2023-2024 ATI Maternal Newborn Proctored Exam With Answers-416 Solved Questions

ATI Maternal Newborn Proctored Exam 2023/2024 416 Questions
and Answers
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early
decelerations. Which of the following actions should the nurse take?
Answer: Continue to monitor the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new
laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and slightly
deviated to the right. The client reports a gush of blood when she ambulate's and no bowel
movement since delivery. Which of the following actions should the nurse take?
Answer: Assist the client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports
dizziness when lying on her back. Into which of the following positions should the nurse assess
the client?
Answer: Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is experiencing nausea
and vomiting. Which of the following client statements indicates to the nurse and understanding
of the teaching?
Answer: I should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following
manifestations should the nurse recognize as a potential prenatal complication and report to the
provider?
Answer: Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse
should notify the provider about which of the following assessment findings?

Answer: The client reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language than the nurse
and he's been missing. Which of the following actions should the nurse take while waiting for an
interpreter?
Answer: Change the clients position
A nurse is providing teaching for a client who is pregnant and has type one diabetes mellitus.
Which of the following statements should the nurse include in the teaching?
Answer: You should expect to decrease your insulin dosage immediately after you deliver your
baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal
monitor. Which of the following actions should the nurse take?
Answer: Document the findings and continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can
require administration of this medication?
Answer: IV narcotics administered to the mother during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the following is
a complication of the epidural block?
Answer: Hypotension
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the
following statements should the nurse include in the teaching?
Answer: Before bedtime is a good time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns. Vitamin
K helps prevent which of the following conditions in a newborn?
Answer: Intracranial hemorrhage

A nurse is caring for a newborn who has neonatal abstinence syndrome which of the following
Clinical findings should the nurse expect?
Answer: Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and expresses a
desire to use nonpharmacological methods of pain relief. Which of the following intervention
should the nurse include?
Answer: Assist the client into a warm shower
A nurse is providing teaching to a client who has come to the family planning clinic requesting
an intrauterine device IUD. Which of the following pieces of information should the nurse
provide to the client?
Answer: Your risk for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary
changes. Which of the following statements should the nurse include in the teaching?
Answer: Carbohydrates should make up 55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs more
protein in her diet and suggest eating more meat after the provider leaves the examination room
the client tells the nurse that eating animal products will cause her to miscarry. Which of the
following responses should the nurse make?
Answer: Let's discuss other foods that are also high in protein that you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which of the
following fetal position should the nurse document in the medical record?
Answer: Vertex

A nurse is teaching a client about squatting exercises during pregnancy. Which of the following
statements should the nurse include?
Answer: These exercises should be done for 15 minutes each day to strengthen the peroneal
muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV.
The client asked the nurse, why is there so little bleeding? Which of the following responses
should the nurse make?
Answer: The bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For which of
the following prescriptions should the nurse seek clarification?
Answer: Monitor the clients weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make?
Answer: You will feel so much discomfort during this procedure
A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the following
findings should the nurse report to the provider?
Answer: 3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of the following
pieces of information should the nurse include?
Answer: Vigorous exercise it should be limited and should not be performed in hot humid
weather
A nurse is caring for several clients. Which of the following clients should the nurse identify as a
candidate for oral contraceptives a
Answer: A client who is breast-feeding a seven month old infant

A nurse is caring for a newborn who was born to a client with a narcotic use disorder. Which of
the following nursing actions is contraindicated in the care of this newborn
Answer: Frequent simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce labor
which of the following statements should the nurse make?
Answer: An epidural given to early can prolong labor
A nurse is caring for a client who is in labor. The client questions application of an internal fetal
scalp monitor. Which of the following responses should the nurse provide?
Answer: We need to observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days postpartum which
of the following pieces of information should the nurse include?
Answer: Watch the newborns face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following
assessments by the parent demonstrates an understanding of the teaching?
Answer: I should stop swaddling my baby once she is able to roll over by herself
A nurse is receiving a report for a client who is in labor and is experiencing contractions that are
four minutes apart. Which of the following patterns to the nurse expect on the fetal monitor
tracing?
Answer: Contractions that last for 60 seconds each with a three minute rest between the
contractions
A nurse is reviewing the laboratory for it for a client with suspected HELLP Syndrome. Which of
the following findings should the nurse report to the provider as an indication of this Disorder?
Answer: Elevated liver enzymes

A nurse is caring for a client who is in labor and has received epidural analgesia. The clients
blood pressure is 88/50, and the fetal heart tracing so is late decelerations. Which of the
following actions should the nurse take?
Answer: Increase the rate of the primary IV infusion
A nurse is assessing a client who is receiving morphine Via a patient controlled analgesia pump
PCA Following a caesarean birth. Which of the following findings should the nurse report to the
provider?
Answer: Urine output 20 mL per hour
A nurse is planning care for a newborn who has hyperbilirubinemia And a new prescription for
photo therapy. Which of the following intervention should the nurse include in the plan?
Answer: Reposition the newborn every three hours
A nurse is teaching the guardian of a newborn about caring for the newborns umbilical cord. For
which of the following reasons should the nurse instruct the guardian to avoid using antibacterial
agents on the cord?
Answer: They can cause delayed cord separation
A nurse is caring for a client who states, I think I am pregnant, which of the following findings
should the nurse identify as a positive sign of pregnancy?
Answer: Fetal heart Tones auscultated by Doppler
A nurse is assessing a postpartum client who has preeclampsia and notes A Boogie uterus an
excessive uterine bleeding. The nurse should plan to administer which of the following
medication's?
Answer: Oxytocin
A nurse in the clinic is caring for a client who is pregnant and reports a last menstrual period that
began on December 7. Which of the following dates would be the clients estimated date of birth?
Answer: September 14

A nurse is providing teaching to a client who is planning to breast-feed her newborn. Which of
the following statements by the client indicates an understanding of the teaching?
Answer: My baby may sometimes feed every hour for several hours in a row
A nurse is providing education for a parent of a premature infant on interventions to promote
optimal development. Which of the following actions should the nurse instruct the parent to
perform?
Answer: Provide kangaroo care for the infant
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The clients history
includes a BMI of 31 prior to pregnancy, a prior post term delivery, and a newborn birthweight of
9 lbs. 3 oz. Which of the following laboratory values should the nurse expect to collect?
Answer: HB A1c
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole. Which of
the following findings should the nurse expect?
Answer: Dark brown vaginal discharge
A nurse is counseling a female client who Expresses a desire to conceive in the near future.
Which of the following dietary recommendations should the nurse make to prevent neural tube
deficits?
Answer: Begin taking a folic acid supplement
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a
prescription for photo therapy. Which of the following intervention should the nurse include in
the plan?
Answer: Change the newborns position every 2 to 3 hours
A nurse is assessing a newborn who was Circumcised 24 hours ago. Which of the following
findings should the nurse report to the provider?

Answer: The newborn has urinated once since the circumcision
A nurse is Assisting a client who is four hours postpartum to get out of bed for the first time. The
client becomes frightened by gusher of dark red blood from her vagina. Which of the following
statements should the nurse make in the response?
Answer: Blood pools in the vagina when you're lying in bed
A nurse is providing a nutritional teaching for a pregnant client who had a pre-pregnancy body
mass index of 38. Which of the following statements by the client demonstrates an understanding
of the teaching about recommended weight gain during pregnancy?
Answer: I should plan to gain 5 to 9.1 kg during my pregnancy
A nurse is caring for a term newborn 90 minutes after the scheduled cesarean birth. The
newborns one minute Apgar score was nine. The newborns heart rate is 120 per minute, and his
respiration rate is 70 per minute. There is no indications of retractions, grunting, or nasal flaring.
Which of the following actions should the nurse take?
Answer: Initiate close observation of the newborn for indications of respiratory distress
A nurse is assessing a postpartum client and observes a steady trickle of bright red blood from
the clients vagina. The uterus is palpated as firm, midline, located 1 cm below the umbilicus.
Which of the following actions should the nurse take?
Answer: Notify the provider
A nurse is caring for a client at 35 weeks gestation who has severe preeclampsia. Which of the
following assessment provides the most accurate information regarding the clients fluid and
electrolyte status?
Answer: Daily weight
A nurse is assessing a client at 34 weeks to station who has a mild placental abruption. Which of
the following findings should the nurse expect?
Answer: Dark red vaginal bleeding

A nurse is providing teaching to a client who has one hour postpartum about using the perineal
squeeze bottle. Which of the following instruction should the nurse include?
Answer: Fill the perineal bottle with warm water prior to use
A nurse is performing a physical assessment of a newborn. Which of the following action should
the nurse take?
Answer: Measure the circumference of a newborns head with a tape measure just above the
eyebrows
A nurse is providing teaching for a client about hormonal changes during pregnancy. The nurse
identifies that which of the following hormones please a key role in preventing miscarriage?
Answer: Progesterone
A nurse is caring for a client who has a prescription for an election. Which of the following is
intended action of the medication in relation to the central nervous system?
Answer: Block the facts of narcotics in the CNS
A nurse and a prenatal clinic is performing telephone triage for several clients. Which is the
following clients to ports Sheraton nursing identifying as an expected Physiological adaptation to
pregnancy?
Answer: Breast tenderness
A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping.
Which of the following instruction should the nurse provide?
Answer: Use additional pills to support extremities and abdomen
A nurse is using Naegele's rule to determine the estimated date of birth for a client whose first
day of her last menstrual period was February 2, 2018. The nurse should identify which of the
following as a client estimated date of birth?
Answer: November 9, 2018

