1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the
grieving process, which intervention is most important for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise.
2. What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
3. What is the most important assessment for the nurse to conduct following the administration of
epidural anesthesia to a client who is at 40-weeks gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate.
4. A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer’s 500ml with
magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse program the
infusion pump? (Enter numeric value only.) 75ml/hr
5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which intervention is
more important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.
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