1. A nurse is assessing newborn following forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia - ANSWER-C Which of the following statements by client indicates an understanding of the teaching? A. "The medication could cause me to experience heart palpitations" B. "This medication could cause me to experience blurred vision" C. "This medication could cause me to experience ringing in my ears" D. "This medication could cause me to experience frequent ..." - ANSWER-A A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? A. Urine Ketones B. Rapid plasma regains C. Prothrombin time D. Urine culture - ANSWER-A A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? (SATA) A. Assisting the client into squatting position B. Having the client lie in a supine position C. Applying fundal pressure during contractions D. Encouraging the client to void every 6 hr - ANSWER-A D A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? A. Thick, White Vaginal Discharge B. Urinary Frequency C. Vulva Lesions D. Malodorous Discharge - ANSWER-D A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate? A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis B. Left Upper Abdomen C. Two fingerbreadths above the umbilicus D. Lateral at the Xiphoid Process - ANSWER-A A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? A. Urine protein contraction 200mg/24 hours B. Creatine 0.8 C. Hemoglobin 14.8 D. Platelet 60,000 - ANSWER-D A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? A. Tinnitus B. Urinary Frequency C. Breast Tenderness D. Chills - ANSWER-C (vision disturbances). A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? A. Bulging fontanelles B. Nasal flaring C. Length from head to heel of 40cm D. Chest circumference 2c (smaller than the head circumference - ANSWER-D A nurse is planning care for a newborn who has necrotizing abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? A.Increase the newborn visual stimulation B. Weigh the newborn everyday C. Discourage parental interaction after a social evaluation D. Swaddle the newborn in a flexed position - ANSWER-D A nurse is caring for a newborn who his 6 hours old had has a bedside glucometer reading of 65mg/dl. The newborns mother has type 2 diabetes mellitus. Which of the following actions should the nurse take. A. obtain a blood sampling for a serum glucose level. B. Feed the newborn immediately C. Administer 50ml of dextrose D. Reassess the blood glucose reading prior to the next feeding - ANSWER-D