Exam Mode Assessment

No.

1 :
A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg 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.)

Hint : ✳️Dosage = order ÷ strength

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take

Repeat the 1-hr glucose test in 1 week.

Have the client perform home glucose monitoring for 1 week.

Schedule the client for a routine 1-month appointment.

Instruct the client to return for a 3-hr oral glucose tolerance test.

Hint : 🔴Abnormal screen needs OGTT

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
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?

Intrauterine device

Contraceptive sponge

Oral contraceptives

Diaphragm

Hint : 🟣IUD = most effective

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

Eat a slice of dry toast before getting out of bed.

Drink 240 mL (8 oz) of water with each meal.

Limit snacks between meals.

Have a high-fat snack before going to bed.

Hint : 🟡Dry carbs ease nausea

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
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 this client?

Encourage the client to wear a loose-fitting bra.

Provide the client with ice packs for her breasts.

Have the client apply purified lanolin to her breasts.

Advise the client to avoid using a breast pump.

Hint : 🔵Ice = engorgement relief

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

"I will place a heat pack to the area several times a day."

"I will use the numbing spray prior to cleansing the area."

"I will remain in the sitz bath for 10 minutes."

"I will apply witch hazel pads after urination."

Hint : 🟠Witch hazel = soothe

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

I should set my hot water heater to 130 degrees Fahrenheit.

I should use baby powder with each diaper change.

I should elevate my baby’s head on a cushion when she is sleeping.

I should replace the batteries in my smoke detector twice per year.

Hint : 🟤Smoke detector = 2x/year

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

8 :
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? (Select all that apply.)

Dry, cracked skin

Absent vernix

Hypotonia

Excessive lanugo

Long, hard nails

Hint : 🟢Post-term = dry skin, nails

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

My baby will have at least six wet diapers every day.

I should be able to feel my baby swallowing during breastfeeding.

My baby will have at least one bowel movement every day.

1 should expect moderate tenderness during breastfeeding.

Hint : 🔴Wet diapers = enough milk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

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 client who has a reddened area on their right calf

A client who reports painful uterine contractions during breastfeeding

A client who has a urinary output of 125 mL in 4 hr

A client who reports changing their perineal pad every 2 hr

Hint : 🟣Calf redness = DVT alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

"My baby will have at least six wet diapers every day."

"I should be able to feel my baby swallowing during breastfeeding."

"My baby will have at least one bowel movement every day."

"I should expect moderate tenderness during breastfeeding."

Hint : 🟢Six wet diapers = feeding ok

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

12 :
A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?

Uterine fundus 2 finger widths above the umbilicus

Frequent urges to urinate

Colostrum expressed from the breast

Moderate lochia serosa on perineal pads

Hint : 🔴Colostrum = normal early

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?

Administer the medication into the dorsal gluteal muscle.

Insert the needle at a 45° angle.

Obtain parental consent.

Give the first dose at 24 hr after birth.

Hint : 🟣Consent before immunization

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
A nurse in a 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?

Maternal temperature 38.3° C (101° F)

Amniotic fluid with meconium noted

Foul smelling vaginal discharge

Fetal heart tones 98/min

Hint : 🟡Low FHR = urgent check

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
A nurse 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?

Administer methylergonovine IM.

Assist the client to empty her bladder.

Give a bolus of lactated Ringer's.

Place the client in knee-chest position.

Hint : 🔵Low BP = IV fluids

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
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?

"This test allows for the removal of uterine fibroids."

"This test detects the presence of endometriosis."

"This test detects the presence of cervical cancer."

"This test determines your ovulation status."

Hint : 🟠Pap = cervical cancer screen

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?

"You will have a screening for gestational diabetes at 12 weeks of gestation."

"You will have a group B strep culture at 36 weeks of gestation."

"You will have to produce a clean catch urine specimen every 2 months."

"You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation."

Hint : 🟤GBS swab = 36 weeks

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?

BP 105/62 mm Hg

Respiratory rate 11/min

Urinary retention

Blurred vision

Hint : 🟢Low RR = morphine risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

19 :
A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?

Place a small pillow under the newborn's head during naps.

Set the temperature on the water heater to 48.8° C (120° F).

Wash the newborn's face with a warm, soapy washcloth.

Ensure the crib has soft bumper pads on the inside.

Hint : 🔴Water temp = 120°F max

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

Choose a 3-inch needle to administer the vaccine.

Administer 0.5 mL of the vaccine.

Use a 20-gauge needle to administer the vaccine.

Hint : 🟣Hep B dose = 0.5 mL

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
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?

"I will take this medication with a glass of milk."

"I will take this medication with breakfast."

"I will take this medication with my midday meal."

"I will take this medication with a glass of orange juice."

Hint : 🟢Orange juice boosts iron

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
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?

Umbilical area

Below the liver border on the right abdomen

Suprapubic area

Above the left iliac crest

Hint : 🔴Early pregnancy = low abdomen

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?

Tetracycline

Metronidazole

Acyclovir

Amoxicillin

Hint : 🟣Safe antibiotic = amoxicillin

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
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?

