The primary purpose of folic acid supplementation before conception is to prevent:

Which sign indicates *probable* pregnancy?

A woman at 18 weeks reports feeling fetal movement. This finding is known as:

A nurse teaches a patient about iron supplementation. Which statement indicates understanding?

Which pregnancy hormone is primarily responsible for maintaining the endometrium?

A woman in her second trimester has severe ankle edema. Which is the priority assessment?

A woman at 28 weeks reports vaginal bleeding without pain. The nurse suspects:

Which finding is associated with abruptio placenta?

Rh incompatibility occurs when the mother is:

The nurse anticipates Rho(D) immune globulin at:

A non-stress test (NST) is considered reactive when:

A biophysical profile assesses all except:

A woman with gestational diabetes needs more teaching when she states:

The hallmark symptom of ectopic pregnancy is:

The nurse interprets a positive Chadwick sign as:

A woman with severe hyperemesis gravidarum is at risk for:

When is the glucose tolerance test (GTT) typically done?

A sign of preeclampsia is:

The antidote for magnesium sulfate toxicity is:

Nifedipine is used in obstetrics primarily to:

A woman in the first trimester should increase calorie intake by:

The fundal height at 20 weeks is typically at the level of:

A normal finding at 32 weeks is:

TORCH infections include all except:

The first stage of labor ends with:

The best indicator of true labor is:

Variable decelerations are caused by:

Late decelerations indicate:

A woman’s membranes rupture. The first action is to:

Meconium-stained fluid indicates risk for:

The best position for relieving cord compression:

Oxytocin should be stopped when contractions last longer than:

A nurse notes absent variability on FHR monitor. The priority is:

A woman is 5 cm dilated. This is:

If a woman is hyperventilating, the nurse should:

A breech presentation increases risk for:

The preferred analgesic in early labor is:

A postpartum woman with a firm fundus but heavy bleeding likely has:

A woman fully dilated is instructed to push. The nurse should encourage pushing during:

Normal amniotic fluid is:

A prolonged labor risk is:

When giving an epidural, the nurse must monitor for:

A sign of placenta separation:

A contraction stress test (CST) is positive when:

A woman feels intense rectal pressure at 8 cm. The nurse should:

Fetal station 0 indicates:

The best way to reduce perineal trauma is:

The fetal position OA means:

In shoulder dystocia, the first maneuver is:

Tachysystole means:

A sign of uterine rupture:

Leopold maneuvers determine:

A woman in precipitous labor is at risk for:

A priority for a woman with severe back pain in labor is:

Vacuum-assisted delivery risk:

The best indicator of fetal well-being during labor:

A woman in transition may show:

A priority after spontaneous rupture of membranes with fetal tachycardia:

A late postpartum hemorrhage is often caused by:

The fundus 6 hours after birth should be:

Lochia serosa is:

A sign of postpartum infection:

Breastfeeding mothers should increase calories by:

The best treatment for uterine atony:

The nurse suspects postpartum depression when a mother:

After epidural anesthesia, the priority assessment is:

The newborn with APGAR 8 at 1 minute needs:

A normal newborn respiratory rate:

A sign of newborn hypoglycemia:

A newborn with cephalohematoma has bleeding:

Phototherapy requires:

A sign of respiratory distress in the newborn:

The best breastfeeding latch includes:

A boggy uterus deviated to the right indicates:

After circumcision, the nurse expects:

Newborn vitamin K is given to:

A danger sign in postpartum:

A woman with mastitis should:

A normal newborn heart rate:

A positive Babinski reflex is:

After birth, the uterus decreases about:

A newborn who is sleepy and hard to wake for feeds shows signs of:

Cracked nipples in breastfeeding are most commonly caused by:

A sign of postpartum hemorrhage:

Normal newborn temperature:

A newborn with jaundice at 12 hours of life suggests:

Priority action after postpartum hemorrhage:

When bottle-feeding, the best position for newborn is:

A sign of neonatal sepsis:

A postpartum woman who cannot void and has a firm fundus likely has:

A newborn with vernix caseosa:

A normal newborn weight loss is:

The first action for a newborn with apnea:

Colostrum is rich in:

A newborn with grunting likely has:

Postpartum blues typically resolve within:

After cesarean birth, early ambulation helps prevent:

A positive Ortolani sign indicates:

The primary cause of cold stress in newborns is:

A postpartum mother reports severe perineal pain and difficulty sitting. The nurse notes a firm fundus and minimal lochia. What complication is most likely?

