Question1, A nurse is caring for a client who had a vaginal delivery 1 day…1, A nurse is caring fo

Question1, A nurse is caring for a client who had a vaginal delivery 1 day…1, A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client’s fundus is firm, located 2 fingerbreadths above the umbilicus. And deviated to the left. Which of the following  actions should the nurse take first?          A, Notify the provider.         B, Administer a prescribed analgesic.         C, Monitor perineal pads for clots.        D, Assist the client to empty her bladder.  2, A nurse is reinforcing teaching about an amniocentesis with a client who is at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?    A, “You should report uterine contractions following the procedure to your provider.”   B, “You should take milk of magnesia the night prior to the procedure.”   C, “You will have blood work drawn before the procedure.”   D, “You should anticipate a small amount of leakage of fluid following the procedure.”  3.A nurse on a postpartum unit is caring for a client who delivered vaginally 24hr ago. Which of the following should the nurse expect to find when collecting data?              A, Frequent urges to urinate              B, Moderate lochia serosa on perineal pads              C,  Colostrum expressed from the breast              D, Uterine fundus 2 finger widths above the umbilicus  4. A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?               A,  Methotrexate               B,  Calcium gluconate              C, Terbutaline              D, Magnesium sulfate 5. A Nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?               A, “I may have developed discoloration on my cheeks from hormonal changes.”                 B, “I should expect my fingers and face to be swollen.”              C, “I may have an infection if I develop a dark line in the middle of my abdomen.”               D ” I should expect to have burning when I urinate during the third trimester.” 7. A nurse is collecting data from a newborn who was born 2 hr ago. Which of the following findings should the nurse report to the provider?                 A, Blood glucose level 40 mg/dl               B, Hypotonia                C, Overlapping suture lines                 D, Acrocyanosis 8.A nurse in a clinic is discussing contraceptive methods with a client. Which of the following methods should the nurse recommend as having the lowest failure rate?                A, Intrauterine device               B, Diaphragm               C, Contraceptive sponge               D, Oral contraceptives  9. A nurse is reinforcing teaching about car seat safety with a new parent. Which of the following statements should the nurse include in the teaching?               A, “You should place the shoulder harness at the level of your baby’s shoulders.”             B, “You should keep the car seat rear facing unit when your baby is 6 months old .”              C, “You should position your baby in the car seat at a 30- degree angle.”             “D, You should place the retainer clip at the level of your baby’s abdomen.”  10.A nurse working on a postpartum unit is collecting data from four clients.Which of the following findings should the nurse report to the provider?               A, A client who reports their perineal pad every2 hr?              B, Aclient who reports painful uterine contractions during breastfeeding               C, A client who has a reddened area on their right calf               D, A client who has a urinary output of 125 mL in 4 hr  11. A Nurse in an antepartum clinic is reinforcing teaching with a client who is pregnant and has a new prescription for oral ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?                      A, “I will take this medication with a glass of orange juice.”                   B, “I will take this medication with breakfast.”                   C,  “I will take this medication with a glass of milk.”                    D, “I will take this medication with my middy meal.” 12 A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect?                        A, Long hard nails                       B, Excessive lanugo                      C, Absent vernix                       D, Dry,cracked skin                      E, Hypotonia  14. A nurse is planning care for a newborn who is large for gestational age.Which of the following actions should the nurse include in the plan of care?                         A, Check the newborn’s blood glucose level.                         B, Obtain a stool sample of meconium.                         C, Check the newborn’s skin for ecchymosis.                        D, Assist with administering a blood transfusion to the newborn. 15. A nurse is preparing to administer metronidazole 2 g po. The amount available is 500mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number.Use a  leading zero if it applies. Do not use a trailing zero.)————-tablets.  17. A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?               A, Wash the newborn’s face with a warm, soapy washcloth.              B, Ensure the crib has soft bumper pads on the inside.              C, Place a small pillow under the newborn’s head during naps.              D, Set the temperature on the water heater to 48.8dgree C (120 degree.F). 18.A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is reviving morphine for pain. Which of the following findings is the nurse’s priority?                A, Urinary retention               B, BP 105/62 mm Hg               C, Respiratory rate 11/min               D, Blurred vision  19. A nurse is collecting data from a term newborn who is 12hr old. Which of the following findings should the nurse report to the provider?                A, Abdominal breathing                B, Irregular respirations               C, Respiratory rate 55/min                D, Grunting 20.A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected  Breast.Which of the following instructions should the nurse include?                   A, Tell the client to apply hydrocortisone ointment to the affected area of the breast.                   B, Encourage the client to limit oral fluid intake to decrease milk production.                    C, Suggest the client apply warm compresses to the affected breast .                    D, Recommend the client avoid wearing a nursing bra until symptoms resolve.  21. A nurse is preparing to collect a specimen for the newborn screaming. Which of the following actions should the nurse take?                       