RN MATERNAL NEWBORN ONLINE PRACTICE A & B
WITH NGN QUESTIONS AND ANSWERS, RATIONALES
100% VERIFIED NEWEST VERSION
TABLE OF CONTENTS
RN MATERNAL NEWBORN ONLINE PRACTICE A…………….02
RN MATERNAL NEWBORN ONLINE PRACTICE B…………….53
, RN MATERNAL NEWBORN ONLINE PRACTICE A
WITH NGN QUESTIONS AND ANSWERS, RATIONALES
100% VERIFIED NEWEST VERSION
1. A nurse is caring for a client who is pregnant in an antepartum clinic. Which
of the following findings should the nurse report to the provider
Answer: - Uterine contractions.
The client is experiencing regular uterine contractions and cervical change, which are
indicators of preterm labor; therefore, the nurse should notify the provider about this finding.
- Gestational age.
The client is at 32 weeks of gestation and is experiencing regular uterine con- tractions and
cervical dilation, which indicates that the client is in preterm labor; therefore, the nurse should
notify the provider about this finding.
- Vaginal examination.
The client's cervix is dilated to 2 cm and is 50% effaced, which indicate the client is in preterm
labor; therefore, the nurse should notify the provider about this finding.
The client's blood pressure is within the expected reference range . Blood pressure 130/70
mm Hg? what is normal.
,2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the nurse take
Answer: Report the client's condition to the local health department.
Rationale:
The nurse should report the condition to the local health department. HIV is one of the
conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
reported.
Other considerations:
The nurse should tell the client that treatment for HIV will be during the prenatal and
perinatal periods. Treatment with antiretroviral prophylaxis such as zidovu- dine, triple-drug
antiretroviral therapy (ART), or highly active antiretroviral therapy (HAART) during
pregnancy have been reported to decrease the transmission of the virus to the newborn.
3. A nurse is assessing a client who is postpartum and has idiopathic throm-
bocytopenia purpura (ITP). Which of the following findings should the nurse expect
Answer: Decreased platelet count
Rationale:
A client who has ITP has an autoimmune response that results in a decreased platelet count.
, Other considerations:
- An increased ESR is an indication of chronic renal failure.
- An increased WBC is an indication of infection.
4. A nurse in the antepartum clinic is assessing a client's adaptation to preg- nancy.
The client states that they are "happy one minute and crying the next." The nurse
should interpret the client's statement as an indication of which of the following
Answer: Emotional lability
Rationale:
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood during
pregnancy. Intense hormonal changes may be responsible for mood
changes that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
5. A nurse is assessing the newborn of a client who took a selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifes- tations should the
nurse identify as an indication of withdrawal from an SSRI
Answer: Vomiting
Rationale:
Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Manifestations of fetal exposure to SSRIs. include: Low birth weight, Hypoglycemia,
WITH NGN QUESTIONS AND ANSWERS, RATIONALES
100% VERIFIED NEWEST VERSION
TABLE OF CONTENTS
RN MATERNAL NEWBORN ONLINE PRACTICE A…………….02
RN MATERNAL NEWBORN ONLINE PRACTICE B…………….53
, RN MATERNAL NEWBORN ONLINE PRACTICE A
WITH NGN QUESTIONS AND ANSWERS, RATIONALES
100% VERIFIED NEWEST VERSION
1. A nurse is caring for a client who is pregnant in an antepartum clinic. Which
of the following findings should the nurse report to the provider
Answer: - Uterine contractions.
The client is experiencing regular uterine contractions and cervical change, which are
indicators of preterm labor; therefore, the nurse should notify the provider about this finding.
- Gestational age.
The client is at 32 weeks of gestation and is experiencing regular uterine con- tractions and
cervical dilation, which indicates that the client is in preterm labor; therefore, the nurse should
notify the provider about this finding.
- Vaginal examination.
The client's cervix is dilated to 2 cm and is 50% effaced, which indicate the client is in preterm
labor; therefore, the nurse should notify the provider about this finding.
The client's blood pressure is within the expected reference range . Blood pressure 130/70
mm Hg? what is normal.
,2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the nurse take
Answer: Report the client's condition to the local health department.
Rationale:
The nurse should report the condition to the local health department. HIV is one of the
conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
reported.
Other considerations:
The nurse should tell the client that treatment for HIV will be during the prenatal and
perinatal periods. Treatment with antiretroviral prophylaxis such as zidovu- dine, triple-drug
antiretroviral therapy (ART), or highly active antiretroviral therapy (HAART) during
pregnancy have been reported to decrease the transmission of the virus to the newborn.
3. A nurse is assessing a client who is postpartum and has idiopathic throm-
bocytopenia purpura (ITP). Which of the following findings should the nurse expect
Answer: Decreased platelet count
Rationale:
A client who has ITP has an autoimmune response that results in a decreased platelet count.
, Other considerations:
- An increased ESR is an indication of chronic renal failure.
- An increased WBC is an indication of infection.
4. A nurse in the antepartum clinic is assessing a client's adaptation to preg- nancy.
The client states that they are "happy one minute and crying the next." The nurse
should interpret the client's statement as an indication of which of the following
Answer: Emotional lability
Rationale:
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood during
pregnancy. Intense hormonal changes may be responsible for mood
changes that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
5. A nurse is assessing the newborn of a client who took a selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifes- tations should the
nurse identify as an indication of withdrawal from an SSRI
Answer: Vomiting
Rationale:
Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Manifestations of fetal exposure to SSRIs. include: Low birth weight, Hypoglycemia,
