A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
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Question 2 of 101
A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A�
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Question 3 of 101
During a postpartum examination, the nurse notes that a client's left calf is warm and swollen. Which of the following actions by the nurse is appropriate at this time?
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Question 4 of 101
A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is
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Question 5 of 101
The nurse is caring for a client who is scheduled to have an amniocentesis. Which intervention is most important for the nurse to perform after the procedure?
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Question 6 of 101
The nurse has admitted a client who is 30 weeks gestation with suspected intrauterine growth restriction. The physician has ordered a Doppler blood flow study. What does the nurse suspect if the results show an S/D ratio above the 95th percentile for the gestational age, a ratio above 3, or end-diastolic blood flow that is absent or reversed?
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Question 7 of 101
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
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Question 8 of 101
A client with diabetes mellitus is at 37 weeks gestation. She has had weekly NSTs for the last 3 weeks, and the results have been reactive. This week, the NST was nonreactive after 40 minutes. The nurse anticipates which of the following will be performed for the client based on these results?
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Question 9 of 101
A fetal fibronectin assessment of the cervicovaginal fluids of a 28-week gravida is positive. Based on the results, which of the following complaints should the nurse advise the client to report immediately to the health care provider?
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Question 10 of 101
The nurse is caring for a client in labor with her third baby. She is 39 weeks gestation, 6 cm dilated, 80% effaced, and 0 station, with minimal variability and recurrent variable decelerations. What action is the highest priority for the nurse?
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Question 11 of 101
A client who had a vaginal delivery 2 hours earlier has just been transferred to the postpartum unit from labor and delivery. Which of the following nursing care goals is of highest priority?
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Question 12 of 101
A woman is being interviewed by a triage nurse at a medical doctor's office. Which of the following signs/symptoms by the client would warrant the nurse to suggest that a pregnancy test be done? Select all that apply.
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Question 13 of 101
A woman who states that she smokes 2 packs of cigarettes each day is admitted to the labor and delivery suite in labor. The nurse should monitor this labor for which of the following?
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Question 14 of 101
A woman is admitted to the labor and delivery unit with active tuberculosis. She has not been under a physician's care and is not on medication. Which of the following actions should the nursery nurse perform when the neonate is delivered?
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Question 15 of 101
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. Scheduling an ultrasound is a standing prescription for the patient's health care provider. When is the best time for the nurse to schedule the patient's ultrasound?
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Question 16 of 101
Which laboratory result would be a cause for concern if exhibited by a patient at her first prenatal visit during the second month of her pregnancy?
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Question 17 of 101
During a vaginal delivery of a macrosomic baby, the nurse midwife requests nursing assistance. Which of the following actions by the nurse would be appropriate?
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Question 18 of 101
A 4-day-old breastfeeding neonate, whose birth weight was 2,678 grams, has lost 286 grams since its cesarean birth. Which of the following actions should the nurse take?
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Question 19 of 101
A pregnant patient has received the results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nurse anticipate as being implemented in the patient's plan of care?
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Question 20 of 101
The health care practitioner caring for a pregnant client diagnosed with gonorrhea writes the following order: ceftriaxone 250 mg IM × one dose. The medication is available in 1-gram vials. The nurse adds 8 mL of normal saline to the vial. How many mL of the medication should the nurse administer? Calculate to the nearest whole.
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Question 21 of 101
A client on the obstetric unit is receiving IV medications per physician's orders. On rounds the nurse notes that the client's IV has infiltrated. Which of the following actions should the nurse perform first?
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Question 22 of 101
A mother, 39 weeks' gestation, is admitted to the labor suite with rupture of membranes 15 minutes earlier and contractions q 8 minutes × 30 seconds. On vaginal exam, the cervix is 4 cm dilated and 80% effaced, and the station is –2. The baby is found to be in the LSP position. The fetal heart rate is 144 with average variability and variable decelerations. Which of the following complications of labor must the nurse assess this client for at this time?
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Question 23 of 101
The nurse is preparing to teach a client how to perform daily fetal kick counts. Which instruction is most important for the nurse to give the client?
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Question 24 of 101
The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?
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Question 25 of 101
A client, 6 cm and 80% effaced, has just received Demerol (meperidine) 50 mg IV for pain. Which of the following fetal heart changes would the nurse expect to observe on the internal fetal monitor tracing?
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Question 26 of 101
You are performing assessments for an obstetric patient who is 5 months pregnant with her third child. Which finding would cause you to suspect that the patient was at risk?
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Question 27 of 101
The nurse is admitting a client, who reports, 'My water broke yesterday, and I haven't felt my baby move any today.' She is 38 weeks with a history of gestational diabetes. Which assessment data is of most concern to the nurse on admission?
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Question 28 of 101
A patient who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition?
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Question 29 of 101
A breastfeeding mother and her baby are being discharged home after delivery. The nurse is providing anticipatory guidance about what signs to expect the baby to exhibit every 24 hours by the end of the first week. Which of the following should the nurse include in his/her instructions?
