Maternal Newborn Dynamic Quizzing
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1. A nurse is obtaining the blood pressure of a client who B. Repeat the measure-
is pregnant. The client's blood pressure is 1422/90 ment after allowing the
mmHg. Which of the following actions should the client to sit for 5 to 10 min-
nurse take? utes
A. Repeat the measurement immediately using the
opposite arm
B. Repeat the measurement after allowing the client
to sit for 5 to 10 minutes
C. Repeat the measurement after repositioning the
client so that her feet are off the floor
D. Repeat the measurement while ensuring the
client's arm is dangling at her side
2. A nurse is teaching a client who is pregnant about B. "If the test is reactive,
nonstress testing. Which of the following pieces of that means your baby's
information should the nurse include? heart rate is healthy."
A. "This test is an invasive procedure that presents
minimal risk to the fetus."
B. "If the test is reactive, that means your baby's heart
rate is healthy."
C. "When your baby moves, the test should record
the baby's heart decreasing by about 15 beats per
minute."
D. "The results of the test will be recorded as positive
if no fetal movement occurs during th
3. A nurse is assessing a client who is at 35 weeks of ges- A. 480 mL urine output in
tation and has preeclampsia without severe features. 24 hr
Which of the following findings should the nurse iden-
tify as the priority?
A. 480 mL urine output in 24 hr
B. Blood pressure 144/92 mmHg
, Maternal Newborn Dynamic Quizzing
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C. +2 edema of the feet
D. 1+ protein in urine
4. A nurse is providing care for a pregnant adolescent D. Provide examples of
who is at 12 weeks gestation and verbalizes a fear of how eating well will help
gaining weight during pregnancy. Which of the follow- maintain a healthy weight
ing actions should the nurse take? during pregnancy
A. Have the client watch a video on fetal growth and
development during pregnancy
B. Supply pamphlets that discuss the importance of
nutrition during pregnancy
C. Explain how poor nutrition can prevent the baby
from growing properly
D. Provide examples of how eating well will help main-
tain a healthy weight
5. A nurse is caring for a client at 35 weeks gestation C. Daily weight
who has severe pre-eclampsia. Which of the following
assessments provides the most accurate information
regarding the client's fluid and electrolyte status?
A. Blood pressure
B. Intake and output
C. Daily weight
D. Severity of edema
6. A nurse is assessing a client who is suspected of hav- D. Urine ketones
ing hyperemesis gravidarum. Which of the following
laboratory tests should the nurse check first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin level
D. Urine ketones
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
7. A nurse in a prenatal clinic is caring for a client who D. "A weight gain of about
is within the recommended guideline for weight. The 25 to 35 lb is good."
client asks the nurse how much weight is safe for her
to gain during her pregnancy. Which of the following
responses should the nurse offer?
A. "Your provider can discuss an appropriate amount
of weight gain with you."
B. "A weight gain of about 14 lb each trimester is
suggested."
C. "If you eat nutritious foods when you feel hungry,
the amount of weight gain is insignificant."
D. "A weigh
8. A nurse is assessing a 4-hour-old newborn prior to C. Place the naked new-
breastfeeding and notes hands and feet that are born on the mother's bare
cool and slightly blue. Which of the following actions chest and cover both with
should the nurse take? a blanket.
A. Apply an oxygen hood over the newborn's head and
neck
B. Check the newborn's temperature using a temporal
thermometer
C. Place the naked newborn on the mother's bare
chest and cover both with a blanket.
D. Give the newborn glucose water between feedings
9. A nurse is assessing a client who is in the fourth stage C. Urinary retention
of labor. Which of the following findings should the
nurse expect?
A. Breast engorgement
B. Hypothermia
C. Urinary retention
D. Rupture of membranes
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
10. A nurse is caring for a client who is in labor. Which of A. Fetal heart rate baseline
the following assessment findings should the nurse of 90 bpm
report to the provider?
A. Fetal heart rate baseline of 90 bpm
B. Maternal temperature of 37.8°C (100°F)
C. Uterine relaxation for 1 min between contractions
D. Uterine contractions increasing in intensity
11. A nurse is assessing a client at 27 weeks of gestation. A. The fundal height mea-
The client has placenta previa and reports vaginal sures greater than gesta-
bleeding. Which of the following additional manifes- tional age
tations should the nurse expect?
A. The fundal height measures greater than gestation-
al age
B. A rigid abdomen is noted on palpation
C. The client reports a pain level of 8 on a 0-to-10 pain
scale
D. A urine drug screen is positive for cocaine
12. A nurse is caring for a newly admitted newborn who A. Perform a heel stick to
is large for gestational age. After 30 min, the newborn check the newborn's glu-
becomes jittery and lethargic with hypotonic muscles cose level
and a cry that is different from the time of admission.
Which of the following actions should the nurse take?
A. Perform a heel stick to check the newborn's glucose
level
B. Obtain a prescription for serum substance screen-
ing
C. Provide a feeding of sterile water
D. Screen the newborn for phenylketonuria
13.
