(Answered)PN maternal newborn Exam 2020 A
PN Maternal Newborn Online Practice 2020 Exam A:
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting.
Which of the following findings should the nurse identify as an indication that the client
has hyperemesis gravidarum?
a. Ketonuria
i. Occurs due to the breakdown of fat secondary to malnutrition or starvation
2. A nurse is collecting data from a client who is at 36 weeks of gestation during a
prenatal examination. Which of the following findings should the nurse report to the
provider?
a. Blurred vision
i. An indication that the client might have preeclampsia
3. A nurse is caring for a newborn who has a high-pitched cry and does not respond to
consoling efforts. Which of the following neonatal data collection tools should the nurse
expect to complete?
a. Neonatal abstinence scoring system
i. Exhibiting manifestations of opioid withdrawal and should be screened
ii. Additional manifestations of withdrawal include restlessness, tremors,
increased muscle tone, and an exaggerated Moro reflex
4. A nurse is caring for a newborn who is receiving phototherapy. Which of the following
actions should the nurse take?
a. Place an opaque mask over the newborn’s eyes
i. To prevent damage to the retinas – remove mask for feedings
5. A nurse is assisting in the care of a newborn immediately following birth. Which of the
following images should the nurse identify as an indication that the newborn was a
myelomeningocele?
a. First picture – exposed spinal cord and fluid filled sac, priority intervention is to
maintain the integrity of the sac
i. Myelomeningocele occurs when the neural tube fails to close, and the
meninges and spinal cord herniate
1. Defect most often occurs in the lumbar area and may be covered by
a thin membranous sac
6. A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings
should the nurse report to the provider?
a. Apical heart rate of 90/min while crying
i. Is below the expected reference range of 110-160 bpm for a newborn; 80-
100 bpm while sleeping; and up to 180 bpm while crying
7. A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale from 0-10. The nurse also notes
mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with
deviation to the right. Which of the following action is the nurse’s priority?
a. Help the client ambulate to the toilet
i. Greatest risk is postpartum hemorrhage from uterine atony; help client to
urinate & completely empty the bladder, which will allow the uterus to
contract
8. A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has
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, gestational diabetes mellitus. Which of the following information should the nurse include in
the teaching?
a. Consume at least 2000 cal/day
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PN Maternal Newborn Online Practice 2020 Exam A:
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting.
Which of the following findings should the nurse identify as an indication that the client
has hyperemesis gravidarum?
a. Ketonuria
i. Occurs due to the breakdown of fat secondary to malnutrition or starvation
2. A nurse is collecting data from a client who is at 36 weeks of gestation during a
prenatal examination. Which of the following findings should the nurse report to the
provider?
a. Blurred vision
i. An indication that the client might have preeclampsia
3. A nurse is caring for a newborn who has a high-pitched cry and does not respond to
consoling efforts. Which of the following neonatal data collection tools should the nurse
expect to complete?
a. Neonatal abstinence scoring system
i. Exhibiting manifestations of opioid withdrawal and should be screened
ii. Additional manifestations of withdrawal include restlessness, tremors,
increased muscle tone, and an exaggerated Moro reflex
4. A nurse is caring for a newborn who is receiving phototherapy. Which of the following
actions should the nurse take?
a. Place an opaque mask over the newborn’s eyes
i. To prevent damage to the retinas – remove mask for feedings
5. A nurse is assisting in the care of a newborn immediately following birth. Which of the
following images should the nurse identify as an indication that the newborn was a
myelomeningocele?
a. First picture – exposed spinal cord and fluid filled sac, priority intervention is to
maintain the integrity of the sac
i. Myelomeningocele occurs when the neural tube fails to close, and the
meninges and spinal cord herniate
1. Defect most often occurs in the lumbar area and may be covered by
a thin membranous sac
6. A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings
should the nurse report to the provider?
a. Apical heart rate of 90/min while crying
i. Is below the expected reference range of 110-160 bpm for a newborn; 80-
100 bpm while sleeping; and up to 180 bpm while crying
7. A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale from 0-10. The nurse also notes
mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with
deviation to the right. Which of the following action is the nurse’s priority?
a. Help the client ambulate to the toilet
i. Greatest risk is postpartum hemorrhage from uterine atony; help client to
urinate & completely empty the bladder, which will allow the uterus to
contract
8. A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has
This study source was downloaded by 100000849351336 from CourseHero.com on 07-07-2022 05:22:06 GMT -05:00
https://www.coursehero.com/file/98722163/PN-Maternal-Newborn-Online-Practice-2020-Exam-A-questions-and-answersdocx/
, gestational diabetes mellitus. Which of the following information should the nurse include in
the teaching?
a. Consume at least 2000 cal/day
This study source was downloaded by 100000849351336 from CourseHero.com on 07-07-2022 05:22:06 GMT -05:00
https://www.coursehero.com/file/98722163/PN-Maternal-Newborn-Online-Practice-2020-Exam-A-questions-and-answersdocx/
