Maternal Newborn 2
1. A nurse is evaluating the degree of bonding between a mother and her infant who has
been hospitalized for a high bilirubin. To collect this data the nurse should
a. find out if the pregnancy of this infant was planned.
b. provide a cot so that the mother can stay with the infant.
c. ask the mother how she feels about her infant.
d. observe the mother feeding the infant
2. A nurse caring for a client 14 hr after delivery assesses the following: breasts soft; fundus
firm, uterus slightly deviated to the right; lochia moderate rubra; temperature 37.8° C
(100° F), pulse 88/min, and respirations 18/min. Which of the following nursing actions
should be initiated?
a. Notify the provider of the elevated temperature.
b. Ask the client to empty her bladder.
c. Suggest that the client nurse her infant.
d. Massage the client's fundus.
3. A nurse is caring for a newborn in the newborn nursery who weighs 4 lb and 4 oz. Which
of the following is a correct conversion pounds to kilograms for this newborn's weight?
a. 1.93 kg
b. 2 kg
c. 9.35 kg
d. 9.68 kg
4. In planning postpartum nursing care for a client with cardiac disease, the nurse would
question which of the following provider orders?
a. Strict intake and output
b. High fiber diet
c. Force fluids
d. Monitor vital signs every 2 hr
5. Which of the following statements made by a client who is nursing should indicate to the
nurse that the client has a good understanding of breastfeeding?
a. "I must drink milk every day in order to assure good quality breast milk."
b. "Fluid intake is very important to adequate breast milk production."
c. "I need to add 500 calories to my pregnancy diet to meet both of our nutritional
needs."
d. "I should avoid nursing my baby more often than every 4 hours."
6. While assessing a 2-day-old newborn, the nurse finds a soft spot on the left side of the
newborn's head. Careful inspection reveals a bluish discoloration with edema that does
not cross the suture line. What information should the nurse give to the mother when she
inquires about the finding?
a. "This will resolve within 2 to 6 weeks without treatment."
b. "This will resolve on its own within 2 or 3 days."
c. "I will ask the doctor to examine your baby’s head carefully this morning."
d. "Don’t worry about it; it’s normal."
7. A nurse is caring for a client who has had a cesarean birth and is reporting abdominal
distention. Which of the action should the nurse implement?
a. Suggest that the client ambulate in the hallway.
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, b. Request a narcotic analgesic be ordered.
c. Position the client lying on her right side.
d. Encourage the client to drink carbonated drinks.
8. A nurse is caring for a 30 week gestation premature infant. Which of the following in an
expected assessment finding?
a. Abundant lanugo
b. Good flexion
c. Heel creases
d. Dry, flaky skin
9. A nurse is assessing a newborn immediately after birth and makes these observations:
heart rate 136/min, respirations 36/min, vigorous cry, active movement, and
acrocyanosis. The nurse should assign an Apgar score of
a. 7.
b. 8.
c. 9.
d. 10.
10. When planning the care of a preterm newborn being discharged home with the use of an
apnea monitor, the nurse should want the caregivers to give a return demonstration on
which aspect of newborn care?
a. Position for sleeping
b. Electrode placement
c. Clustering of care
d. Schedule for feeding
11. A nurse is assessing a neonate born at 39 weeks of gestation. Which characteristic is the
nurse most likely to find in this neonate?
a. Creases covering the entire bottom of both feet
b. Dry, wrinkled skin
c. Vernix well distributed over entire body
d. Lanugo abundant over shoulders
12. A nurse on the postpartum unit is caring for a client on the day of delivery and assisted
her out of the bed for the first time. The client becomes frightened when she passes a
blood clot and notices an increase in her lochia. Which information should the nurse
include in an explanation to the client?
a. "You may have retained placental fragments in your uterus."
b. "The blood pools in the vagina when you are lying in bed."
c. "You might have a uterine or urinary tract infection."
d. "The amount of blood flow will increase during the first few days."
13. A nurse is caring for a newborn immediately after delivery. Which of the following is the
priority nursing action?
a. Examine the newborn to rule out any birth defects.
b. Dry the newborn and place in a warm environment.
c. Administer Vitamin K IM.
d. Instill erythromycin solution into the newborn's eyes.
14. A nurse has just given a rubella vaccine to a client who is 2 days postpartum. Which of
the following statements by the client should alert the nurse to the client’s need for
further instruction?
