1. The nurse is planning discharge teaching for a client w h o had an evacuation of gestational

trophoblastic disease (GTD) two days ago. Which information is most important for the nurse

to include in this clien t’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 w h o is experiencing prete rm

labor. Wh at maternal prescription is most import ant 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. Wh ich information should the nurse provide the client about this fiding?

B. Bo t h the lower uterine se g me n t a n d the f undus m us t b e m as s a ged.

4. Whi ch instruction should the nurse include in the dis charge teaching plan of a 7-year-old

girl with a history of frequent u rin a ry tract infe ction s?

D. Monitor for changes in urinary odor.

5. A pregnant w o m an in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a

hematocrit of 25.1%. W h at foot should the nurse encou r age this client to include in her diet?

B. Chicke n.

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. H o w man y 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. B l ood pres sure 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. Wh ich instruction best supports this family?

A. “ While waiting for the healthcare provider, only one visitor may stay with the