1. The nurse is planning discharge teaching for a client who had an evacuation of

gestational trophoblastic disease (GTD) two days ago. Which information is most

important for the nurse to include in this client’s teaching plan?

A. Oral contraceptive use for at least one year.

2. The nurse is planning care for a client at 30-weeks gestation who is experiencing

preterm labor. What maternal prescription is most important in preventing this fetus

from developing respiratory distress syndrome?

C. Betamethasone (Celestone) 12 mg deep IM.

3. The nurse places one hand above the symphysis while massaging the

fundus of a multiparous client whose uterine tone is boggy 15 minutes after

delivering a 7 pound 10 ounce infant. Which information should the nurse

provide the client about this fiding? B. Both the lower uterine segment and

the fundus must be massaged.

4. Which instruction should the nurse include in the discharge teaching plan of a 7-

year-old girl with a history of frequent urinary tract infections?

D. Monitor for changes in urinary odor.

5. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6

mg/dl and a hematocrit of 25.1%. What foot should the nurse encourage this client to

include in her diet? B. Chicken.

6. The newborn nursery admission protocol includes a prescption for phytonadione

(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule

provides 2 mg/ml. How many ml should the nurse administer?

0.3

7. The nurse is preparing to administer methylergonovine maleate (Methergine) to

a postpartum client. Based on what assessment finding should the nurse withhold

the drug? C. Blood pressure 149/90.

8. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both

parents and a 12-year-old sibling are the child bedside. Which instruction best

supports this family? A. “ While waiting for the healthcare provider, only one

visitor may stay with the child”