Maternal Newborn Practice 2021/2022
A***
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?ANSWERS-
Reports increased urinary output
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?ANSWERS-Report the client's condition
to the local health department
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?ANSWERS-Depression
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?ANSWERS-"I can administer oxytocin 4 hours after the insertion of the
medication"
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?ANSWERS-Schedule an ultrasound
examination
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 newbornANSWERS-Place the newborn skin to skin on the mothers
chest
A nurse is performing a vaginal exam 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?ANSWERS-Insert two gloved fingers into the
vagina and apply upward pressure to the presenting part
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?ANSWERS-Kleihauer-Betke test
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For
which of the following complications should the nurse assess?ANSWERS-Abruptio
placenta
A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?ANSWERS-Blurred Vision
, A nurse is providing education about family bonding to parents who recently adopted a
newborn. The nurse should make which of the following suggestions to aid the family's
7-year-old in accepting the new family memeber?ANSWERS-Obtain an gift from the
newborn to present to the sibling
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a
C-section. The nurse notes a respiratory rate of 8/min. Which of the following
medications should be administered?ANSWERS-Naloxone
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. Which of the following statements by the client indicates an understanding
of the teaching?ANSWERS-"I should take 600 micrograms of folic acid every day"
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations
should the nurse report to the provider?ANSWERS-Jaundice
A nurse is observing a new parent caring for her crying newborn who is bottle feeding.
Which of the following actions by the parent should the nurse recognize as a positive
parenting behavior?ANSWERS-Lays the newborn across her lap and gently sways
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?ANSWERS-"Ensure that the newborn has been receiving feeding for 24 hours
prior to obtaining the specimen"
A nurse is caring for a client who has uterine atony and is experiencing postpartum
hemorrhage. Which of the following actions is the nurse priority?ANSWERS-Massage
the client's fundus
A nurse is performing a physical assessment of a newborn upon admission to the
nursery. Which of the following manifestations should the nurse expect?ANSWERS-
Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible is correct
A nurse is demonstrating to a client how to bathe their newborn. In which order should
the nurse perform the following actions?ANSWERS-Wipe eyes
Wash Neck
Cleanse skin around umbilical cord stump
Wash legs and feet
A***
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?ANSWERS-
Reports increased urinary output
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?ANSWERS-Report the client's condition
to the local health department
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?ANSWERS-Depression
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?ANSWERS-"I can administer oxytocin 4 hours after the insertion of the
medication"
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?ANSWERS-Schedule an ultrasound
examination
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 newbornANSWERS-Place the newborn skin to skin on the mothers
chest
A nurse is performing a vaginal exam 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?ANSWERS-Insert two gloved fingers into the
vagina and apply upward pressure to the presenting part
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?ANSWERS-Kleihauer-Betke test
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For
which of the following complications should the nurse assess?ANSWERS-Abruptio
placenta
A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?ANSWERS-Blurred Vision
, A nurse is providing education about family bonding to parents who recently adopted a
newborn. The nurse should make which of the following suggestions to aid the family's
7-year-old in accepting the new family memeber?ANSWERS-Obtain an gift from the
newborn to present to the sibling
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a
C-section. The nurse notes a respiratory rate of 8/min. Which of the following
medications should be administered?ANSWERS-Naloxone
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. Which of the following statements by the client indicates an understanding
of the teaching?ANSWERS-"I should take 600 micrograms of folic acid every day"
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations
should the nurse report to the provider?ANSWERS-Jaundice
A nurse is observing a new parent caring for her crying newborn who is bottle feeding.
Which of the following actions by the parent should the nurse recognize as a positive
parenting behavior?ANSWERS-Lays the newborn across her lap and gently sways
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?ANSWERS-"Ensure that the newborn has been receiving feeding for 24 hours
prior to obtaining the specimen"
A nurse is caring for a client who has uterine atony and is experiencing postpartum
hemorrhage. Which of the following actions is the nurse priority?ANSWERS-Massage
the client's fundus
A nurse is performing a physical assessment of a newborn upon admission to the
nursery. Which of the following manifestations should the nurse expect?ANSWERS-
Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible is correct
A nurse is demonstrating to a client how to bathe their newborn. In which order should
the nurse perform the following actions?ANSWERS-Wipe eyes
Wash Neck
Cleanse skin around umbilical cord stump
Wash legs and feet