A nurse is assisting with fetal heart monitoring during labor for a client who is at 40 weeks of
gestation. The nurse should identify that which of the following findings on the fetal monitoring
tracing requires intervention?
Answer: A fetal heart rate of 180 per minute for 15 minutes
A nurse is providing postpartum discharge teaching to a client who is nonlactating about breast
discomfort and relief measures. Which of the following pieces of information should the nurse
include?
Answer: Place fresh cabbage leaves on your breasts
A nurse is planning care for a client in active labor his fetus is in an occipital brow presentation.
Which of the following complications should the nurse anticipate as a result of this video
presentation?
Answer: Prolonged labor
A nurse is caring for a client who is an active labor and receiving in oxytocin infusion. The nurse
notes tachysystole with a category one fetal heart rate tracing. Which of the following actions
should the nurse take?
Answer: Reposition the client and the side lying position and continue to monitor
A nurse is providing education for a pregnant client about symptoms that should be reported
immediately to the provider. Which of the following client responses indicate an understanding
of the teaching?
Answer: If I notice that my eyes are puffy, I should call my provider
A nurse is planning care for a client in labor who is positive for HIV. Which of the following
action should the nurse take after the baby is born?
Answer: Administer the hepatitis B vaccine prior to discharge

A nurse is caring for a client who is in labor. Which of the following assessment findings should
the nurse report to the provider?
Answer: Fetal heart rate baseline of 90 bpm
A nurse is preparing to administer routine medications to a newborn following birth. Which of
the following action should the nurse take?
Answer: Administer vitamin K in the newborn thigh
A nurse is reviewing the medical record of a client at 39 weeks gestation who has
polyhydramnios. Which of the following findings should the nurse expect?
Answer: Fetal gastrointestinal anomaly
A nurse is reviewing the providers admission Orders for a client who is at 37 weeks so just
station and is HIV positive. Which of the following orders should the nurse clarify with the
provider?
Answer: Fetal scalp electrode
A nurse is providing teaching about newborn care to the parents of a newborn. Which of the
following statements by the parent indicates an understanding of the teaching?
Answer: I will place a hat on my babies hair prior to going outside
A nurse is reviewing recent laboratory values during a prenatal visit for a client who is pregnant.
The nurse notes a hemoglobin level of 10 G/DL. Which of the following actions should the nurse
take
Answer: Request in order for sickle cell anemia screening
A nurse is reviewing the laboratory findings for a 24 hour old newborn which of the following
findings should the nurse report to the provider?
Answer: Hemoglobin 12g/dL
A nurse is caring for a client who is post partum and is having difficulty voiding.

Which of the following actions should the nurse take first?
Answer: Assist the client to the bathroom
A nurse is reviewing the laboratory findings for four clients. Which of the following infections
Should be reported to the public health department?
Answer: Gonorrhea
A nurse is providing teaching to the parents of a newborn about how to care for his circumcision
at home. Which of the following instruction should the nurse include in the teaching?
Answer: Encourage non-nutritive sucking for pain relief
A nurse is caring for a client who is in labor and Is receiving an infusion of oxytocin the nurse
should monitor the client for which of the following potential adverse effects?
Answer: Fetal asphyxia
A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following
medication to the nurse have available as an antidote for magnesium sulfate?
Answer: Calcium gluconate
A nurse is discussing diaphragm use with a client. Which of the following statements by the
client indicates an understanding of the teaching?
Answer: I should replace my diaphragm every two years
A nurse is assessing a client who is pregnant and reports increased nasal stuffiness. The nurse
should inform the client that which of the following hormones is responsible for this discomfort?
Answer: Estrogen
A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain
control. Which of the following statements by the client indicates an understanding of the
teaching?
Answer: I will feel the affects of the nitrous oxide almost immediately

A nurse is assessing a newborn which of the following findings should the nurse report to the
provider?
Answer: Central cyanosis
A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without severe
features which of the following findings should the nurse identify as a priority?
Answer: 480 mL of urine output in 24 hours
A nurse is caring for a client in active labor who is fetus is in a persistent occiput Posterior
position. Which of the following actions should the nurse take to promote rotation of the fetal
head?
Answer: Instruct the client to squat during contractions
A nurse is providing education to a client who is at 34 weeks of gestation about a nonstress test.
Which of the following pieces of information should the nurse include?
Answer: You might have to drink orange juice during the test
A nurse is caring for a newborn immediately following delivery. Which of the following actions
should the nurse perform first?
Answer: Please the newborn directly on the clients chest
A nurse is teaching a client about physiological changes that can Occur with menopause. Which
of the following changes to the nurse include?
Answer: Stress incontinence
A nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which of the following
pieces of information should the nurse provide for the client regarding the recommended weight
gain during her pregnancy?
Answer: You should plan to gain no more than 20 pounds during your pregnancy

A nurse is caring for a client who is an active labor and he was a birth plan request on
nonpharmacological pain relief strategies. Which of the following strategies should the nurse
offer as a form of cutaneous stimulation
Answer: Counter pressure
A nurse is caring for a client who is experiencing prolonged labor. Which of the following fetal
monitoring results indicates fetal compromise?
Answer: Late decelerations with fetal bradicardia
A nurse is providing teaching about calcium intake to a client who is breastfeeding. Which of the
following is recommended daily calcium intake for a client who is breast-feeding?
Answer: 1000 mg
A nurse is assessing a client at 27 Weeks of gestation the client has placenta previa reports
vaginal bleeding Which of the following additional manifestations should the nurse expect?
Answer: The fundal height measures greater than gestational age
A nurse is providing discharge instructions for a client who had a caesarean birth four days ago.
The clients hemoglobin level is 9.2 G/DL, and the provider has prescribed an iron supplement.
Which of the following foods should the nurse recommend to help increase the clients iron
intake
Answer: Citrus fruit
A nurse is assessing a newborn. For which of the following findings should the nurse notify the
provider?
Answer: Mottling
A nurse enters a postpartum client room and notices many visitors in the room, conversing loudly
and taking turns holding a newborn. The newborn intimately cries and attempts to suck on his
hand. After a few minutes, the newborn quiet, stairs, and turned her head away when someone
talks to her. What teaching should the nurse provide for this family?

Answer: The newborn would benefit from skin to skin contact in a quiet environment
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid.
The nurse notes a reassuring fetal heart rate tracing from the external Fetal monitor. Which of the
following actions should the nurse perform?
Answer: Prepare equipment needed for newborn resuscitation
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The
client states, I am here to have my regular parental check up, But I do not want any pictures
taken of my baby. Which of the following responses should the nurse make?
Answer: I would like to hear more about why you did not want the sonogram, including any
cultural reasons
A nurse is caring for a client who is pregnant and has a rupture of membranes. The nurse notes
the presence of meconium stained fluid. Which of the following actions should the nurse take?
Answer: Gather equipment for a neonatal resuscitation
A nurse is caring for a client who is at 38 weeks of gestation and in the active phase of the first
stage of labor. The nurse notes Too late decelerations of the fetal heart rate during the last five
contractions. Which of the following actions should the nurse take?
Answer: Assisted client to lateral position
A nurse is providing teaching about formula feeding to the guardian of a newborn. Which of the
following pieces of information should the nurse include?
Answer: Mix one scoop of powdered formula with 2 ounces of water
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of
gestation period for which of the following results should the nurse notify the provider?
Answer: Platelet count of 135,000/mm3

A nurse is evaluating a client who has just received instructions about breastfeeding. Which of
the following statements should the nurse identify as an indication that the client understands
how to prevent mastitis
Answer: I should avoid waiting too long between feedings
A nurse is teaching a client at 13 weeks gestation about the treatment of incompetent cervix with
cervical cerclage. Which of the following statements by the client indicates an understanding of
the teaching?
Answer: I should go to the hospital if I think I may be in labor
A nurse is assessing a client who has hyper emesis gravidarum. Which of the following findings
should the nurse expect?
Answer: Presence of ketones in the urine
A nurse is assessing a client who is in the fourth stage of labor which of the following findings
should the nurse expect?
Answer: Urinary retention
A postpartum nurse is caring for a client who reports excessive sweating during the first night
after delivery. Which of the following statements should the nurse make?
Answer: This is the source of your fluid loss after delivery
A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The
client begins to show indications of magnesium sulfate toxicity. Which of the following
medication should the nurse prepared to administer?
Answer: Calcium gluconate
A nurse is teaching a client with preeclampsia who is scheduled to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. Which of the following adverse effects
should the nurse include in the teaching?
Answer: Feeling of warmth

