1.

2. A n u rse is caring for a client following a n amn iocent esis at 1 8

w e e k s of gestation. W h i c h of the followin g findings sho uld

thenurse report t o the p rovid er as a potential comp lica tion?

• L e a k a ge of fluid f ro m the vagina

•

3. A n urse is calculating a client’s expe c ted d a t e of birth using

N agele’s rule. T he client tells the n urse that her last men st rual

cycle started on November 27

th

. Which of the following datesis the

client’s expected date of birth?

• September 3

rd

4. A n u rse is caring for a client wh o is at 4 1 w e e k s of gestation

and h as a positive contraction stress test. For wh i c h of the

following diagnosti c tests should th e nurs e p rep are th e

client?

• Biophysical profile (BPP)

• T he n urse should p rep are the client for a B P P t o further

assess fetal well-being. A positive contract ion stress test

indicates th ere is potential uteroplacent al insufficiency.

A B P P u ses a real t ime ult rasoun d to visualize physical

and physiological characteristics of the fetus a n d

observe forfetal biop hysical respo nses to stimuli.

5. A nurse is teaching a n ew parent abo ut n e w b o rn safety. Wh i c h

of the following instructions should the nurse in clud e in the

teaching?

• “You can share your room with your baby for the next few

weeks.”

The nurse should recommend room-sharing during the firstfew weeks. This

allows the parent to b e readily available to the n ewbo rn a n d learn the

newb o r n ’ s cues. Howe ver , t hen urse should instruct the parent to avoid

plac ing the n ewbo rn in their bed as it inc reases risk for su dden infant de at h

s y ndrome (SIDS).

6. A nurse is caring for a client wh o is in labor and wh o s e fetus is

in the right occiput posterior position. T h e client is dilated to 8

c m a n d reports b a ck pain. W h i c h of the followin g actions

should th e nurse take?

• Apply sacral counterpressu re.

The nurse should appl y sacral co unterpressure to assist inrelieving b a c k labor

pain related to fetal posterio r position.

7. A nurse is caring for a newborn who is undergoing

phototherapy to treat hyperbilirubinemia. Which of the

following actions should the nurse take?

• Cover the newborn’s eyes while under the phototherapy