1. A nurse is caring for a client who is in active labor and has gonorrhea. Which of the following
should the nurse monitor for?
ANS: chorioamnionitis
2. A nurse is caring for a client who has placenta previa. WOTF should the nurse expect?
ANS: painless vaginal bleeding
3. A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the
following signs should the nurse expect?
ANS: uterine tenderness
4. A Priority to report for client who is 27 weeks gestation and is preeclamptic?
ANS: platelet count is 60
5. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.
What should the nurse include in the plan?
ANS: ensure the newborns eyes are closed beneath the shield
6. A nurse is assessing four newborns. Which of the following clinical findings should the nurse
report to the provider?
ANS: 2-hour old infant who has respiratory rate of 70
7. A nurse on a postpartum unit is caring for four clients. Which of the following clients should
receive Rh immunoglobulin?
ANS: the mother is Rh negative, and baby is Rh positive
8. Two days after delivery – teaching about lochia flow?
ANS: Lochia flow normally lasts for about 21 days, and changes from bright red, to
pinkish brown, to creamy white
9. Which site is preferred for giving an IM injection to a newborn?
ANS: the middle third of the vastus lateralis
10.Which assessment finding indicates that placental separation has occurred during the 3rd stage
of labor?
ANS: lengthening of the umbilical cord
11.A nurse is assessing a full-term newborn upon admission to the nursery. Which of the
following clinical findings should the nurse report to the provider?
ANS: transient circumoral cyanosis
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