A. Dark yellow amniotic fluid
B. Clear amniotic fluid
C. Greenish amniotic fluid
D. Red amniotic fluid
A. Avoid eating sweets
B. Report changes in urinary pattern
C. Allow three hours for onset
D. Check the glucose daily
A. Reposition the monitor
B. Turn the client to her left side
C. Ask the client to ambulate
D. Prepare the client for delivery
A. Are smooth in texture
B. Have irregular borders
C. Are cool to touch
D. Are painful to touch
A. Anticipate the need for a Caesarean section
B. Apply an internal fetal monitor
C. Place the client in genupectoral position
D. Perform an ultrasound
A. The cervix is closed.
B. The membranes are still intact.
C. The fetal heart tones are within normal limits.
D. The contractions are intense enough for insertion of an internal monitor.
A. Impaired gas exchange related to hyperventilation
B. Alteration in placental perfusion related to maternal position
C. Impaired physical mobility related to fetal-monitoring equipment
D. Potential fluid volume deficit related to decreased fluid intake
A. The baby is sleeping.
B. The umbilical cord is compressed.
C. There is head compression.
D. There is uteroplacental insufficiency.
A. Notify her doctor
B. Start an IV
C. Reposition the client
D. Readjust the monitor
A. A fetal heart rate of 120–130bpm
B. A baseline variability of 6–10bpm
C. Accelerations in FHR with fetal movement
D. A recurrent rate of 90–100bpm at the end of the contractions
A. The bladder fills more rapidly because of the medication used for the epidural.
B. Her level of consciousness is such that she is in a trancelike state.
C. The sensation of the bladder filling is diminished or lost.
D. She is embarrassed to ask for the bedpan that frequently.
A. Estrogen levels are low.
B. Luteinizing hormone is high.
C. The endometrial lining is thin.
D. The progesterone level is low.
A. Age of the client
B. Frequency of intercourse
C. Regularity of the menses
D. Range of the client’s temperature
A. Intrauterine device
B. Oral contraceptives
C. Diaphragm
D. Contraceptive sponge
A. Painless vaginal bleeding
B. Abdominal cramping
C. Throbbing pain in the upper quadrant
D. Sudden, stabbing pain in the lower quadrant
A. Hamburger patty, green beans, French fries, and iced tea
B. Roast beef sandwich, potato chips, baked beans, and cola
C. Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea
D. Fish sandwich, gelatin with fruit, and coffee
A. Respiratory alkalosis without dehydration
B. Metabolic acidosis with dehydration
C. Respiratory acidosis without dehydration
D. Metabolic alkalosis with dehydration
A. Elevated human chorionic gonadatropin
B. The presence of fetal heart tones
C. Uterine enlargement
D. Breast enlargement and tenderness
A. Hypoglycemic, small for gestational age
B. Hyperglycemic, large for gestational age
C. Hypoglycemic, large for gestational age
D. Hyperglycemic, small for gestational age
A. Weight gain should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotics.
C. If the client misses one or more pills, two pills should be taken per day for one week.
D. Changes in the menstrual flow should be reported to the physician.
A. Diabetes
B. HIV
C. Hypertension
D. Thyroid disease
A. Assess the fetal heart tones
B. Check for cervical dilation
C. Check for firmness of the uterus
D. Obtain a detailed history
A. Her contractions are two minutes apart.
B. She has back pain and a bloody discharge.
C. She experiences abdominal pain and frequent urination.
D. Her contractions are five minutes apart.
A. Low birth weight
B. Large for gestational age
C. Preterm birth, but appropriate size for gestation
D. Growth retardation in weight and length
A. Within 72 hours of delivery
B. Within one week of delivery
C. Within two weeks of delivery
D. Within one month of delivery
A. Degree of cervical dilation
B. Fetal heart tones
C. Client’s vital signs
D. Client’s level of discomfort
A. Active
B. Latent
C. Transition
D. Early
A. Teaching the mother to provide tactile stimulation
B. Wrapping the newborn snugly in a blanket
C. Placing the newborn in the infant seat
D. Initiating an early infant-stimulation program
A. Checking for cervical dilation
B. Placing the client in a supine position
C. Checking the client’s blood pressure
D. Obtaining a fetal heart rate
A. Administer a prescribed antibiotic
B. Wash her hands for two minutes before care
C. Wear a mask when providing care
D. Ask the client to cover her mouth when she coughs
A. Pain
B. Disalignment
C. Cool extremity
D. Absence of pedal pulses
A. Lack of exercise
B. Hormonal changes
C. Lack of calcium
D. Genetic predisposition
A. The infant no longer complains of pain.
B. The buttocks are 15º off the bed.
C. The legs are suspended in the traction.
D. The pins are secured within the pulley.
A. Uses a Steinman pin
B. Requires that both legs be secured
C. Utilizes Kirschner wires
D. Is used primarily to heal the fractured hips
A. Serum collection (Davol) drain
B. Client’s pain
C. Nutritional status
D. Immobilizer
A. I must flush the tube with water after feedings and clamp the tube.
B. I must check placement four times per day.
