1) A nurse is preforming a newborn assessment. Which of the following images should the nurse Identify as an indication of spina bifida occulta?

tuff of hair

2) A nurse is assessing a client who is 12 hr postpartum. The client's fundus is two fingerbreadths above the umbillicus, deviated to the right of the midline, and less firm than previously noted. Which of the following actions should the nurse take?

assist the client to the bathroom to void

3) A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching?

You will be offered orange juice to drink during the test

4) A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurse's priority?

Begin FHR(Fetal Heart Rate) monitoring

5) A nurse is developing an educational program for adolescents about nutrition during the third trimester of pregnancy. Which of the following statements should the nurse

include in the program?

Consume three to four servings of dairy each day

6) A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?

Weight gain of 2.2 kg (4.8 lb)

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