A nurse is caring for a client who is receiving IV oxytocin for the induction of labor and notes
repetitive early decelerations on the electronica fetal heart rate tracing. Which of the following
actions should the nurse take?
Answer: Revaluate the fetal heart rate tracing in 15 minutes
A nurse is caring for a client who is in the Latent phase of labor and is experiencing low back
pain. Which of the following actions should the nurse take?
Answer: Apply pressure to the client sacral area during contractions
A nurse is assessing a client at 37 weeks gestation who has a Suspected pelvic fracture due to
blunt abdominal trauma. Which of the following findings should the nurse expect?
Answer: Uterine contractions
A nurse is providing breast-feeding education to a client who delivered 12 hours ago which of
the following client statements indicates an understanding of the teaching?
Answer: I should breast-feed at least 8 to 12 times in a 24 hour period
A nurse is talking with a client during her initial prenatal visit. The client reports a history of
trisomy 13 syndrome In her family and is concerned her fetus might be at risk. Which of the
following statements should the nurse provide?
Answer: If you sign And informed consent form we can perform genetic screening to see if your
baby has this disorder
A nurse is assessing a client on the first postpartum day. Findings include the following: Fundus
firm and one thing your breath above and to the right of the umbilicus, moderate lochia rubra
with small clots, temperature 99.2°F, and pulse rate 52 bpm. Which of the following actions
should the nurse take?
Answer: Ask the client when she last avoided

A nurse is caring for a client who is at 20 weeks gestation. The client asks The nurse what a baby
looks like at this point. Which of the following answers By the nurse provides an accurate
response?
Answer: The fetus resembles a human
A nurse is administering a rubella Immunization to a client who is two days postpartum. Which
of the following client statements indicates a need for further instruction?
Answer: I can conceive anytime I want to after 10 days
A nurse is assessing a client who is in the first stage of labor and has preeclampsia.
Which of the following findings should the nurse expect?
Answer: Proteinuria
A nurse is teaching the guardians of a newborn about the facilities safety measures. Which of the
following pieces of information should the nurse include?
Answer: Check for a photo identification badge before allowing a nurse to remove the newborn
from the room
A nurse is caring for a client whose last menstrual period began on July 8. Using Nagel's rule,
what is the clients estimated date of birth
Answer: April 15
A nurse is assessing a newborn who is two hours old. Which of the following findings should the
nurse report to the provider?
Answer: Generalize petechiae
A nurse is assisting with monitoring the fetal heart rate tracing of a client who is in labor. Which
of the following findings should the nurse report to the provider?
Answer: Late decelerations with fetal bradycardia

A nurse is teaching a client who is at 10 weeks gestation about self-care management for
common discomfort during pregnancy. Which of the following instruction should the nurse
include?
Answer: Consume frequent snacks to decrease episodes of nausea
A nurse is providing teaching about waking during pregnancy for a client who is a primigravida
of normal pre-pregnancy weight. Which of the following statements should the nurse include?
Answer: You should plan to gain 25 to 35 pounds during your pregnancy
A nurse is caring for for newborns. Which of the following newborns is at greatest risk for
hypoglycemia
Answer: A newborn who is large for gestational weight
A nurse in the clinic is assessing a client who is at 13 weeks of gestation and has hyper emesis
gravidarum. Which of the following findings should the nurse identify as a priority?
Answer: Ketones 2+
A nurse is caring for a client who has a BMI of 22.6 and expresses concern about waking during
pregnancy. Which of the following responses should the nurse make?
Answer: Gaining weight will promote a Healthy pregnancy
A nurse is caring for a client who is using parent paced breathing during the first stage of labor.
The client reports a lightheaded feeling and tingling of the fingers. Which of the following
actions should the nurse take
Answer: Have the client breathe into a paper bag
A nurse is caring for a pregnant client who is at 37 weeks of gestation and who had a biophysical
profile with a total score of four. Which of the following actions should the nurse anticipate
taking?
Answer: Prepare for delivery of the infant

A nurse is assisting with an amniocentesis for a client who is RH negative. Which of the
following actions should the nurse take following the procedure?
Answer: Administer immune globulin to the client to prevent fetal isoimmunization
A nurse is providing teaching for a postpartum client who is breast-feeding. Which of the
following statements indicates an understanding of the teaching?
Answer: I should feed my baby eat 12 times a day based on feeding cues
A nurse is preparing to help with a vacuum assisted birth. Which of the following actions should
the nurse plan to take?
Answer: Inform the client that caput succedaneum resolves in a few days
A nurse is caring for a client in labor who is cervix is dilated to 9 cm. She's experiencing strong
contractions every two minutes last thing 75 seconds. The nurse should recognize that the client
is in which of the following faces or stages of labor?
Answer: Transition phase of First stage
A nurse is planning care for a newborn who is receiving photo therapy. Which of the following
intervention should the nurse include in the plan of care?
Answer: Turn and reposition the newborn every two hours during photo therapy
A nurse is teaching a client who is pregnant about toxoplasmosis. Which of the following
instruction should the nurse include?
Answer: You should avoid gardening during your pregnancy to decrease your risk of contracting
toxoplasmosis
A nurse is caring for a client who is in labor the nurse decides to switch from intermediate
Auscultation to continuous fetal monitoring. Which of the following data can only be obtained
from continuous electronics fetal monitoring
Answer: Determination of variability

A nurse is assessing a client who is at 26 weeks of gestation and has mild preeclampsia. Which
of the following findings should the nurse report to the provider?
Answer: Deep tendon reflexes 4+
A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the
following reflexes is the nurse assessing by quickly and gently turning The newborns head to one
side
Answer: Tonic neck
A nurse is assessing a seven month old infant during a well child visit in notes the presence of a
full moral reflex. For which of the following conditions sure the nurse screen the infant?
Answer: Neurological disorder
A nurse is teaching a female client about nutrition during pregnancy. Which of the following
instruction should the nurse include in the teaching?
Answer: Do not eat swordfish shark or king macro while you're pregnant
A nurse is caring for An infant who begins is playing manifestations of neonatal abstinence
syndrome which of the following actions should the nurse take
Answer: Avoid eye contact during feedings
A nurse is assessing a client reports that she might be pregnant. Which of the following findings
should the nurse identify as a presumptive signs of pregnancy?
Answer: Nausea in the morning
A nurse is caring for a client who is pregnant with a male child and expresses concern to the
nurse about the possibility of a child having hemophilia. The client is a carrier of the gene
mutation for this condition. Which of the following percentages represents the chance The child
will have this disorder
Answer: 50%

A nurse is providing teaching about the rubella immunization to a client who is 24 hours
postpartum. Which of the following client statements indicates an understanding of the teaching?
Answer: I should be careful to avoid becoming pregnant within the next month
A nurse is caring for a client in active labor who is experiencing hypertension following epidural
placement. Which of the following actions should the nurse take?
Answer: Place the client in a lateral position
A nurse is assessing a four hour old newborn prior to breast-feeding and Notes hands and feet
that are cold and slightly blue. Which of the following actions should the nurse take?
Answer: Please the naked newborn on the mothers bear chest and cover both with a blanket
A nurse is reviewing risk factors for postpartum depression with a newly licensed nurse. Which
of the following risk factors to the nurse include?
Answer: Gestational diabetes
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following
is a contraindication to the use of this medication
Answer: Active genital herpes
A nurse is caring for a client who had pelvic measurements recorded by the provider. The client
asks, since my pelvis is gynecoid, Well I be able to deliver vaginally? Which of the following
responses should the nurse make?
Answer: The shape of a pelvis is ideal for vaginal childbirth
A nurse is assessing a newborn one minute after birth and not a heart rate of 136 bpm and
respiratory rate of 36 for a minute. The newborn has a well flex extremities, response to stimuli
with a cry, and has blue hands and feet. Which Apgar score should the nurse assign to the
newborn?
Answer: 9

A nurse is reinforcing teaching about preventing encouragement to a client who is planning to
use formula to feed her newborn. Which of the following instruction should the nurse include?
Answer: Apply ice packs to your breasts
A nurse is caring for a client reports intestinal gas pain following a cesarean section. Which of
the following actions should the nurse take?
Answer: Assist the client to ambulate in the hallway
A nurse is providing discharge teaching to a client following the removal of a hydatidiform mole.
Which of the following statements should the nurse include in the teaching?
Answer: Do not become pregnant for at least one year
A nurse is discussing potential complications for newborn hypothermia with a newly licensed
nurse. Which of the following complications should the nurse include?
Answer: Hypoglycemia
A nurse is caring for a newly admitted newborn who is large for gestational age. After 30
minutes, the newborn becomes jittery and lethargic with hypertonic muscles and a cry that is
different from the time of admission. Which of the following actions should the nurse take?
Answer: Perform a heel stick to Check the newborns glucose level
A nurse is teaching a client who has active gentle herpes Symplex virus, type two. Which of the
following statements should the nurse include in the teaching
Answer: You will have a cesarean birth prior to the onset of labor
A nurse is monitoring a newborn who is receiving phototherapy. The nurse should identify which
of the following findings as requiring interventions?
Answer: Weight loss 12% of birth weight

