Learning System RN 3.0 Maternal Newborn Final
Questions and Answers
A nurse is performing an assessment on a client on the first postpartum day. The
following findings are noted: 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
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
A nurse is caring for a client who is pregnant and reports experiencing nausea and
vomiting. Which of the following would be an appropriate instruction provided by the
nurse to the client? Answer You should eat some crackers before you get out of bed in
the morning
A nurse is developing a plan of care for a pregnant client who is Rh-negative. For which
of the following clients would the nurse provide Rh(D) Immune Globulin? At 28 weeks of
gestation
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 born to a client who has a narcotic use disorder. Which
of the following nursing actions should the nurse recognize as being contraindicated in
, the care of the newborn? Answer Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination is performed and the
findings are as follows: 2cm, 50%, +1, right occiput anterior. Based on the above
information, which of the following position should the nurse document in the medical
record? - Answer Vertex
A nurse is caring for a client who desires to have an intrauterine device inserted to
prevent pregnancy. Which of the following conditions is a contraindication to the use of
this device? ANSWER Menorrhagia
The nurse is providing care for a client who is at 39 weeks of gestation and in active
labor. Which of the following actions should the nurse include in the plan of care? -
Answer Check the cervix before administering analgesics
A nurse is caring for a client who has trichomoniasis and is prescribed metronidazole.
Which of the following instructions should the nurse provide to the client about his
treatment plan? Answer You and your partner need to take the medication and use a
condom during intercourse until cultures are negative
A nurse is caring for four newborns. Which of the following newborns is at greatest risk
for hypoglycemia? - Answer An LGA newborn
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's
perineal pad has a large amount of lochia rubra with several clots. Which of the
following actions should the nurse take first? - Answer Massage the fundus
The nurse is caring for a client whose membranes have ruptured and who is in active
labor. The fetal monitor tracing reflects late decelerations. Which of the following
interventions would the nurse initiate first? Answer Turn the client onto her left side
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? - Active genital herpes
Questions and Answers
A nurse is performing an assessment on a client on the first postpartum day. The
following findings are noted: 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
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
A nurse is caring for a client who is pregnant and reports experiencing nausea and
vomiting. Which of the following would be an appropriate instruction provided by the
nurse to the client? Answer You should eat some crackers before you get out of bed in
the morning
A nurse is developing a plan of care for a pregnant client who is Rh-negative. For which
of the following clients would the nurse provide Rh(D) Immune Globulin? At 28 weeks of
gestation
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 born to a client who has a narcotic use disorder. Which
of the following nursing actions should the nurse recognize as being contraindicated in
, the care of the newborn? Answer Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination is performed and the
findings are as follows: 2cm, 50%, +1, right occiput anterior. Based on the above
information, which of the following position should the nurse document in the medical
record? - Answer Vertex
A nurse is caring for a client who desires to have an intrauterine device inserted to
prevent pregnancy. Which of the following conditions is a contraindication to the use of
this device? ANSWER Menorrhagia
The nurse is providing care for a client who is at 39 weeks of gestation and in active
labor. Which of the following actions should the nurse include in the plan of care? -
Answer Check the cervix before administering analgesics
A nurse is caring for a client who has trichomoniasis and is prescribed metronidazole.
Which of the following instructions should the nurse provide to the client about his
treatment plan? Answer You and your partner need to take the medication and use a
condom during intercourse until cultures are negative
A nurse is caring for four newborns. Which of the following newborns is at greatest risk
for hypoglycemia? - Answer An LGA newborn
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's
perineal pad has a large amount of lochia rubra with several clots. Which of the
following actions should the nurse take first? - Answer Massage the fundus
The nurse is caring for a client whose membranes have ruptured and who is in active
labor. The fetal monitor tracing reflects late decelerations. Which of the following
interventions would the nurse initiate first? Answer Turn the client onto her left side
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? - Active genital herpes
