Maternal and Newborn Nursing exams ,question and answers
assist to empty her bladder - answers A nurse is assessing a client who is 14 hr postpartum and
has a 3rd degree perineal laceration. The client's temperature is 37.8C (100F), and her fundus is
firm and slightly deviated to the right. The client reports a gush of blood when she ambulates
and no bowel movement since delivery. Which action should the nurse take?
This will resolve within 3-6 weeks without treatment - answers A nurse is assessing a 2 day old
newborn and notes an egg shaped, edematous bluish discoloration that does not cross the
suture line. What is the nurse's response?
Limited abduction of one hip - answers A nurse is assessing a newborn for congenital hip
dysplasia. What finding should the nurse expect?
Place ice packs on your breasts - answers A nurse is providing teaching to a client who is
postpartum and does not plan to breastfeed her newborn. What instructions should the nurse
include in the teaching?
Abundant lanugo - answers A nurse is caring for a newborn who is premature at 30 weeks of
gestation. What finding should the nurse expect?
Place the newborn directly on the client's chest - answers A nurse is caring for a newborn
immediately following delivery. What action should the nurse take first?
Tonic Neck - answers A nurse is testing the reflexes of a newborn to assess neurologic maturity.
What reflex is the nurse assessing when she quickly and gently turns the newborn's head to one
side?
slow trickle of bright vaginal bleeding and a firm fundus - answers A nurse is assessing a client
who is postpartum following a vacuum-assisted birth. Which finding should the nurse monitor
to identify a cervical laceration?
0.25 ml - answers A nurse is preparing to administer morphine oral solution 0.04mg/kg to a
newborn who weighs 2.5kg. The amount available is morphine oral solution 0.4mg/mL. How
many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a
leading zero if it applies. Do not use a trailing zero.)
Erythromycin ophthalmic ointment - answers Which eye medication should the nurse
administer to the newborn within 1 to 2 hr of delivery?
9 - answers A nurse is assessing a newborn 1 min after birth and notes a heart rate of 136/min,
respiratory rate of 36/min, well flexed extremities, responding to stimuli with a cry, and blue
hands and feet. What Apgar score should the nurse assign to the newborn?
, continue routine monitoring - answers A nurse is assessing a 12 hour old newborn and notes a
respiratory rate of 44/min with shallow respirations and periods of apnea lasting up to 10
seconds. What action should the nurse take?
Betamethasone - answers A nurse in labor and delivery is providing care for a client who is in
preterm labor at 32 weeks of gestation. What medication should the nurse anticipate the
provider will prescribe to hasten fetal lung maturity?
RR less than 12/min, urinary output less than 30 ml/hr, decreased LOC - answers Identify 3 s/s
that indicate magnesium sulfate toxicity
orange juice - answers A nurse is reviewing a new prescription for iron supplements with a
client who is in the 8th week of gestation and has iron deficiency anemia. What beverage
should the nurse instruct the client to take the iron supplements with?
neural tube defects - answers A nurse in a clinic is teaching a client of childbearing age about
recommended folic acid supplements. What defect can occur in the fetus or neonate as a result
of folic acid deficiency?
shortness of breath - answers A nurse is instructing a client who is taking an oral contraceptive
about the danger signs to report to her provider. The nurse determines the client understands
the teaching when the client states the need to report
this is due to the weight of the uterus on the vena cava - answers A nurse in a prenatal clinic is
caring for a client who is pregnant and experiencing episodes of maternal hypotension. The
client asks the nurse what causes these episodes. What response should the nurse make?
Goodell's sign, ballottement, Chadwicks sign - answers probable signs of pregnancy
Jan 8 - answers A nurse is caring for a client who is pregnant and states that her last menstrual
period was April 1st. Which is the client's estimated date of delivery
respiratory rate - answers A woman who is admitted to labor and delivery at 30 weeks'
gestation, is 1 cm dilated, and is contracting q 5 minutes. She is receiving magnesium sulfate IV
piggyback. What maternal vital sign is most important for the nurse to assess each hour?