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1. A nurse is obtaining the blood pressure of a client who B. Repeat the measure-
is pregnant. The client's blood pressure is 1422/90 ment after allowing the
mmHg. Which of the following actions should the client to sit for 5 to 10 min-
nurse take? utes
A. Repeat the measurement immediately using the
opposite arm
B. Repeat the measurement after allowing the client
to sit for 5 to 10 minutes
C. Repeat the measurement after repositioning the
client so that her feet are off the floor
D. Repeat the measurement while ensuring the
client's arm is dangling at her side
2. A nurse is teaching a client who is pregnant about B. "If the test is reactive,
nonstress testing. Which of the following pieces of that means your baby's
information should the nurse include? heart rate is healthy."
A. "This test is an invasive procedure that presents
minimal risk to the fetus."
B. "If the test is reactive, that means your baby's heart
rate is healthy."
C. "When your baby moves, the test should record
the baby's heart decreasing by about 15 beats per
minute."
D. "The results of the test will be recorded as positive
if no fetal movement occurs during th
3. A nurse is assessing a client who is at 35 weeks of ges- A. 480 mL urine output in
tation and has preeclampsia without severe features. 24 hr
Which of the following findings should the nurse iden-
tify as the priority?
A. 480 mL urine output in 24 hr
B. Blood pressure 144/92 mmHg
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
C. +2 edema of the feet
D. 1+ protein in urine
4. A nurse is providing care for a pregnant adolescent D. Provide examples of
who is at 12 weeks gestation and verbalizes a fear of how eating well will help
gaining weight during pregnancy. Which of the follow- maintain a healthy weight
ing actions should the nurse take? during pregnancy
A. Have the client watch a video on fetal growth and
development during pregnancy
B. Supply pamphlets that discuss the importance of
nutrition during pregnancy
C. Explain how poor nutrition can prevent the baby
from growing properly
D. Provide examples of how eating well will help main-
tain a healthy weight
5. A nurse is caring for a client at 35 weeks gestation C. Daily weight
who has severe pre-eclampsia. Which of the following
assessments provides the most accurate information
regarding the client's fluid and electrolyte status?
A. Blood pressure
B. Intake and output
C. Daily weight
D. Severity of edema
6. A nurse is assessing a client who is suspected of hav- D. Urine ketones
ing hyperemesis gravidarum. Which of the following
laboratory tests should the nurse check first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin level
D. Urine ketones
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
7. A nurse in a prenatal clinic is caring for a client who D. "A weight gain of about
is within the recommended guideline for weight. The 25 to 35 lb is good."
client asks the nurse how much weight is safe for her
to gain during her pregnancy. Which of the following
responses should the nurse offer?
A. "Your provider can discuss an appropriate amount
of weight gain with you."
B. "A weight gain of about 14 lb each trimester is
suggested."
C. "If you eat nutritious foods when you feel hungry,
the amount of weight gain is insignificant."
D. "A weigh
8. A nurse is assessing a 4-hour-old newborn prior to C. Place the naked new-
breastfeeding and notes hands and feet that are born on the mother's bare
cool and slightly blue. Which of the following actions chest and cover both with
should the nurse take? a blanket.
A. Apply an oxygen hood over the newborn's head and
neck
B. Check the newborn's temperature using a temporal
thermometer
C. Place the naked newborn on the mother's bare
chest and cover both with a blanket.
D. Give the newborn glucose water between feedings
9. A nurse is assessing a client who is in the fourth stage C. Urinary retention
of labor. Which of the following findings should the
nurse expect?
A. Breast engorgement
B. Hypothermia
C. Urinary retention
D. Rupture of membranes
, Maternal Newborn Dynamic Quizzing
Study online at https://quizlet.com/_e0ut0f
10. A nurse is caring for a client who is in labor. Which of A. Fetal heart rate baseline
the following assessment findings should the nurse of 90 bpm
report to the provider?
A. Fetal heart rate baseline of 90 bpm
B. Maternal temperature of 37.8°C (100°F)
C. Uterine relaxation for 1 min between contractions
D. Uterine contractions increasing in intensity
11. A nurse is assessing a client at 27 weeks of gestation. A. The fundal height mea-
The client has placenta previa and reports vaginal sures greater than gesta-
bleeding. Which of the following additional manifes- tional age
tations should the nurse expect?
A. The fundal height measures greater than gestation-
al age
B. A rigid abdomen is noted on palpation
C. The client reports a pain level of 8 on a 0-to-10 pain
scale
D. A urine drug screen is positive for cocaine
12. A nurse is caring for a newly admitted newborn who A. Perform a heel stick to
is large for gestational age. After 30 min, the newborn check the newborn's glu-
becomes jittery and lethargic with hypotonic muscles cose level
and a cry that is different from the time of admission.
Which of the following actions should the nurse take?
A. Perform a heel stick to check the newborn's glucose
level
B. Obtain a prescription for serum substance screen-
ing
C. Provide a feeding of sterile water
D. Screen the newborn for phenylketonuria
13.
