When examining the fetal monitor strip after rupture of the membranes in a laboring client, the nurse notes variable decelerations in the fetal heart rate. The nurse should:
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ATI LPN · Maternal Complications in Childbirth
Question 2 of 45
Which of the following should the nurse suspect when noting that a 3-year-old is engaging in explicit sexual behavior during doll play?
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ATI LPN · Maternal Complications in Childbirth
Question 3 of 45
Through the use of social media technology, nurses can link with other nurses who may share similar interests, insights about practice, and advocate for patients. The most concerning pitfall for nurses using this technology is:
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Question 4 of 45
A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician's orders and would question which order?
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Question 5 of 45
Methergine or pitocin are prescribed for a client with PP hemorrhage. Before administering the medication(s), the nurse contacts the health provider who prescribed the medication in which of the following conditions?
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Question 6 of 45
Which of the following complications may be indicated by continuous seepage of blood from the vagina of a PP client, when palpation of the uterus reveals a firm uterus 1 cm below the umbilicus?
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Question 7 of 45
Which measure would be least effective in preventing postpartum hemorrhage?
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Question 8 of 45
The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:
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Question 9 of 45
A client is complaining of painful contractions, or afterpains, on postpartum day 2. Which of the following conditions could increase the severity of afterpains?
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Question 10 of 45
When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells?
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Question 11 of 45
A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of a slowing labor. The nurse is reviewing the physician's orders and would expect to note which of the following prescribed treatments for this condition?
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Question 12 of 45
The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate?
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Question 13 of 45
A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip?
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Question 14 of 45
A newborn weighing 3000 grams and feeding every 4 hours needs 120 calories/kg of body weight every 24 hours for proper growth and development. How many ounces of 20 cal/oz formula should this newborn receive at each feeding to meet nutritional needs?
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Question 15 of 45
The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?
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Question 16 of 45
The nurse understands that the fetal head is in which of the following positions with a face presentation?
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Question 17 of 45
Which of the following best describes preterm labor?
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Question 18 of 45
Which of the following would the nurse expect to assess in a child with suspected appendicitis?
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Question 19 of 45
A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following?
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Question 20 of 45
Barbiturates are usually not given for pain relief during active labor for which of the following reasons?
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Question 21 of 45
For which of the following clients would the nurse expect that an intrauterine device would not be recommended?
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Question 22 of 45
A pregnant person in the first stage of labor experiences rupture of membranes. What is the nurse's priority action?
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Question 23 of 45
When attempting to communicate with a patient who speaks a different language, the nurse should:
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Question 24 of 45
The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?
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Question 25 of 45
Which of the following describes the Babinski reflex?
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Question 26 of 45
Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?
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Question 27 of 45
Which of the following circumstances is most likely to contribute to the new mother's satisfaction with the childbirth experience?
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Question 28 of 45
A nurse is assessing a client in the 4th stage if labor and notes that the fundus is firm but that bleeding is excessive. The initial nursing action would be which of the following?
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Question 29 of 45
A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?
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Question 30 of 45
The nurse is caring for a patient admitted with vaginal bleeding and cramping who delivered a stillborn infant at 22 weeks' gestation. What data in the patient's health history are associated with this complication of pregnancy?
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Question 31 of 45
When taking an obstetrical history on a pregnant client who states, 'I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,' the nurse should record her obstetrical history as which of the following?
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Question 32 of 45
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
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Question 33 of 45
The infant of a substance-abusing mother is at risk for developing a sense of which of the following?
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Question 34 of 45
Which of the following actions by a community health nurse is most appropriate when noting multiple bruises and burns on the posterior trunk of an 18-month-old child during a home visit?
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Question 35 of 45
When providing therapeutic play, which of the following toys would best promote imaginative play in a 4-year-old?
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Question 36 of 45
The nurse documents positive ballottement in the client's prenatal record. The nurse understands that this indicates which of the following?
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Question 37 of 45
The woman's family members are present when the home care maternal-child nurse arrives for a postpartum and newborn visit. What should the nurse do?
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Question 38 of 45
A nurse is caring for a PP woman who has received epidural anesthesia and is monitoring the woman for the presence of a vulva hematoma. Which of the following assessment findings would best indicate the presence of a hematoma?
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Question 39 of 45
Which of the following are the most commonly assessed findings in cystitis?
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Question 40 of 45
To ensure patient safety, the practicing nurse must have knowledge of the current Joint Commission's Do Not Use list of abbreviations. Which of the following is acceptable for use?
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Question 41 of 45
The second stage of labor begins when which of the following conditions is met?
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Question 42 of 45
During the postpartum period, a nurse is caring for a birthing person who is receiving uterotonic medications. The nurse's assessment reveals a boggy and enlarged uterus. What is the nurse's immediate action?
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Question 43 of 45
Which of the following would be disadvantage of breast feeding?
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Question 44 of 45
A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client's abdomen. After attachment of the monitor, the first nursing action should be:
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Question 45 of 45
A 7-year-old with a history of allergies develops anaphylaxis after a bee sting. Which of the following would be the nurse's first action?
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