Maternal Newborn Dynamic Quizzing
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1. 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 take?
A. Repeat the measurement immediately using the opposite arm
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 the floor
D. Repeat the measurement while ensuring the client's arm is dangling at her
side: B. Repeat the measurement after allowing the client to sit for 5 to 10 minutes
2. A nurse is teaching a client who is pregnant about nonstress testing. Which
of the following pieces of information should the nurse include?
A. "This test is an invasive procedure that presents minimal risk to the fetus."
B. "If the test is reactive, that means your baby's heart rate is healthy."
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."
3. 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?
A. 480 mL urine output in 24 hr
B. Blood pressure 144/92 mmHg
C. +2 edema of the feet
D. 1+ protein in urine: A. 480 mL urine output in 24 hr
4. 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 actions should the nurse take?
A. Have the client watch a video on fetal growth and development during
pregnancy
B. Supply pamphlets that discuss the importance of nutrition during pregnan-
cy
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
5. A nurse is caring for a client at 35 weeks gestation who has severe
pre-eclampsia. Which of the following assessments provides the most accu-
rate information regarding the client's fluid and electrolyte status?
, Maternal Newborn Dynamic Quizzing
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A. Blood pressure
B. Intake and output
C. Daily weight
D. Severity of edema: C. Daily weight
6. A nurse is assessing a client who is suspected of having hyperemesis
gravidarum. Which of the following laboratory tests should the nurse check
first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin level
D. Urine ketones: D. Urine ketones
7. A nurse in a prenatal clinic is caring for a client who is within the recom-
mended 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?
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."
D. "A weigh: D. "A weight gain of about 25 to 35 lb is good."
8. A nurse is assessing a 4-hour-old newborn prior to breastfeeding and notes
hands and feet that are cool and slightly blue. Which of the following actions
should the nurse take?
A. Apply an oxygen hood over the newborn's head and neck
B. Check the newborn's temperature using a temporal thermometer
C. Place the naked newborn on the mother's bare chest and cover both with a
blanket.
D. Give the newborn glucose water between feedings: C. Place the naked
newborn on the mother's bare chest and cover both with a blanket.
9. 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
B. Hypothermia
C. Urinary retention
D. Rupture of membranes: C. Urinary retention
10. A nurse is caring for a client who is in labor. Which of the following
assessment findings should the nurse report to the provider?
A. Fetal heart rate baseline of 90 bpm
, Maternal Newborn Dynamic Quizzing
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B. Maternal temperature of 37.8°C (100°F)
C. Uterine relaxation for 1 min between contractions
D. Uterine contractions increasing in intensity: A. Fetal heart rate baseline of 90
bpm
11. A nurse is assessing a client at 27 weeks of gestation. The client has
placenta previa and reports vaginal bleeding. Which of the following additional
manifestations should the nurse expect?
A. The fundal height measures greater than gestational age
B. A rigid abdomen is noted on palpation
C. The client reports a pain level of 8 on a 0-to-10 pain scale
D. A urine drug screen is positive for cocaine: A. The fundal height measures
greater than gestational age
12. A nurse is caring for a newly admitted newborn who is large for gestational
age. After 30 min, the newborn becomes jittery and lethargic with hypotonic
muscles and a cry that is different from the time of admission. Which of the
following actions should the nurse take?
A. Perform a heel stick to check the newborn's glucose level
B. Obtain a prescription for serum substance screening
C. Provide a feeding of sterile water
D. Screen the newborn for phenylketonuria: A. Perform a heel stick to check the
newborn's glucose level
13. A nurse is caring for a client in the third trimester of pregnancy who
reports difficulty sleeping. Which of the following instructions should the
nurse provide?
A. Eat a high-fat snack before bed
B. Exercise in the evening before bed
C. Sleep in the supine position
D. Use additional pillows to support extremities and abdomen: D. Use additional
pillows to support extremities and abdomen
14. A nurse is educating a client who is at 10 weeks gestation and reports
frequent nausea and vomiting. Which of the following statements should the
nurse include in the teaching?
