Maternal and Newborn Nursing Exam
||Latest Exam
assist to empty her bladder -CORRECT ANSWER A nurse is assessing a client who is
14 hr postpartum and has a 3rd degree perineal laceration. The client's temperature is
37.8C (100F), and her fundus is firm and slightly deviated to the right. The client reports
a gush of blood when she ambulates and no bowel movement since delivery. Which
action should the nurse take?
This will resolve within 3-6 weeks without treatment -CORRECT ANSWER A nurse is
assessing a 2 day old newborn and notes an egg shaped, edematous bluish
discoloration that does not cross the suture line. What is the nurse's response?
Limited abduction of one hip -CORRECT ANSWER A nurse is assessing a newborn for
congenital hip dysplasia. What finding should the nurse expect?
Place ice packs on your breasts -CORRECT ANSWER A nurse is providing teaching to
a client who is postpartum and does not plan to breastfeed her newborn. What
instructions should the nurse include in the teaching?
Abundant lanugo -CORRECT ANSWER A nurse is caring for a newborn who is
premature at 30 weeks of gestation. What finding should the nurse expect?
Place the newborn directly on the client's chest -CORRECT ANSWER A nurse is caring
for a newborn immediately following delivery. What action should the nurse take first?
Tonic Neck -CORRECT ANSWER A nurse is testing the reflexes of a newborn to
assess neurologic maturity. What reflex is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
slow trickle of bright vaginal bleeding and a firm fundus -CORRECT ANSWER A nurse
is assessing a client who is postpartum following a vacuum-assisted birth. Which finding
should the nurse monitor to identify a cervical laceration?
0.25 ml -CORRECT ANSWER A nurse is preparing to administer morphine oral solution
0.04mg/kg to a newborn who weighs 2.5kg. The amount available is morphine oral
solution 0.4mg/mL. How many mL should the nurse administer? (Round the CORRECT
ANSWER to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing
zero.)
Erythromycin ophthalmic ointment -CORRECT ANSWER Which eye medication should
the nurse administer to the newborn within 1 to 2 hr of delivery?
, 9 -CORRECT ANSWER A nurse is assessing a newborn 1 min after birth and notes a
heart rate of 136/min, respiratory rate of 36/min, well flexed extremities, responding to
stimuli with a cry, and blue hands and feet. What Apgar score should the nurse assign
to the newborn?
continue routine monitoring -CORRECT ANSWER A nurse is assessing a 12 hour old
newborn and notes a respiratory rate of 44/min with shallow respirations and periods of
apnea lasting up to 10 seconds. What action should the nurse take?
Betamethasone -CORRECT ANSWER A nurse in labor and delivery is providing care
for a client who is in preterm labor at 32 weeks of gestation. What medication should the
nurse anticipate the provider will prescribe to hasten fetal lung maturity?
RR less than 12/min, urinary output less than 30 ml/hr, decreased LOC -CORRECT
ANSWER Identify 3 s/s that indicate magnesium sulfate toxicity
orange juice -CORRECT ANSWER A nurse is reviewing a new prescription for iron
supplements with a client who is in the 8th week of gestation and has iron deficiency
anemia. What beverage should the nurse instruct the client to take the iron supplements
with?
neural tube defects -CORRECT ANSWER A nurse in a clinic is teaching a client of
childbearing age about recommended folic acid supplements. What defect can occur in
the fetus or neonate as a result of folic acid deficiency?
shortness of breath -CORRECT ANSWER A nurse is instructing a client who is taking
an oral contraceptive about the danger signs to report to her provider. The nurse
determines the client understands the teaching when the client states the need to report
this is due to the weight of the uterus on the vena cava -CORRECT ANSWER A nurse
in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. What
response should the nurse make?
Goodell's sign, ballottement, Chadwicks sign -CORRECT ANSWER probable signs of
pregnancy
Jan 8 -CORRECT ANSWER A nurse is caring for a client who is pregnant and states
that her last menstrual period was April 1st. Which is the client's estimated date of
delivery
respiratory rate -CORRECT ANSWER A woman who is admitted to labor and delivery
at 30 weeks' gestation, is 1 cm dilated, and is contracting q 5 minutes. She is receiving
magnesium sulfate IV piggyback. What maternal vital sign is most important for the
nurse to assess each hour?
||Latest Exam
assist to empty her bladder -CORRECT ANSWER A nurse is assessing a client who is
14 hr postpartum and has a 3rd degree perineal laceration. The client's temperature is
37.8C (100F), and her fundus is firm and slightly deviated to the right. The client reports
a gush of blood when she ambulates and no bowel movement since delivery. Which
action should the nurse take?
