NR 327 RN Maternal Newborn Online Practice B Questions and Answers: Chamberlain College of Nursing

RN Maternal Newborn Online Practice 2016 B


1. A nurse in a woman's health clinic is providing teaching about nutritional intake to a client who
is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of
which of the following nutrients?
➔ Iron
2. A nurse is caring for a client who has uterine hypotonicity and is experiencing postpartum
hemorrhage. Which of the following actions is the nurse's priority?
➔ Massage the client’s fundus
3. A nurse is providing discharge teaching to a parent whose newborn has just had a circumcision.
Which of the following instructions should the nurse include?
➔ Apply slight pressure with a sterile gauze pad for mild bleeding.
4. A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. Which of
the following information should the nurse include?
➔ “Your newborn should feel content after each feeding.”
5. A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management
during pregnancy. Which of the following statements by the client indicates an understanding of
the teaching?
➔ “I will continue taking my insulin if I experience nausea and vomiting.”
6. A nurse is discussing the differences between true labor and false labor with a group of
expectant parents. Which of the following characteristics should the nurse include when
discussing true labor?
➔ Contractions become stronger with walking.
7. A nurse is teaching a group of parents about newborn safety. Which of the following statements
by a parent indicates an understanding of the teaching?
➔ “I will dress my baby in flame-retardant clothing.”
8. A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura
(ITP). Which of the following findings should the nurse expect?
➔ Decreased platelet count
9. A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which
of the following actions should the nurse take first? ➔ Verify the newborn’s identification.
10. A nurse is assessing a client who is in active labor and notes early decelerations in the FHR on
the monitor tracing. The client is at 39 weeks of gestation and is receiving a continuous IV
infusion of oxytocin. Which of the following actions should the nurse take? ➔ Continue
monitoring the client
11. A nurse in a provider's office is reviewing the medical record of a client who is in her first
trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor
for the development of preeclampsia?
➔ Pregestational diabetes mellitus
12. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the
following findings is an adverse effect of this medication?
➔ Hypertension

, RN Maternal Newborn Online Practice 2016 B
13. A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia.
Which of the following actions should the nurse take?
➔ Cover the newborn's eyes while under the phototherapy light.
14. A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is
experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal
examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is
in which of the following phases of labor?
➔ Transition
15. A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which
of the following findings in the client's history should the nurse recognize as a contraindication
to oral contraceptives? (Select all that apply.)
➔ Cholecystitis, hypertension, migraine headaches
16. A nurse is assessing a client who is 12 hr postpartum. The client's fundus is two fingerbreadths
above the umbilicus, deviated to the right of the midline, and less firm than previously noted.
Which of the following actions should the nurse take? ➔
Assist the client to the bathroom to void.
17. A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which
of the following clinical manifestations should the nurse expect? (Select all that apply.)
➔ Creases over two-thirds of the soles of the feet, molding of the head, lanugo on the
shoulders
18. A nurse is developing an educational program for adolescents about nutrition during the third
trimester of pregnancy. Which of the following statements should the nurse include in the
program?
➔ "Consume three to four servings of dairy each day."
19. A nurse is performing a vaginal exam on a client who is in labor and reports severe pressure and
pain in the lower back. The nurse notes that the fetal head is in a posterior position. The nurse
should identify that which of the following is the best nonpharmacological intervention to
perform to relieve the client's discomfort?
➔ Counter pressure
20. A nurse is developing a plan of care for a client who has preeclampsia and is receiving
magnesium sulfate via a continuous IV infusion. Which of the following interventions should the
nurse include in the plan?
➔ Monitor the FHR continuously
21. A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions
should the nurse plan to implement during the taking-hold phase of postpartum behavioral
adjustment?
➔ Demonstrate to the client how to perform a newborn bath.
22. 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?
➔ Place the newborn skin to skin on the mother's chest.
23. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the
following findings contraindicates the initiation of the oxytocin infusion and should be reported
to the provider?
➔ Late decelerations