MATERNAL AND NEWBORN PRACTICE - UPDATED GUIDE
1. A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a
newborn. Which of the following statements by the parent indicates a need for
additional teaching? A: My baby will be placed under special lights if the test is elevated.
2. A nursery nurse is admitting a term newborn following a cesarean birth. The nurse observes that
the infant’s skin is slightly yellow. This finding indicates the newborn is experiencing a
complication related to which of the following? A: Maternal/newborn blood group
incompatibility.
3. A nurse is caring for a client who is 12 hr postpartum after the vaginal birth of a normal
newborn. Which of the following is an expected finding? A: Fundus firm, level of umbilicus
4. A nurse is caring for a newborn who is small for gestational age (SGA). Which of the
following interventions should the nurse contribute to this newborn’s plan of care? A:
Monitor blood glucose levels
5. A client in the third trimester of pregnancy is attending childbirth classes. The nurse concludes
that the client understood her presentation about Kegel exercises when she states, “These
exercises will A: help my pelvic muscles stretch when I give birth
6. A nurse is caring for a client who is admitted to preterm labor at 32 weeks of gestation. Which
of the following prescriptions should the nurse question? A: Misoprostol
7. A nurse is caring for several newborn clients. The nurse needs to notify the charge nurse
after observing… A: jaundice in an infant who is 4hr old
8. A client who is postpartum asks the nurse at pediatric clinic what to do when her newborn cries
persistently. Which of the following strategies should the nurse suggest? (Select all that apply)
A: Take the newborn for a ride in the car, carry the born in a front or back pack, swaddle the
newborn in a receiving blanket.
9. A nurse is reinforcing teaching to a client who is pregnant and has phenylketonuria (PKU). Which
of the following foods should the nurse instruct the client to eliminate from her diet? A: Peanut
butter
10. A nurse is collecting data from a client who is postpartum. Which of the following findings
should alert the nurse to the possibility of a postpartum complication? A: Pulse 110/min
11. A client delivered a 34-week, 1,550-g newborn who has nasal flaring, intercostal retractions,
expiratory grunting, and mild cyanosis. The nurse should place the newborn in an incubator
that will create a neutral thermal environment because… A: his temperature control
mechanism is immature.
12. A provider prescribes Methylergonovine (Methergine) IM for a client who had a vaginal delivery
earlier that day. The nurse should explain to the client that this medication will prevent … A:
postpartum hemorrhage
13. A nurse is conducting a gestational age assessment on a newborn. Which of the following
should the nurse check during a neuromuscular assessment? (Select all that apply) A: Arm
recoil, popliteal angle, scarf sign, and heal to ear.
14. A nurse is completing a newborn gestation age assessment. Which of these findings is recorded
as part of this assessment? A: Plantar creases cover 2/3 of sole
15. A nurse is reinforcing teaching to a parent of an infant about bottle-feeding. Which of the
following statements by the parent indicates a need for further teaching? A: Each feeding
should last about 15 minutes.
16. A nurse is caring for a client in the immediate postpartum period. The nurse realizes that the
client is at risk for postpartal hemorrhage due to uterine atony because she had a …. A:
Precipitous delivery
, 17. A client is concerned that her newborn has “Crossed eyes”. Which of the following statements
is a therapeutic response by the nurse? A: Newborns lack the necessary muscle control to
regulate eye movement
18. A nurse is collecting data from a newborn 1hr after delivery. Which of the following respiratory
rates is within the expected reference range for a newborn? A: 48/min
19. A nurse is collecting data from a client who is 1 day postpartum. Which of the following
findings requires immediate intervention? A: Displaced fundus from the midline.
20. A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a
cesarean birth (VBAC). Which of the following statements by the nurse is appropriate? A:
The primary consideration is what type of incision you had.