Ask the client to empty her bladder prior to the procedure.

Instruct the client to tighten her pelvic muscles during the procedure.

Assist the client into a Sims' position prior to the procedure.

Encourage the client to take rapid, shallow breaths during the procedure.

Hint : 🟡Empty bladder for pelvic

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
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?

"You do not need birth control pills as long as you are lactating."

"Birth control pills are contraindicated for breastfeeding clients."

"Progestin-only birth control pills are preferred for contraception during lactation."

"Taking birth control pills while breastfeeding can increase your risk for breast cancer."

Hint : 🔵Progestin-only = safe for breastfeeding

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

26 :
A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

Assist the client to a lateral tilt position prior to the procedure.

Inform the client that this procedure assists in indicating Down syndrome.

Instruct the client that oxytocin is administered during the procedure.

Ensure the client has been NPO for 6 hr prior to the procedure.

Hint : 🟠Left tilt = better blood flow

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

27 :
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? (Select all that apply.)

Obtain a stool sample of meconium.

Assist the mother to breastfeed the newborn after birth.

Check the newborn's blood glucose level.

Assist with administering a blood transfusion to the newborn.

Check the newborn's skin for ecchymosis.

Hint : 🟤LGA: feed, glucose, assess skin

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

"Cleanse your perineum with povidone-iodine prior to collecting each urine specimen."

"You should record the time on the collection container of any missed urine specimens."

"Do not add a urine specimen to the collection container if it contains stool."

"You should start the 24-hour collection with your first urination."

Hint : 🟢No stool in 24-hr collection

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

29 :
A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

Obtain consent for a cesarean birth.

Position the client supine.

Prepare for a forceps delivery.

Monitor for infection.

Hint : 🔴ROM >6hr = infection watch

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

30 :
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?

Blood pressure 156/80 mm Hg

Temperature 38.3° C (101° F)

Apical pulse 66/min

Respiratory rate 32/min

Hint : 🟣High RR = urgent report

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

31 :
A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

Encourage the client to void often.

Minimize the client's position changes.

Assist the client in remaining awake between contractions.

Limit the amount of time the support person remains in the room.

Hint : 🟢Empty bladder for comfort

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

32 :
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?

"If your baby's identification band slips off, place it in the drawer of the bassinet."

"Make sure anyone caring for or transporting your baby is wearing an identification badge."

"Place your baby in the bassinet in your room by the bed when you use the bathroom."

"Carry your baby in your arms when you go for a walk in the hallway."

Hint : 🔴Check staff ID always

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

33 :
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, placing them in the order of performance. Use all the steps.)

Confirm the newborn's identity.
Warm the newborn's heel.
Cleanse the site with an antiseptic.
Apply gentle pressure to the site with dry gauze.
Pierce the newborn's heel.

Hint : 🟣 ID → warm → clean → stick → pressure

Correct Order:

No correct order available !

Rationale :

Rationale to be Available Soon

34 :
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?

Initiate fundal massage.

Administer methylergonovine 0.2 mg IM.

Encourage the client to empty her bladder.

Apply oxygen via non-rebreather mask at 8 L/min.

Hint : 🟡Boggy uterus? Massage first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

35 :
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?

Overlapping suture lines

Hypotonia

Acrocyanosis

Blood glucose level 40 mg/Dl

Hint : 🔷Low tone = urgent notify

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

36 :
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?

Terbutaline

Nifedipine

Betamethasone

Oxytocin

Hint : 🟠Bleeding? Use oxytocin

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

37 :
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?

I should clean the cord with antibacterial soap with each diaper change.

I should keep the cord covered with my baby’s diaper.

I should notify my baby’s provider if there is odor coming from the cord.

I should expect some bright red bleeding from the cord until it falls off.

Hint : 🟤Odor = infection alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

38 :
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?

History of spontaneous abortion

Weight 98 kg (216 lb)

Peptic ulcer disease

BP 120/70 mm Hg

Hint : 🟢Patch less effective if obese

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

39 :
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?

You should anticipate a small amount of leakage of fluid following the procedure.

You should take milk of magnesia the night prior to the procedure.

You will have blood work drawn before the procedure.

You should report uterine contractions following the procedure to your provider.

Hint : 🔴Post-procedure contractions = call

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

40 :
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?

I will need home palliative services after I am discharged from the hospital.

I will need an amniocentesis within 1 month.

I will need to start chemotherapy immediately.

I will need to attend a support group when I get home.

Hint : 🟣Support groups aid recovery

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

41 :
A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

Abdominal breathing

Respiratory rate 55/min

Grunting

Irregular respirations

Hint : 🟢Grunting = respiratory issue

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

42 :
A nurse 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?

Calcium

Vitamin D

Iron

Vitamin E

Hint : 🔴Blood volume = iron up

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

43 :
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

Maternal age of 30 years

Third pregnancy

Pre-pregnancy BMI of 19

Chronic hypertension

Hint : 🟣Preexisting HTN = risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

44 :
A nurse is collecting data from a client who had a vaginal delivery 12 hr ago. Which of the following findings should the nurse report to the provider?

