Multiple Choice Questions

A nurse is caring for a newborn who has a neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?
  • Exaggerated reflexes
  • Pelvic inflammatory disease
  • Frequent stimulation
  • Massage the fundus
A nurse is collecting data from a client on the first postpartum day. Findings include fundus firm and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3 degrees Celsius (99.2 degrees Fahrenheit), and pulse rate 52/min. Which of the following actions should the nurse take?
  • A newborn who is large for gestational age
  • Small amount of brown vaginal discharge
  • Ask the client when she last voided.
  • A 12-hour-old newborn who has a heart rate of 70/min while sleeping
A nurse is contributing to the plan of care for a client who plans to formula feed her newborn. Which of the following actions should the nurse include in the plan?
  • Have the client place ice packs on her breasts four times per day
  • "You should eat some crackers before rising from bed in the morning."
  • Obtain a stat prescription for a bilirubin level
  • Ensure the newborn's eyes are closed before applying the eye shield
A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following nutrients should the nurse include in the teaching as a nutrient for the client to increase the intake of while breastfeeding?
  • "I should press the button on the hand held marker when my baby moves."
  • "You will have a cesarean birth prior to the onset of labor."
  • Vitamin C
  • Active genital herpes
A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client's perineal pad has a large amount of lochia rubra with severe clots. Which of the following actions should the nurse take first?
  • Massage the fundus
  • Frequent stimulation
  • Pelvic inflammatory disease
  • Exaggerated reflexes
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?
  • Pelvic inflammatory disease
  • Exaggerated reflexes
  • Nonreactive nonstress test
  • Mennorhagia
A nurse is reinforcing teaching with a client with a client who is pregnant. Which of the following instructions should the nurse include?
  • "I should press the button on the hand held marker when my baby moves."
  • "You should use floride-based toothpaste to prevent dental caries."
  • "I will warm the bottle of formula by placing it in a pan of hot water."
  • "Do not become pregnant for at least 1 year."
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?
  • Frequent stimulation
  • Massage the fundus
  • Mennorhagia
  • Exaggerated reflexes
A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication from the oxygen therapy?
  • Retinopathy
  • Frequent stimulation
  • Nonreactive nonstress test
  • At 28 weeks of gestation
A nurse is assisting with the care of a newborn who has a myelomeningocele. Which of the following actions should the nurse take?
  • At 28 weeks of gestation
  • Nonreactive nonstress test
  • Initiate a latex free environment
  • The time of the client's last void
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports, "I became very sissy while lying in bed this morning, but the feeling went away when I turned on my side." Which of the following actions should the nurse take?
  • Ensure the newborn's eyes are closed before applying the eye shield
  • "I should press the button on the hand held marker when my baby moves."
  • Instruct the client about vena cava syndrome and measures to prevent it
  • "These feelings are common for expectant fathers in early pregnancy."
A nurse is reinforcing teaching with a client who has active genital herpes simplex virus, typeWhich of the following statements by the nurse should be included in the teaching?
  • "You should use floride-based toothpaste to prevent dental caries."
  • "You will have a cesarean birth prior to the onset of labor."
  • "Do not become pregnant for at least 1 year."
  • "I will warm the bottle of formula by placing it in a pan of hot water."
A nurse is collecting data on a client who is at 8 weeks of gestation. Which of the following findings should the nurse report to the provider?
  • Small amount of brown vaginal discharge
  • The time of the client's last void
  • Turn the newborn's head quickly to one side
  • "My heart feels as if it is racing."
A nurse is collecting data for a newborn who is 12 hr old and notes mild jaundice of the face and trunk. Which of the following actions should the nurse take/
  • Have the client place ice packs on her breasts four times per day
  • Continue to routinely monitor the newborn
  • Obtain a stat prescription for a bilirubin level
  • Small amount of brown vaginal discharge
A nurse is caring for a newborn who was born to a client who was a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn?
  • Exaggerated reflexes
  • Frequent stimulation
  • Pelvic inflammatory disease
  • "My heart feels as if it is racing."