21. The nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn
weighing 9lb 6oz. (4252 g). The nurse recognizes this client is at risk for which of the following
postpartum complication? A: Uterine atony
22. A nurse is caring for a client at the prenatal clinic who is at 38 weeks of gestation with heavy,
red vaginal bleeding without contractions that started spontaneously. She is in no distress and
states that she can “feel the baby moving.” The nurse should explain to the client that the stat
ultrasound the provider prescribed will determine… A: location of placenta
23. A nurse is collecting data from a newborn immediately after delivery by a client who was at 42
weeks of gestation. Which of the following findings should the nurse expect? A: Dry, cracked skin
24. A nurse is caring for a newborn that was just delivered. Which of the following actions
should the nurse perform first? A: Clear the respiratory tract
25. A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has
severe pre-eclampsia. When collecting data from the client, the nurse should expect which of
the following findings? A: headache
26. A nurse is reinforcing teaching about newborn care with a postpartum client who delivered 2 hr
ago. Which of the following statements by the client indicates a need for further teaching? A:
My baby’s temperature will be checked rectally every hour.
27. A nurse is caring for a client in the in the immediate postoperative period following removal of
an ectopic pregnancy via salpingostomy. The nurse should prepare to administer Rho(D)
immune globulin (RhIG or RhoGAM) as prescribed if the record indicates that the client. A: Rh-
negative
28. A nurse is caring for a newborn who is small for gestational age. Which of the following findings
is associated with this condition? A: Wide skull sutures
29. A client who is postpartum and is breastfeeding her newborn asks the nurse about dietary
precautions. The client states that food allergies “run in her family.” The nurse should tell
the mother to avoid eating.. A: peanuts
30. A client who is 1 day postpartum is having a warm sitz bath. To determine the client’s tolerance
of the procedure, which of the following data should the nurse collect? A: pulse rate
31. A nurse is caring for a newborn who has respiratory distress syndrome and is
experiencing respiratory acidosis. The nurse is aware that respiratory acidosis is caused
by which of the following? A: Inadequate chest expansion.
32. A nurse is caring for a newborn 4h after birth. Which of the following actions should the nurse
implement to prevent jaundice? Initiate early feeding
33. A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that
which of the following reflexes will initiate sucking? A: Rooting
1. A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a
newborn. Which of the following statements by the parent indicates a need for
additional teaching? A: My baby will be placed under special lights if the test is elevated.
2. A nursery nurse is admitting a term newborn following a cesarean birth. The nurse observes that
the infant’s skin is slightly yellow. This finding indicates the newborn is experiencing a
complication related to which of the following? A: Maternal/newborn blood group
incompatibility.
3. A nurse is caring for a client who is 12 hr postpartum after the vaginal birth of a normal
newborn. Which of the following is an expected finding? A: Fundus firm, level of umbilicus
4. A nurse is caring for a newborn who is small for gestational age (SGA). Which of the
following interventions should the nurse contribute to this newborn’s plan of care? A:
Monitor blood glucose levels
5. A client in the third trimester of pregnancy is attending childbirth classes. The nurse concludes
that the client understood her presentation about Kegel exercises when she states, “These
exercises will A: help my pelvic muscles stretch when I give birth
6. A nurse is caring for a client who is admitted to preterm labor at 32 weeks of gestation. Which
of the following prescriptions should the nurse question? A: Misoprostol
7. A nurse is caring for several newborn clients. The nurse needs to notify the charge nurse
after observing… A: jaundice in an infant who is 4hr old
8. A client who is postpartum asks the nurse at pediatric clinic what to do when her newborn cries
persistently. Which of the following strategies should the nurse suggest? (Select all that apply)
A: Take the newborn for a ride in the car, carry the born in a front or back pack, swaddle the
newborn in a receiving blanket.
9. A nurse is reinforcing teaching to a client who is pregnant and has phenylketonuria (PKU). Which
of the following foods should the nurse instruct the client to eliminate from her diet? A: Peanut
butter
10. A nurse is collecting data from a client who is postpartum. Which of the following findings
should alert the nurse to the possibility of a postpartum complication? A: Pulse 110/min
11. A client delivered a 34-week, 1,550-g newborn who has nasal flaring, intercostal retractions,
expiratory grunting, and mild cyanosis. The nurse should place the newborn in an incubator
that will create a neutral thermal environment because… A: his temperature control
mechanism is immature.
