Learning System RN 3.0 Maternal
Newborn Final Exam With 100% Correct
Answers
A nurse is assessing a client on the first postpartum day. Findings include 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? - CORRECT 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? - CORRECT ANSWER✔✔IV narcotics
administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute narcotic
toxicity, which can result from IV narcotics administration 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? - CORRECT ANSWER✔✔An
epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually find the progression of
their labor to slow. The medication depresses the central nervous system. Therefore, it will take
longer for the cervix to dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the
following instructions should the nurse provide the client? - CORRECT ANSWER✔✔You should
eat some crackers before rising from bed in the morning
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
following situations should the nurse administer Rh(D) Immune Globulin? - CORRECT
ANSWER✔✔At 28 weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-
negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies
against the Rh factor, which will destroy any fetal RBCs in the maternal circulation and block
maternal antibody production.
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? - CORRECT ANSWER✔✔Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which
of the following nursing actions should the nurse identify as a contraindication for the care of
the newborn? - CORRECT ANSWER✔✔Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical record? - CORRECT
ANSWER✔✔Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this
case, the occipital bone is the presenting part and is located anteriorly in the client's right side.
Based on the presentation of the fetus, the position is vertex.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which
of the following findings is a contraindication for the use of this device? - CORRECT
ANSWER✔✔Menorrhagia
Newborn Final Exam With 100% Correct
Answers
A nurse is assessing a client on the first postpartum day. Findings include 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? - CORRECT 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? - CORRECT ANSWER✔✔IV narcotics
administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute narcotic
toxicity, which can result from IV narcotics administration 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? - CORRECT ANSWER✔✔An
epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually find the progression of
their labor to slow. The medication depresses the central nervous system. Therefore, it will take
longer for the cervix to dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the
following instructions should the nurse provide the client? - CORRECT ANSWER✔✔You should
eat some crackers before rising from bed in the morning
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
following situations should the nurse administer Rh(D) Immune Globulin? - CORRECT
ANSWER✔✔At 28 weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-
negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies
against the Rh factor, which will destroy any fetal RBCs in the maternal circulation and block
maternal antibody production.
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? - CORRECT ANSWER✔✔Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which
of the following nursing actions should the nurse identify as a contraindication for the care of
the newborn? - CORRECT ANSWER✔✔Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical record? - CORRECT
ANSWER✔✔Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this
case, the occipital bone is the presenting part and is located anteriorly in the client's right side.
Based on the presentation of the fetus, the position is vertex.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which
of the following findings is a contraindication for the use of this device? - CORRECT
ANSWER✔✔Menorrhagia