The nurse caring for a newborn exposed to maternal opioid use should anticipate which finding?

A woman at 32 weeks arrives with preterm contractions. Which medication is used to accelerate fetal lung maturity?

A breastfeeding mother asks how to increase her milk supply. The nurse’s best response is:

A neonate with caput succedaneum has edema that:

The nurse assesses a patient who is 16-weeks pregnant. The patient states that she had taken isotretinoin (Accutane), a known teratogen for acne during her third, fourth, and fifth week of pregnancy. According to the chart, the nurse CAN expect fetal damage to the central nervous system as well as the?

A five-month-old boy has been vomiting green-colored vomit for ten hours. He has intermittent abdominal pain during which he draws his legs up to his chest, turns pale, and cries forcefully. On observation, there is bleeding in the stool which has a jelly-like consistency. Abdominal palpation reveals a long tube-like mass. There is no fever, rash, nor diarrhea. Bowel sounds are hyperactive in all quadrants. Which is the most likely form of initial treatment?

A 6-month-old premature infant is being discharged from the neonatal intensive care unit after having no apneic periods for the past week. Although the child has had no apneic periods for the past week, an apnea monitor will be sent home with the parents. The BEST short-term goal relating to the nursing diagnosis of ineffective breathing pattern related to apnea is that the?

Apnea monitor will sound loudly and stimulate the child to breathe with episodes of apnea. What is the correct response to this situation?

A gravida 3 Para 2 presents to the Maternity Triage Unit after the amniotic membranes ruptured at home. The fluid is noted to be clear. The neonate's head is engaged into the pelvis and the patient is having contractions every 5 to 7 minutes. Each contraction lasts for 60-90 seconds. An examination of the cervix finds 4 centimeters dilatation and 90% effacement. She is uncomfortable during contractions and rates the pain at a level 7, on a pain scale of 1-10. Which finding is most indicative that she is in true labor?

A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. What is the initial response the nurse should do?

A 28 years old female with 33 weeks pregnant with her second child has uncontrolled hypertension. The patient has a story of abruptio placenta on her medical records. What is the risk factor affected?

A nurse is caring for a child who is post-tonsillectomy and adenoidectomy. The nurse should plan to assess which of the following complications?

A 6-month-old boy is admitted with failure to thrive. Based on his growth chart, the nurse should consider which of the following as the cause of the child's failure to thrive?

The district nurse attends a mother and a girl who was born five days previously. At birth, the baby had weighed 3.5 kilograms. The mother becomes worried when she hears that the baby weighs 3.3 kilograms today. The infant is pink, alert and active with 6-8 wet diapers and four stools per day. Blanching of the skin shows a light yellow color of the forehead but a pink sternum. What is the most appropriate nursing action?

A gravid 3, para 2 presents to the Labor and Delivery Unit with contractions occurring every 3-5 minutes and lasting for 60-90 seconds. During contractions, she closed her eyes and is focused on breathing to cope with the pain. At the end of each contraction she opens her eyes and resumes talking with the nurse and her husband. What is the expected cervical dilatation in centimetres?

A pregnant woman in the first stage of labor has progressed from 3 to 7 cm in cervical dilation. In which of the following phases the cervical dilation occurs most rapidly?

A child presents to the emergency department with complaint of chest pain on exertion, shortness of breath, and dizziness. Upon examination the nurse notes palpitation and a systolic ejection murmur at the right upper sterna border. Skin colour is normal. The nurse suspects:

The nurse is caring for a full-term newborn who was delivered vaginally 5 minutes ago. The infant's APGAR score was 8 at one minute and 10 at 5 minutes. Which of the following has the highest PRIORITY?

