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A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I should expect to feel pain in my upper right abdomen if I am having preterm labor.
- B. I have contractions more often than every 10 minutes. I might be in preterm labor.
- C. I might be experiencing preterm labor if walking stops my contractions.
- D. I can take a daily iron supplement to prevent preterm labor.
Correct Answer: B
Rationale: Frequent contractions (more than every 10 minutes) indicate preterm labor, showing understanding of a key symptom.
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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
- A. Have the client ambulate as often as possible.
- B. Apply warm, moist packs to the client's lower legs.
- C. Apply elastic stockings before the client gets out of bed.
- D. Administer NSAIDs every 4 to 6 hours.
Correct Answer: A
Rationale: Encouraging ambulation stimulates circulation, preventing blood clots and reducing thrombophlebitis risk post-cesarean.
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Which of the following laboratory tests is the priority to complete?
- A. Urinalysis for ketones.
- B. Serum bilirubin.
- C. Liver enzymes.
- D. Complete blood count.
Correct Answer: A
Rationale: Urinalysis for ketones is the priority to assess dehydration and nutritional status, critical in managing hyperemesis gravidarum.
A nurse is checking the reflexes of a newborn.
Which of the following actions should the nurse use to elicit the Babinski reflex?
- A. Place the newborn supine and apply pressure to the soles of the feet.
- B. Pull the newborn up by the wrist from a supine position.
- C. Touch the corner of the newborn's mouth.
- D. Stroke upward on the lateral aspect of the sole of the newborn's foot.
Correct Answer: D
Rationale: Stroking upward on the lateral sole elicits the Babinski reflex, causing toes to fan out, a normal newborn response.
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Which of the following conditions should the nurse include as a risk factor?
- A. Oligohydramnios.
- B. Breech presentation.
- C. Retained placental fragments.
- D. Urinary tract infection.
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.
Which of the following statements should the nurse make?
- A. You will be prescribed methadone.
- B. You will be prescribed aripiprazole.
- C. You will be prescribed diazepam.
- D. You will be prescribed naloxone.
Correct Answer: A
Rationale: Methadone is commonly prescribed for opioid use disorder in pregnancy, safely managing withdrawal and reducing relapse risk for mother and fetus.