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1.     A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the following information should the nurse include in the teaching?

“A yearly Pap test is recommended until 70 years of age.”

“Pap tests are discontinued following removal of the ovaries.”

“Avoid having sexual intercourse for 24 hours prior to the Pap test.”

“Viral infections can be detected by a Pap test.”

1.     A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?

Fetal hypoxemia

Cord compression

Uteroplacental insuciency

Head compression

2.     A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

Hypertonia

Jitteriness

Acrocyanosis

Generalized petechiae

3.     A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?

Check the newborn’s temperature every 8 hr.

Apply moisturizing lotion to the newborn’s skin every 4 hr.

Give the newborn 1 oz of glucose water every 4 hr.

Reposition the newborn every 2 to 3 hr.

1.     A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 10 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase intake during pregnancy?

Vitamin E

Vitamin D

Fiber

Calcium

1.     A nurse is caring for a newborn whose father voices concerns about his ability to bond with his baby. Which of the following actions should the nurse take to facilitate bonding? (Select all that apply.)

Point out to the father that the newborn turns toward his voice.

Ask the father why he is concerned about bonding with the newborn.

Encourage the father to touch and stroke the newborn’s skin.

Demonstrate diapering and swaddling techniques for the father.

Encourage the father to lay the newborn beside him while both are sleeping.

1.     A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?

BUN 35 mg/dL

Hgb 15 mg/dL

Bilirubin 0.6 mg/dL

Hct 37%

SCIENCE
HEALTH SCIENCE
NURSING

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