Maternal Newborn CMS
Study online at https://quizlet.com/_h123bi
1. A nurse is caring for a client who is 2 weeks postpartum following a cesare-
an birth. Which of the following clinical findings should the nurse identify as
an indication of postpartum infection?
a. Unilateral breast pain
b. Persistent abdominal striae
c. Lochia alba
d. WBC count 12,000/mm3: a. Unilateral breast pain
2. A nurse is assessing client who has preeclampsia during a prenatal visit.
Which of the following findings should the nurse report to the provider?
a. Blood glucose 110 mg/dL
b. Deep tendon reflexes of 2+
c. Urine protein of 3+
d. Hemoglobin 13 g/dL: c. Urine protein of 3+
3. A nurse is providing teaching about the expected effects of magnesium
sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which
of the following responses by the nurse is appropriate?
a. "This medication improves tissue perfusion."
b. "This medication increases cardiac output."
c. "This medication stabilizes the fetal heart rate."
d. "This medication prevents seizures.": d. "This medication prevents seizures."
4. A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include?
a. "You will have dilation and effacement of the cervix."
b. "Your contractions will become temporarily regular."
c. "You will have bloody show."
d. "Your contractions will become more intense when walking.": b. "Your con-
tractions will become temporarily regular."
5. A nurse manager is revising a maternal unit policy to ensure proper identi-
fication of newborns. Which of the following should the nurse include in the
policy?
a. Check the newborn's identification using the crib card.
b. Replace the infant's identification band after his name has been recorded.
c. Require visitors to wear an identification band.
, Maternal Newborn CMS
Study online at https://quizlet.com/_h123bi
d. Obtain an imprint of the infant's feet prior to taking him to the nursery.: d.
Obtain an imprint of the infant's feet prior to taking him to the nursery.
6. A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take?
a. Apply an ice pack to the incision site.
b. Replace the surgical dressing.
c. Administer 500 mL lactated Ringer's IV bolus.
d. Evaluate urinary output.: d. Evaluate urinary output.
7. A nurse is providing discharge instructions to a client who is postpartum
and has engorged breasts. Which of the following nonpharmacological com-
fort measures should the nurse include in the teaching?
a. Wear nipple shields during the feeding.
b. Use a breast binder for 2 days.
c. Use plastic-lined breast pads.
d. Apply cabbage leaves after feedings: d. Apply cabbage leaves after feedings
8. A nurse is calculating estimated date of birth using Naegele's rule for a
client who is pregnant and whose last menstrual cycle started June 21. Which
of the following is the estimated delivery in the next year?
a. March 14
b. March 21
c. March 28
d. April 4: c. March 28
9. A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take?
a. Inform the client that the law requires her to name the fetus.
b. Limit the amount of time the fetus is in the client's room.
c. Instruct the client that an autopsy should be performed within 24 hr.
d. Prepare the client for what to expect the fetus to look like: d. Prepare the
client for what to expect the fetus to look like
10. A nurse is observing an adolescent client who is offering her newborn
a bottle while he is lying in the bassinet. When the nurse offers to pick the
newborn up and place him in the client's arms, the mother states, "No, the
baby is too tired to be held." Which of the following actions should the nurse
take?
, Maternal Newborn CMS
Study online at https://quizlet.com/_h123bi
a. Demonstrate how to hold the newborn and allow client to practice.
b. Persuade the client to breastfeed the newborn to promote bonding.
c. Offer to take the newborn to the nursery to finish his feeding. d. Insist that
the mother pick up the newborn to feed him.
d. Insist that the mother pick up the newborn to feed him.: a. Demonstrate how
to hold the newborn and allow client to practice.
11. A nurse is caring for a client who is in labor. Which of the following findings
should prompt the nurse to reassess the client?
a. Intense contractions lasting 45 to 60 seconds
b. An urge to have a bowel movement during contractions
c. A sense of excitement and warm, flushed skin
d. Progressive sacral discomfort during contractions: b. An urge to have a bowel
movement during contractions
12. A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
a. Hemoglobin 14.8 g/dL
b. Urine protein concentration 200 mg/24 hr
c. Creatinine 0.8 mg/dL i. normal
d. Platelet count 60,000/mm3: d. Platelet count 60,000/mm3
13. A nurse in a clinic is preparing to measure the fundal height of a client who
is pregnant. Which of the following actions should the nurse take?
a. Lay the tape measure horizontally over the middle of the client's abdomen.
b. Place the client in a left-lateral position to obtain the measurement.
c. Ensure that the client has a full bladder before taking the measurement.
d. Measure from the upper border of the pubis to the upper border of the
fundus.: d. Measure from the upper border of the pubis to the upper border of the
fundus.
14. A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make
to help retrieve this common discomfort of pregnancy?
a. Include 18 g of fiber in the diet each day.
b. Drink 2 to 3 L of water each day. .
c. Add 30 mL of mineral oil to each meal.
