A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Notify social services.

Ask the parents what caused the bruises.

Ask the toddler what caused the bruises.

Notify the provider.

Answer and Explanation

The Correct Answer is B

A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.

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Correct Answer is D

Explanation

A. 160 to 190 bpm/min – Incorrect; this is too high for the normal range but may be seen in early pregnancy.

B. 80 to 100 bpm/min – Incorrect; this is too low and may indicate fetal distress or bradycardia.

C. 100 to 110 bpm/min – Incorrect; while this may be borderline normal in late pregnancy, it is lower than expected at 12 weeks.

D. 110 to 160 bpm/min – Correct; this is the normal fetal heart rate (FHR) range throughout pregnancy.

A. By calculating the time between the beginning of one contraction to the beginning of the next B. By measuring the duration of the contractions C. By assessing the intensity of the contractions D. By palpating the resting tone of the uterus

Correct Answer is A

Explanation

A. By calculating the time between the beginning of one contraction to the beginning of the next – Correct; frequency is measured from the start of one contraction to the start of the next.

B. By measuring the duration of the contractions – Incorrect; duration refers to how long a contraction lasts, not frequency.

C. By assessing the intensity of the contractions – Incorrect; intensity refers to the strength of the contraction.

D. By palpating the resting tone of the uterus – Incorrect; resting tone assesses uterine relaxation between contractions.

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A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?

Correct Answer is D

Explanation

How is the frequency of uterine contractions measured?

Correct Answer is A

Explanation

In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?

A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?

Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)

A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?

The provider notes a client may be close to labor when she reports more frequent Braxton Hicks contractions and preparing the nursery with the baby's furniture and clothes, an instinct that often begins at the end of the pregnancy known as