Maternal Newborn Practice 2019 A Questions and Answers

Maternal Newborn Practice 2019 A: Questions and Answers
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopoid
maneuvers. Which of the following images indicates the first step of Leopoid maneuvers? - ansPicture of nurse
palpating top of belly; where bottom is



A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see
first?



1) a client who is at 11 weeks of gestation and reports abdominal cramping

2) a client who is at 15 weeks of gestation and reports tingling and numbness in right hand

3) a client who is at 20 weeks of gestation and reports constipation for the past 4 days

4) a client who is at 8 weeks of gestation and reports having 3 bloody noses in the past week - ansA client who
is at 11 weeks of gestation and reports abdominal cramping



A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of
pregnancy. Which of the following should the nurse identify as a risk factor for the development of
preeclampsia?



1) singleton pregnancy

2) BMI of 20

3) Maternal age 32 years

4) pregestational DM - ansPregestational Diabetes Mellitus



A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following
findings should the nurse report to the provider?



1) fundal height 34cm

2) report of decreased fetal movement

3) report of occasional ankle swelling

,4) BP 110/80 - ansReports of decreased fetal movement



A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing
the client's medical record, which of the following findings should the nurse report to the provider? - ansFundal
Height Measurement



A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke". Which
of the following interventions is the nurse's priority?



1) perform Nitrazine testing

2) assess the fluid

3) check cervial dilation

4) begin FHR monitoring - ansBegin FHR monitoring



A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following
complications should the nurse assess?



1) abruptio placenta

2) placenta previa

3) preeclampsia

4) maternal bradycardia - ansAbruptio placenta



A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of
the following findings should the nurse expect?



1) reports increased urinary output

2) sweating

3) blurred vision

4) shallow respirations - ansReports increased urinary output

, A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the
nurse expect?



1) 2+ DTR

2) proteinuria of 200 mg in a 24-hr specimen

3) polyuria

4) blurred vision - ansBlurred Vision



A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following
manifestations should the nurse expect?



1) lochia serosa

2) vaginal pressure

3) intermittent vaginal pain

4) yellow exudate vaginal drainage - ansVaginal pressure



A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse
report to the provider?



1) visual disturbances

2) tingling of the fingers

3) urinary frequency

4) leg cramps - ansReport of visual disturbances



A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the
following findings should the nurse report to the provider?