A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?

"Plan to spend individual time with your preschooler."

"Move your preschooler from their crib to a bed the day before the baby comes home."

"Ensure that your preschooler sees you holding the baby during the initial encounter"

"Avoid bringing your preschooler to prenatal visits."

Answer and Explanation

The Correct Answer is A

A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.

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Correct Answer is D

Explanation

A. Fentanyl citrate is a potent opioid, typically reserved for severe pain and usually administered in controlled settings, not first-line postpartum analgesia.
B. Meperidine is less commonly used due to side effects and safety concerns.
C. Aspirin is generally avoided postpartum due to bleeding risks.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used postpartum for pain relief and inflammation control with a safer profile for breastfeeding mothers.

A. The client reports urinary frequency. B. The client has increased blood-tinged vaginal mucus. C. The client's station is at 3 cm. D. The client's contractions ease with walking

Correct Answer is B

Explanation

A. Urinary frequency is common in pregnancy but does not indicate labor progression.
B. Increased blood-tinged vaginal mucus (bloody show) indicates cervical dilation and labor progression.
C. Station is measured in centimeters but ranges from -3 to +3 relative to the ischial spines, so "3 cm" station is unclear and likely incorrect terminology.
D. Contractions easing with walking suggest false labor rather than progression.

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A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum following a vaginal birth. Which of the following analgesic medications should the nurse plan to administer and document in the client's medical record?

Correct Answer is D

Explanation

A nurse is assessing a client who is at 38 weeks of gestation. Upon admission 2 hr ago the client had irregular contractions, was dilated 2 cm, and was at -1 cm station. Which of the following findings indicates progression in labor?

Correct Answer is B

Explanation

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