12. A provider prescribes Methylergonovine (Methergine) IM for a client who had a vaginal delivery
earlier that day. The nurse should explain to the client that this medication will prevent … A:
postpartum hemorrhage
13. A nurse is conducting a gestational age assessment on a newborn. Which of the following
should the nurse check during a neuromuscular assessment? (Select all that apply) A: Arm
recoil, popliteal angle, scarf sign, and heal to ear.
14. A nurse is completing a newborn gestation age assessment. Which of these findings is recorded
as part of this assessment? A: Plantar creases cover 2/3 of sole
15. A nurse is reinforcing teaching to a parent of an infant about bottle-feeding. Which of the
following statements by the parent indicates a need for further teaching? A: Each feeding
should last about 15 minutes.
16. A nurse is caring for a client in the immediate postpartum period. The nurse realizes that the
client is at risk for postpartal hemorrhage due to uterine atony because she had a …. A:
Precipitous delivery
, 17. A client is concerned that her newborn has “Crossed eyes”. Which of the following statements
is a therapeutic response by the nurse? A: Newborns lack the necessary muscle control to
regulate eye movement
18. A nurse is collecting data from a newborn 1hr after delivery. Which of the following respiratory
rates is within the expected reference range for a newborn? A: 48/min
19. A nurse is collecting data from a client who is 1 day postpartum. Which of the following
findings requires immediate intervention? A: Displaced fundus from the midline.
20. A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a
cesarean birth (VBAC). Which of the following statements by the nurse is appropriate? A:
The primary consideration is what type of incision you had.
21. The nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn
weighing 9lb 6oz. (4252 g). The nurse recognizes this client is at risk for which of the following
postpartum complication? A: Uterine atony
22. A nurse is caring for a client at the prenatal clinic who is at 38 weeks of gestation with heavy,
red vaginal bleeding without contractions that started spontaneously. She is in no distress and
states that she can “feel the baby moving.” The nurse should explain to the client that the stat
ultrasound the provider prescribed will determine… A: location of placenta
23. A nurse is collecting data from a newborn immediately after delivery by a client who was at 42
weeks of gestation. Which of the following findings should the nurse expect? A: Dry, cracked skin
24. A nurse is caring for a newborn that was just delivered. Which of the following actions
should the nurse perform first? A: Clear the respiratory tract
25. A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has
severe pre-eclampsia. When collecting data from the client, the nurse should expect which of
the following findings? A: headache
26. A nurse is reinforcing teaching about newborn care with a postpartum client who delivered 2 hr
ago. Which of the following statements by the client indicates a need for further teaching? A:
My baby’s temperature will be checked rectally every hour.
27. A nurse is caring for a client in the in the immediate postoperative period following removal of
an ectopic pregnancy via salpingostomy. The nurse should prepare to administer Rho(D)
immune globulin (RhIG or RhoGAM) as prescribed if the record indicates that the client. A: Rh-
negative
28. A nurse is caring for a newborn who is small for gestational age. Which of the following findings
is associated with this condition? A: Wide skull sutures
29. A client who is postpartum and is breastfeeding her newborn asks the nurse about dietary
precautions. The client states that food allergies “run in her family.” The nurse should tell
the mother to avoid eating.. A: peanuts
30. A client who is 1 day postpartum is having a warm sitz bath. To determine the client’s tolerance
of the procedure, which of the following data should the nurse collect? A: pulse rate
31. A nurse is caring for a newborn who has respiratory distress syndrome and is
experiencing respiratory acidosis. The nurse is aware that respiratory acidosis is caused
by which of the following? A: Inadequate chest expansion.
32. A nurse is caring for a newborn 4h after birth. Which of the following actions should the nurse
implement to prevent jaundice? Initiate early feeding
33. A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that
which of the following reflexes will initiate sucking? A: Rooting
