A nurse is assessing a client who has gestational diabetes mellitus and is
experiencing hyperglycemia. Which of the following findings should the nurse
expect? – ANS Reports increased urinary output
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the nurse take? – ANS Report the client’s
condition to the local health department
A nurse is providing teaching for a client who has a new prescription for
combined oral contraceptives. Which of the following findings should the nurse
include as an adverse effect of this medication? – ANS Depression
A nurse is providing teaching to a client who is at 40 weeks of gestation and has
a new prescription for misoprostol. Which of the following instructions should
the nurse include in the teaching? – ANS “I can administer oxytocin 4 hours
after the insertion of the medication”
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease).
Which of the following actions should the nurse take? – ANS Schedule an
ultrasound examination
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A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Which of the following techniques should the nurse use to help minimize the pain
of the procedure for the newborn – ANS Place the newborn skin to skin on the
mothers chest
A nurse is performing a vaginal exam on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of
the following actions should the nurse take? – ANS Insert two gloved fingers
into the vagina and apply upward pressure to the presenting part
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse
expect the provider to prescribe? – ANS Kleihauer-Betke test
A nurse is admitting a client who is in labor. The client admits to recent cocaine
use. For which of the following complications should the nurse assess? – ANS
Abruptio placenta
A nurse is assessing a client who has severe preeclampsia. Which of the
following manifestations should the nurse expect? – ANS Blurred Vision