A nurse is caring for a client who is nulliparous And experiencing hypertonic you doing this
function. And assessment indicates 3 cm dilation. Which of the following actions should the
nurse take?
Answer: After the client hydrotherapy
A client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins
recommended during pregnancy. Which of the following actions should the nurse take?
Answer: Referred the client to a community resource that could assist with providing nutrition
A nurse is caring for a newborn who is receiving treatment for jaundice with traditional
phototherapy lights Which of the following intervention should the nurse perform?
Answer: Turn the newborn every two hours
A nurse is assessing a client who is suspected of having a hyper emesis gravidarum. Which of the
following laboratory test showed her the nurse check for?
Answer: Urine ketones
A nurse is teaching about mastitis to a client who is postpartum and breastfeeding her newborn.
Which of the following statements by the client indicates an understanding of the teaching?
Answer: I will avoid any of my family members who are ill
A nurse is caring for a client who is scheduled to receive the spinal anesthetic. Which of the
following actions should the nurse plan to perform?
Answer: Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure
A nurse is caring for a client who is scheduled to receive intervenous oxytocin for the induction
of labor. The client has the bishop score of 10. Which of the following findings should the nurse
expect?
Answer: The client will experience a successful induction of labor

A nurse is calculating a pregnant client estimated date of delivery using naegele's rule. The
clients last menstrual period started on January 20. Which of the following is a clients expected
date of delivery
Answer: October 27
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states
I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house.
Which of the following is the appropriate response by the nurse?
Answer: Tell me how you think your life will be after the babies born
A nurse is caring for a client in active labor whose membranes have ruptured. The fetal monitor
tracing reveals late deceleration. Which of the following actions should the nurse take first
Answer: Turn the client onto her left side
A nurse is teaching a parent how to care for his newborn circumcision site. Which of the
following client statements indicates an understanding of the teaching?
Answer: I said apply the diaper loosely until the circumcision site is healed
A nurse is assessing a client who is post partum following a vacuum assisted birth. Which of the
following findings should the nurse monitor to identify a cervical laceration
Answer: Slow trickle of bright vaginal bleeding and a firm fundus
A community health nurse is planning care for for high risk newborns who were discharged
yesterday. Which of the following newborns so the nurse plan to care for first
Answer: A four day old newborn who has an elevated bilirubin level and requires phototherapy
A nurse is providing postpartum discharge teaching about proper storage of breastmilk for a
client who is breast-feeding. Which of the following client statements indicates an understanding
of the teaching?
Answer: I will discard any unused breastmilk that is left in the bottle

A nurse is caring for a client who is three days postpartum and has chosen to formula feed her
newborn. During an examination of the clients press, the nurse notes that they are warm and
firm. Which of the following actions should the nurse plan to take?
Answer: Instruct the client to apply cold compresses
A nurse is caring for a client who has postpartum any port that hurt if physiognomy incision is
pulling and stinging. Which of the following actions should the nurse take
Answer: Provide a sits bath with warm water for the client
A nurse is teaching a client who had a vacuum assisted vaginal delivery. Which of the following
statements should the nurse identify as an indication that the client understands information?
Answer: My baby has a higher risk of developing jaundice
A nurse is assessing an 18 hour old newborn which of the following findings should be reported
to the provider?
Answer: Yellow tinged skin
A nurse is teaching a parent of a newborn how to care for newborns and biblical cord stump.
Which of the following instruction should the nurse include?
Answer: Clean the course stump with tap water
A nurse is caring for a newborn whose mother receives magnesium sulfate to treat preterm labor.
Which of the following clinical manifestations in a newborn indicates toxicity due to the
magnesium sulfate therapy?
Answer: Respiratory depression
A nurse is planning educational sessions for clients in a childbirth class. Which of the following
findings should the nurse plan to instruct the client to report immediately
Answer: Swelling of the face and fingers

A nurse is providing care for a client who is in the second stage of labor. The fetal heart tracing
indicates multiple variable decelerations. Which of the following actions should the nurse take?
Answer: Prepare an amnioinfusion
A nurse is caring for a client who had a Percutaneous delivery which of the following
assessments is the priority during the fourth stage of labor?
Answer: Palpating the clients fundus
A nurse is assessing a client who has placenta previa. Which of the following findings should the
nurse expect
Answer: Painless bright red bleeding
A nurse is caring for a client who has a soft uterus and increased lochial flow Which of the
following medication should the nurse plan to administer to promote you don't have
contractions?
Answer: Methylergonovine
A nurse is providing teaching about breast-feeding so client who is four hours postpartum.
Which of the following pieces of information should the nurse include?
Answer: Ensure the newborns mouth covers the nipple and Ariola
A nurse is assessing a client who is two days postpartum period in which of the following
locations should the nurse expect to locate the clients fundus?
Answer: 3 cm below the umbilicus
A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines for
weight. The client asked the nurse how much weight is safe for her to gain during her pregnancy.
Which of the following is responses should the nurse offer?
Answer: A weight gain of about 25 to 35 pounds is good

A nurse is speaking with an expectant father who says that he feels resentful of the added
attention others are giving to his wife since the pregnancy was announced several weeks ago.
Which of the following responses should the nurse make?
Answer: These feelings are common for expecting fathers in early pregnancy
A nurse is preparing to perform a heel stick on a newborn. Which of the following actions should
the nurse take?
Answer: Warm the hill with a warm washcloth prior to the procedure
A nurse is teaching about preventing engorgement to a client who is planning to use formula to
feed her newborn. Which of the following instruction should the nurse include
Answer: Apply ice packs to your breast
A nurse is caring for a client in the third trimester of pregnancy who is scheduled to undergo a
nonstress test. Which of the following actions should the nurse take prior to the test
Answer: Ask the client to drink a glass of orange juice
While assessing a client who is in the fourth stage of labor the nurse suspects bladder distention.
Which of the following findings should the nurse anticipate with bladder distention?
Answer: The bladder fluctuates with palpation
A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential
complications that she should report to the provider. Which of the following pieces of
information should the nurse include in the teaching?
Answer: Facial swelling
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa
and bleeding. Which of the following prescription should the nurse clarify with the provider?
Answer: Perform a vaginal examination

A charge nurse is providing teaching for a newly hired nurse about the potential side effects of an
epidural anesthetic for a laboring client. Which of the following effects should the Charge nurse
include in the teaching?
Answer: Impaired placental perfusion
A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of labor.
Which of the following findings will alert the nurse that the client is in true labor?
Answer: Changes in cervical dilation or effacement
A nurse is caring for a client who is in labor and receives meperidine or pain when our prior to
entering the second stage of labor which of the following action should the nurse take?
Answer: Assess the newborn for respiratory depression
A nurse is assessing a client who delivered vaginally eight hours ago. The nurse notes that the
clients for this is to fingerbreadths above the villages and shifted to the left and there is a large
amount of lochia rubra on the perineal pad which of the following action should the nurse take
first?
Answer: Assist the client to the toilet
A charge nurse is teaching a newly licensed nurse about teratogen that affect fetal development.
The nurse should recognize that which of the following is an example of teratogen?
Answer: Drinking alcohol during pregnancy
A nurse is teaching a client about a nonstress test which of the following statements by the client
indicates an understanding of the teaching?
Answer: I should press the button on the handheld marker when my baby moves
A nurse is assessing a client who missed to menstrual cycles and reports that she might be
pregnant. Which of the following findings is a positive sign of pregnancy?
Answer: Auscultation of a fetal heart rate

A nurse is teaching a client about using the Lamaze method to manage pain during labor. Which
of the following pieces of information should the nurse include?
Answer: You will learn how to prevent pain during labor by focusing your mind to control your
breathing
A nurse is planning care for a client who is pregnant and is Rh negative. In which of the
following situations should the nurse administer Rh(D) Immunoglobulin
Answer: At 28 weeks of gestation
A nurse is providing discharge instructions to a client who is breast-feeding her newborn. Which
of the following statements should the nurse include?
Answer: Notify your provider if you notice cracking on your nipples
A nurse is assessing a 12 hour old newborn and notes a respiratory rate of 44 per minute with
shallow respirations and periods of apnea lasting up to 10 seconds which of the following actions
should the nurse take?
Answer: Continue routine monitoring
A nurse is assessing a newborn which of the following findings should the nurse identify as an
indication of recent maternal heroin use?
Answer: Incessant crying
A nurse is caring for a client who is in labor. The nurse observes late decelerations on the fetal
monitor. Which of the following actions should the nurse take?
Answer: Place the client in a left lateral position
A nurse is caring for a client who is in labor and the reporting intense pain during contractions.
The client has no previous knowledge of non-pharmacological comfort measures. Which of the
following nursing intervention should the nurse implement?
Answer: Slow paced breathing

A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes
contractions lasting three minutes each what action should the nurse take?
Answer: Stop the oxytocin infusion
A nurse is caring for a client who is two hours postpartum. The nurse notes the clients hernia pad
has a large amount of lochia rubra with several clots. Which of the following actions should the
nurse perform for
Answer: Massage the fundus
A nurse is teaching a client who is pregnant about nonsense testing. Which of the following
pieces of information should the nurse include?
Answer: If the test is reactive, that means your babies heart rate is healthy
A nurse is providing teaching about the selection of commercial formula to the guardian of a
newborn. Which of the following pieces of information should the nurse include?
Answer: Cows milk-based formula is recommended for healthy newborns
A nurse is providing care for a pregnant adolescent who was at 12 weeks gestation and verbalizes
a fear of gaining weight during pregnancy. Which of the following actions should the nurse take
Answer: Provide examples of how eating well will help maintain a healthy weight during
pregnancy
A nurse is caring for a client who is receiving oxytocin to induce labor. Which of the following
actions should the nurse take?
Answer: Perform continuous fetal heart rate monitoring
A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following
allergies should the nurse identify as a contraindication to receiving the vaccine
Answer: Baker's yeast

