MATERNAL NEWBORN - FINAL
EXAM QUESTIONS AND
ANSWERS
A primipara client who is bottle feeding her baby begins to experience breast
engorgement on her third postpartum day. Which instruction by the nurse would
be most appropriate to aid in relieving her discomfort?
a. "Express some milk from your breasts every so often to relieve the
distention."
b. "Remove your bra to relieve the pressure on your sensitive nipples and
breasts."
c. "Apply ice packs to your breasts to reduce the amount of milk being
produced."
d. "Take several warm showers daily to stimulate the milk let-down reflex." - c.
"Apply ice packs to your breasts to reduce the amount of milk being produced."
The nurse who is working with parents and their newborn encourages which
action to assist the bonding and attachment between them?
a. touching
b. talking
c. looking
d. feeding - A. touching
,A nurse is assessing a client with postpartal hemorrhage; the client is presently
on IV oxytocin. Which interventions should the nurse perform to evaluate the
efficacy of the drug treatment? Select all that apply.
a. Assess the client's uterine tone.
b. Monitor the client's vital signs.
c. Assess the client's skin turgor.
d. Get a pad count.
e. Assess deep tendon reflexes. - A. Assess the client's uterine tone
B. Monitor the client's vital signs
D. Get pad count
A nurse is working with a pregnant woman to schedule follow-up visits for her
pregnancy. Which statement by the woman indicates that she understands the
scheduling?
a. "From now until I'm 28 weeks, I'll be coming once a month."
b. "I need to make visits every 2 months until I'm 36 weeks pregnant."
c. "Once I get to 28 weeks, I have to come twice a month."
d. "I'll make sure to get a day off every 2 weeks to make my visits." - A. From
now until I'm 28 weeks, I'll be coming once a month
The nurse administers Rho(D) immune globulin to an Rh-negative client after
birth of an Rh-positive newborn based on the understanding that this drug will
prevent her from:
a. becoming Rh positive.
, b. developing Rh sensitivity.
c. developing AB antigens in her blood.
d. becoming pregnant with an Rh-positive fetus. - B. Developing Rh sensitivity
A postpartum woman is experiencing subinvolution. When reviewing the
client's history for factors that might contribute to this condition, which factors
would the nurse identify? Select all that apply.
a. uterine infection
b. prolonged labor
c. hydramnios
d. breastfeeding
e. early ambulation
f. empty bladder - a. uterine infection
b. prolonged labor
c. hydramnios
A postpartum client saturates a peripad in 30 minutes. What is the nurse's first
action in this situation?
a. Massage the fundus
b. Take a blood pressure
c. Call the provider
d. Encourage the client to void - A. Massage the fundus
The nurse is preparing to assess a client who is 1 day postpartum. The nurse
predicts the client's fundus will be at which location on assessment?
a. At level of umbilicus
b. 1 cm above the umbilicus
c. 1 cm below the umbilicus
d. At the symphysis pubis - c. 1 cm below umbilicus
EXAM QUESTIONS AND
ANSWERS
A primipara client who is bottle feeding her baby begins to experience breast
engorgement on her third postpartum day. Which instruction by the nurse would
be most appropriate to aid in relieving her discomfort?
a. "Express some milk from your breasts every so often to relieve the
distention."
b. "Remove your bra to relieve the pressure on your sensitive nipples and
breasts."
c. "Apply ice packs to your breasts to reduce the amount of milk being
produced."
d. "Take several warm showers daily to stimulate the milk let-down reflex." - c.
"Apply ice packs to your breasts to reduce the amount of milk being produced."
The nurse who is working with parents and their newborn encourages which
action to assist the bonding and attachment between them?
a. touching
b. talking
c. looking
d. feeding - A. touching
,A nurse is assessing a client with postpartal hemorrhage; the client is presently
on IV oxytocin. Which interventions should the nurse perform to evaluate the
efficacy of the drug treatment? Select all that apply.
a. Assess the client's uterine tone.
b. Monitor the client's vital signs.
c. Assess the client's skin turgor.
d. Get a pad count.
e. Assess deep tendon reflexes. - A. Assess the client's uterine tone
B. Monitor the client's vital signs
D. Get pad count
A nurse is working with a pregnant woman to schedule follow-up visits for her
pregnancy. Which statement by the woman indicates that she understands the
scheduling?
a. "From now until I'm 28 weeks, I'll be coming once a month."
b. "I need to make visits every 2 months until I'm 36 weeks pregnant."
c. "Once I get to 28 weeks, I have to come twice a month."
d. "I'll make sure to get a day off every 2 weeks to make my visits." - A. From
now until I'm 28 weeks, I'll be coming once a month
The nurse administers Rho(D) immune globulin to an Rh-negative client after
birth of an Rh-positive newborn based on the understanding that this drug will
prevent her from:
a. becoming Rh positive.
, b. developing Rh sensitivity.
c. developing AB antigens in her blood.
d. becoming pregnant with an Rh-positive fetus. - B. Developing Rh sensitivity
A postpartum woman is experiencing subinvolution. When reviewing the
client's history for factors that might contribute to this condition, which factors
would the nurse identify? Select all that apply.
a. uterine infection
b. prolonged labor
c. hydramnios
d. breastfeeding
e. early ambulation
f. empty bladder - a. uterine infection
b. prolonged labor
c. hydramnios
A postpartum client saturates a peripad in 30 minutes. What is the nurse's first
action in this situation?
a. Massage the fundus
b. Take a blood pressure
c. Call the provider
d. Encourage the client to void - A. Massage the fundus
The nurse is preparing to assess a client who is 1 day postpartum. The nurse
predicts the client's fundus will be at which location on assessment?
a. At level of umbilicus
b. 1 cm above the umbilicus
c. 1 cm below the umbilicus
d. At the symphysis pubis - c. 1 cm below umbilicus
