STUDY SMARTER • ACHIEVE HIGHER
MATERNAL NEWBORN
STUDY GUIDE QUESTIONS AND VERIFIED ANSWERS | A+ GRADED |
LATEST UPDATE 2026/2027
THIS FOCUSED RESOURCE SUPPORTS
• QUICK REVIEW,
• REINFORCES KEY DATABASE CONCEPTS
• HELPS IDENTIFY WEAKER AREAS BEFORE
ASSESSMENT DAY
BETTER PREPARATION → GREATER SUCCESS
,A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of
lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Which of the following actions should the nurse take? - CORRECT ANSWER-*check for blood
under the client's buttocks*
The nurse should check for blood under the client's buttock to evaluate the amount of lochia
flow and to check for pooling of blood that would otherwise be missed.
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of
pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The
nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine
at which of the following times? - CORRECT ANSWER-*prior to discharge from the hospital
AFTER giving birth*
The nurse should recommend the client receive the MMR vaccine following delivery, so she
is protected from contracting rubella then and during any subsequent pregnancies.
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta
previa. For which of the following findings should the nurse monitor the client? - CORRECT
ANSWER-*a large amount of bright red vaginal bleeding without pain*
With placenta previa, the placenta implants in the lower part of the uterus, partly or
completely obstructing the cervical os, or outlet to the vagina. Clients who have placenta
previa have sudden, painless vaginal bleeding, typically in the third trimester.
A nurse is teaching a new mother about signs of effective breastfeeding of her newborn.
Which of the following information should the nurse include in the teaching? - CORRECT
ANSWER-*your baby can lose 5% of body weight during the first few days of life*
The nurse should instruct the mother that the baby can have a weight loss between 5% and
10% of their birth weight during the first 3 days of life. Breastfed infants usually regain birth
weight by their second or third week of life.
A nurse in a provider's office is reinforcing teaching about home care with a client who has
mild preeclampsia. Which of the following information should the nurse include in the
teaching? - CORRECT ANSWER-*perform daily fetal movements/kick counts*
,The client should count the number of fetal movements felt in one hour, preferably after a
meal. Fetal movements are a reassuring sign of fetal oxygenation. The client should notify
the provider if less than 3 movements per hour are noted, as this warrants further
evaluation.
A nurse is caring for a newborn immediately following delivery. After assuring a patent
airway, which of the following actions should be the nurse's priority? - CORRECT ANSWER-
*dry the newborn*
Drying the newborn is the priority action the nurse should take. Failure to dry the newborn
can result in cold stress, which poses the greatest risk to the infant's safety. Cold stress
increases oxygen demand and can result in respiratory distress and hypoglycemia.
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts
soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C
(100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should
the nurse perform? - CORRECT ANSWER-*ask the client to empty her bladder*
Whenever the fundus is deviated from the midline, a full bladder should be considered as a
potential cause. A full bladder could result in complications such as uterine atony or
infection.
A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the
following actions should the nurse perform first? - CORRECT ANSWER-*clear the respiratory
tract*
Using the airway, breathing, circulation (ABC) priority-setting framework, the first action the
nurse should take is to open the airway of a newborn who was just delivered.
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8
weeks of gestation. Which of the following findings should the nurse expect? - CORRECT
ANSWER-*pelvic pain*
, The client will experience a dull to colicky pain at the beginning, progressing to a sharp,
stabbing pain as the tube stretches.
A nurse is caring for several newborn clients. For which of the following findings should the
nurse notify the charge nurse? - CORRECT ANSWER-A blood glucose fingerstick of 40 mg/dL
for an infant who is 1-hr old
Acrocyanosis in an infant who is 2-hr old
*Jaundice in an infant who is 4-hr old*
A hematocrit of 60% in an infant who is 8-hr old
*Rationale*
Jaundice occurring within the first 24 hr of life is related to some type of hemolytic
pathology and requires notifying the charge nurse immediately
A nurse is caring for a newborn who has a myelomeningocele and is admitted to the
newborn intensive care unit (NICU) to await surgery. Which of the following nursing goals is
priority in the care of this infant? - CORRECT ANSWER-*maintain integrity of the sac*
The greatest risk to this client is injury from damage to the exposed spinal cord and fluid
filled sac; therefore, the priority intervention is to maintain the integrity of the sac.
A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The
client asks the nurse, "Will my baby be okay?" Which of the following responses should the
nurse make? - CORRECT ANSWER-*you must be feeling very scared*
This response illustrates the therapeutic communication technique of restatement. The
nurse shows empathy for the client by focusing on the client's feelings and recognizing that
the client is scared about the safety of her newborn. This open-ended statement encourages
further communication by the client.
