TEACHING PRENATAL AND NEWBORN
CARE
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📋 DOCUMENT OVERVIEW 20 Qs
This document covers various aspects of maternal newborn nursing, including pain management during
labor, postpartum care, newborn assessment, routine medications, breastfeeding, and car seat safety. It
provides 20 questions with correct answers and detailed explanations, offering a comprehensive review
of key concepts. Students can utilize this resource to study, review, and understand the material,
facilitating exam preparation and reinforcing their knowledge of maternal newborn nursing.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client who is receiving IV pain medication during labor. The nurse reviews the
handout with the client to clarify instructions. Which of the following statements should the nurse
make to the client?
A) You can receive fentanyl at any time during labor.
B) You can receive meperidine up until 2 hours prior to birth.
C) You can receive meperidine up until 4 hours prior to birth.
D) You can receive morphine at any time during labor.
CORRECT ANSWER
C) You can receive meperidine up until 4 hours prior to birth.
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, RATIONALE: The nurse should inform the client that they can receive meperidine up until 4 hours prior to birth, as
indicated in the handout. This is a critical piece of information for the client to understand in order to make informed
decisions about their pain management during labor. Options A and D are incorrect because they do not specify the
correct timeframe. Option B is incorrect because it specifies a later timeframe than the correct answer.
QUESTION 2
A client arrives at the postpartum department with a newborn, and the nurse is reviewing the benefits
of skin-to-skin contact with the client. Which information should the nurse emphasize to promote the
newborn's well-being?
A) Helps with pain management for the mother
B) Stimulates the baby's senses to enhance development
C) Promotes early breastfeeding and thermoregulation
D) Facilitates bonding between the mother and the father
CORRECT ANSWER
C) Promotes early breastfeeding and thermoregulation
RATIONALE: The nurse should emphasize the benefits of skin-to-skin contact, including promoting early breastfeeding
and thermoregulation, which are essential for the newborn's well-being. The other options, while related to postpartum
care, are not directly related to the benefits of skin-to-skin contact for the newborn.
QUESTION 3
The nurse is assessing a patient who has just been born and is noting a heart rate of 90 bpm, a slow,
weak cry, well-flexed extremities, grimacing, and acrocyanosis. The nurse should assign an APGAR
score based on these findings. What is the correct score?
A) 8
B) 6
C) 4
D) 10
CORRECT ANSWER
B) 6
RATIONALE: The nurse should assign an APGAR score of 6 based on the patient's findings. The patient has a heart rate
of 90 bpm, which indicates a score of 1; a slow, weak cry, which indicates a score of 1; well-flexed extremities, which
indicates a score of 2; grimacing, which indicates a score of 1; and acrocyanosis, which indicates a score of 1. The total
score is 6.
QUESTION 4
A patient has a prescription for routine newborn medications to prevent bleeding complications. What
medication should the nurse administer to ensure the newborn has adequate clotting factors?
A) Folic acid
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