Final Exam Learning System RN 3.0
Maternal Newborn with All Correct
Answers 2025-2026 Updated.
A nurse is assessing a client on the first postpartum day. Findings include fundus firm and one
fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots,
temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions should the nurse
take? - Answer Ask the client when she last voided
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require
administration of this medication? - Answer IV narcotics administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute narcotic toxicity,
which can result from IV narcotics administration during labor.
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction of labor.
Which of the following statements should the nurse make? - Answer An epidural given too early can
prolong labor
Clients who receive anesthesia before the active phase of labor usually find the progression of their
labor to slow. The medication depresses the central nervous system. Therefore, it will take longer for
the cervix to dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following
instructions should the nurse provide the client? - Answer You should eat some crackers before rising
from bed in the morning
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following
situations should the nurse administer Rh(D) Immune Globulin? - Answer At 28 weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative
blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies against the Rh
, factor, which will destroy any fetal RBCs in the maternal circulation and block maternal antibody
production.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor.
Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium
sulfate therapy? - Answer Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the
following nursing actions should the nurse identify as a contraindication for the care of the newborn? -
Answer Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following information:
2cm, 50%, +1, right occiput anterior. Based on this information, which of the following position should
the nurse document in the medical record? - Answer Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this case, the
occipital bone is the presenting part and is located anteriorly in the client's right side. Based on the
presentation of the fetus, the position is vertex.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the
following findings is a contraindication for the use of this device? - Answer Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that changes the uterine environment
to prevent pregnancy. An IUD is contraindicated for women who have menorrhagia, severe
dysmenorrhea, or history of ectopic pregnancy.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following
actions should the nurse include in the plan of care? - Answer Check the cervix prior to analgesic
administration
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the
following instructions should the nurse provide to the client about the treatment plan? - Answer You
and your partner need to take the medication and use a condom during intercourse until cultures are
negative
Maternal Newborn with All Correct
Answers 2025-2026 Updated.
A nurse is assessing a client on the first postpartum day. Findings include fundus firm and one
fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots,
temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions should the nurse
take? - Answer Ask the client when she last voided
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require
administration of this medication? - Answer IV narcotics administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute narcotic toxicity,
which can result from IV narcotics administration during labor.
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction of labor.
Which of the following statements should the nurse make? - Answer An epidural given too early can
prolong labor
Clients who receive anesthesia before the active phase of labor usually find the progression of their
labor to slow. The medication depresses the central nervous system. Therefore, it will take longer for
the cervix to dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following
instructions should the nurse provide the client? - Answer You should eat some crackers before rising
from bed in the morning
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following
situations should the nurse administer Rh(D) Immune Globulin? - Answer At 28 weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative
blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies against the Rh
, factor, which will destroy any fetal RBCs in the maternal circulation and block maternal antibody
production.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor.
Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium
sulfate therapy? - Answer Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the
following nursing actions should the nurse identify as a contraindication for the care of the newborn? -
Answer Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following information:
2cm, 50%, +1, right occiput anterior. Based on this information, which of the following position should
the nurse document in the medical record? - Answer Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this case, the
occipital bone is the presenting part and is located anteriorly in the client's right side. Based on the
presentation of the fetus, the position is vertex.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the
following findings is a contraindication for the use of this device? - Answer Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that changes the uterine environment
to prevent pregnancy. An IUD is contraindicated for women who have menorrhagia, severe
dysmenorrhea, or history of ectopic pregnancy.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following
actions should the nurse include in the plan of care? - Answer Check the cervix prior to analgesic
administration
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the
following instructions should the nurse provide to the client about the treatment plan? - Answer You
and your partner need to take the medication and use a condom during intercourse until cultures are
negative
