Learning System RN 3.0 Maternal Newborn Final
Quiz
"You will have a cesarean birth prior to the onset of labor."
Whenever possible, the cesarean birth should be scheduled prior to the onset of labor or rupture
of membranes to reduce the risk of neonatal transmission of herpes. - ANS-herpes
A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the
90th percentile. One of the most common etiologies of LGA newborns is a mother who is
diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased
risk for hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age
(SGA) newborns (those below the 10th percentile), premature newborns, and newborns who
have perinatal hypoxia. - ANS-A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A weight gain of about 25-35 pounds is good - ANS-A nurse in a prenatal clinic is caring for a
client who is within the recommended guidelines for weight. The client asks the nurse how much
weight is safe for her to gain during her pregnancy. Which of the following responses should the
nurse make?
Active genital herpes
The newborn can acquire the infection as they pass through the birth canal. Therefore, a
cesarean birth is recommended for clients who have an active genital herpes infection. - ANS-A
nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a
contraindication for the use of this medication?
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. - ANS-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?
Ask the client when she last voided - ANS-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?
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. - ANS-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?
Blocks effects of narcotics on the CNS - ANS-A nurse is caring for a client who has a
prescription for naloxone. Which of the following is the intended action of the medication in
relation to the central nervous system?
Check the cervix prior to analgesic administration - ANS-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?
Continue to routinely monitor the newborn - ANS-A nurse is caring for a newborn who has
irregular respirations of 52/minute with several periods of apnea lasting approximately 5
seconds. The newborn is pink with acrocyanosis. Which of the following actions should the
nurse take?
Contractions that last for 60 seconds each with a 3-minute rest between contractions - ANS-A
nurse receives report on a client who is in labor and is experiencing contractions 4 minutes
apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to
hypoglycemia in the first hours after delivery. It is important to assess the newborn's blood
glucose level within the first hour following birth and frequently thereafter until blood glucose
levels are stable. - ANS-A nurse administers betamethasone to a client who is at 33 weeks
gestation to stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this medication?
Do not become pregnant for at least 1 year - ANS-A nurse is providing discharge teaching to a
client following the removal of a hydatidiform mole. Which of the following statements should the
nurse include in the teaching?
Quiz
"You will have a cesarean birth prior to the onset of labor."
Whenever possible, the cesarean birth should be scheduled prior to the onset of labor or rupture
of membranes to reduce the risk of neonatal transmission of herpes. - ANS-herpes
A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the
90th percentile. One of the most common etiologies of LGA newborns is a mother who is
diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased
risk for hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age
(SGA) newborns (those below the 10th percentile), premature newborns, and newborns who
have perinatal hypoxia. - ANS-A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A weight gain of about 25-35 pounds is good - ANS-A nurse in a prenatal clinic is caring for a
client who is within the recommended guidelines for weight. The client asks the nurse how much
weight is safe for her to gain during her pregnancy. Which of the following responses should the
nurse make?
Active genital herpes
The newborn can acquire the infection as they pass through the birth canal. Therefore, a
cesarean birth is recommended for clients who have an active genital herpes infection. - ANS-A
nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a
contraindication for the use of this medication?
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. - ANS-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?
Ask the client when she last voided - ANS-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?
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. - ANS-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?
Blocks effects of narcotics on the CNS - ANS-A nurse is caring for a client who has a
prescription for naloxone. Which of the following is the intended action of the medication in
relation to the central nervous system?
Check the cervix prior to analgesic administration - ANS-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?
Continue to routinely monitor the newborn - ANS-A nurse is caring for a newborn who has
irregular respirations of 52/minute with several periods of apnea lasting approximately 5
seconds. The newborn is pink with acrocyanosis. Which of the following actions should the
nurse take?
Contractions that last for 60 seconds each with a 3-minute rest between contractions - ANS-A
nurse receives report on a client who is in labor and is experiencing contractions 4 minutes
apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to
hypoglycemia in the first hours after delivery. It is important to assess the newborn's blood
glucose level within the first hour following birth and frequently thereafter until blood glucose
levels are stable. - ANS-A nurse administers betamethasone to a client who is at 33 weeks
gestation to stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this medication?
Do not become pregnant for at least 1 year - ANS-A nurse is providing discharge teaching to a
client following the removal of a hydatidiform mole. Which of the following statements should the
nurse include in the teaching?
