVN discusses with a client the effects ofsmoking on the fetus. When
compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have
A. lower Apgarscores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
Correct Answer: D
3. Which action should the LPN/LVN implement when preparing to measure the fundal height of a
pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
Correct Answer: A
4. The LPN/LVN identifies crepitus when examining the chest of a newborn who was delivered vaginally.
Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch forswelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
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