1.

2. A nurse is caring for a client following an amniocentesis at 18

weeks of gestation. Which of the following findings should

thenurse report to the provider as a potential complication?

• Leakage of fluid from the vagina

•

3. A nurse is calculating a client’s expected date of birth using

Nagele’s rule. The client tells the nurse that her last menstrual

cycle started on November 27th. Which of the following datesis the

client’s expected date of birth?

• September 3

rd

4. A nurse is caring for a client who is at 41 weeks of gestation

and has a positive contraction stress test. For which of the

following diagnostic tests should the nurse prepare the

client?

• Biophysical profile (BPP)

• The nurse should prepare the client for a BPP to further

assess fetal well-being. A positive contraction stress test

indicates there is potential uteroplacental insufficiency.

ABPP uses a real time ultrasound to visualize physical

and physiological characteristics of the fetus and

observe forfetal biophysical responses to stimuli.

5. A nurse isteaching a new parent about newborn safety. Which

of the following instructions should the nurse include in the

teaching?

• “You can share your room with your baby for the next few

weeks.”

The nurse should recommend room-sharing during the firstfew weeks. This

allows the parent to be readily available tothe newborn and learn the

newborn’s cues. However, thenurse should instruct the parent to avoid

placing the newborn in their bed as it increases risk for sudden infant death

syndrome (SIDS).

6. A nurse is caring for a client who isin labor and whose fetusis

in the right occiput posterior position. The clientis dilated to 8

cm and reports back pain. Which of the following actions

should the nurse take?

• Apply sacral counterpressure.

The nurse should apply sacral counterpressure to assist inrelieving back labor