This study source was downloaded by 100000869267694 from CourseHero.com on 07-12-2023 04:40:14 GMT -05:00
https://www.coursehero.com/file/40773511/NSG-300-Maternal-Newborn-2-ATIdocx/
1. A nurse is evaluating the degree of bonding between a mother and her infant who has
been hospitalized for a high bilirubin. To collect this data the nurse should
a. find out if the pregnancy of this infant was planned.
b. provide a cot so that the mother can stay with the infant.
c. ask the mother how she feels about her infant.
d. observe the mother feeding the infant
2. A nurse caring for a client 14 hr after delivery assesses the following: breasts soft; fundus
firm, uterus slightly deviated to the right; lochia moderate rubra; temperature 37.8° C
(100° F), pulse 88/min, and respirations 18/min. Which of the following nursing actions
should be initiated?
a. Notify the provider of the elevated temperature.
b. Ask the client to empty her bladder.
c. Suggest that the client nurse her infant.
d. Massage the client's fundus.
3. A nurse is caring for a newborn in the newborn nursery who weighs 4 lb and 4 oz. Which
of the following is a correct conversion pounds to kilograms for this newborn's weight?
a. 1.93 kg
b. 2 kg
c. 9.35 kg
d. 9.68 kg
4. In planning postpartum nursing care for a client with cardiac disease, the nurse would
question which of the following provider orders?
a. Strict intake and output
b. High fiber diet
c. Force fluids
d. Monitor vital signs every 2 hr
5. Which of the following statements made by a client who is nursing should indicate to the
nurse that the client has a good understanding of breastfeeding?
a. "I must drink milk every day in order to assure good quality breast milk."
b. "Fluid intake is very important to adequate breast milk production."
c. "I need to add 500 calories to my pregnancy diet to meet both of our nutritional
needs."
d. "I should avoid nursing my baby more often than every 4 hours."
6. While assessing a 2-day-old newborn, the nurse finds a soft spot on the left side of the
newborn's head. Careful inspection reveals a bluish discoloration with edema that does
not cross the suture line. What information should the nurse give to the mother when she
inquires about the finding?
a. "This will resolve within 2 to 6 weeks without treatment."
b. "This will resolve on its own within 2 or 3 days."
c. "I will ask the doctor to examine your baby’s head carefully this morning."
d. "Don’t worry about it; it’s normal."
7. A nurse is caring for a client who has had a cesarean birth and is reporting abdominal
distention. Which of the action should the nurse implement?
a. Suggest that the client ambulate in the hallway.
This study source was downloaded by 100000869267694 from CourseHero.com on 07-12-2023 04:40:14 GMT -05:00
https://www.coursehero.com/file/40773511/NSG-300-Maternal-Newborn-2-ATIdocx/
, b. Request a narcotic analgesic be ordered.
c. Position the client lying on her right side.
d. Encourage the client to drink carbonated drinks.
8. A nurse is caring for a 30 week gestation premature infant. Which of the following in an
expected assessment finding?
a. Abundant lanugo
b. Good flexion
c. Heel creases
d. Dry, flaky skin
9. A nurse is assessing a newborn immediately after birth and makes these observations:
heart rate 136/min, respirations 36/min, vigorous cry, active movement, and
acrocyanosis. The nurse should assign an Apgar score of
a. 7.
b. 8.
c. 9.
d. 10.
10. When planning the care of a preterm newborn being discharged home with the use of an
apnea monitor, the nurse should want the caregivers to give a return demonstration on
which aspect of newborn care?
a. Position for sleeping
b. Electrode placement
c. Clustering of care
d. Schedule for feeding
11. A nurse is assessing a neonate born at 39 weeks of gestation. Which characteristic is the
nurse most likely to find in this neonate?
a. Creases covering the entire bottom of both feet
b. Dry, wrinkled skin
c. Vernix well distributed over entire body
d. Lanugo abundant over shoulders
12. A nurse on the postpartum unit is caring for a client on the day of delivery and assisted
her out of the bed for the first time. The client becomes frightened when she passes a
blood clot and notices an increase in her lochia. Which information should the nurse
include in an explanation to the client?
a. "You may have retained placental fragments in your uterus."
b. "The blood pools in the vagina when you are lying in bed."
c. "You might have a uterine or urinary tract infection."
d. "The amount of blood flow will increase during the first few days."
13. A nurse is caring for a newborn immediately after delivery. Which of the following is the
priority nursing action?
a. Examine the newborn to rule out any birth defects.
b. Dry the newborn and place in a warm environment.
c. Administer Vitamin K IM.
d. Instill erythromycin solution into the newborn's eyes.
14. A nurse has just given a rubella vaccine to a client who is 2 days postpartum. Which of
the following statements by the client should alert the nurse to the client’s need for
further instruction?
This study source was downloaded by 100000869267694 from CourseHero.com on 07-12-2023 04:40:14 GMT -05:00
https://www.coursehero.com/file/40773511/NSG-300-Maternal-Newborn-2-ATIdocx/