A nurse is teaching a client about breast-feeding. Which of the following client statements
indicates an understanding of the teaching?
Answer: I may notice an increase cramping when I am feeding my baby
A nurse is providing teaching to the parents of a newborn about bottle feeding. Which of the
following instruction should the nurse include in the teaching?
Answer: Boil water for powdered formula for 1 to 2 minutes
A nurse is assessing a postpartum client reports strong contractions whenever she breast-feeds
her newborn. The nurse respond with which of the following statements?
Answer: The same hormone that is released in response to the baby sucking and causes milk to
flow also makes the uterus contract
A nurse is caring for a client who asks how will I know if I'm having true or false labor
contractions which of the following responses should the nurse make?
Answer: True contractions will be irregularly and then become regular in timing
A nurse is providing discharge instructions to the parents of a newborn which of the following
statements should the nurse include?
Answer: Crib slats should be less than 2.25 inches apart
A nurse is caring for a client who is at 38 weeks of gestation and is receiving an oxytocin IV or
labor argumentation. The nurse notes variable decelerations on the fetal heart rate tracing. Which
of the following actions should the nurse take first?
Answer: Please the client in a side-lying position
A nurse is providing teaching for new parents about formula feeding. Which of the following
instruction should the nurse include?
Answer: Discard open the cans of formula after 48 hour refrigeration

A postpartum nurse is caring for a client who is four hours postpartum and has a painful thirddegree perineal laceration. Which of the following intervention should the nurse take?
Answer: Apply cold ice packs to the clients perineum
A nurse is caring for a client who delivered a stillborn child. Which of the following actions
should the nurse take?
Answer: Allow the parents to keep the child in their room for as long as they wish
A nurse is caring for a client in the latent stage of labor was reporting a pain level of four on a
scale of 1 to 10. Which of the following actions should the nurse take?
Answer: Lead to the client and relaxation breathing techniques
A nurse is caring for a client who had a caesarean birth 36 hours ago and is experiencing pain
due to gas. Which of the following strategies to the nurse recommend?
Answer: Rock in the rocking chair
A nurse is providing education to a female client of a childbearing age. The nurse should state
that which of the following structures expels the mature ovum
Answer: Graafian follicle
A nurse is providing teaching to a client who is postpartum and does not plan to breast-feed her
newborn. Which of the following instruction should the nurse include in the teaching?
Answer: Please ice packs on your breast
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which
of the following instructions should the nurse provide to the client about the treatment plan?
Answer: You and your partner need to take a medication and using condom during intercourse
until cultures are negative

A nurse is caring for a client who just had spontaneous rupture of membranes. The nurse
observes Fido bradycardia on the FHR chasing and a prolapsed umbilical cord. Which of the
following actions should the nurse take first
Answer: Manually apply upward pressure intravaginally on the presenting part
A nurse is assessing the respiratory status of a newborn who was born two hours ago. Which of
the following findings should the nurse identify as a manifestation of respiratory distress?
Answer: Expiratory grunting
A nurse is caring for a client who believes she may be pregnant. Which of the following findings
should the nurse identify as a positive sign of pregnancy
Answer: Palpable fetal movement
A nurse is preparing to massage the fundus of a client who is post partum and experiencing
uterine atony. In what order should the nurse take the following actions when performing a
fundal massage?
Answer: • Ask the client to learn her back with her knees flexed
• Place a hand just above the clients symphysis pubis
• Position a hand around the top of the clients fundus
• Rotate the upper hand to massage the clients uterus
• Use slight downward pressure to compress the clients fundus
A nurse is caring for a client who is at 39 weeks gestation and in active labor. Which of the
following actions should the nurse include in the plan of care?
Answer: Check the cervix prior to analgesic administration
A nurse in the labor and delivery suite is planning care for a group of four clients. Which of the
following clients to the nurse see first
Answer: A client who is in active labor and has late decelerations on the fetal heart monitor strip

A nurse is caring for a client who is pregnant. The client asks is it OK to have a few beers while
I'm pregnant? Which of the following responses should the nurse make
Answer: Total abstinence from alcohol is recommended
A nurse is teaching a prenatal class about pain management during labor which of the following
statements should the nurse identify as an indication that the client understands instructions
Answer: I can apply a heating pad to my back to relieve back pain
A nurse is assessing a newborn at birth who was delivered at 32 weeks gestation period which of
the following findings should the nurse anticipate
Answer: Extended extremities
A nurse is caring for a newborn who is experiencing opioid withdrawal. Which of the following
manifestations should the nurse expect and report to the provider?
Answer: Tremors
A nurse is assessing a newborn for congenital hip dysplasia. Which of the following findings
should the nurse expect?
Answer: Limited abduction of hip
A nurse is preparing to perform Leopold maneuvers on a client who is in labor. Which of the
following actions should the nurse plan to take?
Answer: Stand at the clients right side if the nurse is right handed
A nurse is discussing contraceptive choices with a client who has a history of thrombophlebitis.
Which of the following methods of contraception should the nurse recommend
Answer: Copper intrauterine devices
A nurse is teaching a client who has postpartum about the rubella vaccine. Which of the
following statements should the nurse include?
Answer: You must not become pregnant for 28 days after receiving this immunization

A nurse in a labor and delivery unit is caring for a client who is in the second stage of labor
which of the following actions should the nurse take?
Answer: Promote active movement in and out of bed
A nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What
action should the nurse take within one hour after birth?
Answer: Assess a newborns blood glucose level
A nurse is caring for a client who is in labor. Which of the following methods will determine the
frequency of the clients contractions
Answer: Evaluating the time from the beginning of the contraction to the beginning of the next
contraction
A nurse is reinforcing teaching about nutritional Requirements during lactation for a client who
is planning to breast-feed. Which of the following nutrients should the client increase during
lactation?
Answer: Vitamin C
A nurse is performing an initial physical assessment of a newborn following a vaginal birth.
Which of the following findings should the nurse report to the provider?
Answer: Small pinpoint reddish purple spots on the chest
A nurse is assessing a newborn who was born at 39 weeks gestation. Which of the following
findings should the nurse expect?
Answer: Symmetric rib cage
A nurse is assessing a newborn. Which of the following findings suggest the newborn is post
mature
Answer: Nails extending over fingers

A nurse is caring for a client who is in the first stage of labor. Which of the following findings
should the nurse identify as a cause for concern?
Answer: Contractions lasting 100 seconds
The nurse is teaching a client who is at eight weeks gestation and has a uterine fibroid about
potential effects of the fibroid during pregnancy. Which of the following pieces of information
should the nurse include?
Answer: The fibroid can increase the risk of postpartum hemorrhage
A nurse is caring for a client at 39 weeks gestation who is in the active phase of labor. The nurse
observes late decelerations in the fetal heart rate. Which of the following findings should the
nurse identify as a cause of late decelerations
Answer: Uteroplacental insufficiency
A postpartum nurse is caring for a client reports abdominal cramping. Which of the following
actions should the nurse take?
Answer: Encourage the client to interact with the newborn
A nurse is performing a nonstress test on a client who is at 41 weeks of gestation. The client asks
what the purpose of the test is. Which of the following responses should the nurse provide
Answer: This test will help determine if your baby is healthy
A nurse in labor and delivery is teaching a new license nurse about performing the Mac Roberts
Maneuver to relieve shoulder dystocia. Which of the following pieces of information should the
nurse include?
Answer: Flex the clients legs apart and raise from knees to her abdomen
A nurse is caring for a preterm infant in the NICU. Which of the following actions by the nurse
will promote the infants optimal development?
Answer: Reducing ambient noise and lighting

A nurse is caring for a client who is pregnant and his last menstrual period began on April 8.
Using Nagel's rule, which of the following dates would be the client estimated date of birth
Answer: January 15
A nurse is monitoring a client who is receiving spinal anesthesia. The nurse identifies which of
the following findings as a complication of the infusion?
Answer: Maternal hypotension
A nurse at a prenatal clinic is king free client who suspects she may be pregnant and asked the
nurse how The provider will confirm her pregnancy. Which of the following laboratory test will
be used to confirm this client pregnancy?
Answer: A urine test for the presence of human chorionic gonadotropin
A nurse is planning care for a newborn requires for therapy for hyperbilirubinemia. Which of the
following actions should the nurse include in the plan of care
Answer: I'm sure the newborns eyes are closed before applying eye shield
A nurse is caring for a newborn who has irregular respirations of 52 per minute with several
periods of apnea lasting approximately five seconds. The newborn is pink with acrocyanosis.
Which of the following actions should the nurse take?
Answer: Continue to monitor the newborn routinely
A nurse is providing discharge teaching about circumcision care to the parents of a newborn who
has undergone a gomco Clamp procedure. Which of the following statements should the nurse
identify as an indication that the client understands the instructions?
Answer: I will apply petroleum jelly to my babies penis for the first few days
A nurse is admitting a client who is in post term labor which of the following statements should
the nurse identify as a priority
Answer: When my water broke it was not clear

