1. A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV oxytocin is infused. When notifying the healthcare provider of the client’s condition, which information is most important to provide?
a. Maternal blood pressure
2. A community health nurse visits a family in which a 16-year-old unmarried daughter is pregnant with her first child and is at 32 weeks gestation. The client tells the nurse that she has been having intermittent back pain since the night before. What is the priority nursing intervention?
a. Ask the client if she has experienced any recent changes in vaginal discharge
3. A client who is HIV positive is receiving zidovudine during labor. Which information should the nurse provide the client?
a. This treatment helps prevent transmission of the virus to the fetus
4. The nurse is preparing to draw blood from a newborn to obtain hemoglobin and hematocrit levels. What is the best method to obtain this blood sample?
a. Use a lancet to puncture the outer lateral aspect of the heel.
5. In assessing a client diagnosed with preeclampsia who is receiving magnesium sulfate, the nurse determines that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/min; urinary output is 90 mL in 4 hours; magnesium sulfate levels is 9 mEq/L. Based on these findings, what intervention should the nurse implement?
a. Stop the magnesium sulfate infusion immediately
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