1. The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to include in this client's teaching plan?
- CORRECT ANSWER A. Oral contraceptive use for at least one year.
2. The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
- CORRECT ANSWER C. Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this fiding?
- CORRECT ANSWER B. Both the lower uterine segment and the fundus must be massaged.
4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and
a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her
diet?
- CORRECT ANSWER B. Chicken.
5. The newborn nursery admission protocol includes a prescption for phytonadione
(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
provides 2 mg/ml. How many ml should the nurse administer?
- CORRECT ANSWER 0.3
6. The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the
drug?
- CORRECT ANSWER . Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit because thinks is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal
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