1. A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of thefollowing clinical findings should the nurse identify as an indication of

postpartum infection?

Unilateral breast pain

2. A nurse is assessing a client who has preeclampsia during a prenatal visit. Whichof the followingfindings should the nurse report to the provider?

Urine protein of 3+

3. A nurse is providing teaching about the expected effects of magnesiumsulfate toaclient

who is at 28 weeks gestation and has preeclampsia. Which of the following responsesbythe nurses is appropriate?

“This medication prevents seizures.” 4. A nurse is teaching a prenatal class regarding false labor. Which of the followinginformation should thenurse include?

“Your contractions will become temporarily regular.” 5. A nurse manager is revising a maternal unit policy to ensure proper identificationof

newborns. Which ofthe following should the nurse include in the policy?

Obtain an imprint of the infant’s feet prior to taking him to the nursery

6. A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The nurse notesa steady trickleof vaginal bleeding that does not stop with fundal massage. Whichof thefollowing actions should the nurse take?

Administer 500 mL lactated ringer’s IV bolus

7. A nurse is providing discharge instructions to a client who is postpartumand has

engorged breasts. Which of the following nonpharmacological comfort measures shouldthe nurse include in the teaching?

Apply cabbage leaves after feedings

8. A nurse is calculating the estimated date of birth using Nagele’s rule for a client whoispregnant and whose last menstrual cycle started June 21. Which of the followingistheestimated date of delivery inthe next year?

March 28

9. A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of thefollowing actions should the nurse take?

Prepare the client for what to expect the fetus to look like.

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