Maternal Newborn Practice A
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal
birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of
the following prescriptions?
A. Docusate sodium 100mg capsule by mouth three times daily
B. Sitz bath two or three times per day as needed fo rpain
C. Bisacodyl rectal suppository daily as needed for constipation
D. Ibuprofen 600mg by mouth every 6 hours as needed for pain - ANS C. Bisacodyl rectal suppository
daily as needed for constipation
The nurse should not administer a rectal suppository or enema to a client who has a fourth-degree
perineal laceration. These can cause separation of the suture line, bleeding, or infection
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states,
"Administer 5 mcg IM once today." Available is a 5mL vial with 10 mcg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) - ANS 0.5 mL
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching?
A. "You should increase weight-bearing exercises as your pregnancy progresses."
B. "You should lie on your back to rest for 5 minutes after exercising."
C. "You should take you pulse every 20 minutes while you are exercising."
D. "You should exercise for 30 minutes each day." - ANS D. "You should exercise for 30 minutes each
day."
,The nurse should instruct the client to engage in 30 minutes of moderate exercise every day to improve
muscle tone throughout her pregnancy
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of
the following findings should the nurse identify as a possible cause of the early decelerations?
A. Prolapsed umbilical cord
B. Placenta previa
C. Fetal head compression
D. Maternal hypotension - ANS C. Fetal head compression
the nurse should identify fetal head compression as a likely cause of the early decelerations of the fetal
monitor. Early decelerations are an expected fetal pattern caused by fetal head compression due to
uterine contractions, fundal pressure, and vaginal examinations.
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following
actions should the nurse take?
A. Take photos of the newborn to give to the parents.
B. Tell the parents that they can consider organ donation.
C. Encourage the parents to avoid allowing older children to visit them in the hospital
D. Explain to the parents the need the name the newborn. - ANS A. Take photos of the newborn to give
to the parents
The nurse should create a memory box that includes mementos of the newborn (for example, photos,
the newborn's ID bands, the newborn's hate, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the
following actions by the mother should the nurse recognize as a positive parenting behavior?
, A. Lays the newborn across her lap and gently sways
B. Places the newborn in the crib in a prone position
C. Offers the newborn a pacifier dipped in formula
D. Prepares a bottle of formula mixed with rice cereal - ANS A. Lays the newborn across her lap and
gently sways
This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of security
for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse
identify as the priority?
A. A client who has gestational diabetes and a fasting blood glucose level of 120 mg'dL
B. A client who is at 34 weeks of gestation and reports epigastric pain
C. A client who is at 28 weeks of gestation and has an HgB of 10.4 g/dL
D. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria - ANS B. A client
who is at 34 weeks of gestation and reports epigastric pain
Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement, which is an
urgent finding. Therefore, the nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following
findings is an indication for the administration of the medication? (Select all that apply).
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal
birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of
the following prescriptions?
A. Docusate sodium 100mg capsule by mouth three times daily
B. Sitz bath two or three times per day as needed fo rpain
C. Bisacodyl rectal suppository daily as needed for constipation
D. Ibuprofen 600mg by mouth every 6 hours as needed for pain - ANS C. Bisacodyl rectal suppository
daily as needed for constipation
The nurse should not administer a rectal suppository or enema to a client who has a fourth-degree
perineal laceration. These can cause separation of the suture line, bleeding, or infection
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states,
"Administer 5 mcg IM once today." Available is a 5mL vial with 10 mcg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) - ANS 0.5 mL
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching?
A. "You should increase weight-bearing exercises as your pregnancy progresses."
B. "You should lie on your back to rest for 5 minutes after exercising."
C. "You should take you pulse every 20 minutes while you are exercising."
D. "You should exercise for 30 minutes each day." - ANS D. "You should exercise for 30 minutes each
day."
,The nurse should instruct the client to engage in 30 minutes of moderate exercise every day to improve
muscle tone throughout her pregnancy
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of
the following findings should the nurse identify as a possible cause of the early decelerations?
A. Prolapsed umbilical cord
B. Placenta previa
C. Fetal head compression
D. Maternal hypotension - ANS C. Fetal head compression
the nurse should identify fetal head compression as a likely cause of the early decelerations of the fetal
monitor. Early decelerations are an expected fetal pattern caused by fetal head compression due to
uterine contractions, fundal pressure, and vaginal examinations.
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following
actions should the nurse take?
A. Take photos of the newborn to give to the parents.
B. Tell the parents that they can consider organ donation.
C. Encourage the parents to avoid allowing older children to visit them in the hospital
D. Explain to the parents the need the name the newborn. - ANS A. Take photos of the newborn to give
to the parents
The nurse should create a memory box that includes mementos of the newborn (for example, photos,
the newborn's ID bands, the newborn's hate, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the
following actions by the mother should the nurse recognize as a positive parenting behavior?
, A. Lays the newborn across her lap and gently sways
B. Places the newborn in the crib in a prone position
C. Offers the newborn a pacifier dipped in formula
D. Prepares a bottle of formula mixed with rice cereal - ANS A. Lays the newborn across her lap and
gently sways
This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of security
for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse
identify as the priority?
A. A client who has gestational diabetes and a fasting blood glucose level of 120 mg'dL
B. A client who is at 34 weeks of gestation and reports epigastric pain
C. A client who is at 28 weeks of gestation and has an HgB of 10.4 g/dL
D. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria - ANS B. A client
who is at 34 weeks of gestation and reports epigastric pain
Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement, which is an
urgent finding. Therefore, the nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following
findings is an indication for the administration of the medication? (Select all that apply).
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
