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PN Maternal Newborn 2023……………………………30/SEPT/2025
1. A nurse is assisting with the care of a client who gave birth 3 days ago.
History and Physical
Gravida 1 Para 1
41 weeks of gestation
Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. A nurse is
assisting with the care of a client who gave birth 3 days ago.
ST
Nurses' Notes
Client reports general malaise, chills, and a decreased appetite
Physical Assessment
Breasts; Client reports their breasts are starting to feel firmer and heavier.Denies nipple discomfort.
U
Client is bottle-feeding.
Uterus: Boggy and tender to palpation. Fundus at the umbilicus.
D
Lochia: Moderate amount of dark brown, foul-smelling discharge
Bladder: Client reports frequent voiding without difficulty.
YL
Lower extremities: Bilateral edema noted without pain, warmth, or tenderness.
Vital Signs
Temperature 38.4° C (101.1° F)
AB
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
Actions to
Take Apply Ice packs to the breasts
Assist monitoring the client while receiving anticoagulant therapy.
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Monitor the administration of an oxytocic medication
Encourage the client to increase fluid intake
Plan to administer broad-spectrum antibiotic medication.
Potential Condition
Engorgement
Urinary tract Infection
Deep vein thrombosis
ST
Endometritis
Parameters to Monitor
Temperature
U
Integrity of the nipples
Bladder distention
D
Circumference of lower extremities
Lochia amount and odor
YL
Potential Condition
Endometritis
Actions to Take
AB
Monitor the administration of an oxytocic medication
Plan to administer broad-spectrum antibiotic medication
Parameters to Monitor
Temperature
Lochia amount and odor
2. A nurse at a provider's office is caring for a client.
History and Physical
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January 8/0900
24-year-old Gravida 2 Para 1 client who is at 21 weeks of gestation. Client has a history of
obesity and hypertension. Client is 62 inches and 93 kg (205 lb). BMI of 37.5. Prepregnancy
weight of 90.7 kg (200 lb) and BMI of 36.6. Scheduled return visit for follow-up in 4 weeks.
February 8/0900
A 24-year-old Gravida 2 Para 1 client who is at 25 weeks gestation. Client has a history of
obesity and hypertension. Client is 62 inches and weighs 95 kg (209.5 lb). BMI of 38.2.
Nurses' Notes
ST
January 8/0900
Fundal height 22 cm Fetal heart tones 150/min Client reports positive fetal movement. Denies
abdominal cramping, vaginal bleeding, and leaking of fluids.
U
February 8/0900
Fundal height 27 cm Fetal heart tones 145/min Client reports positive fetal movement. Denies
abdominal cramping, vaginal bleeding, and leaking of fluids. Denies headaches, visual
D
disturbances, and epigastric pain.
Diagnostic Results
YL
January 8/0900
Oral Glucose Tolerance Test with 75-g glucose load
190 mg/dL (less than 180 mg/dL)
AB
February 8/0900
Oral Glucose Tolerance Test with 100-g glucose load
0900: Fasting: 110 mg/dL (less than 110 mg/dL)
1000: 220 mg/dL (less than 180 mg/dL)
1100: 165 mg/dL (less than 140 mg/dL)
1200: 142 mg/dL (70 to 115 mg/dL)
Vital Signs
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, jhgfdsa
January 8/0900
Temperature 36° C (96.8° F)
Heart rate 80/min
Respiratory rate 12/min
Blood pressure 132/82 mm Hg
Pulse oximetry 99%
February 8/0900
ST
Temperature 36° C (96.8° F)
Heart rate 90/min
Respiratory rate 16/min
U
Blood pressure 140/88 mm Hg
Pulse oximetry 99%
D
Provider Prescriptions
Nifedipine 30 mg PO once daily
YL
Complete the following sentence by using the lists of options.
The nurse should prepare to reinforce teaching with the client about a Select with a
prescription of Select..
