A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of the

following clinical findings should the nurse identify as an indication of postpartum infection?

Unilateral breast pain

A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following

findings should the nurse report to the provider?

Urine protein of 3+

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28

weeks gestation and has preeclampsia. Which of the following responses by the nurses is appropriate?

“This medication prevents seizures.”

A nurse is teaching a prenatal class regarding false labor. Which of the following information should the

nurse include?

“Your contractions will become temporarily regular.”

A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of

the following should the nurse include in the policy?

Obtain an imprint of the infant’s feet prior to taking him to the nursery

A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The nurse notes a steady trickle

of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the

nurse take?

Administer 500 mL lactated ringer’s IV bolus

A nurse is providing discharge instructions to a client who is postpartum and has engorged breasts.

Which of the following nonpharmacological comfort measures should the nurse include in the teaching?

Apply cabbage leaves after feedings

A nurse is calculating the estimated date of birth using Nagele’s rule for a client who is pregnant and

whose last menstrual cycle started June 21. Which of the following is the estimated date of delivery in

the next year?

March 28

A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the

following actions should the nurse take?

Prepare the client for what to expect the fetus to look like.