The nurse is performing a prenatal assessment. Wha

Question 1 of 5

The nurse is performing a prenatal assessment. What finding is considered a probable sign of pregnancy?

A. Positive pregnancy test. B. Fetal movement felt by the mother. C. Visualization of the fetus on ultrasound. D. Auscultation of fetal heart tones.

Correct Answer: A

Rationale: A positive pregnancy test is a probable sign but not definitive, as it could result from other conditions.

Question 2 of 5

The nurse is preparing a postpartum client for discharge. What statement indicates the need for further teaching?

A. I will avoid heavy lifting for at least 6 weeks. B. I can resume sexual activity when I stop bleeding. C. I should call my doctor if I experience a fever or foul-smelling discharge. D. I will schedule my postpartum visit in 6 weeks.

Correct Answer: B

Rationale: Sexual activity should be resumed based on the healthcare provider's recommendation, not just the cessation of bleeding.

Question 3 of 5

A nurse educator is teaching a class to nursing developing cervical cancer. Which client is at students about the incidence of sexually transmitted highest risk? infections (STIs) and their impact on public health.

A. Client with a Pap test and an HPV screen positive Which is the most commonly reported STI in the for type 12 United States? B. Client who is 40 years old and stopped smoking C. Syphilis D. Gonorrhea

Correct Answer: A

Rationale: Human papillomavirus (HPV) is the most commonly reported sexually transmitted infection (STI) in the United States. HPV infection, especially high-risk types such as HPV-16, is strongly associated with cervical cancer. Therefore, a client who is positive for HPV type 16 on an HPV screen is at the highest risk for developing cervical cancer among the given choices. The nurse educator would need to emphasize the importance of regular screening, follow-up, and prevention strategies for this client to reduce the risk of cervical cancer development.

Question 4 of 5

Which nursing action is most appropriate for a newborn experiencing apnea?

A. Place the newborn in a prone position B. Administer oxygen and stimulate the newborn C. Place the newborn under a radiant warmer D. Initiate chest compressions immediately

Correct Answer: B

Rationale: Administering oxygen and stimulating the newborn resolves apnea episodes.

Question 5 of 5

A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?

A. Decrease the rate of infusion of the maintenance IV solution. B. Discontinue the infusion of the IV oxytocin. C. Increase the rate of infusion of the IV oxytocin. D. Slow the client's rate of breathing.

Correct Answer: B

Rationale: The described scenario suggests the presence of late decelerations, which occur when uteroplacental insufficiency leads to decreased fetal oxygenation. In this case, the late decelerations are evident with each contraction, indicating a potential adverse reaction to the oxytocin infusion. The appropriate action would be to discontinue the infusion of IV oxytocin to prevent further compromise to fetal well-being. Alternatively, the nurse should consider repositioning the mother, administering oxygen via a face mask, and notifying the healthcare provider for further assessment and interventions.