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Hesi rn care of women and paediatric nursing
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Total Questions : 38
Showing 10 questions, Sign in for moreQuestion 1:
A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes.
The nurse observes several shallow, small vesicles on her pubis, labia, and perineum.
The nurse should recognize the client is exhibiting symptoms of which condition?
The nurse observes several shallow, small vesicles on her pubis, labia, and perineum.
The nurse should recognize the client is exhibiting symptoms of which condition?
Answer and Explanation
A
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Question 2:
The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4°F (38°C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?
Answer and Explanation
A
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Question 3:
During a prenatal visit, a client at 30 weeks gestation reports persistent heartburn during the past two weeks.
The nurse notes the client has 3+ bilateral, pitting, pedal edema.
Which action should the nurse implement?
The nurse notes the client has 3+ bilateral, pitting, pedal edema.
Which action should the nurse implement?
Answer and Explanation
A
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Question 4:
A woman at 36 weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping.
She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor.
Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding.
Which nursing intervention has the highest priority?
She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor.
Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding.
Which nursing intervention has the highest priority?
Answer and Explanation
A
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Question 5:
A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive.
Which action(s) should the nurse plan to perform? Select all that apply.
Which action(s) should the nurse plan to perform? Select all that apply.
Answer and Explanation
A
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Question 6:
In preparing a gravid client for a triple screen analysis, which action should the nurse take?
Answer and Explanation
A
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Question 7:
The healthcare provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously (IV) for a client with preeclampsia.
The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only)
Answer and Explanation
Correct Answer: "50" mL/hour
Explanation
Step 1 is (2 grams/hour ÷ 20 grams) × 500 mL.
Step 2 is (2 ÷ 20) × 500.
Step 3 is 0.1 × 500. The final calculated answer is 50 mL/hour.
A
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Question 8:
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.
How should the nurse respond?
How should the nurse respond?
Answer and Explanation
A
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Question 9:
Assessment findings of a 4-hour-old newborn include an axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonia, and a weak cry.
Based on these findings, which action should the nurse implement?
Based on these findings, which action should the nurse implement?
Answer and Explanation
A
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Question 10:
When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.
Which is this client's gravidity?
Which is this client's gravidity?
Answer and Explanation
A
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