PN Maternal Newborn Learning System Final Quiz 2026 |
Verified Answers | Review Pack
1. Describe the circumstances under which Rh(D) Immune Globulin should be
given to an Rh-negative pregnant woman.
It should be given only if the mother has high blood pressure.
It should be given to all pregnant women regardless of blood type.
It should be given when there is a risk of Rh sensitization, such as
after a miscarriage or trauma.
It should be given during the first trimester of pregnancy.
2. Clients who are overweight, having a BMI of 25 to 29.9, should be advised
that the recommended weight gain is _________. The pattern of weight gain is
also important, with minimal gain in the first trimester.
10-20 lb
about 1 lb/week
15-25 lb
25-35 lb
3. Why is it important for a nurse to include ice packs in the care plan for a
client who is formula feeding?
Ice packs should be used to encourage breastfeeding.
Ice packs are necessary for preventing infections.
Ice packs can help alleviate breast engorgement and discomfort.
Ice packs are used to promote milk production.
,4. What is the condition called that can cause dizziness in pregnant women
when lying flat on their backs?
Preeclampsia
Placenta previa
Gestational diabetes
Vena cava syndrome
5. Describe the primary nursing considerations when caring for a newborn with
myelomeningocele.
The nurse should focus solely on feeding and weight gain.
The nurse should encourage early ambulation.
The nurse should prioritize immunizations over other care.
The nurse should ensure proper positioning and protect the
exposed area from injury or infection.
6. If a nurse observes signs of irritability and feeding difficulties in a newborn,
what should be the immediate nursing intervention?
Assess the newborn for potential signs of neonatal abstinence
syndrome.
Administer a sedative to reduce irritability.
Increase the feeding volume to calm the newborn.
Monitor the newborn's heart rate only.
,7. A nurse is collecting data from a client on the first postpartum day. Findings
include a fundus that is firm and 1 fingerbreadth above and to the right of the
umbilicus, moderate lochia rubra with small clots, temperature 37.3°C (99.2°F),
and pulse rate 52/min. Which of the following actions should the nurse take?
Ask the client when she last voided
Massage the fundus
Obtain a prescription for an oxytocic agent
Report the vital signs to the provider
8. Describe the significance of a firm fundus on the first postpartum day.
A firm fundus is a sign of retained placental fragments.
A firm fundus suggests the presence of an infection.
A firm fundus indicates proper uterine involution and reduces the
risk of hemorrhage.
A firm fundus means the uterus is not contracting effectively.
9. What is a common risk factor for newborn hypoglycemia?
Low birth weight
Gestational age
Normal birth weight
High birth weight
10. If a nurse is caring for a patient with a history of genital herpes simplex virus,
type 2 who is in labor, what should the nurse prioritize in the care plan?
Encouraging vaginal delivery regardless of the condition.
Providing education on breastfeeding immediately after delivery.
, Monitoring the patient for signs of labor without intervention.
Planning for a cesarean delivery if there are active lesions.
11. What is one key point that should be included in breastfeeding education for
new mothers?
The need to supplement with formula immediately.
The benefits of introducing solid foods early.
The necessity of pumping every hour.
The importance of proper latch technique.
12. If a nurse observes that a newborn does not exhibit the fencing reflex when
their head is turned, what should be the nurse's next step?
Assess the newborn for other neurological signs.
Document the absence of the reflex and continue care.
Immediately refer the newborn for imaging studies.
Reassess the reflex after 30 minutes.
13. If a nurse observes a newborn with a heart rate of 70/min while sleeping,
what immediate action should the nurse take?
Document the heart rate and continue monitoring.
Reassess the heart rate after 10 minutes.
Report the finding to the healthcare provider.
Administer oxygen to the newborn.
14. What is the recommended route for administering iron dextran to a pregnant
client with severe iron-deficiency anemia?
Verified Answers | Review Pack
1. Describe the circumstances under which Rh(D) Immune Globulin should be
given to an Rh-negative pregnant woman.
It should be given only if the mother has high blood pressure.
It should be given to all pregnant women regardless of blood type.
It should be given when there is a risk of Rh sensitization, such as
after a miscarriage or trauma.
It should be given during the first trimester of pregnancy.
2. Clients who are overweight, having a BMI of 25 to 29.9, should be advised
that the recommended weight gain is _________. The pattern of weight gain is
also important, with minimal gain in the first trimester.
10-20 lb
about 1 lb/week
15-25 lb
25-35 lb
3. Why is it important for a nurse to include ice packs in the care plan for a
client who is formula feeding?
Ice packs should be used to encourage breastfeeding.
Ice packs are necessary for preventing infections.
Ice packs can help alleviate breast engorgement and discomfort.
Ice packs are used to promote milk production.
,4. What is the condition called that can cause dizziness in pregnant women
when lying flat on their backs?
Preeclampsia
Placenta previa
Gestational diabetes
Vena cava syndrome
5. Describe the primary nursing considerations when caring for a newborn with
myelomeningocele.
The nurse should focus solely on feeding and weight gain.
The nurse should encourage early ambulation.
The nurse should prioritize immunizations over other care.
The nurse should ensure proper positioning and protect the
exposed area from injury or infection.
6. If a nurse observes signs of irritability and feeding difficulties in a newborn,
what should be the immediate nursing intervention?
Assess the newborn for potential signs of neonatal abstinence
syndrome.
Administer a sedative to reduce irritability.
Increase the feeding volume to calm the newborn.
Monitor the newborn's heart rate only.
,7. A nurse is collecting data from a client on the first postpartum day. Findings
include a fundus that is firm and 1 fingerbreadth above and to the right of the
umbilicus, moderate lochia rubra with small clots, temperature 37.3°C (99.2°F),
and pulse rate 52/min. Which of the following actions should the nurse take?
Ask the client when she last voided
Massage the fundus
Obtain a prescription for an oxytocic agent
Report the vital signs to the provider
8. Describe the significance of a firm fundus on the first postpartum day.
A firm fundus is a sign of retained placental fragments.
A firm fundus suggests the presence of an infection.
A firm fundus indicates proper uterine involution and reduces the
risk of hemorrhage.
A firm fundus means the uterus is not contracting effectively.
9. What is a common risk factor for newborn hypoglycemia?
Low birth weight
Gestational age
Normal birth weight
High birth weight
10. If a nurse is caring for a patient with a history of genital herpes simplex virus,
type 2 who is in labor, what should the nurse prioritize in the care plan?
Encouraging vaginal delivery regardless of the condition.
Providing education on breastfeeding immediately after delivery.
, Monitoring the patient for signs of labor without intervention.
Planning for a cesarean delivery if there are active lesions.
11. What is one key point that should be included in breastfeeding education for
new mothers?
The need to supplement with formula immediately.
The benefits of introducing solid foods early.
The necessity of pumping every hour.
The importance of proper latch technique.
12. If a nurse observes that a newborn does not exhibit the fencing reflex when
their head is turned, what should be the nurse's next step?
Assess the newborn for other neurological signs.
Document the absence of the reflex and continue care.
Immediately refer the newborn for imaging studies.
Reassess the reflex after 30 minutes.
13. If a nurse observes a newborn with a heart rate of 70/min while sleeping,
what immediate action should the nurse take?
Document the heart rate and continue monitoring.
Reassess the heart rate after 10 minutes.
Report the finding to the healthcare provider.
Administer oxygen to the newborn.
14. What is the recommended route for administering iron dextran to a pregnant
client with severe iron-deficiency anemia?
