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

Which of thefollowing 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 followingfindings 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 thenurse include?

“Your contractions will become temporarily regular.”

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

newborns. Which ofthe 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 trickleof 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 inthe next year?

March 28

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

Which of thefollowing actions should the nurse take?

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