Maternal newborn online practice A with
rationale Test Questions And Answers Verified
100% Correct
A nurse is caring for a client who has uterine atony and is experiencing postpartum
hemorrhage. Which of the following actions is the nurse's priority? - ANSWER -
Massage the client's fundus
Rationale: uterine atony and postpartum hemorrhage indicate that this client is at the
greatest risk for hypovolemic shock. This can comprimise the perfusion to the clients
vital organs, which can lead to death. Therefore, the nurse's priority is to massage the
client's fundus to minimize blood loss.
A nurse is performing a physical assessment of a newborn upon admission to the
nursery. Which of the following manifestations should the nurse expect? - ANSWER
Acrocyanosis
-Positive Babinski reflex
-Two umbilical arteries visable
Rationale:
Acrocyanosis is an expected finding for at least 24 hours following birth. Poor peripheral
perfusion leads to bluish discoloration in the newborns hands and feet.
Pos. Babinski reflex is correct. nurse should stroke the newborns foot upward from heel
to toe. The toes should hyperextend, and dorsal flexion of the big toe should occur.
Absense of this finding requires neurological evaluation.
The nurse should observe 2 arteries and one vein in the umbilical cord. The presence of
only one artery can indicate a renal anomaly.
A nurse is demonstrating to a client how to bathe their newborn. - ANSWER -wipe the
newborns eyes from the inner canthus outward -Wash the newborns neck by lifting
the newborn's chin
- Cleanse the skin around the newborns umbilical cord stump
-wash the newborns legs and feet
-clean the newborns diaper area
A nurse is assessing a client who received carboprost for postpartum hemmorhage.
Which of the following findings is an AE of this med? - ANSWER -Hypertension
Rationale: the nurse should recognize the carboprost is a vasoconstrictor that can
cause hypertension.
A nurse is caring for a client who is at 35 wks of gestation and is undergoing a NST that
, reveals a variable deceleration n the FHR. Which of the following actions should the
nurse take? - ANSWER -Have the client change position
Rationale: to relieve umbilical cord compression
A nurse is caring for a client who is at 38 wks gestation. Which of the following actions
should the nurse take prior to applying an external transducer for fetal monitoring? -
ANSWER -Perform Leopold maneuvers
Rationale: To assess the position of the fetus to best determine the optimal placement
for the external fetal monitoring transducer.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first? - ANSWER -A client who is at 11 wks of gestation and
reports abd. cramping
Rationale: abd. cramping can indicate ectopic pregnancy or manifestation of
spontaneous abortion.
A nurse is caring for a client who is 32 wks gestation and has gonorrhea. The nurse
should identify the client is at an increased risk for which of the following complications?
- ANSWER -Premature rupture of membranes
Rationale: Client with gonorrhea is at increased risk for PROM, chorioamnionitis,
preterm birth, neonatal sepsis, and intrauterine growth restriction.
A nurse is assessing 4 newborns. Which of the following findings should the nurse
report to the provider? - ANSWER -A newborn who is 18 hours old and has an axillary
temp of 99.9
Rationale: an axillary temp greater than 99.5 is above the expected reference range for
a newborn and can be an indication of sepsis.
A nurse is caring for a postpartum client who is receiving heparin via continuous IV
infusion for thromphlebitis in her left calf. Which of the following actions should the nurse
take? - ANSWER -maintain the client on bedrest
Rationale: to decrease the risk of dislodging the clot, which could cause a pulmonary
embolism. Elevation of the affected leg is recommended.
A nurse is providing d/c teaching to a client who had a c-sec 3 days ago. Which of the
following instructions should the nurse include? - ANSWER -you can still become
pregnant if you're breastfeeding
rationale Test Questions And Answers Verified
100% Correct
A nurse is caring for a client who has uterine atony and is experiencing postpartum
hemorrhage. Which of the following actions is the nurse's priority? - ANSWER -
Massage the client's fundus
Rationale: uterine atony and postpartum hemorrhage indicate that this client is at the
greatest risk for hypovolemic shock. This can comprimise the perfusion to the clients
vital organs, which can lead to death. Therefore, the nurse's priority is to massage the
client's fundus to minimize blood loss.
A nurse is performing a physical assessment of a newborn upon admission to the
nursery. Which of the following manifestations should the nurse expect? - ANSWER
Acrocyanosis
-Positive Babinski reflex
-Two umbilical arteries visable
Rationale:
Acrocyanosis is an expected finding for at least 24 hours following birth. Poor peripheral
perfusion leads to bluish discoloration in the newborns hands and feet.
Pos. Babinski reflex is correct. nurse should stroke the newborns foot upward from heel
to toe. The toes should hyperextend, and dorsal flexion of the big toe should occur.
Absense of this finding requires neurological evaluation.
The nurse should observe 2 arteries and one vein in the umbilical cord. The presence of
only one artery can indicate a renal anomaly.
A nurse is demonstrating to a client how to bathe their newborn. - ANSWER -wipe the
newborns eyes from the inner canthus outward -Wash the newborns neck by lifting
the newborn's chin
- Cleanse the skin around the newborns umbilical cord stump
-wash the newborns legs and feet
-clean the newborns diaper area
A nurse is assessing a client who received carboprost for postpartum hemmorhage.
Which of the following findings is an AE of this med? - ANSWER -Hypertension
Rationale: the nurse should recognize the carboprost is a vasoconstrictor that can
cause hypertension.
A nurse is caring for a client who is at 35 wks of gestation and is undergoing a NST that
, reveals a variable deceleration n the FHR. Which of the following actions should the
nurse take? - ANSWER -Have the client change position
Rationale: to relieve umbilical cord compression
A nurse is caring for a client who is at 38 wks gestation. Which of the following actions
should the nurse take prior to applying an external transducer for fetal monitoring? -
ANSWER -Perform Leopold maneuvers
Rationale: To assess the position of the fetus to best determine the optimal placement
for the external fetal monitoring transducer.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first? - ANSWER -A client who is at 11 wks of gestation and
reports abd. cramping
Rationale: abd. cramping can indicate ectopic pregnancy or manifestation of
spontaneous abortion.
A nurse is caring for a client who is 32 wks gestation and has gonorrhea. The nurse
should identify the client is at an increased risk for which of the following complications?
- ANSWER -Premature rupture of membranes
Rationale: Client with gonorrhea is at increased risk for PROM, chorioamnionitis,
preterm birth, neonatal sepsis, and intrauterine growth restriction.
A nurse is assessing 4 newborns. Which of the following findings should the nurse
report to the provider? - ANSWER -A newborn who is 18 hours old and has an axillary
temp of 99.9
Rationale: an axillary temp greater than 99.5 is above the expected reference range for
a newborn and can be an indication of sepsis.
A nurse is caring for a postpartum client who is receiving heparin via continuous IV
infusion for thromphlebitis in her left calf. Which of the following actions should the nurse
take? - ANSWER -maintain the client on bedrest
Rationale: to decrease the risk of dislodging the clot, which could cause a pulmonary
embolism. Elevation of the affected leg is recommended.
A nurse is providing d/c teaching to a client who had a c-sec 3 days ago. Which of the
following instructions should the nurse include? - ANSWER -you can still become
pregnant if you're breastfeeding