Sudden onset of painless vaginal bleeding - answers Identify the hallmark of placenta previa
that differentiates it from abruptio placenta
The baby's lung fields are mature - answers A laboratory report indicates the L/S ratio
(lecithin/sphingomyelin) results from an amniocentesis of a gravid patient with preeclampsia
are 2:1. The nurse interprets the result as what?
assist to empty her bladder - answers A nurse is assessing a client who is 14 hr postpartum and
has a 3rd degree perineal laceration. The client's temperature is 37.8C (100F), and her fundus is
firm and slightly deviated to the right. The client reports a gush of blood when she ambulates
and no bowel movement since delivery. Which action should the nurse take?
This will resolve within 3-6 weeks without treatment - answers A nurse is assessing a 2 day old
newborn and notes an egg shaped, edematous bluish discoloration that does not cross the
suture line. What is the nurse's response?
Limited abduction of one hip - answers A nurse is assessing a newborn for congenital hip
dysplasia. What finding should the nurse expect?
Place ice packs on your breasts - answers A nurse is providing teaching to a client who is
postpartum and does not plan to breastfeed her newborn. What instructions should the nurse
include in the teaching?
Abundant lanugo - answers A nurse is caring for a newborn who is premature at 30 weeks of
gestation. What finding should the nurse expect?
Place the newborn directly on the client's chest - answers A nurse is caring for a newborn
immediately following delivery. What action should the nurse take first?
Tonic Neck - answers A nurse is testing the reflexes of a newborn to assess neurologic maturity.
What reflex is the nurse assessing when she quickly and gently turns the newborn's head to one
side?
slow trickle of bright vaginal bleeding and a firm fundus - answers A nurse is assessing a client
who is postpartum following a vacuum-assisted birth. Which finding should the nurse monitor
to identify a cervical laceration?
0.25 ml - answers A nurse is preparing to administer morphine oral solution 0.04mg/kg to a
newborn who weighs 2.5kg. The amount available is morphine oral solution 0.4mg/mL. How
many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a
leading zero if it applies. Do not use a trailing zero.)
Erythromycin ophthalmic ointment - answers Which eye medication should the nurse
administer to the newborn within 1 to 2 hr of delivery?
9 - answers A nurse is assessing a newborn 1 min after birth and notes a heart rate of 136/min,
respiratory rate of 36/min, well flexed extremities, responding to stimuli with a cry, and blue
hands and feet. What Apgar score should the nurse assign to the newborn?
, continue routine monitoring - answers A nurse is assessing a 12 hour old newborn and notes a
respiratory rate of 44/min with shallow respirations and periods of apnea lasting up to 10
seconds. What action should the nurse take?
Betamethasone - answers A nurse in labor and delivery is providing care for a client who is in
preterm labor at 32 weeks of gestation. What medication should the nurse anticipate the
provider will prescribe to hasten fetal lung maturity?
RR less than 12/min, urinary output less than 30 ml/hr, decreased LOC - answers Identify 3 s/s
that indicate magnesium sulfate toxicity
orange juice - answers A nurse is reviewing a new prescription for iron supplements with a
client who is in the 8th week of gestation and has iron deficiency anemia. What beverage
should the nurse instruct the client to take the iron supplements with?
neural tube defects - answers A nurse in a clinic is teaching a client of childbearing age about
recommended folic acid supplements. What defect can occur in the fetus or neonate as a result
of folic acid deficiency?
shortness of breath - answers A nurse is instructing a client who is taking an oral contraceptive
about the danger signs to report to her provider. The nurse determines the client understands
the teaching when the client states the need to report
this is due to the weight of the uterus on the vena cava - answers A nurse in a prenatal clinic is
caring for a client who is pregnant and experiencing episodes of maternal hypotension. The
client asks the nurse what causes these episodes. What response should the nurse make?
Goodell's sign, ballottement, Chadwicks sign - answers probable signs of pregnancy
Jan 8 - answers A nurse is caring for a client who is pregnant and states that her last menstrual
period was April 1st. Which is the client's estimated date of delivery
respiratory rate - answers A woman who is admitted to labor and delivery at 30 weeks'
gestation, is 1 cm dilated, and is contracting q 5 minutes. She is receiving magnesium sulfate IV
piggyback. What maternal vital sign is most important for the nurse to assess each hour?
Sudden onset of painless vaginal bleeding - answers Identify the hallmark of placenta previa
that differentiates it from abruptio placenta
The baby's lung fields are mature - answers A laboratory report indicates the L/S ratio
(lecithin/sphingomyelin) results from an amniocentesis of a gravid patient with preeclampsia
are 2:1. The nurse interprets the result as what?