C. I will report to the doctor any signs of indigestion.
D. If my father is unable to swallow, I will discontinue the feeding and call the clinic.
A. Scant bleeding on the dressing
B. Low-grade temperature
C. Hemoglobin of 7gm/dL
D. Urine output of 120mL during the last hour
A. The child has traveled out of the country in the last six months.
B. The child’s parents are skilled stained glass artists.
C. The child lives in a house built in 1990.
D. The child attends a public daycare facility.
A. Raised commode
B. Velcro fasteners
C. Hand grip utensils
D. Large button clothing
A. Diffuse aching in the leg
B. Tight burning pain in the calf
C. Localized pain along the shin
D. Throbbing sensation in the toes
A. Sixteen-year-old male with leukemia
B. Twelve-year-old male with a fractured humerus
C. Ten-year-old male with sarcoma
D. Six-year-old male with osteomyelitis
A. Take the medication with milk
B. Report chest pain to the physician
C. Remain upright 30 minutes after taking the medication
D. Allow six weeks for optimal effects
A. The nurse handles the cast with the fingertips.
B. The nurse allows 24 hours for the cast to dry.
C. The nurse dries the cast with a blow dryer.
D. The nurse tells the client to wait 30 minutes before bearing weight.
A. It will be alright for your friends to autograph the cast.
B. Because the cast is made of plaster, autographing can weaken the cast.
C. If they don’t use chalk to autograph, it is okay.
D. Autographing or writing on the cast in any form will harm the cast.
A. Assist the LPN with opening sterile packages and peroxide
B. Tell the LPN that clean gloves are allowed
C. Tell the LPN that the registered nurse should perform pin care
D. Ask the LPN to clean the weights and pulleys with peroxide
A. Auscultating bowel sounds
B. Assessing the blood pressure
C. Offering pain medication as needed
D. Assessing for swelling in the upper extremities
A. The nurse may remove the weights for bathing.
B. Blocks should be placed beneath the head of the bed.
C. The weights must hang freely to be effective.
D. The nurse should massage reddened areas to prevent skin breakdown.
A. Use of the CPM device will permit the client to ambulate during the therapy.
B. The CPM device controls should be positioned out of the client’s reach.
C. If the client complains of pain during therapy, I will discontinue use of the device and call the doctor.
D. Use of the CPM device will eliminate the need for physical therapy after the client is discharged.
A. Palms of the hands rest lightly on the handles.
B. Elbows are extended 0º.
C. Client steps all the way forward to the front of the walker.
D. Client lifts and carries the walker while ambulating.
A. Attempt to replace the cord
B. Place the client on her left side
C. Elevate the client’s hips
D. Cover the cord with a dry, sterile gauze
A. The tube will allow for equalization of the lung expansion.
B. Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.
C. Chest tubes relieve pain associated with a collapsed lung.
D. Chest tubes assist with cardiac function by stabilizing lung expansion.
A. Mother’s educational level
B. Infant’s birth weight
C. Size of the mother’s breast
D. Mother’s desire to breastfeed
A. The presence of scant bloody discharge
B. Frequent urination
C. The presence of green-tinged amniotic fluid
D. Moderate uterine contractions
A. Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.
B. Duration is measured by timing from the end of one contraction to the beginning of the next contraction.
C. Duration is measured by timing from the beginning of one contraction to the end of the same contraction.
D. Duration is measured by timing from the peak of one contraction to the end of the same contraction.
A. Maternal hypoglycemia
B. Fetal bradycardia
C. Maternal hyperreflexia
D. Fetal movement
A. Insulin requirements moderate as the pregnancy progresses.
B. A decreased need for insulin occurs during the second trimester.
C. Elevations in human chorionic gonadotropin decrease the need for insulin.
D. Fetal development depends on adequate insulin regulation.
A. Providing a calm environment
B. Obtaining a diet history
C. Administering an analgesic
D. Assessing fetal heart tones
A. Down syndrome
B. Respiratory distress syndrome
C. Turner syndrome
D. Pathological jaundice
A. Magnesium sulfate
B. Calcium gluconate
C. Dinoprostone (Prostin E.)
D. Bromocriptine (Parlodel)
A. Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.
B. Stop the infusion of magnesium sulfate and contact the physician.
C. Slow the infusion rate and turn the client on her left side.
D. Administer calcium gluconate IV push and continue to monitor the blood pressure.
A. An affected child has unaffected parents.
B. An affected child has one affected parent.
C. Affected parents have a one-in-four chance of passing on the defective gene.
D. Affected parents have unaffected children who are carriers.
A. Because it is a state law
B. To detect cardiovascular defects
C. Because of her age
D. To detect neurological defects
A. There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.
B. Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.