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with the client about the treatment plan?
  • "You should eat some crackers before rising from bed in the morning."
  • "You and your partner need to take the medication and use a condom during intercourse until cultures are negative."
  • "My heart feels as if it is racing."
  • Continue to routinely monitor the newborn
A nurse is caring for a client who is at 8 weeks of gestation with twins and is primigravida. The client states that even though she and her planned this pregnancy, she is experiencing many ambivalent feelings about it. Which of the following responses should the nurse make?
  • "These feelings are normal at the beginning of pregnancy."
  • "My heart feels as if it is racing."
  • Use a 20-gauge needle, and administer the medication using the Z-track method
  • "These feelings are common for expectant fathers in early pregnancy."
A nurse is reinforcing teaching with a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
  • "I should press the button on the hand held marker when my baby moves."
  • "You should use floride-based toothpaste to prevent dental caries."
  • "You will have a cesarean birth prior to the onset of labor."
  • "You should eat some crackers before rising from bed in the morning."
A nurse is assisting in the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care?
  • Nonreactive nonstress test
  • At 28 weeks of gestation
  • Ensure the newborn's eyes are closed before applying the eye shield
  • "You will have a cesarean birth prior to the onset of labor."
A nurse is reinforcing discharge instructions with a client following the removal of a hydatiform mole. Which of the following statements should the nurse include in the teaching?
  • "I will warm the bottle of formula by placing it in a pan of hot water."
  • "You will have a cesarean birth prior to the onset of labor."
  • "I should press the button on the hand held marker when my baby moves."
  • "Do not become pregnant for at least 1 year."
A nurse is reinforcing teaching about formula feeding with a parent of a newborn. Which of the following statements by the parent indicates understanding of the teaching?
  • "You will have a cesarean birth prior to the onset of labor."
  • "Your baby should have bursts of 15 sucks or swallows at a time."
  • "I should press the button on the hand held marker when my baby moves."
  • "I will warm the bottle of formula by placing it in a pan of hot water."
A nurse is assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following should the nurse identify as the priority?
  • Initiate a latex free environment
  • At 28 weeks of gestation
  • Ensure the newborn's eyes are closed before applying the eye shield
  • Nonreactive nonstress test
A nurse is preparing to elicit the fencing reflex from a newborn. Which of the following actions should the nurse take?
  • Turn the newborn's head quickly to one side
  • Small amount of brown vaginal discharge
  • "I should replace my diaphragm every 2 years."
  • Ensure the newborn's eyes are closed before applying the eye shield
A nurse is caring for a client who is at 16 weeks of gestation and has severe iron-deficiency anemia. The provider prescribes an injection of iron IM. Which of the following methods should the nurse use to administer the medication?
  • Continue to routinely monitor the newborn
  • "My heart feels as if it is racing."
  • Massage the fundus
  • Use a 20-gauge needle, and administer the medication using the Z-track method
A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following information should the nurse include?
  • "I will warm the bottle of formula by placing it in a pan of hot water."
  • "Your baby should have bursts of 15 sucks or swallows at a time."
  • "You should use floride-based toothpaste to prevent dental caries."
  • "You will have a cesarean birth prior to the onset of labor."
A nurse is caring or a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the nurse's priority?
  • Pelvic inflammatory disease
  • "My heart feels as if it is racing."
  • Continue to routinely monitor the newborn
  • Frequent stimulation
A nurse is caring for a newborn who was irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take?
  • Use a 20-gauge needle, and administer the medication using the Z-track method
  • Continue to routinely monitor the newborn
  • Massage the fundus
  • "My heart feels as if it is racing."
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide to the client?
  • "You should eat some crackers before rising from bed in the morning."
  • "I should replace my diaphragm every 2 years."
  • Have the client place ice packs on her breasts four times per day
  • "You and your partner need to take the medication and use a condom during intercourse until cultures are negative."
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Multiple Choice Questions
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