Maternal Newborn Practice A
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1. A nurse is reviewing the medical record of a client who is one day postpar-
tum. The client had a vaginal birth with a 4th degree perineal laceration. The
nurse should contact the provider regarding which of the ff prescriptions?
a. Docusate sodium 100mg PO TID
b. Sitz bath 2 to 3x/day PRN for pain
c. Bisacodyl rectal suppository PRN for constipation
d. Ibuprofen 600mg PO q6h PRN for pain: c. Bisacodyl rectal suppository PRN for
constipation
R: Should not administer a rectal suppository or enema to a client who has 4th
degree perineal laceration. These can cause separation of suture line, bleeding, or
infection.
2. A nurse is preparing to administer Hep B immune globulin to a newborn.
The rx states, "Administer 5mcg IM qday." Available is 5mL w/ 10mcg/mL. How
many mL should the nurse administer?: 0.5mL
3. A nurse is teaching a client who is at 8 wks of gestation about exercise.
Which of the ff instructions should the nurse include in the teaching?
a. Increase weight bearing exercises as pregnancy progresses
b. Lie on your back to rest for 5 mins after exercising
c. Take pulse every 20mins while you are exercising
d. Exercise for 30 mins each day.: d. Exercise for 30 mins each day
R: Engage in 30 min of moderate exercise every day to improve muscle tone
throughout her pregnancy
4. A nurse is assessing a client who is in labor and notes early decels on the
fetal monitor. Which of the ff findings should the nurse identify as a possible
cause of the early decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension: c. fetal head compression
R: Early decels are an expected fetal pattern caused by the fetal head compression
due to uterine contractions, fundal pressure, and vaginal examinations.
*Prolapsed umbilical cord: variable decels
*Placenta previa and maternal hypotension: late decels
5. A nurse is caring for a client and her partner who have experience a fetal
death. Which of the ff actions should the nurse take?
a. Take photos of the newborn to give to the parents
b. Tell parents that they can consider organ donation
c. Encourage the parents to avoid allowing older children to visit them in the
hospital
, Maternal Newborn Practice A
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d. Explain to the parents the need to name the newborn.: a. Take photos of the
newborn to give to the parents
R: Parents should create a memory box that includes mementos of the newborn
(photos, newborn's ID bands, hat, and blanket)
6. A nurse is observing a new mother caring for her crying newborn who
is bottle feeding. Which of the ff actions by the mother should the nurse
recognize as a positive parenting behavior?
a. lays the newborn across across her lap and gently sways.
b. places newborn in the crib in a prone position
c. offers the newborn a pacifier dipped in formula
d. prepares bottle of formula mixed w/ rice cereals: a. lays the newborn across
across her lap and gently sways.
R: This is a correct technique for quieting a newborn. This tactile stimulation pro-
motes a sense of security for the newborn
7. A nurse on an antepartum unit is caring for 4 clients. Which of the ff clients
should the nurse identify as a priority?
a. client who has gestational diabetes and a fasting blood glucose level of
120mg/dL
b. client who is at 34 wks of gestation and reports epigastric pain
c. client who is at 28 wks gestation and has an hgb of 10.4g/dL
d. client who is at 39 wks gestation and reports urinary frequency and dysuria-
: b. client who is at 34 wks of gestation and reports epigastric pain
R: Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic
involvement, which is an urgent finding.
8. A nurse is preparing to administer oxytocin to a client who is postpartum.
Which of the ff findings is an indication for the administration of the meds?
Select all that apply.
a. Flaccid uterus
b. Cervical laceration
c. Excess vaginal bleeding
d. Increased afterbirth cramping
e. Increased maternal temperature: a. Flaccid uterus
c. Excess vaginal bleeding
R: Oxytocin increases the contractility of the uterus and also decreases vaginal
bleeding
9. A nurse is teaching a new mother about newborn safety. Which of the ff
instructions should the nurse include in the teaching?
a. You can share your room w/ your baby for the next few weeks
b. Cover baby w/ a light blanket while sleeping
, Maternal Newborn Practice A
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c. Check temp of the baby's bath water with you hand
d. Baby can nap in her car seat during the daytime.: a. You can share your room
w/ your baby for the next few weeks
R: Room sharing is recommended during the 1st few weeks. This allows parents to
be readily available to the newborn and learn the newborn's cues.
