A nurse is assessing a newborn who was born via a forceps-assisted birth.

Which of the following findings should the nurse identify as an injury caused by the forceps?

Depressed anterior fontanel.

Uneven gluteal skinfolds.

Epicanthal folds.

Facial asymmetry.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
A depressed anterior fontanel is not typically caused by forceps-assisted birth. It can indicate dehydration or intracranial pressure.
Choice B rationale:
Uneven gluteal skinfolds could suggest developmental dysplasia of the hip, not a forceps injury.
Choice C rationale:
Epicanthal folds are a normal characteristic in many populations and are not related to birth injuries.
Choice D rationale:
Facial asymmetry can occur due to pressure from the forceps on the facial nerves during delivery.

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Correct Answer is D

Explanation

Choice A rationale:
Uterine hypertonicity is associated with labor complications, not placenta previa.
Choice B rationale:
A persistent headache is not a typical symptom of placenta previa.
Choice C rationale:
A firm, rigid abdomen is a sign of a possible uterine rupture, not placenta previa.
Choice D rationale:
Painless, vaginal bleeding is a classic symptom of placenta previa, so this statement is correct.

A. Dim the lights in the client's room. B. Ensure the call button is within the client's reach. C. Pad the side rails of the client's bed. D. Place suction equipment at the client's bedside.

Correct Answer is C

Explanation

Choice A rationale:
Dimming the lights in the client’s room can help create a calming environment but it is not the priority when implementing seizure precautions for a client with preeclampsia.
Choice B rationale:
Ensuring the call button is within the client’s reach is important for patient safety and communication, but it is not the priority when implementing seizure precautions for a client with preeclampsia.
Choice C rationale:
Padding the side rails of the client’s bed is the priority when implementing seizure precautions for a client with preeclampsia. This is to protect the client from injury during a seizure.
Choice D rationale:
Placing suction equipment at the client’s bedside is important for maintaining airway patency after a seizure, but it is not the priority when implementing seizure precautions for a client with preeclampsia.

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A nurse is assessing a newborn who was born via a forceps-assisted birth. Which of the following findings should the nurse identify as an injury caused by the forceps?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who has preeclampsia. Which of the following actions is the nurse's priority when implementing seizure precautions?

Correct Answer is C

Explanation

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A nurse is caring for a client who is at 15 weeks of gestation during a routine prenatal visit. Exhibits Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Select all that apply.

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following pieces of information should the nurse include?

A nurse is assessing a newborn who was born via a forceps-assisted birth.

Which of the following findings should the nurse identify as an injury caused by the forceps?