Extract:

A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.

Question 1 of 5

Which of the following food options should the nurse recommend as the best source of dietary calcium?

A. 1 cup sweet white corn.B. 1 baked potato.C. 1 cup kale.D. 1 large banana.

Correct Answer: C

Rationale: Kale is an excellent non-dairy calcium source, providing about 177 mg per cup, ideal for meeting pregnancy calcium needs.

Extract:

Vital Signs 0830: Temperature: 36.9Â°C (98.4Â°F), Heart rate: 89/min, Respiratory rate: 16/min, Blood pressure: 110/60 mm Hg, Oxygen saturation: 97% on room air. 0930: Temperature: 38.2Â°C (100.8Â°F), Heart rate: 90/min, Respiratory rate: 20/min, Blood pressure: 120/68 mm Hg, Oxygen saturation: 98% on room air. A nurse is caring for a 27-year-old female client at 32 weeks gestation in the labor and delivery unit admitted for evaluation of a suspected infection during labor.

Question 2 of 5

For each potential provider prescription, click to specify whether the prescription is anticipated or contraindicated for the client: A. Betamethasone 12 mg IM now and repeat in 24 hr, B. Position the client supine, C. Terbutaline 0.25 mg Subcutaneous now, D. Collect a urine sample.

Prescription	Anticipated	Contraindicated
Betamethasone 12 mg IM now and repeat in 24 hr (Anticipated)
Position the client supine (Contraindicated)
Terbutaline 0.25 mg Subcutaneous now (Anticipated)
Collect a urine sample (Anticipated)

Correct Answer: A,C,D

Rationale: Betamethasone aids fetal lung maturity, terbutaline delays preterm labor, and urine sample assesses infection; supine position risks uterine perfusion.

Extract:

A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.

Question 3 of 5

Which of the following manifestations should the nurse identify as an adverse effect of this medication?

A. Fever.B. Diarrhea.C. Sedation.D. Diuresis.

Correct Answer: C

Rationale: Sedation is a known adverse effect of nalbuphine hydrochloride as it acts on the central nervous system to relieve pain, which can cause drowsiness.

Extract:

A nurse is checking the reflexes of a newborn.

Question 4 of 5

Which of the following actions should the nurse use to elicit the Babinski reflex?

A. Place the newborn supine and apply pressure to the soles of the feet.B. Pull the newborn up by the wrist from a supine position.C. Touch the corner of the newborn's mouth.D. Stroke upward on the lateral aspect of the sole of the newborn's foot.

Correct Answer: D

Rationale: Stroking upward on the lateral sole elicits the Babinski reflex, causing toes to fan out, a normal newborn response.

Extract:

A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.

Question 5 of 5

Which of the following statements should the nurse include in the teaching?

A. A multiple marker screening will be performed to identify neural tube defects.B. A glucose tolerance test will be performed to predict hyperglycemia in your baby.C. A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.D. A group B streptococcus screening will be performed to determine the presence of STIs.

Correct Answer: A

Rationale: A multiple marker screening detects neural tube defects and chromosomal abnormalities, typically performed between 15-20 weeks of gestation.