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A nurse is reinforcing discharge teaching about home safety with a client who is postpartum.
In which of the following positions should the nurse instruct the client to place their newborn in the crib?
- A. Right lateral
- B. Supine
- C. Prone
- D. Left lateral
Correct Answer: B
Rationale: The supine position reduces the risk of sudden infant death syndrome (SIDS) by keeping the airway open.
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A nurse is collecting data from a client who is at 28 weeks of gestation.
Which of the following findings is the nurse's priority?
- A. FHR 160/min
- B. Fundal height 24 cm
- C. Blood pressure 136/84 mm Hg
- D. Trace protein on urine reagent strip
Correct Answer: B
Rationale: A fundal height of 24 cm at 28 weeks is lower than expected, suggesting intrauterine growth restriction, requiring further evaluation.
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy.
For which of the following adverse effects should the nurse monitor and report to the provider?
- A. Polyuria
- B. Hyporeflexia
- C. Agitation
- D. Tachypnea
Correct Answer: B
Rationale: Hyporeflexia is an early sign of magnesium toxicity, indicating excessive neuromuscular blockade, requiring immediate reporting.
A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.
Which of the following statements should the nurse include in the teaching?
- A. A group B streptococcus screening will be performed to determine the presence of STIs.
- B. A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.
- C. A multiple marker screening will be performed to identify neural tube defects.
- D. A glucose tolerance test will be performed to predict hyperglycemia in your baby.
Correct Answer: C
Rationale: Multiple marker screening detects neural tube defects like spina bifida, performed between 15-20 weeks.
A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn.
Which of the following recommendations should the nurse include in the teaching?
- A. Lie in a left side-lying position for 30 min after meals.
- B. Eat three large meals per day.
- C. Drink a cup of black coffee before breakfast.
- D. Take sips of milk between meals.
Correct Answer: D
Rationale: Sips of milk neutralize stomach acid, relieving heartburn without overfilling the stomach.
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Which of the following medications should the nurse plan to administer?
- A. Amoxicillin
- B. Acyclovir
- C. Metronidazole
- D. Tetracycline
Correct Answer: A
Rationale: Amoxicillin is safe and effective for treating chlamydia during pregnancy, posing no known fetal risks.