1. A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of

the following actions should the nurse take?

a. D. Use a photometer to monitor the lamp's energy

i. The nurse should monitor the lamp's energy throughout the therapy to ensure the newborn is

receiving the appropriate amount to be effective.

2. A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following

findings should the nurse expect?

a. Dark red vaginal bleeding

i. The nurse should expect this client with a mild placental abruption to have minimal dark red

vaginal bleeding.

3. A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the following

actions should the nurse perform?

a. Assess the newborn's blood glucose level

i. Infants who become cold attempt to generate heat through increased muscular and metabolic

activity. This process increases glucose consumption and puts the newborn at risk of

hypoglycemia.

4. A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client begins to

show indications of magnesium sulfate toxicity. Which of the following medicationsshould the nurse prepare to

administer?

a. Calcium gluconate

i. The nurse should discontinue the magnesium sulfate infusion immediately and prepare to

administer calcium gluconate IV to reverse the effects of magnesium sulfate and to prevent

cardiac and respiratory arrest.

5. A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort relief

measures. Which of the following pieces of information should the nurse include?

a. "Place fresh cabbage leaves on your breasts."

i. After 3 days postpartum, the client's breasts can become swollen and distended because of

congestion of the vascular structures of the breasts.

ii. Fresh cabbage leaves can be applied to engorged breasts to help relieve breast discomfort.

The coolness of the leaves and the phytoestrogens exert a therapeutic effect on engorged

breasts.

iii. Leaves should be replaced when they become wilted.

6. A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting. Which of

the following statements should the nurse include in the teaching?

a. "You should eat dry foods that are high in carbohydrates when you wake up."

i. The nurse should instruct the client to eat foods that are high in carbohydrates such as dry

toast or crackers upon waking or when nausea occurs.

7. A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states, "I've

heard that I can't use any birth control until Istop breastfeeding." Which of the following responses should the

nurse make?

a. "A progestin-only pill or injection is available for use while you are breastfeeding."

i. Progestin-only injections, implants, and birth control pills are acceptable options for clients who

are breastfeeding, although some experts recommend waiting until 6 weeks postpartum to

initiate the medication.

8. A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump following a

cesarean birth. Which of the following findings should the nurse report to the provider?