A, Warm the newborn’s heel for 5to 10 min before the puncture.                      B, Apply an antiseptic to the newborn’s heel after collecting the specimen.                      C, Use a lancet to puncture the inner aspect of the newborn’s heel.                       D, Leave the newborn’s heel open to the air after the puncture. 22. A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?                           A, “I will need an amniocentesis within 1 month.”                          B, “I will need home panative services after I am discharged from the hospital.”                       C, “I will need to start chemotherapy immediately.”                      D, “I will need to attend a support group when I get home .” 23. A nurse is contributing to the plan of care for a newborn who required phototherapy for hyperbilirubinemia.Which of the following interventions should the nurse recommend including in the plan?                            A, Imposition the newborn every2 to 3 hr.                            B, Monitor the newborn’s blood glucose level every 2 hr .                            C, Apply a water- based ointment to the newborn’s skin every 4 to 6hr.                            D, Gave the newborn 30 mL of distilled water after each feeding.  24. A Nurse is collecting data from a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse report to the provider?                       A, Dizziness                      B, Nausea                      C, Termos                     D, Crackies  26.A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?                        A, Apical pulse 66 min                       B, Blood pressure 156/80 mm Hg                       C, Respiratory rate 32/min                        D, Temperature 38.3dgree C(101 degreeF) 27. A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse.”I am breastfeeding and would like to use a birth control pill.” Which of the following statements should the nurse make?              A, ” Birth control pills are contraindicated for breastfeeding clients.”             B, “Progestin-only birth control pills are preferred for contraception during lactation.”            C, “You do not need a birth control pill as long as you are lactating.”           D, “Taking birth control pills while breastfeeding can increase your risk for breast cancer.” 29. A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?      A, “Carry your baby in your arms when you go for a walk in the hallway.”     B, ” If your baby’s identification  band slips off. Place it in the drawer of the bassinet.”     C, “Make sure anyone caring for or transporting your baby is wearing an identification badge.”     D, “Place your baby in the bassinet in your room by the bed when you use the bathroom.”32.  A nurse is auscultating  fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation . Where should the nurse expect to auscultate the fetal heart tones?                              A, Umbilical area                               B, Below the liver border on the right abdomen                               C, Above the left iliac crest                                D, Suprapublic area  33. A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the statements should the nurse include?                 A, “You will have a group B strep culture at 36 weeks of gestation.”                 B “You will have  Maternal serum alpha-fetoprotein screening at 6 weeks of gestation.”                C, “You will have a screening for gestational diabetes at 12  weeks of gestation.”                      D, “You will have to produce a clean catch urine specimen every 2 months.” 35. A nurse is caring for a client who is 34 weeks of gestation and is preparing to undergo a nonstress test.                         A,   Instruct the client that oxytocin is administered during the procedure.                         B, Ensure the client has been NPO for 6hr prior to the procedure.                         C, Assist the client to a lateral tilt position prior to the procedure.                          D, Inform the client that this procedure assists in indicting Down syndrome .  36. A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?                         A, Tachycardia                        B ,Tachypnea                        C, Fever                        D, Hypertension  37. A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?                       A, Check the mother’s Rh factor prior to administration.                       B, Administer the medication 12 hr after birth.                       C, Administer the medication with a 25-gauge needle.                       D, Administer the medication into the deltoid muscle.  38. A nurse is caring for a client who is in the early stages of labor and requests non pharmacological interventions for pain. Which of the following actions should the nurse take?                     A, Assist the client in remaining awake between contractions.                     B, Encourage the client to vold often.                     C, Minimize the clients position changes .                     D, Limit the amount of the time the support person remains in the room.  40. A nurse is assisting a provider with a pelvic examination of a client during her first prenatal visit. Which of the following actions should the nurse take?                        A, Assist the client into a Sim’s position prior to the procedure.                       B, Instruct the client to tighten her pelvic muscles during the procedure.                       C, Ask the client to empty her bladder prior to the procedure.                       D, Encourage the client to take rapid,shallow breaths during the procedure. 41. A nurse is preparing to collect a blood specimen from a newborn via a heel stick.Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right . Placing them in the order of performance . Use all the steps.)                       Conform the newborn’s identity.                      Apply gentle pressure to the site with dry gauze.                      Cleanse the site with an antiseptic.                      Warm the newborn’s heel.                       Pierce the newborn’s heel. 42. Anurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client’s blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take                  A, Administer methylergonovine IM.                B, Place the client in a knee-chest position.                C, Give a bolus of lactated Ringer’s.                D, Assist the clients to empty her bladder.  