Maternal Newborn Dynamic Quizzing
A nurse is obtaining the blood pressure of a client who is pregnant. The client's
blood pressure is 1422/90 mmHg. Which of the following actions should the nurse
R
take?
E
A. Repeat the measurement immediately using the opposite arm
H
B. Repeat the measurement after allowing the client to sit for 5 to 10 minutes
C. Repeat the measurement after repositioning the client so that her feet are off
IG
the floor
D. Repeat the measurement while ensuring the client's arm is dangling at her side
H
B. Repeat the measurement after allowing the client to sit for 5 to 10 minutes
NG
I
A nurse is teaching a client who is pregnant about nonstress testing. Which of
the following pieces of information should the nurse include?
Y
A. "This test is an invasive procedure that presents minimal risk to the fetus."
L
B. "If the test is reactive, that means your baby's heart rate is healthy."
F
C. "When your baby moves, the test should record the baby's heart decreasing by
about 15 beats per minute."
D. "The results of the test will be recorded as positive if no fetal movement
occurs during th
B. "If the test is reactive, that means your baby's heart rate is healthy."
, 2
A nurse is assessing a client who is at 35 weeks of gestation and has
preeclampsia without severe features. Which of the following findings should the
nurse identify as the priority?
R
A. 480 mL urine output in 24 hr
E
B. Blood pressure 144/92 mmHg
H
C. +2 edema of the feet
D. 1+ protein in urine
G
A. 480 mL urine output in 24 hr
HI
G
A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation
and verbalizes a fear of gaining weight during pregnancy. Which of the following
N
actions should the nurse take?
I
A. Have the client watch a video on fetal growth and development during
Y
pregnancy
L
B. Supply pamphlets that discuss the importance of nutrition during pregnancy
F
C. Explain how poor nutrition can prevent the baby from growing properly
D. Provide examples of how eating well will help maintain a healthy weight
D. Provide examples of how eating well will help maintain a healthy weight during
pregnancy
, 3
A nurse is caring for a client at 35 weeks gestation who has severe
pre-eclampsia. Which of the following assessments provides the most accurate
information regarding the client's fluid and electrolyte status?
A. Blood pressure
R
B. Intake and output
E
C. Daily weight
H
D. Severity of edema
C. Daily weight
IG
H
A nurse is assessing a client who is suspected of having hyperemesis
G
gravidarum. Which of the following laboratory tests should the nurse check first?
A. Complete blood count
N
B. Liver enzymes
I
C. Bilirubin level
Y
D. Urine ketones
L
D. Urine ketones
F
A nurse in a prenatal clinic is caring for a client who is within the recommended
guideline for weight. The client asks the nurse how much weight is safe for her to
gain during her pregnancy. Which of the following responses should the nurse
offer?
, 4
A. "Your provider can discuss an appropriate amount of weight gain with you."
B. "A weight gain of about 14 lb each trimester is suggested."
C. "If you eat nutritious foods when you feel hungry, the amount of weight gain is
insignificant."
R
D. "A weigh
E
D. "A weight gain of about 25 to 35 lb is good."
GH
A nurse is assessing a 4-hour-old newborn prior to breastfeeding and notes
I
hands and feet that are cool and slightly blue. Which of the following actions
H
should the nurse take?
G
A. Apply an oxygen hood over the newborn's head and neck
B. Check the newborn's temperature using a temporal thermometer
N
C. Place the naked newborn on the mother's bare chest and cover both with a
I
blanket.
Y
D. Give the newborn glucose water between feedings
L
C. Place the naked newborn on the mother's bare chest and cover both with a
F
blanket.
A nurse is assessing a client who is in the fourth stage of labor. Which of the
following findings should the nurse expect?
A. Breast engorgement