A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level.
Which of the following actions should the nurse take? Correct Answers: D. Use a photometer to
monitor the lamp's energy
A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the
following findings should the nurse expect? Correct Answers: Dark red vaginal bleeding
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the
following actions should the nurse perform? Correct Answers: Assess the newborn's blood glucose
level
A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client
begins to show indications of magnesium sulfate toxicity. Which of the following medications should
the nurse prepare to administer? Correct Answers: C. Calcium gluconate
A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast
discomfort relief measures. Which of the following pieces of information should the nurse include?
Correct Answers: "Place fresh cabbage leaves on your breasts."
A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting.
Which of the following statements should the nurse include in the teaching? Correct Answers: "You
should eat dry foods that are high in carbohydrates when you wake up."
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client
states, "I've heard that I can't use any birth control until I stop breastfeeding." Which of the following
responses should the nurse make? Correct Answers: "A progestin-only pill or injection is available for
use while you are breastfeeding."
A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA)
pump following a cesarean birth. Which of the following findings should the nurse report to the
provider? Correct Answers: Urine output 20 mL/hr
A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled
for an external cephalic version. Which of the following statements should the nurse make? Correct
Answers: B."You will receive a medication to relax your uterus prior to the procedure.
A postpartum nurse is caring for a client who reports excessive sweating during the first night after
delivery. Which of the following statements should the nurse make? Correct Answers: "This is a
source of your fluid loss after delivery."
The parents of a child with phenylketonuria (PKU) ask the nurse if their second unborn child could
have the same condition. The nurse should base the response on which of the following inheritance
patterns responsible for PKU? Correct Answers: Autosomal recessive
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