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Question 30 of 101
What assessments or tests would the nurse inform the pregnant patient they can expect to have at each prenatal visit?
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Question 31 of 101
Which complaint made by a patient at 35 weeks of gestation requires additional assessment?
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Question 32 of 101
The nurse is performing Leopold's maneuvers on a pregnant patient at 36 weeks of gestation and determines the fetal lie is longitudinal, palpates the fetal legs in the top of the uterus, and palpates the fetal head above the symphysis pubis. Which fetal presentation does the nurse document in the EHR?
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Question 33 of 101
A woman, who is in pain from a diagnosis of mastitis, has abruptly weaned her baby to a bottle. Her actions place the woman at high risk for which of the following?
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Question 34 of 101
A postpartum client, who delivered her baby vaginally 2 hours earlier, just voided 100 mL in the bathroom. After returning to bed, the nurse makes the following assessment: fundus 4 cm above the umbilicus and deviated to the right with moderate lochia rubra. Which of the following nursing diagnoses is appropriate at this time?
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Question 35 of 101
The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?
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Question 36 of 101
What is the purpose of initiating contractions in a contraction stress test (CST)?
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Question 37 of 101
The nurse would be concerned that a 26-week-gravid client is carrying an unwanted pregnancy when the client makes which of the following statements?
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Question 38 of 101
A pregnant patient's biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse's most appropriate response?
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Question 39 of 101
The triage nurse in an obstetric clinic received the following four messages during the lunch hour. Which of the women should the nurse telephone first?
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Question 40 of 101
The nurse is teaching her client about the methods of electronic fetal monitoring during labor. Her client asks which method has the fewest risks to her baby and allows her the most freedom. What is the most appropriate response by the nurse?
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Question 41 of 101
A client's vital signs during labor and delivery were: BP 100/58–110/66, T 98.6ºF–98.8ºF, P 72–80 bpm, R 20–24 rpm. The client's vitals 2 hours postpartum are BP 100/56, TPR 99.4ºF, P 70 bpm, R 20 rpm. Which of the following actions should the nurse perform at this time?
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Question 42 of 101
The nurse is caring for a client, 37 weeks' gestation, who was just told that she is group B strep + (positive). The client states, 'How could that happen? I only have sex with my husband. Will my baby be OK?' Based on this information, which of the following should the nurse communicate to the client?
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Question 43 of 101
Which finding indicates the best quality improvement process?
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Question 44 of 101
The nurse is counseling a woman who has been diagnosed with mild osteoporosis. Which of the following should be included in the counseling session?
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Question 45 of 101
A nurse has just inserted an orogastric gavage tube into a preterm baby. When would the nurse determine that the tube is in the proper location?
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Question 46 of 101
In which type of health care facility does the nurse want to work if applying for a position with a home care organization that specializes in spinal cord injury?
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Question 47 of 101
What is the gravida and para for a patient who delivered triplets 2 years ago and is now pregnant again?
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Question 48 of 101
In 2000, the perinatal mortality rate in one county was 16. The nurse interprets that information as which of the following?
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Question 49 of 101
What does optimal nursing care after an amniocentesis include?
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Question 50 of 101
Which of the following complications of labor and delivery may develop when a baby enters the pelvis in the LMP position?
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Question 51 of 101
A client complaining of frequency, urgency, and burning on urination is seen by her health care practitioner. Which of the following factors in the client's history places her at risk for these complaints?
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Question 52 of 101
When caring for a woman whom a nurse suspects is being abused by her partner, the nurse should do which of the following?
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Question 53 of 101
A nurse is reading a research study that states, 'There is a strong negative correlation between the independent and dependent variables (r = --0.85).' The nurse interprets the statement as which of the following?
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Question 54 of 101
What is the rationale for a woman in her first trimester of pregnancy to expect to visit her health care provider every 4 weeks?
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Question 55 of 101
The nurse is discussing with the patient what laboratory tests are performed at the first prenatal visit. What tests for sexually transmitted infections does the nurse include in the discussion? Select all that apply.
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Question 56 of 101
When a pregnant woman develops ptyalism, which guidance should the nurse provide?
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Question 57 of 101
A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?
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Question 58 of 101
A birth plan is being developed by a pregnant couple. Which of the following items should be included in the plan?
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Question 59 of 101
The nurse is caring for a client and her partner who just birthed a 33-week fetal demise. Which of the following actions by the nurse is appropriate at this time?
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Question 60 of 101
Which factors should be considered a contraindication for transcervical chorionic villus sampling?
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Question 61 of 101
A fetus, descending through the birth canal, is going through the cardinal moves of labor. Please place the following moves in chronological order.
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Question 62 of 101
Which type of cutaneous stimulation involves massage of the abdomen?
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Question 63 of 101
The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
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Question 64 of 101
Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)
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Question 65 of 101
A client is receiving terbutaline (Brethine) IV for preterm labor. Which of the following maternal findings would warrant stopping the infusion?
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Question 66 of 101
A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's best response?
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Question 67 of 101
An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?