This will resolve within 3-6 weeks without treatment -CORRECT ANSWER A nurse is
assessing a 2 day old newborn and notes an egg shaped, edematous bluish
discoloration that does not cross the suture line. What is the nurse's response?
Limited abduction of one hip -CORRECT ANSWER A nurse is assessing a newborn for
congenital hip dysplasia. What finding should the nurse expect?
Place ice packs on your breasts -CORRECT ANSWER A nurse is providing teaching to
a client who is postpartum and does not plan to breastfeed her newborn. What
instructions should the nurse include in the teaching?
Abundant lanugo -CORRECT ANSWER A nurse is caring for a newborn who is
premature at 30 weeks of gestation. What finding should the nurse expect?
Place the newborn directly on the client's chest -CORRECT ANSWER A nurse is caring
for a newborn immediately following delivery. What action should the nurse take first?
Tonic Neck -CORRECT ANSWER A nurse is testing the reflexes of a newborn to
assess neurologic maturity. What reflex is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
slow trickle of bright vaginal bleeding and a firm fundus -CORRECT ANSWER A nurse
is assessing a client who is postpartum following a vacuum-assisted birth. Which finding
should the nurse monitor to identify a cervical laceration?
0.25 ml -CORRECT ANSWER A nurse is preparing to administer morphine oral solution
0.04mg/kg to a newborn who weighs 2.5kg. The amount available is morphine oral
solution 0.4mg/mL. How many mL should the nurse administer? (Round the CORRECT
ANSWER to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing
zero.)
Erythromycin ophthalmic ointment -CORRECT ANSWER Which eye medication should
the nurse administer to the newborn within 1 to 2 hr of delivery?
, 9 -CORRECT ANSWER A nurse is assessing a newborn 1 min after birth and notes a
heart rate of 136/min, respiratory rate of 36/min, well flexed extremities, responding to
stimuli with a cry, and blue hands and feet. What Apgar score should the nurse assign
to the newborn?
continue routine monitoring -CORRECT ANSWER A nurse is assessing a 12 hour old
newborn and notes a respiratory rate of 44/min with shallow respirations and periods of
apnea lasting up to 10 seconds. What action should the nurse take?
Betamethasone -CORRECT ANSWER A nurse in labor and delivery is providing care
for a client who is in preterm labor at 32 weeks of gestation. What medication should the
nurse anticipate the provider will prescribe to hasten fetal lung maturity?
RR less than 12/min, urinary output less than 30 ml/hr, decreased LOC -CORRECT
ANSWER Identify 3 s/s that indicate magnesium sulfate toxicity
orange juice -CORRECT ANSWER A nurse is reviewing a new prescription for iron
supplements with a client who is in the 8th week of gestation and has iron deficiency
anemia. What beverage should the nurse instruct the client to take the iron supplements
with?
neural tube defects -CORRECT ANSWER A nurse in a clinic is teaching a client of
childbearing age about recommended folic acid supplements. What defect can occur in
the fetus or neonate as a result of folic acid deficiency?
shortness of breath -CORRECT ANSWER A nurse is instructing a client who is taking
an oral contraceptive about the danger signs to report to her provider. The nurse
determines the client understands the teaching when the client states the need to report
this is due to the weight of the uterus on the vena cava -CORRECT ANSWER A nurse
in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. What
response should the nurse make?
Goodell's sign, ballottement, Chadwicks sign -CORRECT ANSWER probable signs of
pregnancy
Jan 8 -CORRECT ANSWER A nurse is caring for a client who is pregnant and states
that her last menstrual period was April 1st. Which is the client's estimated date of
delivery
respiratory rate -CORRECT ANSWER A woman who is admitted to labor and delivery
at 30 weeks' gestation, is 1 cm dilated, and is contracting q 5 minutes. She is receiving
magnesium sulfate IV piggyback. What maternal vital sign is most important for the
nurse to assess each hour?