C. It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.
D. Fetal growth is arrested if thyroid medication is continued during pregnancy.
A. An apical pulse of 100
B. An absence of tonus
C. Cyanosis of the feet and hands
D. Jaundice of the skin and sclera
A. Supplemental oxygen
B. Fluid restriction
C. Blood transfusion
D. Delivery by Caesarean section
A. Increasing fluid intake
B. Limiting ambulation
C. Administering an enema
D. Withholding food for eight hours
A. 14 pounds
B. 24 pounds
C. 18 pounds
D. 16 pounds
A. Determines the lung maturity of the fetus
B. Measures the activity of the fetus
C. Shows the effect of contractions on the fetal heart rate
D. Measures the neurological well-being of the fetus
A. Chest x-ray
B. Pregnancy test
C. Allergy testing
D. TB skin test
A. Alteration in coping related to pain
B. Potential for injury related to precipitate delivery
C. Alteration in elimination related to anesthesia
D. Potential for fluid volume deficit related to NPO status
A. Dilantin (phenytoin)
B. ASA (aspirin)
C. Zovirax (acyclovir)
D. Motrin (ibuprofen)
A. Nitro-Stat (nitroglycerin)
B. Atropine
C. Inderal (propranolol)
D. Calan (verapamil)
A. Avoid exercise because it fatigues the joints
B. Take prescribed anti-inflammatory medications with meals
C. Alternate hot and cold packs to affected joints
D. Avoid weight-bearing activity
A. Demerol (meperidine)
B. Pepcid (famotidine)
C. Zantac (ranitidine)
D. Duramorph (morphine sulfate)
A. Hallucinogenic drugs create both stimulant and depressant effects.
B. Hallucinogenic drugs induce a state of altered perception.
C. Hallucinogenic drugs produce severe respiratory depression.
D. Hallucinogenic drugs induce rapid physical dependence.
A. Rapid speech
B. Nystagmus
C. Anisocoria
D. Polyphagia
A. Right breech presentation
B. Right occipital anterior presentation
C. Left sacral anterior presentation
D. Left occipital transverse presentation
A. Sinusitis
B. Hormonal influences
C. Food additives
D. Psychological stress
A. Serve high-calorie foods she can carry with her
B. Encourage her appetite by sending out for her favorite foods
C. Serve her small, attractively arranged portions
D. Allow her in the unit kitchen for extra food whenever she pleases
A. Hips are resting on the bed with the legs suspended at a right angle to the bed.
B. Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed.
C. Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed.
D. Hips and legs are flat on the bed with the traction positioned at the foot of the bed.
A. Covering the lesions with a sterile dressing
B. Wearing gloves when providing care
C. Administering aspirin for discomfort
D. Administering Zovirax (acyclovir) within 72 hours of the outbreak
A. 15 minutes after the infusion
B. Prior to the fourth infusion
C. One hour after the infusion
D. Two hours before the second infusion
A. Refrain from keeping the diaphragm in longer than four hours
B. Store the diaphragm in a cool place
C. Have the diaphragm resized if she gains five pounds
D. Have the diaphragm resized if she has any surgery
A. I’m wearing a support bra.
B. I’m expressing milk from my breast.
C. I’m drinking four glasses of fluid during a 24-hour period.
D. While I’m in the shower, I’ll allow the water to run over my breasts.
A. Facial pain
B. Absence of ability to smell
C. Absence of eye movement
D. Tinnitus
A. Cause diarrhea
B. Change the color of her urine
C. Cause mental confusion
D. Cause changes in taste
A. Calcium level
B. Pregnancy test
C. Potassium level
D. Creatinine level
A. Limit your activity while taking the medication.
B. Supplement your diet with high-carbohydrate sources.
C. Use an incentive spirometer to improve respiratory function.
D. Increase your fluid intake to eight glasses of water a day.
A. Pregnancy
B. A titanium hip replacement
C. Allergy to eggs
D. Inability to lie still for 30 minutes
A. Changes in vision
B. Nausea
C. Urinary frequency
D. Changes in skin color
A. The client with diabetes with a blood glucose of 95mg/dL
B. The client with hypertension being maintained on Zestril (lisinopril)
C. The client with chest pain and a history of angina
D. The client with Raynaud’s disease
A. Once per day in the morning
B. Three times per day with meals
C. Once per day at bedtime
D. Four times per day
A. The lens controls stimulation of the retina.
B. The lens orchestrates eye movement.
C. The lens focuses light rays on the retina.
D. The lens magnifies small objects.
A. Anesthetize the cornea
B. Dilate the pupils
C. Constrict the pupils
D. Paralyze the muscles of accommodation
A. Allow five minutes between the administration of the two medications
B. Administer the two medications at the same time
C. Allow 30 minutes between the administration of the two medications
D. Separate the administration of the medication by one to two hours
A. Orange
B. Violet
C. Red
D. Yellow
A. Report ankle edema
B. Check his blood pressure daily
C. Refrain from using a microwave oven
D. Monitor his pulse rate
A. 1900
B. 1200
C. 1000
D. 0700
A. Increase intake of red meats
B. Avoid citrus fruits
C. Limit the intake of dairy products
D. Drink a glass of cranberry juice every day
A. I will make sure I eat breakfast within two hours of taking my insulin.
B. I will need to carry candy or some form of sugar with me all the time.
C. I will eat a snack around three o’clock each afternoon.
D. I can save my dessert from supper for a bedtime snack.
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