MATERNAL NEWBORN
STUDY GUIDE QUESTIONS AND VERIFIED ANSWERS | A+ GRADED |
LATEST UPDATE 2026/2027
THIS FOCUSED RESOURCE SUPPORTS
• QUICK REVIEW,
• REINFORCES KEY DATABASE CONCEPTS
• HELPS IDENTIFY WEAKER AREAS BEFORE
ASSESSMENT DAY
BETTER PREPARATION → GREATER SUCCESS
,A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of
lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Which of the following actions should the nurse take? - CORRECT ANSWER-*check for blood
under the client's buttocks*
The nurse should check for blood under the client's buttock to evaluate the amount of lochia
flow and to check for pooling of blood that would otherwise be missed.
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of
pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The
nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine
at which of the following times? - CORRECT ANSWER-*prior to discharge from the hospital
AFTER giving birth*
The nurse should recommend the client receive the MMR vaccine following delivery, so she
is protected from contracting rubella then and during any subsequent pregnancies.
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta
previa. For which of the following findings should the nurse monitor the client? - CORRECT
ANSWER-*a large amount of bright red vaginal bleeding without pain*
With placenta previa, the placenta implants in the lower part of the uterus, partly or
completely obstructing the cervical os, or outlet to the vagina. Clients who have placenta
previa have sudden, painless vaginal bleeding, typically in the third trimester.
A nurse is teaching a new mother about signs of effective breastfeeding of her newborn.
Which of the following information should the nurse include in the teaching? - CORRECT
ANSWER-*your baby can lose 5% of body weight during the first few days of life*
The nurse should instruct the mother that the baby can have a weight loss between 5% and
10% of their birth weight during the first 3 days of life. Breastfed infants usually regain birth
weight by their second or third week of life.
A nurse in a provider's office is reinforcing teaching about home care with a client who has
mild preeclampsia. Which of the following information should the nurse include in the
teaching? - CORRECT ANSWER-*perform daily fetal movements/kick counts*
,The client should count the number of fetal movements felt in one hour, preferably after a
meal. Fetal movements are a reassuring sign of fetal oxygenation. The client should notify
the provider if less than 3 movements per hour are noted, as this warrants further
evaluation.
A nurse is caring for a newborn immediately following delivery. After assuring a patent
airway, which of the following actions should be the nurse's priority? - CORRECT ANSWER-
*dry the newborn*
Drying the newborn is the priority action the nurse should take. Failure to dry the newborn
can result in cold stress, which poses the greatest risk to the infant's safety. Cold stress
increases oxygen demand and can result in respiratory distress and hypoglycemia.
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts
soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C
(100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should
the nurse perform? - CORRECT ANSWER-*ask the client to empty her bladder*
Whenever the fundus is deviated from the midline, a full bladder should be considered as a
potential cause. A full bladder could result in complications such as uterine atony or
infection.
A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the
following actions should the nurse perform first? - CORRECT ANSWER-*clear the respiratory
tract*
Using the airway, breathing, circulation (ABC) priority-setting framework, the first action the
nurse should take is to open the airway of a newborn who was just delivered.
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8
weeks of gestation. Which of the following findings should the nurse expect? - CORRECT
ANSWER-*pelvic pain*
, The client will experience a dull to colicky pain at the beginning, progressing to a sharp,
stabbing pain as the tube stretches.
A nurse is caring for several newborn clients. For which of the following findings should the
nurse notify the charge nurse? - CORRECT ANSWER-A blood glucose fingerstick of 40 mg/dL
for an infant who is 1-hr old
Acrocyanosis in an infant who is 2-hr old
*Jaundice in an infant who is 4-hr old*
A hematocrit of 60% in an infant who is 8-hr old
*Rationale*
Jaundice occurring within the first 24 hr of life is related to some type of hemolytic
pathology and requires notifying the charge nurse immediately
A nurse is caring for a newborn who has a myelomeningocele and is admitted to the
newborn intensive care unit (NICU) to await surgery. Which of the following nursing goals is
priority in the care of this infant? - CORRECT ANSWER-*maintain integrity of the sac*
The greatest risk to this client is injury from damage to the exposed spinal cord and fluid
filled sac; therefore, the priority intervention is to maintain the integrity of the sac.
A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The
client asks the nurse, "Will my baby be okay?" Which of the following responses should the
nurse make? - CORRECT ANSWER-*you must be feeling very scared*
This response illustrates the therapeutic communication technique of restatement. The
nurse shows empathy for the client by focusing on the client's feelings and recognizing that
the client is scared about the safety of her newborn. This open-ended statement encourages
further communication by the client.