Platelets 200,000/mm3

WBC 9,500/mm3

Hemoglobin 10 g/dL

Hematocrit 40%

Hint : 🟡Low Hgb = anemia alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

45 :
A nurse is caring for a newborn whose mother had gestational diabetes. The newborn has a blood glucose level of 30 mg/dL and is asymptomatic. Which of the following actions should the nurse take?

Recheck blood glucose in 4 hr.

Check urine for ketones.

Encourage an additional feeding.

Administer glucagon.

Hint : 🔵Low BG? Feed first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

46 :
A nurse is reinforcing teaching with a primigravida client.

Nurses notes

Gravida 3 Para 2
Previous cesarean birth
35 weeks of gestation

For each finding below, click to specify if the findings are consistent with the first trimester, second trimester, or third trimester of pregnancy. Each finding may be consistent with more than one trimester.

options	first trimester	second trimester	third trimester
Braxton Hicks contractions
Round ligament pain and tenderness
Nausea and vomiting
Ankle edema
Nasal congestion
Linea nigra
Urinary frequency and urgency

Hint : 🟢Pregnancy symptoms change with trimester due to growth, hormones, and fetal position.

Correct Answers

Braxton Hicks contractions [ second trimester ; third trimester ]
Round ligament pain and tenderness [ second trimester ; third trimester ]
Nausea and vomiting [ first trimester ]
Ankle edema [ third trimester ]
Nasal congestion [ second trimester ; third trimester ]
Linea nigra [ second trimester ; third trimester ]
Urinary frequency and urgency [ first trimester ; third trimester ]

Rationale :

Rationale to be Available Soon

47 :
A nurse in the emergency department is assisting with the care of a client who is 19 years old and is at 18 weeks of gestation.

Nurses notes

Client presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. Client states that they have been unable to retain even clear fluids for the past 48 hr. Client denies pain. Client reports a history of migraines and asthma.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

Hint : 🟤Dehydration? Assess, replace, monitor

Rationale :

Rationale to be Available Soon

Total Questions: 47

Choose Different Exam !

ATI PN Maternal Newborn-2020

No.

1 : A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg 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.)

2 : A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take

3 : 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?

4 : A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

5 : 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 this client?

6 : A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

7 : A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

8 : 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? (Select all that apply.)

9 : A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

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?

11 : A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

12 : A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?

13 : A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?

14 : A nurse in a 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?

15 : A nurse 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?

16 : 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?

17 : A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?

18 : A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?

19 : A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?

20 : A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

21 : 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?

22 : 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?

23 : A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?

24 : 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?

25 : 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?

26 : A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

27 : 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? (Select all that apply.)

28 : A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

29 : A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

30 : 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?

31 : A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

32 : 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?

33 : 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, placing them in the order of performance. Use all the steps.)

34 : 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?

35 : 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?

36 : 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?

37 : 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?

38 : 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?

39 : 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?

40 : 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?

41 : A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

42 : A nurse 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?

43 : A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

44 : A nurse is collecting data from a client who had a vaginal delivery 12 hr ago. Which of the following findings should the nurse report to the provider?

45 : A nurse is caring for a newborn whose mother had gestational diabetes. The newborn has a blood glucose level of 30 mg/dL and is asymptomatic. Which of the following actions should the nurse take?

46 : A nurse is reinforcing teaching with a primigravida client.

Correct Answers

47 : A nurse in the emergency department is assisting with the care of a client who is 19 years old and is at 18 weeks of gestation.

1 :
A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg 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.)

2 :
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take

3 :
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?

4 :
A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

5 :
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 this client?

6 :
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

7 :
A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

8 :
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? (Select all that apply.)

9 :
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

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?

11 :
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?

12 :
A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?

13 :
A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?

14 :
A nurse in a 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?

15 :
A nurse 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?

16 :
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?

17 :
A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?

18 :
A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?

19 :
A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?

20 :
A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

21 :
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?

22 :
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?

23 :
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?

24 :
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?

25 :
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?

26 :
A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

27 :
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? (Select all that apply.)

28 :
A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

29 :
A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

30 :
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?

31 :
A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

32 :
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?

33 :
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, placing them in the order of performance. Use all the steps.)

34 :
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?

35 :
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?

36 :
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?

37 :
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?

38 :
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?

39 :
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?

40 :
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?

41 :
A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

42 :
A nurse 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?

43 :
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

44 :
A nurse is collecting data from a client who had a vaginal delivery 12 hr ago. Which of the following findings should the nurse report to the provider?

45 :
A nurse is caring for a newborn whose mother had gestational diabetes. The newborn has a blood glucose level of 30 mg/dL and is asymptomatic. Which of the following actions should the nurse take?

46 :
A nurse is reinforcing teaching with a primigravida client.

47 :
A nurse in the emergency department is assisting with the care of a client who is 19 years old and is at 18 weeks of gestation.