Page 712 - Saunders Comprehensive Review For NCLEX-RN

obstetric settings, ed 2, New York, 2017, Springer Publishing Company.

Practice Questions

204. The nurse is providing instructions to a pregnant client with human
immunodeficiency virus (HIV) infection regarding care to the newborn after
delivery. The client asks the nurse about the feeding options that are
available. Which response should the nurse make to the client?
1. “You will need to bottle-feed your newborn.”
2. “You will need to feed your newborn by nasogastric tube
feeding.”
3. “You will be able to breast-feed for 6 months and then will need
to switch to bottle-feeding.”
4. “You will be able to breast-feed for 9 months and then will need
to switch to bottle-feeding.”
205. The home care nurse visits a pregnant client who has a diagnosis of
preeclampsia. Which assessment finding indicates a worsening of the
preeclampsia and the need to notify the primary health care provider
(PHCP)?
1. Urinary output has increased.
2. Dependent edema has resolved.
3. Blood pressure reading is at the prenatal baseline.
4. The client complains of a headache and blurred vision.
206. A stillborn baby was delivered in the birthing suite a few hours ago. After
the delivery, the family remained together, holding and touching the baby.
Which statement by the nurse would assist the family in their period of grief?
1. “What can I do for you?”
2. “Now you have an angel in heaven.”
3. “Don’t worry, there is nothing you could have done to prevent
this from happening.”
4. “We will see to it that you have an early discharge so that you
don’t have to be reminded of this experience.”
207. The nurse implements a teaching plan for a pregnant client who is newly
diagnosed with gestational diabetes mellitus. Which statement made by the
client indicates a need for further teaching?
1. “I should stay on the diabetic diet.”
2. “I should perform glucose monitoring at home.”
3. “I should avoid exercise because of the negative effects on insulin
production.”
4. “I should be aware of any infections and report signs of infection
immediately to my obstetrician.”
208. The nurse is performing an assessment on a pregnant client in the last
trimester with a diagnosis of preeclampsia. The nurse reviews the
assessment findings and determines that which finding is most closely
associated with a complication of this diagnosis?

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