A nurse in an outpatient setting is providing education for a client who is pregnant. Which of the
following statements should the nurse include in the teaching?
Answer: He will probably first notice your baby moving when you are around 20 weeks
gestation
A nurse is caring for a client who is in labor. The client asked the nurse, why are you pressing on
my abdomen? Which of the following responses should the nurse make?
Answer: I can determine the position of your baby
A nurse is caring for a client who is in labor and has fetal heart tracing of variable decelerations.
Which of the following actions should the nurse take?
Answer: Are you position the client from side to side
A nurse is reviewing laboratory results for a client who is at 37 weeks gestation. The nurse notes
that the client is rubella not immune, is positive for group a paid or hemolytic streptococcus, has
a blood type of o negative. Which of the following actions should the nurse
Answer: Instruct the client to obtain a rubella immunization after delivery
A nurse is caring for a client who recently gave birth and plans to breast-feed, which of the
following actions should the nurse take?
Answer: Place the unwrapped newborn on the mothers bare chest
A nurse is teaching a client who is postpartum and breast-feeding. Which of the following
statements should the nurse include?
Answer: A reduction in sexual interest can indicate postpartum depression
A nurse is providing counseling for a couple experiencing infertility issues. Which of the
following statements by the nurse is appropriate?
Answer: You might want to join our support group for a couples who are experiencing similar
problems

A nurse is caring for a client who is two hours postpartum and is exhibiting signs of hypo
bulimic shock. Which of the following actions should the nurse take?
Answer: Elevate the clients legs to a 30° angle
A nurse is providing teaching or postpartum client who is breast-feeding. Which of the following
pieces of information to the nurse include in the teaching?
Answer: Your milk supply will noticeably increase in volume around the third and fourth day
after delivery
A nurse is assessing a 12 hour old newborn notes jaundice of face and trunk. Which of the
following actions should the nurse take
Answer: Obtain a stat prescription for a bilirubin level
A nurse is reinforcing teaching about nutritional requirements during lactation recline who is
planning to breast-feed which of the following nutrients to the client increase during lactation
Answer: Vitamin C
A nurse is teaching a client who is 12 weeks gestation and has human immunodeficiency virus
which of the following statements should the nurse include in the teaching
Answer: You should continue to take zidovudine Throughout the pregnancy
A nurse is teaching a new parent about newborn reflexive. Which of the following reflexes
facilitates infant feeding
Answer: Rooting
A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin
level is the following actions should the nurse take?
Answer: Use a photo meter to monitor the lamps energy

A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications
that she should report to her provider which of the following findings should the nurse include in
the teaching?
Answer: Vaginal bleeding
A nurse is planning care for a client who is post partum. Which of the following strategies to the
nurse include in the plan to prevent bladder distention
Answer: Run water in the sink with a client sits in the toilet
A nurse is caring for a client who is at 38 weeks gestation and in the active phase of the first
stage of labor the nurse notes too late decelerations of the fetal heart rate during the last five
contractions. Which of the following actions should the nurse take
Answer: Assess the client to lateral position
A nurse is caring for a client who experienced a fetal loss. When initiating communication with
this client, which of the following statements should the nurse make
Answer: I am here for you if you would like to talk
A nurse is teaching a prenatal class for a group of antepartum client which of the following
pieces of information should the nurse include about the hepatitis B immunization
Answer: We will need your consent prior To administering the vaccine
A nurse is caring for a client who is at 33 weeks of gestation reports darker and vaginal bleeding
and contractions I did not stop what does the following actions should the nurse take first?
Answer: Check the fetal heart tones
A nurse is caring for a client who is eight hours postpartum and is experiencing hemorrhage.
Which of the following actions should the nurse implement after notifying the provider select all
that apply
Answer: • Massage the fundus
• Administer oxytocin with IV fluids

• Insert an indwelling urinary catheter
• Place the client in a lateral position with her legs elevated 30°
The parents of a child with PKU Ask the nurse if their second unborn child could have the same
condition the nurse should be three spots on which of the following inheritance patterns
responsible for PKU
Answer: Autosomal recessive
A nurse is caring for a client in active labor who is experiencing hypertension following epidural
placement which of the following actions should the nurse take?
Answer: Place the client in a lateral position
A nurse is assessing a client who is at 26 weeks of gestation and has mild preeclampsia which of
the following findings should the nurse report to the provider?
Answer: Deep tendon reflexs 4+
A nurse is preparing to provide umbilical cord care For a newborn 12 hours after delivery. Upon
inspection, the nurse notes moderate bleeding from a blood vessel. Which of the following action
should the nurse take?
Answer: Check the integrity of the cord clamp
A nurse is caring for a client who is three days postpartum and has chosen to formula feed her
newborn. During an examination of the clients breast, the nurse notes that they were warm and
firm. Which of the following actions should the nurse plan to take
Answer: Instruct the client to apply cold compresses
A nurse is caring for a client who is scheduled to receive a spinal anesthetic which of the
following actions should the nurse plan to perform
Answer: Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure

A nurse is performing a routine prenatal examination of a client who is in the second trimester.
The client reports back aches with no other symptoms and refuses medication. Which of the
following responses should the nurse make
Answer: Try pelvic tilt exercises
A nurse is caring for a newborn who has a prescription for photo therapy. The mother asks why
the newborn needs to lie under a special light. Which of the following responses should the nurse
make
Answer: The light will help lower your child's bilirubin level
A nurse is providing teaching about formula feeding to the guardian of a newborn which of the
following pieces of information should the nurse include?
Answer: Mix one scoop of powdered formula with 2 ounces of water
A nurse is caring for a client who is at 30 weeks gestation and reports no fear of movement for
the past 24 hours which of the following actions should the nurse take
Answer: Auscultate for a fetal heart rate
A nurse is monitoring a newborn for indications of septic shock which of the following findings
should the nurse expect if the newborn developed this complication
Answer: Decrease blood pressure
A nurse is caring for a client at 37 weeks of gestation and is undergoing a nonstress test the fetal
heart rate is 130 per minute without acceleration for the past 10 minutes which of the following
actions should the nurse take?
Answer: Use vibroacustic stimulation on the clients abdomen in for 3 sec
A nurse is providing teaching about the rubella immunization to a client who is 24 hours post
partum which of the following client statements indicates an understanding of the teaching?
Answer: I should be careful to avoid becoming pregnant within the next month

A nurse is assessing the respiratory status of a newborn who was born two hours ago which of
the following findings should the nurse identify as a manifestation of respiratory distress
Answer: Expiratory grunting
A nurse is assessing a newborn which of the following findings should the nurse report to the
provider?
Answer: Grunting with expiration
A charge nurse is providing teaching to a newly hired nurse about the potential side effects of
epidural anesthetic free laboring client which of the following effects should the charge nurse
include in the teaching
Answer: Impaired placental perfusion
A nurse is preparing to administer morphine oral solution 0.04 mg per kilogram to a newborn
who weighs 2.5 kg. The mount available is morphine oral solution 0.4 mg/mL. How many
milliliter Share the nurse administer?
Answer: 0.25 mL
A nurse is providing teaching about home care to the parents of a newborn which of the
following statements indicates an understanding of the teaching
Answer: I said remove the bumper pad and stuff toys from my babies crib
A nurse at a prenatal clinic is assessing an adult client who had genital cutting performed as a
child as part of a cultural practice the nurse notes the clients clitoris and labia menorah removed
and she has scarring in the vaginal area. Which of the following actions should the nurse take?
Answer: Inform the client that giving birth vaginally might not be possible
A nurse is providing nutritional counseling for a client who is pregnant which of the following
nutrients should the nurse instruct the client to increase in her daily diet
Answer: Iron

A nurse is teaching a client who is at eight weeks gestation and has a uterine fibroid about
potential effects of fibroid during pregnancy. Which of the following pieces of information
should the nurse include
Answer: The fiber can increase the risk of postpartum hemorrhage
A nurse is caring for a client who is in labor and is reporting intense pain during contractions the
client has no previous knowledge of non-pharmacological comfort measures which of the
following nursing intervention should the nurse implement
Answer: Slow paced breathing
A nurse is performing a nonstress test and a client who is 41 weeks of gestation the client asked
what the purpose of the test is what is the form responses to the nurse provide
Answer: This test will help determine if your baby is healthy
A nurse is caring for a client who is 16 weeks gestation and several Iron deficiency anemia the
provider prescribes an injection of iron dextran I am which of the following message to the nurse
used to administer the medication
Answer: Use a 20 gauge needle and administer the medication using the Z track method
A nurse at a prenatal clinic is assessing an adolescent who is pregnant and is visiting the clinic
for the first time which of the following factors is the nurses priority to evaluate
Answer: Nutritional status
A nurse is caring for a client who has a soft features and increased low-key a flow which is the
following medication should the nurse plan to minister to promote uterine contraction
Answer: Methylgonovine
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa
and bleeding which is the following prescription should the nurse clarify with the provider?
Answer: Perform a vaginal examination

