The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to: A. Notify her doctor B. Start an IV C. Reposition the client D. Readjust the monitor Correct Answer: C. Reposition the client The initial action by the nurse observing a late… Read More »
Which of the following is a characteristic of a reassuring fetal heart rate pattern? A. A fetal heart rate of 170–180 bpm B. A baseline variability of 25–35 bpm C. Ominous periodic changes D. Acceleration of FHR with fetal movements Correct Answer: D. Acceleration of FHR with… Read More »
The rationale for inserting a French catheter every hour for the client with epidural anesthesia is: 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… Read More »
The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is: A. Measure the urinary output B. Check the vital signs C. Encourage increased fluid intake D. Weigh the client Correct Answer: B. Check the… Read More »
The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy? A. Painless vaginal bleeding B. Abdominal cramping C. Throbbing pain in the upper quadrant D. Sudden, stabbing pain in the lower quadrant Correct Answer: D. Sudden, stabbing… Read More »
The client with hyperemesis gravidarum is at risk for developing: A. Respiratory alkalosis without dehydration B. Metabolic acidosis with dehydration C. Respiratory acidosis without dehydration D. Metabolic alkalosis with dehydration Correct Answer: B. Metabolic acidosis with dehydration The client with hyperemesis has persistent nausea and vomiting. With… Read More »
The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be: A. Hypoglycemic, small for gestational age B. Hyperglycemic, large for gestational age C. Hypoglycemic, large for gestational age D. Hyperglycemic, small for gestational age Correct Answer: C. Hypoglycemic,… Read More »
A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to: A. Assess the fetal heart tones B. Check for cervical dilation C. Check for firmness of the uterus D. Obtain a detailed history Correct… Read More »
A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when: A. Her contractions are 2 minutes apart. B. She has back pain and a bloody discharge. C. She experiences abdominal pain and frequent urination. … Read More »
The client with color blindness will most likely have problems distinguishing which of the following colors? A. Orange B. Violet C. Red D. White Correct Answer: B. Violet Clients with color blindness will most likely have problems distinguishing violets, blues, and green. The most common forms are protanopia and… Read More »