A. "You should eat foods served at warm temperatures."
B. "You should brush your teeth right after you eat."
C. "You should try to eat sweet foods when you feel nauseated."
D. "You should eat dry foods that are high in carbohydrates when you wake
up.": D. "You should eat dry foods that are high in carbohydrates when you wake
up."
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
15. A nurse is assisting with monitoring the fetal heart rate tracings of a client
who is in labor. Which of the following findings should the nurse report to the
provider?
A. Baseline fetal heart rate of 110 to 130/min
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia: D. Late decelerations with fetal
bradycardia
16. A nurse is performing a physical assessment of a male newborn. Which of
the following findings should the nurse report to the provider?
A. Superficial cracking and peeling are evident on the skin of the hands and
feet
B. The palmar grasp occurs spontaneously when newborn is sucking
C. The bulge of the testes is palpable in the inguinal canal
D. There is decreased abdominal movement with breathing: D. There is de-
creased abdominal movement with breathing
17. A nurse is caring for a client in labor whose cervix is dilated to 9 cm.
She is experiencing strong contractions every 2 min lasting 75 sec. The nurse
should recognize that the client is in which of the following phases or stages
of labor?
A. Latent phase of first stage
B. Active phase of first stage
C. Second stage
D. Transition phase of first stage: D. Transition phase of first stage
18. A nurse is teaching a client who had a vacuum-assisted vaginal delivery.
Which of the following statements should the nurse identify as an indication
that the client understands the information?
A. "My baby's head will be cone-shaped for about 2 months."
B. "My doctor performed this procedure because I didn't dilate past 6 centime-
ters."
C. "My doctor performed this procedure because my hemoglobin was low."
D. "My baby has a higher risk of developing jaundice.": D. "My baby has a higher
risk of developing jaundice."
19. A nurse is caring for a client who is attempting a trial of labor (TOL)
after several cesarean births. The client reports a sudden onset of constant
abdominal pain, and the nurse observes a prolonged deceleration on the fetal
heart rate tracing. Which of the following actions should the nurse take?
A. Assist the client to the bathroom to empty her bladder
B. Place the client in a knee-chest position
Study online at https://quizlet.com/_e0ut0f
1. 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 take?
A. Repeat the measurement immediately using the opposite arm
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 the floor
D. Repeat the measurement while ensuring the client's arm is dangling at her
side: B. Repeat the measurement after allowing the client to sit for 5 to 10 minutes
2. A nurse is teaching a client who is pregnant about nonstress testing. Which
of the following pieces of information should the nurse include?
A. "This test is an invasive procedure that presents minimal risk to the fetus."
B. "If the test is reactive, that means your baby's heart rate is healthy."
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."
3. 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?
A. 480 mL urine output in 24 hr
B. Blood pressure 144/92 mmHg
C. +2 edema of the feet
D. 1+ protein in urine: A. 480 mL urine output in 24 hr
4. 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 actions should the nurse take?
A. Have the client watch a video on fetal growth and development during
pregnancy
B. Supply pamphlets that discuss the importance of nutrition during pregnan-
cy
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
5. A nurse is caring for a client at 35 weeks gestation who has severe
pre-eclampsia. Which of the following assessments provides the most accu-
rate information regarding the client's fluid and electrolyte status?
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
A. Blood pressure
B. Intake and output
C. Daily weight
D. Severity of edema: C. Daily weight
6. A nurse is assessing a client who is suspected of having hyperemesis
gravidarum. Which of the following laboratory tests should the nurse check
first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin level
D. Urine ketones: D. Urine ketones
7. A nurse in a prenatal clinic is caring for a client who is within the recom-
mended 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?
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."
D. "A weigh: D. "A weight gain of about 25 to 35 lb is good."
8. A nurse is assessing a 4-hour-old newborn prior to breastfeeding and notes
hands and feet that are cool and slightly blue. Which of the following actions
should the nurse take?
A. Apply an oxygen hood over the newborn's head and neck
B. Check the newborn's temperature using a temporal thermometer
C. Place the naked newborn on the mother's bare chest and cover both with a
blanket.
