Maternal Newborn Final Exam Test Questions and Answers Graded A+
A nurse is caring for a client who is pregnant and reports
You should eat some crackers before rising from the bed
nausea and vomiting. Which of the following instructions
in the morning.
should the nurse provide to the client?
Ensure the newborn's eyes are closed before applying the
A nurse is assisting in the plan of care for a newborn who eye shield.
requires phototherapy for hyperbilirubinemia. Which of R: Overexposure to the lights during treatment can cause
the following actions should the nurse include in the plan damage to the newborn's corneas. Therefore, the nurse
of care? should gently close the newborn's eyes prior to applying
the eye shield.
I should press the button on the hand held marker when
A nurse is reinforcing teaching with a client about a non- my baby moves.
stress test. Which of the following statements by the client R: The purpose of a nonstress test is to assess fetal
indicates and understanding of the teaching? well-being. The client should press the button on the hand
held marker when she feels fetal movement.
Vitamin C
A nurse is reinforcing teaching with a client who is post-
R: Vitamin C is important for tissue formation and integrity.
partum and breastfeeding. Which of the following nutri-
The nurse should instruct the client to consume 115 to 120
ents should the nurse include in the teaching as a nutrient
mg of vitamin C per day, which is an increase from when
for the client to increase the intake of while breastfeeding?
the client was pregnant.
Do not become pregnant for at least 1 year.
R: Hydatidiform moles are uncontrolled growths in the
A nurse is reinforcing discharge instructions with a client
uterus arising from placental or fetal tissue in early preg-
following the removal of a hydatidiform mole. Which of
nancy. There is an increased incidence of choriocarcinoma
the following statements should the nurse include in the
associated with molar pregnancies. Pregnancy must be
teaching?
avoided for 1 year so the client can be closely monitored
for manifestations of this condition.
Pelvic inflammatory disease
R: An ectopic pregnancy occurs when the fertilized egg
implants in tissue outside of the uterus, and the placenta
and fetus begin to develop there. The most common site
1/7
, Maternal Newborn Final Exam Test Questions and Answers Graded A+
is within a fallopian tube, but ectopic pregnancies can oc-
A nurse is caring for a client who has clinical manifes- casionally occur in the ovary or the abdomen. Most cases
tations of an ectopic pregnancy. Which of the following are a result of scarring caused by a previous tubal infection
findings is a risk factor for an ectopic pregnancy? or tubal surgery. Therefore, pelvic inflammatory disease
(PID) places the client at risk for an ectopic pregnancy.
A nurse in a prenatal clinic is caring for a client who is
"A weight gain of about 25 to 35 pounds is good."
within the recommended guideline for weight. The client
R: A weight gain of 25 to 35 lb is associated with good fetal
asks the nurse how much weight is safe for her to gain
outcome. A gain of 4 lb in the first trimester and 12 lb each
during her pregnancy. Which of the following responses
for the second and third trimester is recommended.
should the nurse make?
Nonreactive nonstress test
R: A nonstress test measures fetal heart rate (FHR) accel-
erations with normal movement. A fetal acceleration is a
A nurse is assisting with caring for a client who is at positive sign. It is present when the FHR increases 15/min
36 weeks of gestation and has pre-eclampsia. Which of and lasts 15 seconds. In a nonreactive nonstress test, there
the following findings should the nurse identify as the are no accelerations. The absence of FHR accelerations
priority? suggests that the fetus may be going into distress. The
nurse might also need to use Maslow's hierarchy of needs,
the ABC priority-setting framework, or nursing knowledge
to identify which finding is the most urgent.
"You will have a cesarean birth prior to the onset of labor."
A nurse is reinforcing teaching with a client who has active
R: Whenever possible, the cesarean birth should be
genital herpes simplex virus, type 2. Which of the follow-
scheduled prior to the onset of labor or rupture of mem-
ing statements by the nurse should be included in the
branes to reduce the risk of neonatal transmission of her-
teaching?
pes.
A nurse is caring for a client who is at 16 weeks gestation Use a 20-gauge needle, and administer the medication
and has severe iron deficiency anemia. The provider pre- using the Z-track method.
scribes an injection of an iron dextran IM. Which of the R: The nurse should administer iron using the Z-track
following methods should the nurse use to administer the method to prevent staining of tissue. A 20-gauge needle
medication? is the correct size.
