Which of the following danger signs of pregnancy should the nurse teach a patient to report promptly?

Nasal congestion.

Edema of face and hands.

Hemorrhoids.

Varicose veins.

Answer and Explanation

The Correct Answer is B

The nurse should teach the patient to report promptly any edema of the face and hands.
Edema of the face and hands can be a sign of preeclampsia, a serious pregnancy complication that can lead to high blood pressure and damage to organs such as the liver and kidneys.
Preeclampsia can be dangerous for both the mother and the baby and requires prompt medical attention.
Choice A is not an answer because nasal congestion is a common symptom during pregnancy and is not considered a danger sign.
Choice C is not an answer because hemorrhoids are also a common symptom during pregnancy and are not considered a danger sign.
Choice D is not an answer because varicose veins are also a common symptom during pregnancy and are not considered a danger sign.

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Correct Answer is D

Explanation

“You should place your baby on her back when sleeping to decrease the risk of SIDS.” According to Mayo Clinic, placing a baby on their back to sleep is one of the most important measures that can be taken to help protect a child from SIDS1.
Choice A is incorrect because there is no evidence that SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.
Choice B is incorrect because SIDS rates have actually decreased dramatically since the American Academy of Pediatrics issued its safe sleep recommendations in 19922.
Choice C is incorrect because while sleep apnea may contribute to breathing problems, it is not considered the main cause of SIDS1.

A. Assist the client to ambulate. B. Increase the rate of IV fluids. C. Check for blood under the client's buttock. D. Perform fundal massage.

Correct Answer is C

Explanation

The nurse should check for blood under the client’s buttocks.
A small amount of lochia rubra on the client’s perineal pad 4 hours postpartum is normal.
The fundus being midline and firm at the umbilicus is also a normal finding.
Choice A is incorrect because assisting the client to ambulate is not necessary at this time.
Choice B is incorrect because there is no need to increase the rate of IV fluids.
Choice D is incorrect because performing a fundal massage is not necessary since the fundus is already firm and midline.

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Which of the following danger signs of pregnancy should the nurse teach a patient to report promptly?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-week-old infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation. Which of the following statements should the nurse include?

The nurse is teaching family members of a child newly diagnosed with muscular dystrophy about early signs. The nurse knows that teaching was successful when a parent states that which of the following signs may indicate the condition early?

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of the fractured bone are separated, the fracture is said to be:

The nurse is discussing teenage substance use with a group of caregivers of adolescent children. Which statement made by the caregivers is most accurate regarding substance use disorders in teens?

A nurse is collecting data on an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

A pregnant client in her 38th week of gestation complains of abdominal pain and suspects she is in labor. Which finding is characteristic of true labor contractions?