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The nurse is administering RhoGAM (Rh Immunoglobulin) to a c…

The nurse is administering RhoGAM (Rh Immunoglobulin) to a client who delivered 24 hours ago. The nurse reviews the indications for RhoGAM.  The client that is receiving RhoGAM is most likely which of the following?

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The nurse is teaching a group of nursing students about hear…

The nurse is teaching a group of nursing students about heart defects with decreased pulmonary blood flow.  Which of the following are defects with decreased pulmonary blood flow?

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The mother of an infant who has had a cleft lip repair tells…

The mother of an infant who has had a cleft lip repair tells the nurse that the surgeon said it was very important not to let the baby cry after surgery.  She asks the nurse “What is the reason for this?” Which is the most appropriate response by the nurse?

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The nurse is performing a newborn assessment and notes caput…

The nurse is performing a newborn assessment and notes caput succedaneum. Which of the following best describes this condition? 

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A nurse is caring for a client undergoing a non-stress test…

A nurse is caring for a client undergoing a non-stress test (NST), and determines that the test is non-reactive. After informing the healthcare provider (HCP) of the result and receiving orders, what will the nurse anticipate happening next?

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While caring for an infant, the nurse hears an older child s…

While caring for an infant, the nurse hears an older child screaming in the next room and rushes there, forgetting to put the side rails up on the infant’s crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse’s action, which of the following is the nurse likely liable for?  

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A child has a left femur fracture and is placed in skeletal…

A child has a left femur fracture and is placed in skeletal traction. When planning care, which intervention should the nurse include?  

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A client in labor has hypotonic labor dysfunction which has…

A client in labor has hypotonic labor dysfunction which has been augmented with oxytocin.   After 2 hours, the client is having multiple variable decelerations on the fetal monitor and pain level of 8 out of 10.  Which of the following is the priority intervention for the nurse? 

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A nurse is caring for a client in active labor and assesses…

A nurse is caring for a client in active labor and assesses hypotonic labor contractions. Which action should the nurse perform next?

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A nurse is assessing a 7-year-old boy and notes bruises in v…

A nurse is assessing a 7-year-old boy and notes bruises in various stages of healing along with several small round burn marks on the child’s body. When the boy’s mother is questioned, she states “He’s so careless, falls all the time and plays with matches.” Which action by the nurse is appropriate?

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