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A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
- B. I will place a thick soft pad behind my baby's back.
- C. I should place my baby in the car seat at a 90-degree angle.
- D. I will place the retainer clip at the level of my baby's armpit.
Correct Answer: D
Rationale: Placing the retainer clip at the armpit level ensures proper harness positioning, distributing crash forces safely across the baby’s chest and shoulders.
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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. Take sips of milk between meals.
- B. Eat three large meals per day.
- C. Drink a cup of black coffee before breakfast.
- D. Lie in a left side-lying position for 30 minutes after meals.
Correct Answer: A
Rationale: Sips of milk neutralize stomach acid, providing heartburn relief, a practical solution for pregnant clients.
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 collecting data from a client who has hyperemesis gravidarum.
Which of the following findings should the nurse anticipate?
- A. Decreased pulse rate.
- B. Increased fundal height.
- C. Proteinuria.
- D. Poor skin turgor.
Correct Answer: D
Rationale: Poor skin turgor is anticipated in hyperemesis gravidarum due to dehydration from persistent vomiting, a hallmark sign.
A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago.
Which of the following findings should the nurse report to the provider?
- A. BP of 132/84 mm Hg.
- B. Double vision.
- C. Weight gain of 1 kg (2.2 lb).
- D. Pedal edema.
Correct Answer: B
Rationale: Double vision can indicate preeclampsia or neurological issues, requiring immediate reporting for further evaluation and management.
A nurse is caring for a client who inquires about available methods of contraception.
Which of the following actions should the nurse take?
- A. Collect a dietary history.
- B. Assess the client's socioeconomic status.
- C. Perform unbiased teaching.
- D. Select the best method of contraception for the client.
Correct Answer: C
Rationale: Performing unbiased teaching provides comprehensive contraception information, empowering the client to make an informed decision autonomously.