LECTSTEPHEN
VATI RN MATERNAL NEWBORN EXAM 2019
1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to
the provider?
• Epigastric pain
2. A nurse is assessing a newborn following a circumcision 48 hr ago. The nurse should identify that yellow exudate covering
the newborn's glans penis indicates which of the following?
• Healing
3. A nurse is developing a plan of care for a client who is in the latent phase of labor. Which of the following
interventions should the nurse include in the plan to manage the client's pain?
• Encourage the client to listen to music
4. A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis.
Which of the following laboratory tests should the nurse monitor?
• International normalized ratio (INR)
5. A nurse is reviewing the medical record of a client who has preeclampsia prior to administering labetalol. For which of
the following findings should the nurse withhold the medication?
• Heart rate 54/min
6. A nurse is assessing a client who is in labor. Which of the following findings should the nurse expect?
• Decrease in blood glucose level
7. A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits
good muscle tone and respiratory efforts. Which of the following actions should the nurse take first?
• Begin suctioning of mouth and nose
8. A nurse is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following
are findings of this condition? (Select all that apply.)
• Tachycardia
• Dry mucous membranes
• Poor skin turgor
9. A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and displays some flexion of the extremities,
is not crying, has irregular respiratory effort, and has a heart rate of 92/min. The nurse notes grimacing but no crying when
rubbing the soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What is the correct Apgar
score?
• 5
10. A nurse is planning to obtain a blood specimen from a newborn via a heel stick. Which of the following actions should
the nurse take?
• Cleanse the puncture site with alcohol gauze prior to the procedure
11. A nurse is teaching a class to clients who are pregnant. Which of the following topics should the nurse include in
the discussion about cesarean birth? (Select all that apply.)
a. Management of postpartum pain
b. Advantage of early ambulation post-surgical
c. The need for an indwelling urinary catheter during delivery
12. A nurse is assessing a 1 HOUR-old newborn. Which of the following findings should the nurse report to the provider?
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, • Generalized petechiae
13. A nurse is assessing a newborn. Which of the following findings indicates a need to check the newborn's blood glucose
level for hypoglycemia?
• Hypotonia
14. A nurse is caring for a client who had a vaginal delivery 2 hr ago and is reporting increasing perineal pain and pressure.
The nurse examines the client's perineum and sees a 4 cm (1.6 in) area of purplish discoloration with swelling. The nurse
should interpret these findings as which of the following?
• A hematoma
15. A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the
following nonpharmacological interventions should the nurse provide to manage the client's pain?
• Encourage the support person to apply sacral counterpressure
16. A nurse is performing an initial assessment during a client's first prenatal visit. The client states that her last menstrual
period began April 22. Use Nägele's rule to calculate the expected date of birth (EDB). (Use the MMDD format to enter
exactly four numerals, with no spaces or punctuation between the numbers.)
MMDD. 0129:
17. A nurse is caring for a client who is 3 days postpartum. Which of the following actions should the nurse take? (Click on
the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of
data.)
EXHIBIT
• Obtain a vaginal culture
18. A nurse is teaching a client who has hyperemesis gravidarum about dietary modifications. Which of the following
client statements indicates an understanding of the teaching?
• "I will eat small, frequent meals throughout the day
19. A nurse is reviewing the results of a nonstress test for a client who is at 37 weeks of gestation. Which of the
following findings indicates a reactive nonstress test?
• Fetal heart rate (FHR) accelerations occur with fetal movement
20. A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium
sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was
effective?
• Respiratory rate 12/min
21. A nurse is caring for a group of clients who are postpartum. Which of the following clients is at an increased risk for a fall?
• A client who has an indwelling urinary catheter
22. A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings is an indication
the medication was effective?
• Decreased frequency of contractions
23. A nurse is admitting a client who is at 39 weeks of gestation and in active labor. The client reports being positive for group
B streptococcus (GBS) when screened at 36 weeks of gestation. Which of the following actions should the nurse expect to
take?
This study source was downloaded by 100000829684747 from CourseHero.com on 03-02-2022 18:08:41 GMT -06:00
https://www.coursehero.com/file/66663905/obdocx/
VATI RN MATERNAL NEWBORN EXAM 2019
1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to
the provider?
