Maternal Newborn
1. A nurse is teaching a client about Rho(D) immunoglobulin
(RhoGAM). Which of the following statements by the client
indicated an understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative
b. I will receive this medication at time of delivery
c. I will need a second dose of this medication when my
baby is 6 weeks old
d. I will need this medication if I have an amniocentesis-
Recommended because of the potential of fetal RBCs
entering the maternal circulation
2. A nurse is caring for a client who is to receive oxytocin
(Pitocin) to augment her labor. Which of the following
contraindicates the initiation of the oxytocin infusion and
requires notification of the provider?
a. Late decelerations- Oxytocin is contraindicated based
on late decelerations noted on fetal assessment findings
because they indicate uteroplacental insufficiency.
b. Baseline variability
c. Cessation of uterine dilation
d. Prolonged active phase of labor
3. A nurse on the newborn unit is planning discharge for four
clients. Which of the following will require care beyond that
of a standard follow-up visit with the provider after delivery?
a. A newborn being sent home after 22 hr after birth-
Screening tests must be repeated if they were performed
before he newborn was 24 hr. old.
b. A newborn at 38 weeks of gestational age
c. A newborn who is bottle feeding
d. Twin newborns with Apgar scores of 8 and 9
4. A nurse is assessing a newborn who has a weak cry and is
grimacing. The nurse notes the newborn has a heart rate of
, 102/min, blueish extremities, and a flaccid muscle tone.
Which of the following reflects the appropriate APGAR
score?
a. 4
b. 5
c. 6
d. 7
5. A nurse is caring for a client who has a history of rheumatic
disease, but no physical symptoms prior to pregnancy. The
client begins to experience dyspnea, orthopnea, and
pulmonary edema. Which of the following biological
alterations explains this change?
a. Increased maternal weight
b. Increased blood volume- Increase in blood volume
during pregnancy increase the workload of the heart,
which causes the symptoms
c. Change in hematocrit levels
d. Change in heart size
6. A nurse is providing teaching about nonpharmacological
pain management for a postpartum client who is breastfeed
and has engorgement. Which of the following methods
should the nurse recommend?
a. Cold cabbage leaves- Application of this is an effective
nonpharmacological method to relieve pain associated
with engorgement
b. Modified lanolin cream
c. A breast binder
d. Breast shells
7. A nurse is providing discharge teaching to a client who is
postpartum about resuming sexual activity. Which of the
following instructions should the nurse include in the
teaching?
a. You should use a water soluble gel for lubrication- This
will prevent discomfort
b. You can resume sexual activity in 10 days
, c. Your physical reaction to sexual stimulation ill not be
altered
d. You will not ovulate for 3 months after delivery
8. A nurse is admitting a client who is in labor. The client
admits to recent cocaine use. For which of the following
complications should the nurse assess?
a. Abruptio placenta- Cocaines increases the risk for
vasoconstriction and possible abruption placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
9. A nurse is providing dietary teaching with a client who has
hyperemesis gravidarum. Which of the following statements
by the client indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my
meals- Eat to taste to avoid nausea
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating
them alone
10. A nurse is preparing to collect a blood specimen from a
newborn via a heel stick. Which of the following techniques
should the nurse use to help minimize the pain of the
procedure for the newborn?
a. Warm the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lance blade to pierce the skin
d. Swaddle the newborn after the heel puncture- Effective
technique to diminish the pain experience for the
newborn.
11. A nurse is conducting an initial prenatal visit for a
client who is at 6 weeks gestation. Which of the following
laboratory tests should be performed?
a. 24 hour urine for protein
b. Group B streptococcus culture
1. A nurse is teaching a client about Rho(D) immunoglobulin
(RhoGAM). Which of the following statements by the client
indicated an understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative
b. I will receive this medication at time of delivery
c. I will need a second dose of this medication when my
baby is 6 weeks old
d. I will need this medication if I have an amniocentesis-
Recommended because of the potential of fetal RBCs
entering the maternal circulation
2. A nurse is caring for a client who is to receive oxytocin
(Pitocin) to augment her labor. Which of the following
contraindicates the initiation of the oxytocin infusion and
requires notification of the provider?
a. Late decelerations- Oxytocin is contraindicated based
on late decelerations noted on fetal assessment findings
because they indicate uteroplacental insufficiency.
b. Baseline variability
c. Cessation of uterine dilation
d. Prolonged active phase of labor
3. A nurse on the newborn unit is planning discharge for four
clients. Which of the following will require care beyond that
of a standard follow-up visit with the provider after delivery?
a. A newborn being sent home after 22 hr after birth-
Screening tests must be repeated if they were performed
before he newborn was 24 hr. old.
b. A newborn at 38 weeks of gestational age
c. A newborn who is bottle feeding
d. Twin newborns with Apgar scores of 8 and 9
4. A nurse is assessing a newborn who has a weak cry and is
grimacing. The nurse notes the newborn has a heart rate of
, 102/min, blueish extremities, and a flaccid muscle tone.
Which of the following reflects the appropriate APGAR
score?
a. 4
b. 5
c. 6
d. 7
5. A nurse is caring for a client who has a history of rheumatic
disease, but no physical symptoms prior to pregnancy. The
client begins to experience dyspnea, orthopnea, and
pulmonary edema. Which of the following biological
alterations explains this change?
a. Increased maternal weight
b. Increased blood volume- Increase in blood volume
during pregnancy increase the workload of the heart,
which causes the symptoms
c. Change in hematocrit levels
d. Change in heart size
6. A nurse is providing teaching about nonpharmacological
pain management for a postpartum client who is breastfeed
and has engorgement. Which of the following methods
should the nurse recommend?
a. Cold cabbage leaves- Application of this is an effective
nonpharmacological method to relieve pain associated
with engorgement
b. Modified lanolin cream
c. A breast binder
d. Breast shells
7. A nurse is providing discharge teaching to a client who is
postpartum about resuming sexual activity. Which of the
following instructions should the nurse include in the
teaching?
a. You should use a water soluble gel for lubrication- This
will prevent discomfort
b. You can resume sexual activity in 10 days
, c. Your physical reaction to sexual stimulation ill not be
altered
d. You will not ovulate for 3 months after delivery
8. A nurse is admitting a client who is in labor. The client
admits to recent cocaine use. For which of the following
complications should the nurse assess?
a. Abruptio placenta- Cocaines increases the risk for
vasoconstriction and possible abruption placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
9. A nurse is providing dietary teaching with a client who has
hyperemesis gravidarum. Which of the following statements
by the client indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my
meals- Eat to taste to avoid nausea
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating
them alone
10. A nurse is preparing to collect a blood specimen from a
newborn via a heel stick. Which of the following techniques
should the nurse use to help minimize the pain of the
procedure for the newborn?
a. Warm the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lance blade to pierce the skin
d. Swaddle the newborn after the heel puncture- Effective
technique to diminish the pain experience for the
newborn.
11. A nurse is conducting an initial prenatal visit for a
client who is at 6 weeks gestation. Which of the following
laboratory tests should be performed?
a. 24 hour urine for protein
b. Group B streptococcus culture
