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A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Which of the following statements should the nurse make?
- A. You will not be able to eat or drink anything for 8 hours prior to the test.
- B. You will be required to lie flat on your back for the duration of the test
- C. You will receive medication through an IV line to stimulate contractions.
- D. You will press the provided button when you feel the baby moving during the test.
Correct Answer: D
Rationale: Pressing a button when feeling fetal movement during a nonstress test correlates movement with heart rate changes, assessing fetal well-being accurately.
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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. Retained placental fragments
- B. Urinary tract infection
- C. Oligohydramnios
- D. Breech presentation
Correct Answer: A
Rationale: Retained placental fragments can lead to postpartum hemorrhage due to incomplete expulsion, causing ongoing bleeding. Failure of the uterus to contract effectively increases bleeding risk, making it a significant factor.
A nurse is assisting in the care of a client who is 3 hours postpartum and reports complete saturation of their perineal pad in the past 30 minutes.
Which of the following actions is the highest priority?
- A. Perform fundal massage
- B. Weigh the perineal pad
- C. Apply oxygen by face mask
- D. Monitor urine output
Correct Answer: A
Rationale: Complete saturation of the perineal pad within 30 minutes postpartum suggests excessive bleeding, potentially indicating postpartum hemorrhage. Fundal massage stimulates uterine contractions to control bleeding by compressing blood vessels at the placental site, making it the highest priority action.
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to start chemotherapy immediately.
- B. I will need to attend a support group when I get home.
- C. I will need an amniocentesis within 1 month.
- D. I will need home palliative services after I am discharged from the hospital.
Correct Answer: B
Rationale: Attending a support group provides emotional support and coping strategies post-molar pregnancy, reflecting an understanding of the psychosocial resources available.
A nurse is collecting data from a client who has hyperemesis gravidarum.
Which of the following findings should the nurse anticipate?
- A. Increased fundal height
- B. Poor skin turgor
- C. Decreased pulse rate
- D. Proteinuria
Correct Answer: B
Rationale: Poor skin turgor is a common finding in clients with hyperemesis gravidarum due to dehydration. Excessive vomiting leads to fluid loss and dehydration, resulting in poor skin elasticity and turgor.
A nurse is transporting a newborn to their parents from the nursery. Which of the following actions should the nurse perform to confirm the newborn's identity?
- A. Ask a parent to state the newborn's date of birth.
- B. Check the newborn's footprint sheet with the medical record.
- C. Request a parent to verify the newborn's name.
- D. Compare numbers on the newborn's band to the parent's band.
Correct Answer: D
Rationale: Comparing the identification numbers on the newborn's band with the parent's band is the most reliable method to confirm identity, ensuring the newborn is matched with the correct parent(s) and preventing mix-ups or abduction.