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Question 68 of 101
The nurse receives a phone call from a patient concerned about the results of the laboratory tests obtained at the first prenatal visit 10 days ago. What is the nurse's next action?
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Question 69 of 101
The nurse has received change of shift report on the following four clients. Which of the clients should the nurse assess first?
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Question 70 of 101
A baby is born addicted to crack cocaine. Which of the following signs/symptoms would the nurse expect to see?
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Question 71 of 101
A client, who is 6 hours post–vaginal delivery, has a BP of 150/110. Her last 4 BP readings were: 114/88, 120/80, 134/86, 140/90. Which of the following questions should the nurse ask the client at this time?
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Question 72 of 101
A 39-week-gestation client is admitted to the labor and delivery unit for a scheduled cesarean delivery. The nurse should inform the surgeon regarding which of the following admission laboratory findings?
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Question 73 of 101
The nurse is obtaining the first postpartum meal for a client who has stated that she practices Mormonism (the Church of Jesus Christ of Latter-Day Saints). Which of the following items should the nurse remove from the clients' food tray?
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Question 74 of 101
Without doing a vaginal examination, a nurse concludes that a primigravida, who has received no medications during her labor, is in transition. Which of the following signs/symptoms would lead a nurse to that conclusion?
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Question 75 of 101
Which laboratory is important to know when a client is having an amniocentesis?
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Question 76 of 101
A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?
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Question 77 of 101
A pregnant patient asks the prenatal nurse how much physical activity is safe during pregnancy. What is an acceptable response by the nurse?
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Question 78 of 101
A certified nursing assistant (CNA) is working with a registered nurse (RN) in the neonatal nursery. It would be appropriate for the nurse to delegate which of the following actions to the assistant?
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Question 79 of 101
Which information is covered by early pregnancy classes offered in the first and second trimesters?
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Question 80 of 101
The nurse is teaching a patient at 28 weeks of gestation how to perform fetal movement counts. What statement by the patient indicates the patient understands teaching?
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Question 81 of 101
The umbilical cord is being clamped by the obstetrician. Which of the following physiological changes is taking place at this time?
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Question 82 of 101
The mother of a neonate with Down syndrome wishes to breastfeed. Which of the following considerations should the nurse make in relation to the mother's wishes?
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Question 83 of 101
The nurse reports a nonreactive NST to the physician. The physician orders vibroacoustic stimulation. Which does the nurse understand the appropriate application for the vibroacoustic stimulation to be? Select all that apply.
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Question 84 of 101
Which aspect of fetal diagnostic testing is most important to expectant parents?
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Question 85 of 101
The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient's assessment?
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Question 86 of 101
A woman is in the 'taking-hold phase' of the postpartum period. Which of the following behaviors would the nurse expect to see?
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Question 87 of 101
A doula is working with a laboring woman who is 6 cm dilated and is contracting every 3 min × 60 sec on an oxytocin drip. Which of the following interventions should the nurse suggest the doula perform?
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Question 88 of 101
A nurse is providing prenatal education to a patient who is 8 weeks pregnant. The nurse informs the patient that the developing fetus is most vulnerable to teratogens during what trimester of pregnancy?
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Question 89 of 101
Use Naegele's rule to determine the EDD (estimated day of birth) for a patient whose last menstrual period started on April 12.
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Question 90 of 101
The nurse has identified the following nursing diagnosis for a postpartum (PP) client: Potential for fluid volume deficit. Which of the following goals for the mother is appropriate?
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Question 91 of 101
A woman and man have the following genotypes for an autosomal dominant disease: Aa and Aa. If asked, which of the following should the nurse say is the probability of their child having the disease?
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Question 92 of 101
The nurse is performing the interval history on a patient at 30 weeks of gestation. What data would the prenatal nurse bring to the attention of the health-care provider?
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Question 93 of 101
A 32-week-gravid client presents in the emergency department with severe abdominal pain, rigid abdomen, and scant dark red bleeding. The nurse should assess this client for which of the following?
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Question 94 of 101
The nurse is teaching a woman how to do the pelvic tilt exercise. In the teaching session, which of the following should the nurse tell the woman to do?
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Question 95 of 101
In preparing a pregnant patient for a nonstress test (NST), which of the following should be included in the plan of care?
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Question 96 of 101
A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply.)
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Question 97 of 101
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?
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Question 98 of 101
The nurse is discussing the methods of confirming the pregnancy with a patient at the first prenatal visit. What method is used to confirm cardiac activity of the fetus?
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Question 99 of 101
A client with type 1 diabetes mellitus is 6 weeks pregnant. Her fasting glucose and hemoglobin A1C are noted to be 168 mg/dL and 12%, respectively. Which of the following nursing diagnoses is appropriate for the nurse to make at this time?
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Question 100 of 101
The nurse is teaching a new mother about the physical characteristics and needs of her baby. Which of the following statements should the nurse include in her discussion?
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Question 101 of 101
The nurse in the obstetrician's office is caring for four 25-week-gestation prenatal clients who are carrying singleton pregnancies. With which of the following clients should the nurse carefully review the signs and symptoms of preterm labor?
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