• Epigastric pain
2. A nurse is assessing a newborn following a circumcision 48 hr ago. The nurse should identify that yellow exudate covering
the newborn's glans penis indicates which of the following?
• Healing
3. A nurse is developing a plan of care for a client who is in the latent phase of labor. Which of the following
interventions should the nurse include in the plan to manage the client's pain?
• Encourage the client to listen to music
4. A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis.
Which of the following laboratory tests should the nurse monitor?
• International normalized ratio (INR)
5. A nurse is reviewing the medical record of a client who has preeclampsia prior to administering labetalol. For which of
the following findings should the nurse withhold the medication?
• Heart rate 54/min
6. A nurse is assessing a client who is in labor. Which of the following findings should the nurse expect?
• Decrease in blood glucose level
7. A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits
good muscle tone and respiratory efforts. Which of the following actions should the nurse take first?
• Begin suctioning of mouth and nose
8. A nurse is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following
are findings of this condition? (Select all that apply.)
• Tachycardia
• Dry mucous membranes
• Poor skin turgor
9. A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and displays some flexion of the extremities,
is not crying, has irregular respiratory effort, and has a heart rate of 92/min. The nurse notes grimacing but no crying when
rubbing the soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What is the correct Apgar
score?
• 5
10. A nurse is planning to obtain a blood specimen from a newborn via a heel stick. Which of the following actions should
the nurse take?
• Cleanse the puncture site with alcohol gauze prior to the procedure
11. A nurse is teaching a class to clients who are pregnant. Which of the following topics should the nurse include in
the discussion about cesarean birth? (Select all that apply.)
a. Management of postpartum pain
b. Advantage of early ambulation post-surgical
c. The need for an indwelling urinary catheter during delivery
12. A nurse is assessing a 1 HOUR-old newborn. Which of the following findings should the nurse report to the provider?
This study source was downloaded by 100000829684747 from CourseHero.com on 03-02-2022 18:08:41 GMT -06:00
https://www.coursehero.com/file/66663905/obdocx/
, • Generalized petechiae
13. A nurse is assessing a newborn. Which of the following findings indicates a need to check the newborn's blood glucose
level for hypoglycemia?
• Hypotonia
14. A nurse is caring for a client who had a vaginal delivery 2 hr ago and is reporting increasing perineal pain and pressure.
The nurse examines the client's perineum and sees a 4 cm (1.6 in) area of purplish discoloration with swelling. The nurse
should interpret these findings as which of the following?
• A hematoma
15. A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the
following nonpharmacological interventions should the nurse provide to manage the client's pain?
• Encourage the support person to apply sacral counterpressure
16. A nurse is performing an initial assessment during a client's first prenatal visit. The client states that her last menstrual
period began April 22. Use Nägele's rule to calculate the expected date of birth (EDB). (Use the MMDD format to enter
exactly four numerals, with no spaces or punctuation between the numbers.)
MMDD. 0129:
17. A nurse is caring for a client who is 3 days postpartum. Which of the following actions should the nurse take? (Click on
the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of
data.)
EXHIBIT
• Obtain a vaginal culture
18. A nurse is teaching a client who has hyperemesis gravidarum about dietary modifications. Which of the following
client statements indicates an understanding of the teaching?
• "I will eat small, frequent meals throughout the day
19. A nurse is reviewing the results of a nonstress test for a client who is at 37 weeks of gestation. Which of the
following findings indicates a reactive nonstress test?
• Fetal heart rate (FHR) accelerations occur with fetal movement
20. A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium
sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was
effective?
• Respiratory rate 12/min
21. A nurse is caring for a group of clients who are postpartum. Which of the following clients is at an increased risk for a fall?
• A client who has an indwelling urinary catheter
22. A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings is an indication
the medication was effective?
• Decreased frequency of contractions
23. A nurse is admitting a client who is at 39 weeks of gestation and in active labor. The client reports being positive for group
B streptococcus (GBS) when screened at 36 weeks of gestation. Which of the following actions should the nurse expect to
take?
This study source was downloaded by 100000829684747 from CourseHero.com on 03-02-2022 18:08:41 GMT -06:00
https://www.coursehero.com/file/66663905/obdocx/
