A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

• A.Gently pull the infant away
• B.Withdraw the breast from the infant's mouth
• C.Compress the areolar tissue until the infant drops the nipple from her mouth
• D.Insert a clean finger into the baby's mouth beside the nipple

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A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

• A.Bonding
• B.Maintain normal blood sugar
• C.Maintain normal nutrition
• D.Monitor intake and output

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A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:

• A.Lung immaturity
• B.Intrauterine growth retardation (IUGR)
• C.Intrauterine infection
• D.Neural tube defect

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When giving discharge instructions to a 24-year-old client who had a short-arm cast applied for a fractured right ulna, the nurse recognizes the importance of telling him that the drying time for a plaster of Paris cast is approximately:

• A.30 minutes
• B.1-4 hours
• C.12-24 hours
• D.24-72 hours

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The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

• A.Oculogyric crisis
• B.Hypertensive crisis
• C.Orthostatic hypotension
• D.Tardive dyskinesia

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