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1) A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The
client reports sore nipples. Which of the following actions should the nurse take?
a. Have the client limit the length of breastfeeding to 5 min per breast
b. Assessthe newborn’slatch while breastfeeding
c. Instruct the client to wait 4 hours between daytime feedings
d. Offersupplemental formula between the newborn’sfeedings
2) A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal
head retract against the client’s perineum immediately following emergence. Which ofthe
following actions should the nurse take?
a. Assessfetal position using Leopold maneuvers
b. Apply pressure to the client’s suprapubic area
c. Reposition the client in the left lateral position
d. Empty the bladder using crede maneuver
3) A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour
ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk
for which of the following conditions
a. Ectopic pregnancy
b. Postpartum Hemorrhage
c. Incompetent cervix
d. Hyperemesis gravidarum
4) A nurse is assessing a client who is at 37 weeks gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
a. I have been seeing spotsthis morning
b. My feet are really swollen today
c. I didn’t have lunch today, but I had breakfast this morning
d. It burns when I urinate
5) A nurse is caring for a client who isin the second stage of labor. Which of the following
manifestations should the nurse expect?
a. The client expelsthe placenta
b. The client delivers the newborn
c. The client begins having regular contractions
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