Multiple Choice Questions

A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider?
  • Reports increased urinary output
  • Reports of decreased fetal movement
  • Monitor the FHR continously
  • A newborn who is 18 hr old and has an axillary temperature of 99.9° F
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?
  • BUN 25 mg/dL
  • Biophysicial profile
  • Premature rupture of membranes
  • Calcium Gluconate
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client head to the side, which of the following actions should the nurse take immediately after the seizure?
  • Premature rupture of membranes
  • To locate the pocket of fluid
  • Respiratory rate 10/min
  • Administer oxygen via a nonrebreather mask
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbillirubinemia. Which of the following actions should the nurse include in the plan?
  • Picture of nurse palpating top of belly; where bottom is
  • Remove all clothing form the newborn except the diaper
  • Monitor the FHR continously
  • A newborn who is 18 hr old and has an axillary temperature of 99.9° F
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect?
  • Have the client change positions
  • Premature rupture of membranes
  • A reduction in respiratory distress in the newborn
  • Place the newborn skin to skin on the mothers chest
A nurse is creating a plan of care who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?
  • Protects the client's head and feet from cold air
  • Remove all clothing form the newborn except the diaper
  • Picture of nurse palpating top of belly; where bottom is
  • Monitor the FHR continously
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess?
  • Blurred Vision
  • Begin FHR monitoring
  • Abruptio placenta
  • Petechiae over the head
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe?
  • To locate the pocket of fluid
  • Kleihauer-Betke test
  • Biophysicial profile
  • Premature rupture of membranes
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered?
  • Hypertension
  • Naloxone
  • Reports increased urinary output
  • Weight gain of 2.2 kg (4.8 lb)
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider?
  • To locate the pocket of fluid
  • Perform Leopold Maneuvers
  • Fundal Height Measurement
  • Hemoglobin 10 g/dL
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
  • Maintain the client of bed rest
  • Massage the client's fundus
  • Have the client change positions
  • Schedule an ultrasound examination
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect?
  • Report of visual disturbances
  • Blurred Vision
  • Minimal arm recoil
  • Vaginal pressure
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
  • "You should press the handheld button when you feel your baby move."
  • "I can administer oxytocin 4 hours after the insertion of the medication"
  • A reduction in respiratory distress in the newborn
  • "I should take 600 micrograms of folic acid every day"
A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?
  • "I will likely need to use alternative positions for sexual intercourse".
  • Place the newborn skin to skin on the mothers chest
  • Cold cabbage leaves
  • "You can still become pregnant if you are breastfeeding"
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
  • Minimal arm recoil
  • Substernal Retractions
  • Report of visual disturbances
  • Reports increased urinary output
A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse priority?
  • Report the client's condition to the local health department
  • Perform Leopold Maneuvers
  • Massage the client's fundus
  • Have the client change positions
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
  • "You should press the handheld button when you feel your baby move."
  • "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"
  • "I can administer oxytocin 4 hours after the insertion of the medication"
  • Insert two gloved fingers into the vagina and apply upward pressure to the presenting part
A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?
  • AcrocyanosisPositive Babinski reflexTwo umbilical arteries visible is correct
  • "I can administer oxytocin 4 hours after the insertion of the medication"
  • Obtain an gift from the newborn to present to the sibling
  • Insert two gloved fingers into the vagina and apply upward pressure to the presenting part
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?
  • Maintain the client of bed rest
  • Perform Leopold Maneuvers
  • Kleihauer-Betke test
  • Have the client change positions
A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family memeber?
  • "I can administer oxytocin 4 hours after the insertion of the medication"
  • Place the newborn skin to skin on the mothers chest
  • "You can still become pregnant if you are breastfeeding"
  • Obtain an gift from the newborn to present to the sibling
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
  • Report of visual disturbances
  • A newborn who is 18 hr old and has an axillary temperature of 99.9° F
  • Monitor the FHR continously
  • Protects the client's head and feet from cold air
A nurse is providing teaching about nonpharmological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items?
  • Biophysicial profile
  • Depression
  • Cold cabbage leaves
  • Monitor the FHR
A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications?
  • Maintain the client of bed rest
  • To locate the pocket of fluid
  • Premature rupture of membranes
  • Perform Leopold Maneuvers
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?
  • Petechiae over the head
  • Maintain the client of bed rest
  • Report of visual disturbances
  • Weight gain of 2.2 kg (4.8 lb)
A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take?
  • Massage the client's fundus
  • Have the client change positions
  • To locate the pocket of fluid
  • Maintain the client of bed rest
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
  • Monitor the FHR
  • BUN 25 mg/dL
  • Kleihauer-Betke test
  • Maintain the client of bed rest
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
  • Substernal Retractions
  • Blurred Vision
  • Respiratory distress
  • Report of visual disturbances
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopoid maneuvers. Which of the following images indicates the first step of Leopoid maneuvers?
  • Remove all clothing form the newborn except the diaper
  • Picture of nurse palpating top of belly; where bottom is
  • A newborn who is 18 hr old and has an axillary temperature of 99.9° F
  • A client who is at 11 weeks of gestation and reports abdominal cramping
A nurse is performing a physical assessment of a newborn. Which of the following clinical finding should the nurse expect?
  • "You can still become pregnant if you are breastfeeding"
  • "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"
  • Heart Rate 154/ minRespiratory rate 58/ minWeight 2,600 g (5lb 12 oz)
  • "I can administer oxytocin 4 hours after the insertion of the medication"
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior?
  • A reduction in respiratory distress in the newborn
  • "I should take 600 micrograms of folic acid every day"
  • Maintain the client of bed rest
  • Lays the newborn across her lap and gently sways
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
  • Massage the client's fundus
  • Maintain the client of bed rest
  • Schedule an ultrasound examination
  • Report the client's condition to the local health department
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?
  • Calcium Gluconate
  • Respiratory rate 10/min
  • Maintain the client of bed rest
  • Biophysicial profile
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include?
  • AcrocyanosisPositive Babinski reflexTwo umbilical arteries visible is correct
  • Report the client's condition to the local health department
  • "You can still become pregnant if you are breastfeeding"
  • Verify that the parent's identification band matches the newborn's identification band
A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
  • To locate the pocket of fluid
  • Maintain the client of bed rest
  • Premature rupture of membranes
  • Have the client change positions
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
  • Depression
  • Monitor the FHR
  • Naloxone
  • Hemoglobin 10 g/dL
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
  • Respiratory distress
  • Vaginal pressure
  • Minimal arm recoil
  • Petechiae over the head
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?
  • Report of visual disturbances
  • Blurred Vision
  • Vaginal pressure
  • Hypertension
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the infusion of the oxytocin infusion and should be reported to the provider?
  • Massage the client's fundus
  • Cold cabbage leaves
  • To locate the pocket of fluid
  • Late Decelerations
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?
  • Report the client's condition to the local health department
  • Reports increased urinary output
  • Report of visual disturbances
  • Weight gain of 2.2 kg (4.8 lb)
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?
  • Remove all clothing form the newborn except the diaper
  • Maintain the client of bed rest
  • A newborn who is 18 hr old and has an axillary temperature of 99.9° F
  • Monitor the FHR continously
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
  • BUN 25 mg/dL
  • Depression
  • 50 ml/hr
  • Calcium Gluconate
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Multiple Choice Questions
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