Study online at https://quizlet.com/_h123bi
1. A nurse is caring for a client who is 2 weeks postpartum following a cesare-
an birth. Which of the following clinical findings should the nurse identify as
an indication of postpartum infection?
a. Unilateral breast pain
b. Persistent abdominal striae
c. Lochia alba
d. WBC count 12,000/mm3: a. Unilateral breast pain
2. A nurse is assessing client who has preeclampsia during a prenatal visit.
Which of the following findings should the nurse report to the provider?
a. Blood glucose 110 mg/dL
b. Deep tendon reflexes of 2+
c. Urine protein of 3+
d. Hemoglobin 13 g/dL: c. Urine protein of 3+
3. A nurse is providing teaching about the expected effects of magnesium
sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which
of the following responses by the nurse is appropriate?
a. "This medication improves tissue perfusion."
b. "This medication increases cardiac output."
c. "This medication stabilizes the fetal heart rate."
d. "This medication prevents seizures.": d. "This medication prevents seizures."
4. A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include?
a. "You will have dilation and effacement of the cervix."
b. "Your contractions will become temporarily regular."
c. "You will have bloody show."
d. "Your contractions will become more intense when walking.": b. "Your con-
tractions will become temporarily regular."
5. A nurse manager is revising a maternal unit policy to ensure proper identi-
fication of newborns. Which of the following should the nurse include in the
policy?
a. Check the newborn's identification using the crib card.
b. Replace the infant's identification band after his name has been recorded.
c. Require visitors to wear an identification band.
, Maternal Newborn CMS
Study online at https://quizlet.com/_h123bi
d. Obtain an imprint of the infant's feet prior to taking him to the nursery.: d.
Obtain an imprint of the infant's feet prior to taking him to the nursery.
6. A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take?
a. Apply an ice pack to the incision site.
b. Replace the surgical dressing.
c. Administer 500 mL lactated Ringer's IV bolus.
d. Evaluate urinary output.: d. Evaluate urinary output.
7. A nurse is providing discharge instructions to a client who is postpartum
and has engorged breasts. Which of the following nonpharmacological com-
fort measures should the nurse include in the teaching?
a. Wear nipple shields during the feeding.
b. Use a breast binder for 2 days.
c. Use plastic-lined breast pads.
d. Apply cabbage leaves after feedings: d. Apply cabbage leaves after feedings
8. A nurse is calculating estimated date of birth using Naegele's rule for a
client who is pregnant and whose last menstrual cycle started June 21. Which
of the following is the estimated delivery in the next year?
a. March 14
b. March 21
c. March 28
d. April 4: c. March 28
9. A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take?
a. Inform the client that the law requires her to name the fetus.
b. Limit the amount of time the fetus is in the client's room.
c. Instruct the client that an autopsy should be performed within 24 hr.
d. Prepare the client for what to expect the fetus to look like: d. Prepare the
client for what to expect the fetus to look like
10. A nurse is observing an adolescent client who is offering her newborn
a bottle while he is lying in the bassinet. When the nurse offers to pick the
newborn up and place him in the client's arms, the mother states, "No, the
baby is too tired to be held." Which of the following actions should the nurse
take?
, Maternal Newborn CMS
Study online at https://quizlet.com/_h123bi
a. Demonstrate how to hold the newborn and allow client to practice.
b. Persuade the client to breastfeed the newborn to promote bonding.
c. Offer to take the newborn to the nursery to finish his feeding. d. Insist that
the mother pick up the newborn to feed him.
d. Insist that the mother pick up the newborn to feed him.: a. Demonstrate how
to hold the newborn and allow client to practice.
11. A nurse is caring for a client who is in labor. Which of the following findings
should prompt the nurse to reassess the client?
a. Intense contractions lasting 45 to 60 seconds
b. An urge to have a bowel movement during contractions
c. A sense of excitement and warm, flushed skin
d. Progressive sacral discomfort during contractions: b. An urge to have a bowel
movement during contractions
12. A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
a. Hemoglobin 14.8 g/dL
b. Urine protein concentration 200 mg/24 hr
c. Creatinine 0.8 mg/dL i. normal
d. Platelet count 60,000/mm3: d. Platelet count 60,000/mm3
13. A nurse in a clinic is preparing to measure the fundal height of a client who
is pregnant. Which of the following actions should the nurse take?
a. Lay the tape measure horizontally over the middle of the client's abdomen.
b. Place the client in a left-lateral position to obtain the measurement.
c. Ensure that the client has a full bladder before taking the measurement.
d. Measure from the upper border of the pubis to the upper border of the
fundus.: d. Measure from the upper border of the pubis to the upper border of the
fundus.
14. A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make
to help retrieve this common discomfort of pregnancy?
a. Include 18 g of fiber in the diet each day.
b. Drink 2 to 3 L of water each day. .
c. Add 30 mL of mineral oil to each meal.
