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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