1. The nurse is caring for a client, 37 weeks’ gestation, who was just told that she is group B strep _ (positive). The client states, “How could that happen? I only have sex with my husband. Will my baby be OK?” Based on this information, which of

the following should the nurse communicate to the client?

1. The client’s partner must have acquired the bacteria during a sexual encounter.

2. The bacteria do not injure babies, but they could cause the client to have a bad sore throat.

3. The client is high risk for developing pelvic inflammatory disease from the bacteria.

4. Antibiotics will be administered during labor to prevent vertical transmission of the bacteria.

2. The nurse is caring for a client in labor and delivery with the following history: G2P1000, 39 weeks’ gestation in transition phase, FH 135 with early decelerations. The client states, “I’m so scared. Please make sure the baby is ok!” Which of the following responses by the nurse is appropriate?

1. “There is absolutely nothing to worry about.”

2. “The fetal heart rate is within normal limits.”

3. “How did your first baby die?”

4. “Was your first baby preterm?”

3. A certified nursing assistant (CNA) is working with a registered nurse (RN) in the neonatal nursery. It would be appropriate for the nurse to delegate which of the following actions to the assistant?

1. Admission assessment on a newly delivered baby.

2. Patient teaching of a neonatal sponge bath.

3. Placement of a bag on a baby for urine collection.

4. Hourly neonatal blood glucose assessments.

4. A fetus is in the LOA position in utero. Which of the following findings would the nurse observe when doing Leopold’s maneuvers?

1. Hard round object in the fundal region.

2. Flat object above the symphysis pubis.

3. Soft round object on the left side of the uterus.

4. Small objects on the right side of the uterus.

5. A woman is being interviewed by a triage nurse at a medical doctor’s office. Which of the following signs/symptoms by the client would warrant the nurse to suggest that a pregnancy test be done? Select all that apply.

1. Amenorrhea.

2. Fever.

3. Fatigue.

4. Nausea.

5. Dysuria.

6. A woman is seeking counseling regarding tubal ligation. Which of the following should the nurse include in her discussion?

1. The woman will no longer menstruate.

2. The surgery should be done when the woman is ovulating.

3. The surgery is easily reversible.

4. The woman will be under anesthesia during the procedure.

7. A woman is admitted to the labor and delivery unit with active tuberculosis. She has not been under a physician’s care and is not on medication. Which of the following actions should the nursery nurse perform when the neonate is delivered?

1. Isolate the baby from the other babies in a special care nursery.

2. Keep the baby in the regular care nursery but separated from the mother.

3. Isolate the baby with the mother in the mother’s room.

4. Obtain an order from the doctor for antituberculosis medications for the baby.