A client at 37 weeks gestation is admitted with complaints of fever, pain and swelling in her groin, and contractions every 15 minutes.
The nurse, when assessing the client’s perineum, found erythematous lesions on the vulva that look like herpes. The nurse anticipates the patient’s treatment regimen to include which of the following?

Ceftriaxone (Rocephin)

Penicillin G intravenously

Acyclovir orally

Betamethasone

Answer and Explanation

The Correct Answer is C

Choice A rationale
Ceftriaxone (Rocephin) is an antibiotic that is often used to treat bacterial infections, but it is not typically the first line of treatment for herpes.
Choice B rationale

Penicillin G intravenously is a type of antibiotic that is often used to treat bacterial infections. However, herpes is a viral infection, and antibiotics are not effective against viruses.
Choice C rationale
Acyclovir is an antiviral medication that is commonly used to treat herpes infections. It works by slowing the growth and spread of the herpes virus in the body. This would be the most appropriate treatment for a patient presenting with symptoms of a herpes outbreak.
Choice D rationale
Betamethasone is a type of corticosteroid that is often used to reduce inflammation. While it might help to reduce some of the inflammation and discomfort associated with herpes lesions, it would not address the underlying viral infection.

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Correct Answer is A

Explanation

Choice A rationale
Assessing the fetal heart rate pattern is the priority nursing action following an amniotomy. This allows the nurse to monitor for signs of fetal distress, which can occur if the umbilical cord becomes compressed or prolapses as a result of the procedure.
Choice B rationale

Observing the color and consistency of the fluid can provide information about the well-being of the fetus, but it is not the priority action following an amniotomy.
Choice C rationale
Assessing the client’s temperature is important to monitor for signs of infection, but it is not the priority action following an amniotomy.
Choice D rationale
Evaluating the client for the presence of chills and increased uterine tenderness using palpation can help identify complications such as infection or uterine rupture, but it is not the priority action following an amniotomy.

A. Notify the client’s provider. B. Document the findings and continue to monitor the client. C. Increase the frequency of fundal massage. D. Encourage the client to empty her bladder.

Correct Answer is B

Explanation

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is about to undergo an amniotomy. What is the priority nursing action following this procedure?

Correct Answer is A

Explanation

What action should a nurse take when caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad, with the fundus midline and firm at the umbilicus?

Correct Answer is B

Explanation

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

A nurse is providing nutritional guidance to a parent of a newborn. Which statement by the parent indicates an understanding of the teaching?

A nurse in a community clinic is counseling a client who has been diagnosed with a sexually transmitted infection. What advice should the nurse provide?

A nurse is caring for a patient who is 7 days postpartum and calls the clinic to report pain and redness in her left calf. Besides seeing her provider, which interventions should the nurse suggest?

A nurse in the newborn unit is caring for several infants. Which of the following situations requires the nurse's immediate attention and intervention?

A nurse is attending to a client who is a first-time mother, at term, and experiencing contractions. She is uncertain if she is in labor.Which of the following would the nurse identify as an indication of true labor?

A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?

What is important for a woman to understand before undergoing a scheduled tubal ligation?