Question Answered step-by-step 1. A nurse is caring for a client who is at 30 weeks of gestation… 1. A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate forpreeclampsia. The nurse should recognize which of the following manifestations as an adversereaction to the medication?A. Respiratory rate 16/minB. HypertensionC. Urine output 20 mL/hr.D. Hyperglycemia2. A nurse is caring for a client who reports spontaneous rupture of membranes. The nurseobserves fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.After calling for assistance and notifying the provider. Which of the following actions should thenurse take next?A. Initiate an infusion of IV fluids for the clientB. Cover the umbilical cord with a sterile saline saturated towelC. Administer oxygen via nonrebreather mask at 8L/minD. Administer oxygen via nonrebreather mask at 8L/min3. A nurse is providing discharge instructions to a client who is 24 hr. postpartum and has decidednot to breastfeed. Which of the following instructions should the nurse include in the teaching?A. Pump your breasts twice daily to relieve discomfort from engorgementB. Apply ice packs to your breasts using a 15 minutes on 45 minutes off scheduleC. Shower daily allowing warm water to run directly over your breastsD. Wear a loose-fitting nonbinding bra for 72 hours.4. A nurse is assessing the results of a nonstress test for an antepartum client at 35 weeks ofgestation. Which of the following finding should indicate to the nurse the need for furtherdiagnostic testing?A. Three fetal movements perceived by the client in a 20-min testing periodB. No late decelerations in the fetal heart rate noted with thee uterine contractions of 60 secondsin duration within a 10min testing period.C. Irregular contractions of 10 to 20 seconds in duration that are not felt by the clientD. An increase in fetal heart rate to 150/min above the bassline of 140/min lasting 10 seconds inresponse to fetal movement within a 40-min testing period.5. A nurse is teaching a client and her partner about the technique of counterpressure of duringlabor. Which of following statements by the nurse is appropriate?A. Your partner will apply steady pressure with a tennis ball to your lower backB. Your partner will apply pressure to the top of your uterus during contractionsC. Your partner will apply continue, firm pressure between your thumb and index fingerD. Your partner will apply upward pressure on your lower abdomen between contractions.6. A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetesmellitus. Which of the following finding should the nurse report to the provider?A. The client has nonpitting pedal edemaB. The client has a fundal height of 38 cmC. The client has a fasting blood glucose of 90 mg/dLD. The client reports 12 fetal movements in 1 hr.7. A nurse is conducting a class for a group of clients about birth control. Which of the followinginformation should the nurse include in the teaching?A. Your fertility will return 6 months after your provider removes your IUDB. You will not need to use birth control for I month after receiving emergency contraceptionC. You should use spermicide 3 hours prior to sexual intercourseD. You should have an annual examination to assess your diaphragm8.A nurse is providing teaching to a client who is primigravid and is scheduled to have anabdominal ultrasound. Which of the following statements by the client indicates anunderstanding of the teaching?A. I can have anything to eat after midnight.”B. I need to take a stool softener the night before the test.”C. I won’t apply perfumed lotion to my abdomen before the test.”D. I will drink water before the test until my bladder feels full.”9. A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client’s arms. The mother states “No, the baby is too tired to be held.” Which of the following actions should the nurse take?A. Offer to take the newborn to the nursery to finish his feeding.B. Insist that the mother pick up the newborn to feed him.C. Demonstrate how to hold the newborn and allow the client to practice.D. Persuade the client to breastfeed the newborn to promote bonding.10. A nurse is assessing a client who is preterm labor and has a new prescription for terbutaline 0.25mg subcutaneous. For which of the following findings should the nurse withhold the medicationand report to the provider?A. BP 88/58 mm HgB. Urinary output 40 mL/hr.C. FHR 120/minD. Fasting blood glucose 75 mg/dL11. A nurse is providing dietary teaching to a client who is 32 weeks of gestation and hascholelithiasis. Which of the following foods should the nurse recommend for the client toinclude in her diet?A. Whole milkB. Baked chickenC. Bacon cheeseburgerD. French fries12. A nurse is caring for client who has pregestational diabetes mellitus. Which of the followingclinical findings should indicates to the nurse the client has hyperglycemia?A. SweatingB. DizzinessC. Double VisionD. Increased urination13. A nurse is caring for a client who has hyperemesis gravidarum. Which of the followinglaboratory tests should the nurse anticipate?A. Rapid plasma regainsB. Urine cultureC. Prothrombin timeD. Urine ketones14. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.Which of the following actions should the nurse include in the plan?A. Give the newborn 1 oz of glucose water every 4 hr.B. Apply a thin layer of lotion to the newborn’s skin every 8 hr.C. Ensure the newborn’s eyes are closed beneath the shieldD. Dress the newborn in a thin layer of clothing during therapy15. A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?A. Apply prophylactic eye ointment.B. Administer IM vitamin K.C. Obtain the newborn’s weightD. Apply identification bands to the newborn.16. A nurse is providing teaching to a postpartum client who has a prescription for a rubellaimmunization. Which of the following client statements indicate understanding of the teaching?A. I will receive a series of three immunizations and each one will be a month apart.”B. I should avoid breastfeeding for 2 weeks following the immunization”C. I will report joint pain that develops after the immunization to my provider immediately.”D. I should avoid becoming pregnant for at least 1 month following the immunization”17. A nurse is calling for a client who is receiving oxytocin to induce labor. The nurse shoulddiscontinue the oxytocin if which of the following occurs?A. Six contractions in 10 minB. Moderate variability of the fetal heart rateC. Nonrepetitive early decelerationsD. Contractions at last 60 seconds18. A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendation should the nurse make?A. Consume foods served at cool temperature.B. Eat a high-fat snacks before getting out of bed.C. Avoid eating snacks before bedtime.D. Drink additional liquids with each meal.19. A nurse is prenatal clinic is reviewing the laboratory result for a client who is at 12 week ofgestation which of the following actions should the nurse take? (Click on the “Exhibit” button foradditional information about the client. There are three tabs that contains separate categoriesof data.)A. Administer ceftriaxone IM.B. Obtain a maternal serum alpha-fetoprotein specimen.C. Administer rubella vaccineD. Obtain a blood culture20. A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfatevia continuous IV infusion. Which of the following findings should the nurse report to theprovider?A. BP 150/100 mm HgB. Decrease in frequency of contractionsC. Urinary output 35 mL/hrD. Absent deep-tendon reflexes21. A nurse is caring for a client who received epidural analgesia during labor and is 4 hrpostpartum. Which of the following client reports should the nurse address first?A. Abdominal crampsB. Tingling in her legsC. ItchingD. Inability to void Health Science Science Nursing NUR 2513 Share QuestionEmailCopy link Comments (0)