A nurse is assessing a client who is postpartum following a vacuum assisted birth. For which of
the following findings should the nurse monitor so identify a cervical
Answer: Slow trickle of bright vaginal bleeding and a firm fundus
A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter
the client asks why this type of monitoring is needed which is the following responses should the
nurse make
Answer: This type of monitoring will allow us to measure the intensity of your contractions
A nurse is discussing risk factors for necrotizing entercolitis In newborns with a newly licensed
nurse which of the following respect or should I nurse include
Answer: Respiratory distress syndrome
When caring for a client who is in active labor, a nurse notes latest elevations on the fetal
monitor. Which of the following actions should the nurse take?
Answer: Apply oxygen at 10 L per minute via nonrebreather facemask
A nurse is teaching a client who is post partum about keeping the newborn safe. Which of the
following statements should the nurse identify as an indication that the client understands
instructions
Answer: I will purchase a firm mattress for the crib
A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal
lung maturity and planning care for the newborn which of the following conditions should the
nurse identify as an adverse effect of the medication
Answer: Decrease blood glucose
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the
following responses by the nurse is appropriate
Answer: You should walk for at least 30 minutes every day

A nurse is caring for a newborn who weighs 4 pounds how many kilograms does a newborn
weigh
Answer: 1.8 kg
A client at a routine prenatal care visit asked the nurse is developing vaginal yeast infections is
common during pregnancy. Which of the following responses should the nurse make?
Answer: The hormonal changes of pregnancy alter the Acidity of the vagina, making used
infections more common
A nurse is caring for a client who has Eclampsia and just had a tonic colonic seizure After trying
to clients head to the side which of the following actions should the nurse take
Answer: Give oxygen at 10 L per minute via face mask
A nurse is providing teaching to the parents of a newborn about home safety. Which of the
following statements by the parents and the kids and understanding of the teaching?
Answer: I will place my baby on his back when putting him to sleep
A nurse is caring for a client who is receiving magnesium sulfate they continuous IV infusion
which of the following medication so the nurse have available at the clients bedside I
Answer: Calcium gluconate
A nurse is assessing a client who is three days postpartum. When examining the clients uterus
which of the following techniques to the Nurse use
Answer: Measure the height of the fundus in fingerbreadths in relation to the umbilicus
A nurse is caring for a client in the latent phase of labor who is receiving oxytocin via continuous
IV infusion the client is having contractions every two minutes that last 100 to 110 seconds, and
the fetal heart rate is reassuring. Which of the following actions should the nurse take
Answer: Decrease the dose of oxytocin by half

A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the
following findings should the nurse identify as a potential complication of the oxygen therapy
Answer: Retinopathy
A nurse is admitting a client who is in labor and experiencing moderate red vaginal bleeding.
Which of the following actions should the nurse take?
Answer: Obtain blood samples for baseline laboratory values
A nurse is reviewing the laboratory values have a client who is pregnant and has a low
progesterone level. Which of the following complications to the nurse expect
Answer: Preterm labor
A nurse is teaching a parent of a newborn about circumcision care. Which of the following
instruction should the nurse include?
Answer: Avoid using diaper wipes on the site during diaper changes
A nurse is reviewing the electronic medical record of a newborn which of the following maternal
factors may increase the risk of pathologic hyperbilirubinemia in the newborn
Answer: Infection
A nurse is reviewing the laboratory report of a newborn who has a blood type a B negative. The
mothers blood type is O positive the laboratory results indicate the direct anti-globulin tested
positive. Which of the following complications to the nurse anticipate
Answer: Hyperbilirubinemia
A nurse is caring for a pregnant client reports nausea and vomiting which of the following
instruction should the nurse you're with a client?
Answer: Instruct the client to eat small, frequent meals, avoid triggers, stay hydrated, rest, and
consider ginger supplements or acupressure bands.

A nurse is caring for a client in the early stage of labor who has preeclampsia with severe
features which of the following intervention should the nurse perform
Answer: Implement seizure precautions
A nurse is assisting with the care of a client who is in labor the nurse observes Late decelerations
of the fetal monitor which of the following actions should the nurse take?
Answer: Place the client in the left lateral position
A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal long
maturity. The client is G2 P1 and at 36 weeks of gestation, and she has an O positive blood type.
Which of the following intervention should the nurse perform?
Answer: Apply an external fetal monitor to the client
A nurse is reviewing the plan of care before assuming the care of a newborn who is prescribed a
hepatitis B vaccine, vitamin K, and in antiretroviral Regimen. The plan of care indicates a
newborn's mother is HIV positive and plans to breast-feed. Which of the following findings
should the nurse address with a newborns interdisciplinary team
Answer: Breast-feeding
A nurse is assessing a client who is at 30 weeks of gestation and has gestational hypertension.
Which of the following findings should the nurse identify as an indication that the client needs a
biophysical profile
Answer: Nonreactive non-stress test
A nurse is assessing the moro response of a newborn. Which of the following findings should the
nurse expect?
Answer: The legs move in a similar pattern response to the arms
A nurse is caring for a client who has oligohydraminis. Which of the following Fido
abnormalities should the nurse expect?
Answer: Renal agenesis

A nurse is assessing a newborn one hour after birth. Which of the following findings should the
nurse report to the provider?
Answer: Jaundice of the sclera
A nurse is assessing a pregnant client at 26 weeks of gestation reports an episode of dizziness
after lying on her back on the couch. Which of the following actions should the nurse take?
Answer: Advise the client to lay on her side
A nurse is caring for a client during her first prenatal visit in notes that she is lactose intolerant.
Which of the following foods to the nurse include on the list of calcium sources for this client
Answer: Collard greens
A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation which of the
following findings should the nurse report to the provider
Answer: Frequent headaches
A nurse is teaching a client during the Clients first prenatal visit. Which of the following
instruction should the nurse include?
Answer: A Doppler device can you take your babies heart rate at 12 weeks
A nurse is assessing a newborn. Which of the following findings should the nurse immediately
report to the provider
Answer: Nasal flaring
A nurse is providing education about newborn skin care for a group of new parents. Which of the
following instruction should the nurse include
Answer: Sponge bathe the newborn every other day
A nurse is obtaining the blood pressure of a client who is pregnant. The client blood pressure is
142/90. Which of the following actions should the nurse take

Answer: Repeat the measurement after allowing the client to sit for 5 to 10 minutes
A nurse in the clinic is providing education to a client at 32 weeks gestation who has pruitus
Gravidarum. Which of the following pieces of information should the nurse provide
Answer: You should slightly increase your exposure to sunlight
A nurse is teaching a client who is in the third trimester pregnancy and has herpes genitalis
which of the following instruction should the nurse include?
Answer: Talk with your doctor about a prescription for acyclovir To treat your symptoms
A nurse is teaching a sibling class for a group of expecting parents and their older children.
Which of the following statements should the nurse include to Facilitate sibling adaptation
Answer: Involve the sibling in decorating your newborns room
A nurse is preparing to administer meperidine hydrochloride To a client who is in labor. Which
of the following statements should the nurse make to the client?
Answer: This medication can make you sleepy
A nurse is planning care for a newborn who was born at 30 weeks or station. The nurse should
plan to assess the newborn for which of the following potential complications associated with
prematurity
Answer: Intraventricular hemorrhage
A nurse is preparing to obtain a newborn's temperature. Which of the following message to the
nurse use?
Answer: Axillary
A nurse is providing discharge teaching to the parent of a newborn. Which of the following
statements should the nurse include in the teaching
Answer: Your baby should be rear facing in a car seat until two years of age

A nurse is caring for a client who has clinical manifestations of ectopic pregnancy.
Which of the following findings is a risk factor for an ectopic pregnancy
Answer: Pelvic inflammatory disease
A nurse is initiating phototherapy for a newborn who has hyperbilirubinemia. Which of the
following actions should the nurse take?
Answer: Place in a opaque over the newborns eyes
A newborn is caring for a client who is scheduled to receive a continuous IV infusion of oxytocin
following a vaginal birth. Which of the following assessment findings should the nurse monitor
to evaluate the effectiveness of the medication
Answer: Fundal consistency
A nurse is caring for a client who is experiencing preterm labor. Which of the following
medication should the nurse anticipate administering to enhance fetal lung maturity
Answer: Betamethasone
A nurse is teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the
first trimester. Which of the following pieces of information should the nurse include in the
teaching?
Answer: You will need to have a full bladder during the ultrasound
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client
states I've heard that I can't use any birth control until I stop breast-feeding. Which of the
following responses should the nurse make?
Answer: A progestin only pill or injection is available for use while you are breast-feeding
A nurse is planning care for a client who is scheduled to have Prostaglandin E2 gel insert it for
cervical ripening. Which of the following actions should the nurse take?
Answer: Maintain the client needs sideline position for 30 minutes after insertion

A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of
the following medication should the nurse plan to administer
Answer: Betamethasone
A nurse is educating a client who was at 10 weeks station and report we got nausea and vomiting
which of the following statements should the nurse include in the teaching?
Answer: You should eat dry foods that are high in carbohydrates when you wake up
A nurse is caring for a newborn who is Premature at 30 weeks gestation period which of the
following findings should the nurse expect?
Answer: Abundant lanugo
A nurse is performing a physical assessment of a male newborn which of the following findings
should the nurse report to the provider?
Answer: There is decreased abdominal movement with bathing
A nurse is teaching a prenatal class about nonpharmacological comfort measures during labor
which of the following statements should the nurse identify as an indication that the instructions
have been understood
Answer: My baby will be monitored with a Doppler device during hydrotherapy
A nurse is caring for a client who is pregnant and has a rupture of membranes. The nurse notes in
the presence of meconium stained fluid. Which of the following actions should the nurse take
Answer: Gather equipment for neonatal resuscitation
The guardian of a three day old female newborn tells the nurse that he notices a small amount of
blood tinged mucous discharge on the newborns labia. Which of the following responses should
the nurse make
Answer: The bloating mucus is a result of pseudo-menstruation

