RN Maternal Newborn Online Practice 2023 B Study Guide and Test Prep 1 2026-03-09
RN Maternal Newborn Online
Practice 2023 B Study Guide
and Test Prep
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Page 1 of 19 RN Maternal Newborn Online Practice 2023 B Study Guide and Test Prep.pdf
,RN Maternal Newborn Online Practice 2023 B 2 2026-03-09
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight 3,515 g (7 lb 12 oz)Apgar scores 8 at 1
min and 9 at 5 minMaternal history of methadone use during pregnancy.
1100:Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but breastfeeds poorly.
Increased muscle tone with moderate to severe tremors when disturbed. Hyperactive Moro reflex noted. Mottled skin noted
on extremities. Frequent sneezing. Several loose stools today.
Maternal urine toxicology screen: positive for opiates (negative)
The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions regarding
the newborn should the nurse anticipate?
Administer scheduled doses of oral morphine.
Maintain a low-stimulus environment.
Initiate neonatal abstinence syndrome (NAS) scoring.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should
the nurse take?
Initiate continuous external fetal monitoring.
A nurse is providing education about family bonding to guardians who recently adopted a newborn. The nurse should make
which of the following suggestions to aid the family's 7-year-old child in accepting the new family member?
Obtain a gift from the newborn to present to the sibling.
Page 2 of 19 2 of 19 RN Maternal Newborn Online Practice 2023 B.pdf
, RN Maternal Newborn Online Practice 2023 B 3 2026-03-09
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the
nurse take?
Schedule an ultrasound.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the
client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take
immediately after the seizure?
Administer oxygen via a nonrebreather mask.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client
indicates an understanding of the teaching?
"I will have blood tests because my potassium might decrease."
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which
of the following instructions should the nurse include in the teaching?
"I can administer oxytocin 4 hours after the insertion of the medication."
Page 3 of 19 3 of 19 RN Maternal Newborn Online Practice 2023 B.pdf
RN Maternal Newborn Online
Practice 2023 B Study Guide
and Test Prep
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_1 of 19
Page 1 of 19 RN Maternal Newborn Online Practice 2023 B Study Guide and Test Prep.pdf
,RN Maternal Newborn Online Practice 2023 B 2 2026-03-09
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight 3,515 g (7 lb 12 oz)Apgar scores 8 at 1
min and 9 at 5 minMaternal history of methadone use during pregnancy.
1100:Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but breastfeeds poorly.
Increased muscle tone with moderate to severe tremors when disturbed. Hyperactive Moro reflex noted. Mottled skin noted
on extremities. Frequent sneezing. Several loose stools today.
Maternal urine toxicology screen: positive for opiates (negative)
The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions regarding
the newborn should the nurse anticipate?
Administer scheduled doses of oral morphine.
Maintain a low-stimulus environment.
Initiate neonatal abstinence syndrome (NAS) scoring.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should
the nurse take?
Initiate continuous external fetal monitoring.
A nurse is providing education about family bonding to guardians who recently adopted a newborn. The nurse should make
which of the following suggestions to aid the family's 7-year-old child in accepting the new family member?
Obtain a gift from the newborn to present to the sibling.
Page 2 of 19 2 of 19 RN Maternal Newborn Online Practice 2023 B.pdf
, RN Maternal Newborn Online Practice 2023 B 3 2026-03-09
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the
nurse take?
Schedule an ultrasound.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the
client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take
immediately after the seizure?
Administer oxygen via a nonrebreather mask.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client
indicates an understanding of the teaching?
"I will have blood tests because my potassium might decrease."
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which
of the following instructions should the nurse include in the teaching?
"I can administer oxytocin 4 hours after the insertion of the medication."
Page 3 of 19 3 of 19 RN Maternal Newborn Online Practice 2023 B.pdf