10. 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 Nov. 27th.
Which of the ff dates is the clien'ts expected date of birth?
a. September 3rd
b.September 29th
c. August 3rd
d. August 20th: a. September 3rd
R: Subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days.
11. A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopold maneuvers. Which of the ff images indicates
the first step of Leopold maneuvers?
a. palpating in the lower abdomen to determine the attitude of the fetal head.
b. palpating at the pelvic inlet to determine which fetal part is presenting in the
pelvic inlet
c. palpating at upper abdomen to determine which fetal part is in the uterine
fundus.
d. palpating the abdomen to determine the location of the smooth fetal back
and the irregularly shaped, smaller fetal parts.: c. palpating at upper abdomen
to determine which fetal part is in the uterine fundus.
R: The nurse palpates the client's abdomen w/ her palms to determine which fetal
part is in the uterine fundus
12. A nurse is caring for a client who is at 38 wks gestation. Which of the ff
actions should the nurse take prior applying an external transducer for fetal
monitoring?
a. determine progression of dilation and effacement
b. perform Leopold maneuvers
c. complete a sterile speculum exam
d. prepare a nitrazine paper test: b. perform Leopold maneuvers
R: The nurse should perform Leopold maneuvers to assess the position of the fetus
to best determine the optimal placement for the external fetal monitoring transducer
13. A staff nurse on an obstetric unit is caring for a client who is scheduled
for an induced abortion. The staff nurse informs the nurse manager that she
had a moral issue w/ the client's decision. Which of the ff actions should the
Study online at https://quizlet.com/_ck88dt
1. A nurse is reviewing the medical record of a client who is one day postpar-
tum. The client had a vaginal birth with a 4th degree perineal laceration. The
nurse should contact the provider regarding which of the ff prescriptions?
a. Docusate sodium 100mg PO TID
b. Sitz bath 2 to 3x/day PRN for pain
c. Bisacodyl rectal suppository PRN for constipation
d. Ibuprofen 600mg PO q6h PRN for pain: c. Bisacodyl rectal suppository PRN for
constipation
R: Should not administer a rectal suppository or enema to a client who has 4th
degree perineal laceration. These can cause separation of suture line, bleeding, or
infection.
2. A nurse is preparing to administer Hep B immune globulin to a newborn.
The rx states, "Administer 5mcg IM qday." Available is 5mL w/ 10mcg/mL. How
many mL should the nurse administer?: 0.5mL
3. A nurse is teaching a client who is at 8 wks of gestation about exercise.
Which of the ff instructions should the nurse include in the teaching?
a. Increase weight bearing exercises as pregnancy progresses
b. Lie on your back to rest for 5 mins after exercising
c. Take pulse every 20mins while you are exercising
d. Exercise for 30 mins each day.: d. Exercise for 30 mins each day
R: Engage in 30 min of moderate exercise every day to improve muscle tone
throughout her pregnancy
4. A nurse is assessing a client who is in labor and notes early decels on the
fetal monitor. Which of the ff findings should the nurse identify as a possible
cause of the early decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension: c. fetal head compression
R: Early decels are an expected fetal pattern caused by the fetal head compression
due to uterine contractions, fundal pressure, and vaginal examinations.
