1) A nurse is preforming a newborn assessment. Which of the following images

should the nurse Identify as an indication of spina bifida occulta?

tuff of hair

2) A nurse is assessing a client who is 12 hr postpartum. The client's fundus is two

fingerbreadths above the umbillicus, deviated to the right of the midline, and less

firm than previously noted. Which of the following actions should the nurse take?

assist the client to the bathroom to void

3) A nurse is teaching a client who is at 36 weeks of gestation and has a

prescription for a nonstress test. Which of the following statements should the

nurse include in the teaching?

You will be offered orange juice to drink during the test

4) A nurse is admitting a client to the labor and delivery unit when the client states,

"My water just broke." Which of the following interventions is the nurse's priority?

Begin FHR(Fetal Heart Rate) monitoring

5) A nurse is developing an educational program for adolescents about nutrition

during the third trimester of pregnancy. Which of the following statements should

the nurse include in the program?

Consume three to four servings of dairy each day

6) A nurse is assessing a client who is at 38 weeks of gestation during a weekly

prenatal visit. Which of the following findings should the nurse report to the

provider?

Weight gain of 2.2 kg (4.8 lb)

7) A nurse is providing discharge teaching to the parents of a newborn about using

a car seat properly. Which of the following instructions should the nurse include?

Position the car seat rear-facing in the back seat of the vehicle

8) A nurse is preparing to collect a blood specimen from a newborn via a heel stick.

Which of the following techniques should the nurse use to help minimize the pain

of the procedure for the newborn?

Place the newborn skin to skin on the mother's chest

9) A nurse is developing a plan for a client who has preeclampsia and is receiving

magnesium sulfate via a continuous IV infusion. Which of the following

interventions should the nurse include in the plan?

Monitor the FHR continuously

10)A nurse is caring for a client who is in labor and reports increasing rectal

pressure. She is experiencing contractions 2 to 3 mins apart, each lasting 80 to


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