AB
diabetic diet
regular diet
cardiac diet
30 cal/kg/day
10 cal/kg/day
15 cal/kg/day
hgfds
PN Maternal Newborn 2023……………………………30/SEPT/2025
1. A nurse is assisting with the care of a client who gave birth 3 days ago.
History and Physical
Gravida 1 Para 1
41 weeks of gestation
Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. A nurse is
assisting with the care of a client who gave birth 3 days ago.
ST
Nurses' Notes
Client reports general malaise, chills, and a decreased appetite
Physical Assessment
Breasts; Client reports their breasts are starting to feel firmer and heavier.Denies nipple discomfort.
U
Client is bottle-feeding.
Uterus: Boggy and tender to palpation. Fundus at the umbilicus.
D
Lochia: Moderate amount of dark brown, foul-smelling discharge
Bladder: Client reports frequent voiding without difficulty.
YL
Lower extremities: Bilateral edema noted without pain, warmth, or tenderness.
Vital Signs
Temperature 38.4° C (101.1° F)
AB
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
Actions to
Take Apply Ice packs to the breasts
Assist monitoring the client while receiving anticoagulant therapy.
hgfds
, jhgfdsa
Monitor the administration of an oxytocic medication
Encourage the client to increase fluid intake
Plan to administer broad-spectrum antibiotic medication.
Potential Condition
Engorgement
Urinary tract Infection
Deep vein thrombosis
ST
Endometritis
Parameters to Monitor
Temperature
U
Integrity of the nipples
Bladder distention
D
Circumference of lower extremities
Lochia amount and odor
YL
Potential Condition
Endometritis
Actions to Take
AB
Monitor the administration of an oxytocic medication
Plan to administer broad-spectrum antibiotic medication
Parameters to Monitor
Temperature
Lochia amount and odor
2. A nurse at a provider's office is caring for a client.
History and Physical
hgfds
, jhgfdsa
January 8/0900
24-year-old Gravida 2 Para 1 client who is at 21 weeks of gestation. Client has a history of
obesity and hypertension. Client is 62 inches and 93 kg (205 lb). BMI of 37.5. Prepregnancy
weight of 90.7 kg (200 lb) and BMI of 36.6. Scheduled return visit for follow-up in 4 weeks.
February 8/0900
A 24-year-old Gravida 2 Para 1 client who is at 25 weeks gestation. Client has a history of
obesity and hypertension. Client is 62 inches and weighs 95 kg (209.5 lb). BMI of 38.2.
Nurses' Notes
ST
January 8/0900
Fundal height 22 cm Fetal heart tones 150/min Client reports positive fetal movement. Denies
abdominal cramping, vaginal bleeding, and leaking of fluids.
U
February 8/0900
Fundal height 27 cm Fetal heart tones 145/min Client reports positive fetal movement. Denies
abdominal cramping, vaginal bleeding, and leaking of fluids. Denies headaches, visual
D
disturbances, and epigastric pain.
Diagnostic Results
YL
January 8/0900
Oral Glucose Tolerance Test with 75-g glucose load
190 mg/dL (less than 180 mg/dL)
AB
February 8/0900
Oral Glucose Tolerance Test with 100-g glucose load
0900: Fasting: 110 mg/dL (less than 110 mg/dL)
1000: 220 mg/dL (less than 180 mg/dL)
1100: 165 mg/dL (less than 140 mg/dL)
1200: 142 mg/dL (70 to 115 mg/dL)
Vital Signs
hgfds
, jhgfdsa
January 8/0900
Temperature 36° C (96.8° F)
Heart rate 80/min
Respiratory rate 12/min
Blood pressure 132/82 mm Hg
Pulse oximetry 99%
February 8/0900
ST
Temperature 36° C (96.8° F)
Heart rate 90/min
Respiratory rate 16/min
U
Blood pressure 140/88 mm Hg
Pulse oximetry 99%
D
Provider Prescriptions
Nifedipine 30 mg PO once daily
YL
Complete the following sentence by using the lists of options.
The nurse should prepare to reinforce teaching with the client about a Select with a
prescription of Select..
AB
diabetic diet
regular diet
cardiac diet
30 cal/kg/day
10 cal/kg/day
15 cal/kg/day
hgfds
