Title RECALLS 8 - NP2 - SC ✅

14. What instructions should a nurse give to a pregnant patient who is about to undergo an amniocentesis? A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen. 15. A pregnant patient in her first trimester contacts a healthcare clinic and reports noticing a thin, colorless vaginal discharge. What should the nurse say to the patient? A. “Come to the clinic immediately.” B. “The vaginal discharge may be bothersome, but is a normal occurrence.” C. “Report to the emergency department at the maternity center immediately.” D. “Use tampons if the discharge is bothersome, but be sure to change the tampons every 2 hours.” Answer: B 16. The healthcare provider orders a contraction stress test, which yields a negative result. How should the nurse document these findings?" A. A normal test result B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean section 17. A nurse is teaching a pregnant patient how to perform ‘kick counts.’ Which statement from the patient would suggest that additional instruction is needed? A. “I will record the number of movements or kicks.” B. “I need to lie Flat on my back to perform the procedure.” C. “If I count fewer than 10 kicks in a 2-hour period, it could be because my baby is sleeping.” D. “I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks.” 18. The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. How would the nurse interpret this Finding? A. The client is measuring large for gestational age. B. The client is measuring small for gestational age. C. The client is measuring normal for gestational age. D. More evidence is needed to determine size for gestational age. 19. A pregnant client comes in for a routine prenatal visit and reports experiencing irregular contractions. After evaluating the situation, the nurse identifies these as Braxton Hicks contractions. Given this assessment, what would be the appropriate nursing action? A. Contact the primary health care provider. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Inform the client that these contractions are common and may occur throughout the pregnancy. D. Call the maternity unit and inform them that the client will be admitted in a preterm labor condition. 20. A client arrives at the clinic for their first prenatal assessment and informs the nurse that the first day of their last normal menstrual period was October 19, 2023. Using Näegele’s rule, what is the expected date of delivery that the nurse should record in the client’s chart? A. July 12, 2024 B. July 26, 2024 C. August 12, 2024 D. August 26, 2024 SITUATION: Nurse Cianne is utilizing her knowledge regarding the proper task delegation and management in the maternal ward. 21. Nurse Cianne is managing a group of patients on the labor and delivery unit. One of her patients is in early labor and has requested a warm bath to help with discomfort. What should Nurse Cianne do? A. Delegate the task of preparing a warm bath to a nursing assistant. B. Personally prepare and monitor the warm bath for the patient. C. Ask the patient to prepare the bath themselves, providing them with instructions. D. Schedule the bath for a later time when she has more time available. 22. Nurse Cianne needs to monitor the client's vital signs. Which action is most appropriate for Nurse Cianne to delegate? A. Monitoring blood pressure and reporting findings to the healthcare provider. B. Documenting blood pressure readings and any abnormal findings in the patient’s chart. C. Measuring and recording blood pressure readings at regular intervals. D. Explaining to the patient the significance of the blood pressure readings. 23. A client is in early labor and has requested pain management options. Nurse Cianne has several tasks to complete. What should she do regarding the pain management assessment? A. Delegate the assessment of pain management options to a nursing assistant. B. Conduct a thorough assessment of pain management options herself. C. Provide a basic explanation of pain management options and then delegate the detailed discussion to a nursing assistant. D. Refer the client to a pain management specialist for further discussion. 24. Nurse Cianne is preparing a teaching session for a pregnant client about the signs of preterm labor. Which task can she delegate to a nursing assistant? A. Assist in preparing educational materials and handouts. B. Explaining the signs of preterm labor and answering the client’s questions. C. Assessing the client’s understanding of preterm labor signs after the teaching session. D. Reviewing the client’s medical history to tailor the teaching session. 25. A client on the postpartum unit is experiencing difficulty with breastfeeding. Nurse Cianne needs to ensure the client receives appropriate support. What should she do? A. Delegate the task of providing breastfeeding support to a nursing assistant. B. Refer the client to a lactation consultant for specialized support. C. Provide the client with general breastfeeding advice and then delegate follow-up to a nursing assistant. D. Document the client’s difficulty with breastfeeding and wait for the next shift to address it. 26. Nurse Cianne is managing several tasks on the labor and delivery unit. A patient requires continuous fetal monitoring. What is the most appropriate action for Nurse Cianne to take? A. Delegate continuous fetal monitoring to a nursing assistant. B. Perform the continuous fetal monitoring herself. C. Instruct the patient to use a portable fetal monitor at home. D. Schedule the fetal monitoring for later when more time is available. 27. A client on the postpartum unit is experiencing postpartum hemorrhage. Nurse Cianne needs to address the situation urgently. Which action should she take? A. Delegate the task of monitoring the client’s bleeding to a nursing assistant B. Conduct a thorough assessment of the client’s condition and implement interventions. C. Provide emotional support to the client while delegating medical tasks to the nursing assistant. D. Wait for the physician to arrive and assess the situation before taking any action. Situation: Nurse Sergio, committed to providing holistic care to his patients, has recently decided to deepen his understanding of psychological theories to better support his patients' mental health. Today, he is focusing on Freud's psychoanalytic theory, a cornerstone of modern psychology that has significant implications for understanding behavior and mental processes. 2 | Page