2/7
A nurse is caring for a client who is pregnant and reports
You should eat some crackers before rising from the bed
nausea and vomiting. Which of the following instructions
in the morning.
should the nurse provide to the client?
Ensure the newborn's eyes are closed before applying the
A nurse is assisting in the plan of care for a newborn who eye shield.
requires phototherapy for hyperbilirubinemia. Which of R: Overexposure to the lights during treatment can cause
the following actions should the nurse include in the plan damage to the newborn's corneas. Therefore, the nurse
of care? should gently close the newborn's eyes prior to applying
the eye shield.
I should press the button on the hand held marker when
A nurse is reinforcing teaching with a client about a non- my baby moves.
stress test. Which of the following statements by the client R: The purpose of a nonstress test is to assess fetal
indicates and understanding of the teaching? well-being. The client should press the button on the hand
held marker when she feels fetal movement.
Vitamin C
A nurse is reinforcing teaching with a client who is post-
R: Vitamin C is important for tissue formation and integrity.
partum and breastfeeding. Which of the following nutri-
The nurse should instruct the client to consume 115 to 120
ents should the nurse include in the teaching as a nutrient
mg of vitamin C per day, which is an increase from when
for the client to increase the intake of while breastfeeding?
the client was pregnant.
Do not become pregnant for at least 1 year.
R: Hydatidiform moles are uncontrolled growths in the
A nurse is reinforcing discharge instructions with a client
uterus arising from placental or fetal tissue in early preg-
following the removal of a hydatidiform mole. Which of
nancy. There is an increased incidence of choriocarcinoma
the following statements should the nurse include in the
associated with molar pregnancies. Pregnancy must be
teaching?
avoided for 1 year so the client can be closely monitored
for manifestations of this condition.
Pelvic inflammatory disease
R: An ectopic pregnancy occurs when the fertilized egg
implants in tissue outside of the uterus, and the placenta
and fetus begin to develop there. The most common site
1/7
, Maternal Newborn Final Exam Test Questions and Answers Graded A+
is within a fallopian tube, but ectopic pregnancies can oc-
A nurse is caring for a client who has clinical manifes- casionally occur in the ovary or the abdomen. Most cases
tations of an ectopic pregnancy. Which of the following are a result of scarring caused by a previous tubal infection
findings is a risk factor for an ectopic pregnancy? or tubal surgery. Therefore, pelvic inflammatory disease
(PID) places the client at risk for an ectopic pregnancy.
A nurse in a prenatal clinic is caring for a client who is
"A weight gain of about 25 to 35 pounds is good."
within the recommended guideline for weight. The client
R: A weight gain of 25 to 35 lb is associated with good fetal
asks the nurse how much weight is safe for her to gain
outcome. A gain of 4 lb in the first trimester and 12 lb each
during her pregnancy. Which of the following responses
for the second and third trimester is recommended.
should the nurse make?
Nonreactive nonstress test
R: A nonstress test measures fetal heart rate (FHR) accel-
erations with normal movement. A fetal acceleration is a
A nurse is assisting with caring for a client who is at positive sign. It is present when the FHR increases 15/min
36 weeks of gestation and has pre-eclampsia. Which of and lasts 15 seconds. In a nonreactive nonstress test, there
the following findings should the nurse identify as the are no accelerations. The absence of FHR accelerations
priority? suggests that the fetus may be going into distress. The
nurse might also need to use Maslow's hierarchy of needs,
the ABC priority-setting framework, or nursing knowledge
to identify which finding is the most urgent.
"You will have a cesarean birth prior to the onset of labor."
A nurse is reinforcing teaching with a client who has active
R: Whenever possible, the cesarean birth should be
genital herpes simplex virus, type 2. Which of the follow-
scheduled prior to the onset of labor or rupture of mem-
ing statements by the nurse should be included in the
branes to reduce the risk of neonatal transmission of her-
teaching?
pes.
A nurse is caring for a client who is at 16 weeks gestation Use a 20-gauge needle, and administer the medication
and has severe iron deficiency anemia. The provider pre- using the Z-track method.
scribes an injection of an iron dextran IM. Which of the R: The nurse should administer iron using the Z-track
following methods should the nurse use to administer the method to prevent staining of tissue. A 20-gauge needle
medication? is the correct size.
2/7
