A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to promote effective breastfeeding?
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Question 2 of 71
A birthing person who delivered a newborn vaginally is receiving care in the labor and birth unit. The health-care provider diagnosed a retained placenta. What is the primary risk associated with a retained placenta?
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Question 3 of 71
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
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Question 4 of 71
A 35-week pregnant woman presents with ruptured membranes. What is the priority intervention?
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Question 5 of 71
What fetal change occurs when the fundal height reaches the xiphoid process?
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Question 6 of 71
A nurse is caring for a laboring person who is in the first stage of labor. What is the most important assessment to perform during this stage?
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Question 7 of 71
A pregnant patient at 28 weeks gestation reports lightheadedness and fainting when standing up. What is the most likely cause of these symptoms?
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Question 8 of 71
A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy?
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Question 9 of 71
What is the most common site for fertilization?
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Question 10 of 71
The nurse is educating a pregnant patient on the importance of prenatal care. Which statement by the patient indicates the need for further teaching?
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Question 11 of 71
A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? Select all that apply.
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Question 12 of 71
Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?
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Question 13 of 71
The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?
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Question 14 of 71
A nurse is caring for a pregnant patient at 32 weeks gestation who is experiencing severe leg cramps. What is the nurse's most appropriate intervention?
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Question 15 of 71
The nurse is providing prenatal education to a pregnant patient at 20 weeks gestation. Which of the following actions should the nurse prioritize?
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Question 16 of 71
What is the primary purpose of a vaginal examination during the second stage of labor?
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Question 17 of 71
A nurse is assessing a postpartum person for signs of postpartum hemorrhage. What is the most common early sign of postpartum hemorrhage?
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Question 18 of 71
The nurse is caring for a pregnant patient who is 34 weeks gestation and is concerned about the safety of using herbal remedies. What is the nurse's most appropriate response?
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Question 19 of 71
A nurse is caring for a postpartum person who is breastfeeding. What is the most appropriate intervention for sore nipples?
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Question 20 of 71
A nurse is caring for a pregnant patient who is at 40 weeks gestation and reports leaking clear fluid. What is the nurse's priority action?
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Question 21 of 71
A nurse is caring for a pregnant woman who is at 40 weeks gestation and is experiencing a prolonged labor. Which of the following interventions is most appropriate to promote labor progression?
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Question 22 of 71
A client asks the nurse what was meant when the physician told her she had a positive Chadwick's sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?
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Question 23 of 71
The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?
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Question 24 of 71
A pregnant patient is at 30 weeks gestation and is experiencing dizziness and lightheadedness when standing. What is the nurse's first priority action?
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Question 25 of 71
A pregnant patient at 30 weeks gestation reports back pain. What should the nurse recommend?
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Question 26 of 71
What is the most common complication of a cesarean birth?
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Question 27 of 71
A woman in labor is experiencing severe perineal pressure and the urge to push. What should the nurse assess next?
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Question 28 of 71
Which of the following is an appropriate intervention for a birthing person experiencing preterm labor?
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Question 29 of 71
Which food can a lactose-intolerant pregnant woman consume for calcium?
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Question 30 of 71
A postpartum person who delivered vaginally is being assessed for postpartum depression. What is the most concerning sign of this condition?
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Question 31 of 71
The nurse asks a woman about how the woman's husband is dealing with the pregnancy.
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Question 32 of 71
A pregnant patient is at 24 weeks gestation and reports feeling fatigued and weak. What is the most appropriate action for the nurse to take?
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Question 33 of 71
A 38-week pregnant woman presents to the labor and delivery unit with regular contractions. The cervix is 3 cm dilated and 80% effaced. What is the next appropriate nursing action?
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Question 34 of 71
During the first stage of labor, what is the primary goal of nursing care in the early phase?
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Question 35 of 71
Which of the following interventions is most appropriate for a postpartum person who has difficulty initiating breastfeeding?
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Question 36 of 71
A nurse is caring for a postpartum person who is at risk for deep vein thrombosis (DVT). What is the most appropriate nursing intervention?
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Question 37 of 71
A nurse is assessing a laboring person for signs of uterine rupture. What is the most common sign of uterine rupture?
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Question 38 of 71
A nurse is providing prenatal education to a patient who is at 20 weeks gestation. Which of the following statements indicates that the teaching has been effective?
