MATERNAL NEWBORN RTF QUESTIONS AND ANSWERS
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
A. Reports increased urinary output
B. Diaphoresis
C. Reports blurred vision
D. Shallow respirations
A. Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation,
drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include
weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose
level greater than 200
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the
following actions should the nurse take?
A. Administer penicillin G 2.4 million units IM to the client
B. Instruct the client to schedule an annual pelvic examination.
C. Tell the client she will start medication for HIV immediately after delivery
D. Report the client's condition to the local health department
D. Report the client's condition to the local health department
The nurse should report the condition to the local health department. HIV is one of the
conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
reported.
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
,this medication?
A. Depression
B. Polyuria
C. Hypotension
D. Urticaria
A. Depression
The nurse should instruct the client that depression is a common adverse effect of combined
oral contraceptives. Other common adverse effects of the medication include amenorrhea,
weight gain, headache, nausea, breakthrough bleeding, and breast tenderness.
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching?
A. "I can administer oxytocin 4 hours after the insertion of the medication."
B. "You will need a full bladder prior to the insertion of the medication."
C. "Remain in a side-lying position for 15 minutes after the medication is inserted."
D. "An antacid will be given 20 minutes prior to the insertion of the medication."
A. "I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hours after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening and
have not begun labor.
A nurse is caring for a prenatal client who has parovirus B19 (fifth disease). Which of the
following actions should the nurse take?
, A. Administer antiviral medication
B. Schedule an ultrasound examination
C. Administer Haemophilus influenzae type b vaccine
D. Schedule an indirect Coombs' test
B. Schedule an ultrasound examination
The nurse should serial ultrasound examinations to monitor the fetus during the pregnancy to
detect the possible development of fetal hydrops. Also, the virus can cause miscarriage,
intrauterine growth restriction, fetal anemia, or stillbirth.
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. Apply a cool pack fo 10 minutes to the heel prior to the puncture.
B. Request a prescription for IM analgesic
C. Use a manual lance blade to pierce the skin
D. Place the newborn skin to skin on the mother's chest.
D. Place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly
decrease the newborn's pain level and anxiety. The nurse should implement the technique
before, during, and after the procedure.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the following
actions should the nurse take?
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
A. Reports increased urinary output
B. Diaphoresis
C. Reports blurred vision
D. Shallow respirations
A. Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation,
drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include
weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose
level greater than 200
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the
following actions should the nurse take?
A. Administer penicillin G 2.4 million units IM to the client
B. Instruct the client to schedule an annual pelvic examination.
C. Tell the client she will start medication for HIV immediately after delivery
D. Report the client's condition to the local health department
D. Report the client's condition to the local health department
The nurse should report the condition to the local health department. HIV is one of the
conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
reported.
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
,this medication?
A. Depression
B. Polyuria
C. Hypotension
D. Urticaria
A. Depression
The nurse should instruct the client that depression is a common adverse effect of combined
oral contraceptives. Other common adverse effects of the medication include amenorrhea,
weight gain, headache, nausea, breakthrough bleeding, and breast tenderness.
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching?
A. "I can administer oxytocin 4 hours after the insertion of the medication."
B. "You will need a full bladder prior to the insertion of the medication."
C. "Remain in a side-lying position for 15 minutes after the medication is inserted."
D. "An antacid will be given 20 minutes prior to the insertion of the medication."
A. "I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hours after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening and
have not begun labor.
A nurse is caring for a prenatal client who has parovirus B19 (fifth disease). Which of the
following actions should the nurse take?
, A. Administer antiviral medication
B. Schedule an ultrasound examination
C. Administer Haemophilus influenzae type b vaccine
D. Schedule an indirect Coombs' test
B. Schedule an ultrasound examination
The nurse should serial ultrasound examinations to monitor the fetus during the pregnancy to
detect the possible development of fetal hydrops. Also, the virus can cause miscarriage,
intrauterine growth restriction, fetal anemia, or stillbirth.
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. Apply a cool pack fo 10 minutes to the heel prior to the puncture.
B. Request a prescription for IM analgesic
C. Use a manual lance blade to pierce the skin
D. Place the newborn skin to skin on the mother's chest.
D. Place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly
decrease the newborn's pain level and anxiety. The nurse should implement the technique
before, during, and after the procedure.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the following
actions should the nurse take?