43. A nurse is caring for a client who reports discomfort due to afterpains following breastfeeding. Which of the following actions should the nurse take?                  A, Administer ibuprofen to clients.                B, Place the client in a side-lying position.                C, Apply a cool compress to the client’s abdomen.                D, Encourage the client to perform Kegel exercises.  44. A nurse in the provider’s office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority ?                      A, Fetal heart tones 98/min                     B, Maternal temperature 38.3dgree C (101dgree F)                     C, foul smelling vaginal discharge                      D, Amniotic fluid with meconium noted 45.A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for his client?                        A, Have the client apply purified  lanolin to her breasts.                         B, Advise the client to avoid using a breast pump.                        C,Provider the client with ice packs for her breasts.                         D, Encourage the client to wear a loose- fitting bra.  46. A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following understandings of the teaching?                   A, “I should replace the batteries in my smoke detector twice per year”.                  B, “I should use baby powder with each diaper change”.                  C, “I should elevent my baby’s head on  a cushion when she is sleeping”.                   D, “I should set my hot water heater to 130 degrees Fahrenheit”. 47. A nurse is caring for a client who is postpartum and experiencing excessive vaginal bleeding. Which of the following medications  should the nurse plan to administer?                       A, Nifedipine                      B, Terbutaline                      C, Betamethasone                       D, Oxytocin   48. A nurse is caring for a client who asks about the purpose of a papanicolaou test. Which of The following responses should the nurse make ?                 A, “This test detects the presence of endometriosis.”                B, “This test determines your ovulation status.”                C, “This test detects the presence of cervical cancer.”                 D, This test allows for the removal of uterine fibroids.” 49,  A nurse is caring for a newborn whose mother had gestational diabetes. The newborn has a blood glucose level of 30mg =/ dL and is asymptomatic. Which of the following actions should the nurse take?                     A, Administer  glucagon.                   B, Check urine for ketones.                   C, Encourage additional feeding.                   D, Recheck blood glucose in 4 hr .  50. A nurse in a clinic is reinforcing teaching about signs of breastfeeding with a client who has a 5-day -old newborn. Which of the following. Statements by the client demonstrate an understanding of the teaching?                           A, “My baby will have at least six wet diapers every day.”                          B, “I should be able to feel my baby swallowing during breastfeeding .”                          C, I should expect moderate tenderness during breastfeeding.”                           D, “My baby will have at least one bowel movement every day.”   52. A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6hr ago. Which of the following  is an appropriate nursing intervention for this client?                          A, Prepare for a forceps delivery.                          B, Obtain consent for a cesarean birth.                         C, Position the client supine.                         D, Monitor for infarction.  53. A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is the nurse’s priority to report to the provider?                           A, Varicose veins                          B, Leukorrhea                         C, Dysuria                          D, Gingivitis 54. A nurse is reinforcing teaching with a client about the care of their newborn’s umbilical cord. Which of the following statements by the client indicates an understanding of the teaching?                          A, “I should clean the cord with antibacterial soap with each diaper change.”                         B, “I should keep the cord covered with my baby’s diaper.”                         C “I should notify my baby’s provider if there is odor coming from the cord.”                         D, ” I should expect some bright red bleeding from the cord until it falls off .”  55. A nurse is caring for a full-term newborn who is 1 day old.Which of the following laboratory findings should the nurse report to the provider?                        A, Glucose 60 mg/dL                     B, Platelets 225,000/mm3                      C, Hgb9.5g/dL                      D, WBC 10,000/mm3 56. A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level. Which of the following foods should the nurse recommend the client increase in her diest?                   A, Long-grain rice                  B, Peanut butter                 C,  Avocados                  D, Yogurt  57. A nurse is reinforcing teaching about perineal care to a client who is 2hr postpartum and has an episiotomy and hemorrhoids.Which of the following statements by the client indicates understanding of the teaching?                      A, “I will use the numbing spray prior to cleansing the area.”                     B, “I will apply witch hazel pads after urination.”                     C, “I will place a heat pack in the area several times a day.”                      D, “I will remain in the sitz bath for 10 minutes.”  58. A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?                     A, Initiate fundal massage.                   B, Administer methylergonovine0.2mgIM.                   C, Encourage the client to empty her bladder.                    D, Appy oxygen via non-rebreather mask at 8 L/min  59. A nurse in a provider’s office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?                         A, Weight 98kg (216lb)                       B, BP 120/70 mm Hg                        C, History of spontaneous abortion                        D, Peptic ulcer disease  60. A nursing is planning to reinforce nutritional teaching with a client who is in her first trimester of pregnancy. The nurse should recommend an increase in which of the following nutrients to support an increase in maternal blood volume during pregnancy?                     A, Vitamin E                    B, Vitamin D                    C, Iron                      D, Calcium   Health ScienceScienceNursingNUR 212Share Question

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