*Prolapsed umbilical cord: variable decels
*Placenta previa and maternal hypotension: late decels
5. A nurse is caring for a client and her partner who have experience a fetal
death. Which of the ff actions should the nurse take?
a. Take photos of the newborn to give to the parents
b. Tell parents that they can consider organ donation
c. Encourage the parents to avoid allowing older children to visit them in the
hospital
, Maternal Newborn Practice A
Study online at https://quizlet.com/_ck88dt
d. Explain to the parents the need to name the newborn.: a. Take photos of the
newborn to give to the parents
R: Parents should create a memory box that includes mementos of the newborn
(photos, newborn's ID bands, hat, and blanket)
6. A nurse is observing a new mother caring for her crying newborn who
is bottle feeding. Which of the ff actions by the mother should the nurse
recognize as a positive parenting behavior?
a. lays the newborn across across her lap and gently sways.
b. places newborn in the crib in a prone position
c. offers the newborn a pacifier dipped in formula
d. prepares bottle of formula mixed w/ rice cereals: a. lays the newborn across
across her lap and gently sways.
R: This is a correct technique for quieting a newborn. This tactile stimulation pro-
motes a sense of security for the newborn
7. A nurse on an antepartum unit is caring for 4 clients. Which of the ff clients
should the nurse identify as a priority?
a. client who has gestational diabetes and a fasting blood glucose level of
120mg/dL
b. client who is at 34 wks of gestation and reports epigastric pain
c. client who is at 28 wks gestation and has an hgb of 10.4g/dL
d. client who is at 39 wks gestation and reports urinary frequency and dysuria-
: b. client who is at 34 wks of gestation and reports epigastric pain
R: Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic
involvement, which is an urgent finding.
8. A nurse is preparing to administer oxytocin to a client who is postpartum.
Which of the ff findings is an indication for the administration of the meds?
Select all that apply.
a. Flaccid uterus
b. Cervical laceration
c. Excess vaginal bleeding
d. Increased afterbirth cramping
e. Increased maternal temperature: a. Flaccid uterus
c. Excess vaginal bleeding
R: Oxytocin increases the contractility of the uterus and also decreases vaginal
bleeding
9. A nurse is teaching a new mother about newborn safety. Which of the ff
instructions should the nurse include in the teaching?
a. You can share your room w/ your baby for the next few weeks
b. Cover baby w/ a light blanket while sleeping
, Maternal Newborn Practice A
Study online at https://quizlet.com/_ck88dt
c. Check temp of the baby's bath water with you hand
d. Baby can nap in her car seat during the daytime.: a. You can share your room
w/ your baby for the next few weeks
R: Room sharing is recommended during the 1st few weeks. This allows parents to
be readily available to the newborn and learn the newborn's cues.
10. 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 Nov. 27th.
Which of the ff dates is the clien'ts expected date of birth?
a. September 3rd
b.September 29th
c. August 3rd
d. August 20th: a. September 3rd
R: Subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days.
11. A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopold maneuvers. Which of the ff images indicates
the first step of Leopold maneuvers?
a. palpating in the lower abdomen to determine the attitude of the fetal head.
b. palpating at the pelvic inlet to determine which fetal part is presenting in the
pelvic inlet
c. palpating at upper abdomen to determine which fetal part is in the uterine
fundus.
d. palpating the abdomen to determine the location of the smooth fetal back
and the irregularly shaped, smaller fetal parts.: c. palpating at upper abdomen
to determine which fetal part is in the uterine fundus.
R: The nurse palpates the client's abdomen w/ her palms to determine which fetal
part is in the uterine fundus
12. A nurse is caring for a client who is at 38 wks gestation. Which of the ff
actions should the nurse take prior applying an external transducer for fetal
monitoring?
a. determine progression of dilation and effacement
b. perform Leopold maneuvers
c. complete a sterile speculum exam
d. prepare a nitrazine paper test: b. perform Leopold maneuvers
R: The nurse should perform Leopold maneuvers to assess the position of the fetus
to best determine the optimal placement for the external fetal monitoring transducer
13. A staff nurse on an obstetric unit is caring for a client who is scheduled
for an induced abortion. The staff nurse informs the nurse manager that she
had a moral issue w/ the client's decision. Which of the ff actions should the
