Maternal Newborn EXAM 2024/25
GRADED A
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a
vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider
regarding which of the following prescriptions? - ANSWER The nurse
should not administer a rectal suppository or enema to a client who has a fourth-degree
perineal laceration. These can cause separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription
states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many
mL should the nurse administer? (Round the ANSWER to the nearest tenth. Use a leading zero if
it applies. Do not use a trailing zero.) - ANSWER STEP 8: Reassess to
determine whether the amount to administer makes sense. If there are 10 mcg/mL and the
prescription reads 5 mcg, it makes sense to administer 0.5 mL. The nurse should administer
hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching? - ANSWER The nurse
should instruct the client to engage in 30 min of moderate exercise every day to improve muscle
tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor.
Which of the following findings should the nurse identify as a possible cause of the early
,decelerations? - ANSWER The nurse should identify fetal head
compression as a likely cause of the early decelerations on the fetal monitor. Early decelerations
are an expected fetal pattern caused by fetal head compression due to uterine contractions,
fundal pressure, and vaginal examinations.
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the
following actions should the nurse take? - ANSWER Take photos of the
newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which
of the following actions by the mother should the nurse recognize as a positive parenting
behavior? - ANSWER Lays the newborn across her lap and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of
security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should
the nurse identify as the priority? - ANSWER Epigastric pain is a clinical
manifestation of preeclampsia and indicates hepatic involvement, which is an urgent finding.
Therefore, the nurse should identify this client as the priority.
, A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.) - ANSWER Flaccid uterus is correct. Oxytocin increases the
contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even
when the uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal
bleeding.
Increased afterbirth cramping is incorrect. The use of oxytocin will increase, rather than
decrease, afterbirth cramping.
Increased maternal temperature is incorrect. The use of oxytocin will have no effect on
maternal temperature.
A nurse is teaching a new mother about newborn safety. Which of the following instructions
should the nurse include in the teaching? - ANSWER Room-sharing is
recommended during the first few weeks. This allows the parents to be readily available to the
newborn and learn the newborn's cues. However, the nurse should instruct the parents to avoid
placing the newborn in their bed as it increases the risk for sudden infant death syndrome.
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the
nurse that her last menstrual cycle started on November 27th. Which of the following dates is
GRADED A
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a
vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider
regarding which of the following prescriptions? - ANSWER The nurse
should not administer a rectal suppository or enema to a client who has a fourth-degree
perineal laceration. These can cause separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription
states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many
mL should the nurse administer? (Round the ANSWER to the nearest tenth. Use a leading zero if
it applies. Do not use a trailing zero.) - ANSWER STEP 8: Reassess to
determine whether the amount to administer makes sense. If there are 10 mcg/mL and the
prescription reads 5 mcg, it makes sense to administer 0.5 mL. The nurse should administer
hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching? - ANSWER The nurse
should instruct the client to engage in 30 min of moderate exercise every day to improve muscle
tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor.
Which of the following findings should the nurse identify as a possible cause of the early
,decelerations? - ANSWER The nurse should identify fetal head
compression as a likely cause of the early decelerations on the fetal monitor. Early decelerations
are an expected fetal pattern caused by fetal head compression due to uterine contractions,
fundal pressure, and vaginal examinations.
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the
following actions should the nurse take? - ANSWER Take photos of the
newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which
of the following actions by the mother should the nurse recognize as a positive parenting
behavior? - ANSWER Lays the newborn across her lap and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of
security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should
the nurse identify as the priority? - ANSWER Epigastric pain is a clinical
manifestation of preeclampsia and indicates hepatic involvement, which is an urgent finding.
Therefore, the nurse should identify this client as the priority.
, A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.) - ANSWER Flaccid uterus is correct. Oxytocin increases the
contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even
when the uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal
bleeding.
Increased afterbirth cramping is incorrect. The use of oxytocin will increase, rather than
decrease, afterbirth cramping.
Increased maternal temperature is incorrect. The use of oxytocin will have no effect on
maternal temperature.
A nurse is teaching a new mother about newborn safety. Which of the following instructions
should the nurse include in the teaching? - ANSWER Room-sharing is
recommended during the first few weeks. This allows the parents to be readily available to the
newborn and learn the newborn's cues. However, the nurse should instruct the parents to avoid
placing the newborn in their bed as it increases the risk for sudden infant death syndrome.
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the
nurse that her last menstrual cycle started on November 27th. Which of the following dates is