An eight-year-old boy has a new diagnosis of Attention Deficit Hyperactive Disorder (ADHD) and begins pharmacological and psychological therapies. His medication regimen includes short-acting methylphenidate 5 mg orally every 12 hours. Which side effect is most likely?

A nurse is admitting a two-year-old child with an umbilical hernia. Which of the following interventions does NOT meet the child's developmental needs?

Prior to providing care for a hospitalized infant, the nurse who focuses on preventive measures must:

A first-time mother of a three-week-old breastfed baby brings the infant to the clinic and complains that her child has been forcefully vomiting after feeding. He was born at 40 weeks.

A newborn was delivered pre-term weighing 2700 grams with Apgar scores of 4 and 6, respectively. When the mother had presented to the Obstetrical Triage Unit, she was already 7 centimeters dilated and fully effaced. Her due date was unknown as she had no parental care. The infant showed signs of fetal distress and was finally delivered by Caesarean section. At birth a large, thin, membranous sac was protruding from the umbilical base. What is the priority nursing intervention at birth?

A nurse is caring for an infant with respiratory distress syndrome. Which of the following nursing interventions is appropriate?

The nurse is caring for a 4 year-old patient with a diagnosis of cystic fibrosis and pneumonia. The child is feeling better on the 3rd day of the hospitalization and 'wants to play.' What would be the BEST choice of entertainment?

A nine year-old child has been diagnosed with external otitis. In addition to assessing severity of symptoms and need for pain relief, the nurse should assess:

A nurse is communicating with a moderately autistic child during a developmental and behavioural assessment. The nurse uses non-verbal techniques to engage the child's cooperation. She uses facial expressions when responding and simple body language to communicate commands. What is the most likely age of the child?

A child is treated for superficial (first-degree) thermal burns to the thigh. The child is in great discomfort and does not eat. Which of the following diagnoses should receive PRIORITY?

A child with asthma has an order for albuterol, before administration of the medication the nurse MUST?

The nurse is assessing the growth and development of a healthy three-year-old child. The nurse should expect the child to be able to?

A four-year-old boy presented with a firm and non-tender mass that his mother had discovered in the right upper abdominal quadrant. He was admitted to the hospital and underwent complete surgical excision of a renal tumor that had extended beyond the kidney. The child was then scheduled for radiation and chemotherapy treatment. Which stage was the tumor?

As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. Which action should the nurse take first?

A 32-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. The assessment during this visit includes blood pressure which result 140/90 mm Hg; pulse 80 beats/min; respiratory rate 16 breaths/min. What further information should the nurse obtain to determine if this client is becoming preeclamptic?

When assessing neonate’s hydration, the nurse should check for the skin’s?

A child with asthma is experiencing thick respiratory secretions resulting in increased work of breathing. What is the best nursing intervention?

A nurse administers an albuterol nebulizer on a child diagnosed with asthma exacerbation. Which of the following indicates effectiveness of the treatment?

The nurse is caring for a 4-year-old patient with a diagnosis of cystic fibrosis and pneumonia. The child is feeling better on the third day of hospitalization and wants to play on the bed. What is the best choice of playing?

An 8-month-old child has had four ear infections in the past 3 months and was discharged. Which statement by parents indicates the need for further discharge teaching?

A pregnant woman comes to gynecological care with vaginal bleeding, dark blood, and abdominal cramps. When the physician assessment found fatal death, what type of abortion is this?

A nurse is assessing a client in labor and finds that her contractions are lasting 60 seconds every 4 minutes and her cervix is 6 cm dilated. The nurse would document the client in what phase of stage 1 labor?

Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy with severe hemorrhages occurring?

At which age is the measles vaccine most effective?

During the vulnerable stage of a child’s life and to ensure early protection from the polio virus, which month should the second dose of the vaccine be administered?

While caring for a neonate with meningococcal, the nurse should avoid positioning on which side?

What is the reflex where a neonate quickly reaches their arms up, outwards, and cries?

The definition of nursing assessment below is right, except....

Which one is not the example of objective data?

Below is the right example of primary data source

Which one is included in the internal interview obstacles?