A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)

Inactivated inﬂuenza.

Human papillomavirus.

Varicella.

Measles, mumps, and rubella.

Diphtheria-acellular pertussis.

Answer and Explanation

Correct Answer : A,E

The nurse should plan to immunize the client with the inactivated inﬂuenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E).

The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated ﬂu vaccine and the Tdap vaccine.

The other vaccines listed are not recommended during pregnancy:

The human papillomavirus vaccine is not recommended during pregnancy.
The varicella vaccine is not recommended during pregnancy.
The measles, mumps, and rubella vaccine is not recommended during pregnancy.

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Correct Answer is B

Explanation

A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as well as other symptoms such as irritability, tremors, and feeding difficulties.

Choice A is not an answer because hypotonicity is not a common ﬁnding in newborns exposed to cocaine in utero.

Choice C is not an answer because increased head circumference is not a common ﬁnding in newborns exposed to cocaine in utero.

Choice D is not an answer because decreased startle response is not a common ﬁnding in newborns exposed to cocaine in utero.

A. Increased muscle weakness. B. Increased fetal movement. C. Increased respiratory rate. D. Increased urinary output. E. Increased urinary output.

Correct Answer is A

Explanation

Magnesium sulfate is used to prevent seizures in women with preeclampsia.
However, taking too much magnesium can be life-threatening to both mother and child.
In women, one of the most common symptoms of magnesium toxicity is muscle weakness12.

Choice B is not an answer because increased fetal movement is not a symptom of magnesium toxicity.
Choice C is not an answer because increased respiratory rate is not a symptom of magnesium toxicity.
Choice D is not an answer because increased urinary output is not a symptom of magnesium toxicity.

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A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Correct Answer is A

Explanation

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

A nurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching?

A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?

A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?

A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)

A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?

A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?

A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)