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia.
Which of the following clinical findings is the nurses priority?
Answer: Urinary output 40 mL in two hours
A nurse is assessing a client at 35 weeks gestation receives magnesium sulfate your continuous
IV infusion for severe preeclampsia. Which of the following findings should the nurse report to
the provider?
Answer: Your new outfit 20 mL per hour
A nurse is caring for a newborn directly after birth. Which of the following medication so the
nurse administer to the new one within 1 to 2 hours of delivery
Answer: Erythromycin ophthalmic ointment
A nurse is explaining like Tatian suppression to a client who is newborn will be bottle-fed which
of the following client statements indicates an understanding of the teaching
Answer: I should wear support bra for a few days
A nurse in a providers office is caring for a client who is in the first trimester of pregnancy.
Which of the following Psychological tasks so the nurse expect the client to accomplish during
this trimester
Answer: Accepting the pregnancy
A nurse is assessing a newborn. Which of the following findings should the nurse report to the
provider?
Answer: Head circumference 28 cm/11 inches
A nurse is assessing a client who is at 20 weeks gestation and reports frequent episodes of
indigestion and heartburn what are the following instruction should the nurse give to the client?
Answer: Decrease your intake of spicy foods

A nurse is caring for a client who is 32 hours postpartum. The client reports nipple soreness and
breast engorgement. Which of the following recommendations to the nurse
Answer: Call me so I can check your babies latch the next time you breast-feed
A nurse is caring for a client who is in labor and ask her partner to perform effleurage The client
has on a monitor belt for electronic fetal monitoring. Which of the following instruction should
the nurse provide to the clients partner
Answer: Lightly stroke the upper thighs
A nurse is discussing the expected changes related to pregnancy with a client who is at eight
weeks gestation which of the following findings should the nurse report to the provider during
the first trimester
Answer: Persistent vomiting
A nurse is caring for a newborn immediately following birth. Which of the following actions
should the nurse take first?
Answer: Dry the newborn
A nurse is determining an echo score for newborn who was born one minute ago or which of the
following findings should the nurse assess a score of one
Answer: Weak cry
A nurse is caring for a newborn. The nurse should obtain informed consent before taking which
is the following actions
Answer: Giving the hepatitis B vaccine
A nurse is teaching a client who is breast-feeding about strategies for preventing the mastitis
Which of the following instruction should the nurse include?
Answer: Use your fingers to release suction after feeling
A nurse is caring for a client who request an intrauterine device for Contraception.

Which of the following findings is a contraindication for this device
Answer: Menorrhagia
A nurse is providing care to a client who is in labor and experience is a spontaneous rupture of
membranes. Which of the following findings requires intervention by the nurse?
Answer: Fetal heart rate increases by 15 per minute
A nurse is providing education about continuous heparin therapy for a client who is 18 hours
postpartum and has developed a deep vein thrombosis. Which of the following statements should
the nurse include in the teaching?
Answer: Use a soft toothbrush to brush your teeth gently
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of
the following assessments will indicate whether the bleeding is caused by placenta previa or
abruptio placenta
Answer: Uterine tone
A nurse in a labor and delivery unit is preparing To teach a newly licensed nurse about
intermediate auscultation of the fetal heart rate. Which of the following intervention should the
nurse include?
Answer: Help it and count the maternal radio pulse was listening to the fetal heart rate
A nurse is reviewing the medical record of a client who is at 20 weeks of gestation which of the
following findings should the nurse identify as presumptive indication of pregnancy
Answer: Report a fetal movement by the client
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F. Which of the
following actions should the nurse perform?
Answer: Assess the newborns blood glucose level

A nurse in a newborn nursery has received reports on for newborns. Which of the following
newborn so the nurse identify as requiring intervention?
Answer: A newborn who is axillary temperature is 96.9°F
A nurse is caring for a client who experience is spontaneous rupture of membranes and has
prolonged decelerations on the fetal monitor. Which of the following conditions should the nurse
expect?
Answer: Prolapse umbilical cord
A nurse is caring for a client who is in the first trimester of pregnancy and asked How to manage
heartburn. Which of the following responses should the nurse make
Answer: Reduce the amount of food you eat during meals
The nurse is assessing a two day old newborn and notes in egg shaped, Timothy's, bluish
discoloration that does not cross the suture line. Which of the following pieces of information to
the nurse provide mother and she asks about this finding?
Answer: This will be resolved in 3 to 6 weeks without treatment
A nurse is caring for a postpartum client eight hours after delivery. Which of the following
factors places the client at risk for uterine atony
Answer: • Magnesium sulfate infusion
• Distended bladder
• Prolonged labor
A nurse is preparing to administer an IV infusion of oxytocin for labor Induction to a client who
is at 41 weeks of gestation which is the following actions should the nurse plan to take?
Answer: Monster the fetal heart rate every 15 minutes initially
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of Urination. The nurse should
document this occurrence at which of the following

Answer: Lightning
A nurse is caring for a client who is 12 hours postpartum which of the following intervention
should the nurse implement
Answer: Administer Ferrous sulfate orally
A nurse at a family planning clinic is preparing to teach a class about how to use a diaphragm.
Which of the following pieces of information should the nurse plan to include in the teaching?
Answer: You spermicide jelly whenever you use your diaphragm
A nurse is caring for a client at 36 weeks gestation who has preeclampsia. Which of the
following findings should the nurse identify as a priority
Answer: Non-reactive nonstress test
A nurse is assessing a newborn who has congenital diaphragmatic hernia Which of the following
findings should the nurse expect
Answer: Barrel shaped chest
A nurse is teaching the guardian of a newborn about car seat safety. Which of the following
pieces of information should the nurse include
Answer: Placed a shoulder harness in the slides that are level with the newborn shoulders
A nurse is caring for a client is attempting a trial of labor after several caesarean birth the client
reports a sudden onset of constant abdominal pain, and the nurse observes a prolonged
decelerations on the fetal heart rate tracing. Which of the following actions should the nurse
take?
Answer: Prepare the client ran emergency caesarean
A nurse is Assessing a female client 24 hours after delivery and notes the fundus is 2 cm above
the abilities which of the following action should the nurse take
Answer: Ambulate the client to the bathroom

A postpartum nurse is caring for a client who has developed hemorrhagic shock which of the
following manifestations should the nurse expect
Answer: Weak and irregular pulse
A nurse is performing an admission assessment of a client who just arrived at the labor and
delivery unit which of the following findings should the nurse identify as the Priority
Answer: The fetal heart rate is 90 per minute
A nurse in the clinic is providing teaching to a client who is at 37 weeks of gestation and they
scheduled for an external cephalic version. Which of the following statements should the nurse
make?
Answer: You will receive a medication to relax your uterus prior to the procedure
A postpartum nurse is providing care for a client who is breast-feeding and has a perennial
hematoma. The nurse should recommend that the client use which of the following breastfeeding positions
Answer: Side lying
A nurse is performing a physical assessment of a full term newborn and eliciting the Moro
Reflects. Which of the following movements are expected responses of the few flex select all
that apply
Answer: • Sam and forefinger forming a C
• Legs extending before pulling up her
A nurse is providing education to client who is four weeks postpartum and is breast-feeding. The
client asks about expected weight loss. Which of the following responses should the nurse make?
Answer: Losing 2.2 pounds each month would be acceptable
A nurse is assisting with in amniotomy for a client who is an active labor. Which of the following
actions should the nurse take

Answer: Assesses the fetal heart rate before an after the procedure
A nurse is providing teaching to a client who is at eight weeks gestation about manifestations
report to the provider during pregnancy. Which the following pieces of information should the
nurse include in the teaching?
Answer: Blurred or double vision
And adolescent reports abdominal cramping due to dysmenorrhea. Which of the following
analgesics so the nurse expect the provider to prescribe
Answer: Ibuprofen
A nurse is caring for a client who is at 34 weeks gestation and has a prescription for terbutaline
for preterm labor Which of the following statements by the client is the priority
Answer: My heart feels like it's racing
A nurse is caring for a newborn who is premature In the neonatal intensive care unit. Which of
the following actions should the nurse take to promote development
Answer: Position the naked newborn on the parent's bare chest
A nurse in a prenatal care clinic ounces a phone call from a client who is at 37 weeks gestation
airport I became very dizzy while lying in my bed this morning, but the feeling went away when
I turned onto my side. Which of the following actions should the nurse take
Answer: Are you sure the client about vena cava syndrome and measures to prevent it
A nurse at a clinic is preparing to teach the process of involution To a group of anti-Nadel clients
which of the following information should the nurse provide
Answer: This is not palpable dominantly at two weeks postpartum
A nurse is planning care for a client who is at 35 weeks gestation period which of the following
laboratory test to the nurse obtain?
Answer: Group B streptococcus beta hemolytic

Group B streptococcus beta hemolytic
Answer: Group B Streptococcus (GBS) beta-hemolytic refers to a type of bacteria that causes
complete hemolysis of red blood cells and is a common cause of infections in newborns and
immunocompromised individuals.