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Question 59
The primary care RN assessing a pregnant client G1T0P0A0L0 with mild preeclampsia in her 30th week would include which of the following information when teaching the client?
Question 59 options:
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Limit fluid intake to 4 glasses per day |
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Weigh yourself weekly, the same time of day |
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Eat a low salt, low protein diet |
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Record the number of fetal kicks daily |
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- Question 55 A client is requesting discharge from the hospital 24-hours post-delivery. Which of the following findings suggest that the newborn is not ready for discharge? Question 55 options: The infant has been passing green-black tarry loose stools The baby needs to be woken for breastfeeding every 3 to 4 hours The cord clamp remains intact The infant has not voidedQuestion 54 A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Maternal body temperature Fetal heart rate (FHR) Correct fetal position Fetal blood pressureQuestion 60 A woman who received no antenatal care arrives at the rural health clinic at an estimated 38-weeks gestation. Following routine assessments and laboratory examinations, which of the following findings is of the highest concern? Question 60 options: BP 152/96 Medical history of fractured coccyx at age 18 BMI of 27 Rh+
- Question 4 Your 35-year-old client is 40 weeks, 6 days pregnant. She presents to labour and delivery triage with a 5 hour history of painful contractions. Her pregnancy has been complicated by gestational diabetes and a 45 lb weight gain in pregnancy (BMI = 24). A recent ultrasound performed at 38 weeks estimated the fetal weight at 3900 g. The patient is admitted to labor and delivery for expectant management. Which of the following factors places the patient at greatest risk for shoulder dystocia? Question 4 options: a) 45 lb weight gain in pregnancy b) Gestational diabetes c) A history of hypertension d) Suspected fetal macrosomiaQuestion 69 An infant born 10 minutes ago after a normal vaginal delivery had Apgar scores of 91 and 105. Infant vital signs are: axillary temperature 37.0°C, respiratory rate 50bpm and heart rate is 120bpm. The mother's vital signs are: BP 124/82, HR 70, RR 14, T 36.7˚C. Her fundus is firm, midline and at umbilicus. Which action is most appropriate for the RN to take at this time? Question 69 options: Assist the mother to the bathroom to void Place the baby in an isolette for warmth Place the baby on the mother's chest for skin-to-skin-contact Arrange for transfer of the baby to the neonatal intensive care unitQuestion 31 A client screened for diabetes at a clinic has a fasting plasma glucose level of 6.7 mmol/L. Where should the nurse focus their health teaching? The nurse will plan to teach the patient about? Question 31 options: Lifestyle changes to lower blood glucose Effects of oral hypoglycemic medications Self-monitoring of blood glucose Use of low doses of regular insulin
- Question 33 Which action by an individual who has type 1 diabetes indicates to the nurse that they need to provide teaching about exercise and glucose control? Question 33 options: The patient goes for a vigorous walk when the glucose is 8.9mmol/L The patient increases daily exercise when ketones are present in the urine The patient has a peanut butter sandwich before going for a bicycle ride The patient always carries hard candies when engaging in exerciseQuestion 3The nurse is counseling a pregnant client with type 1 diabetes about medication changes as pregnancy progresses. Which medication will be needed in increased dosages during the second half of her pregnancy? Question 3 options: a) Pancreatic enzymes b) Antihypertensives c) Estrogenic hormones d) InsulinQuestion 4The mother of a newborn tells the nurse that she is concerned that her baby is not healthy because the baby got a “vitamin shot”. How should the nurse respond? Question 4 options: “A vitamin shot is given to all newborns to get them off to a good nutritional start in life” “Your baby is fine. You must have misunderstood what was said, but I will check and get back to you” “Vitamin K is given to all newborns to help their blood clot properly. Newborns do not yet have any vitamin K stores so a shot is given to them” “A vitamin C shot is given to help protect the newborn from infections. Your baby will be healthier because a shot was given”
- Question 30 The health care provider suspects the Somogyi effect in a client whose 7:00 AM blood glucose is 12.2 mmol/L. Which action will the nurse plan to take? Question 30 options: Remind the client about the need to avoid snacking at bedtime Educate about the need to increase the rapid-acting insulin dose Administer a larger dose of long-acting insulin Check the client's blood glucose at 3:00 AMQuestion 8 A nurse is planning a prenatal class about the changes that occur during pregnancy and the necessity of routing health care supervision throughout pregnancy. Which cardiovascular compensatory mechanisms should the nurse explain will occur? Question 8 options: a) Systemic vasodilation b) Elevated blood pressure c) Decreased blood volume d) Increased cardiac outputQuestion 62 The RN is caring for a client G2T1P0A0L1 in the active phase of the first stage of labor. The client wants to use nonpharmacological measures but is feeling very anxious and fearful. The RN understands that this can result in what for her client: Question 62 options: The release of oxytocin from the pituitary gland A rapid labour and uncontrolled birth Slowed progress in labor An abnormal fetal position