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

following 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

following findings 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 the nurse include?

- Your contractions will become temporarily regular

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

Which of the following should the nurse include in the policy?

- Obtain an imprint of the infants’ feet prior to taking him into the nursery

A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The nurse notes a steady

trickle of 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

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 in the next year?

- March 28

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

the following actions should the nurse take?

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

A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying

in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms,

the mother states, "No, the baby is too tired to be held." Which of the following actions should

the nurse take? - Demonstrate how to hold the newborn and allow the client to practice