D. Give the newborn glucose water between feedings: C. Place the naked
newborn on the mother's bare chest and cover both with a blanket.
9. 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
B. Hypothermia
C. Urinary retention
D. Rupture of membranes: C. Urinary retention
10. A nurse is caring for a client who is in labor. Which of the following
assessment findings should the nurse report to the provider?
A. Fetal heart rate baseline of 90 bpm
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
B. Maternal temperature of 37.8°C (100°F)
C. Uterine relaxation for 1 min between contractions
D. Uterine contractions increasing in intensity: A. Fetal heart rate baseline of 90
bpm
11. A nurse is assessing a client at 27 weeks of gestation. The client has
placenta previa and reports vaginal bleeding. Which of the following additional
manifestations should the nurse expect?
A. The fundal height measures greater than gestational age
B. A rigid abdomen is noted on palpation
C. The client reports a pain level of 8 on a 0-to-10 pain scale
D. A urine drug screen is positive for cocaine: A. The fundal height measures
greater than gestational age
12. A nurse is caring for a newly admitted newborn who is large for gestational
age. After 30 min, the newborn becomes jittery and lethargic with hypotonic
muscles and a cry that is different from the time of admission. Which of the
following actions should the nurse take?
A. Perform a heel stick to check the newborn's glucose level
B. Obtain a prescription for serum substance screening
C. Provide a feeding of sterile water
D. Screen the newborn for phenylketonuria: A. Perform a heel stick to check the
newborn's glucose level
13. A nurse is caring for a client in the third trimester of pregnancy who
reports difficulty sleeping. Which of the following instructions should the
nurse provide?
A. Eat a high-fat snack before bed
B. Exercise in the evening before bed
C. Sleep in the supine position
D. Use additional pillows to support extremities and abdomen: D. Use additional
pillows to support extremities and abdomen
14. A nurse is educating a client who is at 10 weeks gestation and reports
frequent nausea and vomiting. Which of the following statements should the
nurse include in the teaching?
A. "You should eat foods served at warm temperatures."
B. "You should brush your teeth right after you eat."
C. "You should try to eat sweet foods when you feel nauseated."
D. "You should eat dry foods that are high in carbohydrates when you wake
up.": D. "You should eat dry foods that are high in carbohydrates when you wake
up."
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
15. A nurse is assisting with monitoring the fetal heart rate tracings of a client
who is in labor. Which of the following findings should the nurse report to the
provider?
A. Baseline fetal heart rate of 110 to 130/min
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia: D. Late decelerations with fetal
bradycardia
16. A nurse is performing a physical assessment of a male newborn. Which of
the following findings should the nurse report to the provider?
A. Superficial cracking and peeling are evident on the skin of the hands and
feet
B. The palmar grasp occurs spontaneously when newborn is sucking
C. The bulge of the testes is palpable in the inguinal canal
D. There is decreased abdominal movement with breathing: D. There is de-
creased abdominal movement with breathing
17. A nurse is caring for a client in labor whose cervix is dilated to 9 cm.
She is experiencing strong contractions every 2 min lasting 75 sec. The nurse
should recognize that the client is in which of the following phases or stages
of labor?
A. Latent phase of first stage
B. Active phase of first stage
C. Second stage
D. Transition phase of first stage: D. Transition phase of first stage
18. A nurse is teaching a client who had a vacuum-assisted vaginal delivery.
Which of the following statements should the nurse identify as an indication
that the client understands the information?
A. "My baby's head will be cone-shaped for about 2 months."
B. "My doctor performed this procedure because I didn't dilate past 6 centime-
ters."
C. "My doctor performed this procedure because my hemoglobin was low."
D. "My baby has a higher risk of developing jaundice.": D. "My baby has a higher
risk of developing jaundice."
19. A nurse is caring for a client who is attempting a trial of labor (TOL)
after several cesarean births. The client reports a sudden onset of constant
abdominal pain, and the nurse observes a prolonged deceleration on the fetal
heart rate tracing. Which of the following actions should the nurse take?
A. Assist the client to the bathroom to empty her bladder
B. Place the client in a knee-chest position