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Question 39 of 71
The nurse explains that the birth weight of monozygotic twins is frequently below average. What is the most likely cause?
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Question 40 of 71
A pregnant patient is 28 weeks gestation and is concerned about gaining too much weight. Which of the following is most important for the nurse to emphasize?
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Question 41 of 71
What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?
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Question 42 of 71
A nurse is assessing a pregnant patient who is at 34 weeks gestation and reports swelling in the legs and feet. What is the nurse's priority action?
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Question 43 of 71
Which of the following is the most accurate description of fetal station during labor?
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Question 44 of 71
A pregnant patient at 36 weeks gestation reports feeling short of breath when lying flat. What is the most appropriate recommendation for the nurse to make?
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Question 45 of 71
A postpartum person is breastfeeding her newborn. What is the most appropriate action if the person is experiencing nipple pain?
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Question 46 of 71
A nurse is assessing a 26-week pregnant patient who is concerned about stretch marks. Which of the following interventions should the nurse suggest?
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Question 47 of 71
A patient who was admitted to the delivery room undergoes an ultrasound, which reveals that the sacrum is the presenting part; the lie is longitudinal, with both the hips and knees in flexion. Which describes this fetal presentation?
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Question 48 of 71
The nurse is educating a pregnant patient about the importance of prenatal vitamins. Which statement by the patient indicates effective teaching?
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Question 49 of 71
An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.
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Question 50 of 71
The nurse is educating a pregnant patient who is at 36 weeks gestation about the signs of labor. Which statement by the patient indicates effective teaching?
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Question 51 of 71
A nurse is assisting with a vaginal birth and notices a prolapsed umbilical cord. What is the immediate nursing action?
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Question 52 of 71
The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?
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Question 53 of 71
A nurse is caring for a postpartum person who is breastfeeding. What is the most appropriate intervention if the person is experiencing nipple pain?
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Question 54 of 71
A pregnant woman who is 20 weeks gestation asks about the risk of consuming caffeine during pregnancy. Which of the following responses is most appropriate?
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Question 55 of 71
The nurse is caring for a pregnant patient who is 37 weeks gestation and is experiencing contractions every 10 minutes. Which of the following should the nurse assess first?
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Question 56 of 71
Which food should the nurse advise a pregnant woman to avoid?
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Question 57 of 71
The nurse who will care for a patient in labor receives a report and is told that the patient's status is as follows: 4 cm, 50%, and +1 station. What should be the nurse's interpretation of this information?
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Question 58 of 71
Which statements about amniotic fluid are correct? Select all that apply.
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Question 59 of 71
A woman in her third trimester advises the nurse that she wishes to breastfeed her baby, 'but I don't think my nipples are right.' Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time?
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Question 60 of 71
The nurse is caring for a woman who is pregnant and reports that she has used tobacco throughout her pregnancy. What is the most likely risk to her baby?
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Question 61 of 71
A nurse is caring for a pregnant patient who is at 30 weeks gestation and reports experiencing dizziness and fainting when standing. What is the most likely cause of these symptoms?
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Question 62 of 71
A patient in labor is requesting pain relief. What is the most appropriate intervention for a patient in the latent phase of labor?
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Question 63 of 71
A nurse is preparing to administer a tetanus toxoid vaccine to a postpartum person. What is the nurse's priority action before administering the vaccine?
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Question 64 of 71
The nurse is caring for a pregnant patient who is 38 weeks gestation and has a history of gestational hypertension. Which of the following symptoms would indicate the need for immediate medical attention?
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Question 65 of 71
A woman in labor who is receiving oxytocin starts to experience uterine hyperstimulation. What should the nurse do first?
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Question 66 of 71
A nurse is caring for a pregnant patient who is at 28 weeks gestation and has a history of hypertension. Which of the following interventions is the most appropriate to prevent complications?
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Question 67 of 71
A nurse is assessing a laboring person for signs of fetal distress. What is the most common sign of fetal distress?
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Question 68 of 71
What complication can result from untreated respiratory distress in the newborn?
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Question 69 of 71
Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?
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Question 70 of 71
A pregnant patient reports experiencing dizziness and fainting when standing up quickly. What is the nurse's most appropriate response?
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Question 71 of 71
A patient at the obstetric office has just learned she is pregnant with dizygotic twins. What facts will the nurse include when educating this patient? (Select all that apply.)
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