®™ ®™ ®™
RN Maternal Newborn: Labor and Newborn Care
Exam Questions & Answers Latest Update.
A nurse is caring for a client who is to receive oxytocin to augment their
labor. Which of the
following findings contraindicates the initiation of the oxytocin infusion and
should be reported to the provider?
• ☐ Late decelerations
• ☐ Moderate variability of the FHR
• ☐ Cessation of uterine dilation
• ☐ Prolonged active phase of labor
Question: 37 of 60
A nurse is caring for a newborn who was transferred to the nursery 30 min
after birth because of mild respiratory distress. Which of the following actions
should the nurse take first?
• ☐ Confirm the newborn's Apgar score.
• ☐ Verify the newborn's identification.
• ☐ Administer vitamin K to the newborn.
• ☐ Determine obstetrical risk factors.
Question: 38 of 60
A nurse is planning care for a client who is in labor and is requesting epidural
anesthesia for pain control. Which of the following actions should the nurse
include in the plan of care?
• ☐ Place the client in a supine position for 30 min following the first
dose of anesthetic solution.
• ☐ Administer 1,000 mL of dextrose 5% in water prior to the first
dose of anesthetic solution.
pg. 1
, ®™ ®™ ®™
• ☐ Monitor the client’s blood pressure every 5 min following the first
dose of anesthetic solution.
• ☐ Ensure the client has been NPO 4 hr prior to the placement of the
epidural and the first dose of anesthetic solution.
Question: 52 of 60
A nurse is assessing a newborn following a circumcision. Which of the
following findings should the nurse identify as an indication that the newborn
is experiencing pain?
• ☐ Decreased heart rate
• ☐ Chin quivering
• ☐ Pinpoint pupils
• ☐ Slowed respirations
Question: 53 of 60
A nurse is performing a routine assessment on a client who is at 18 weeks of
gestation. Which of the following findings should the nurse expect?
• ☐ Deep tendon reflexes 4+
• ☐ Fundal height 14 cm
• ☐ Blood pressure 142/94 mm Hg
• ☐ FHR 152/min
Question: 54 of 60
A nurse is caring for a client who becomes unresponsive upon delivery of the
placenta. Which of the following actions should the nurse take first?
• ☐ Determine respiratory function.
pg. 2
RN Maternal Newborn: Labor and Newborn Care
Exam Questions & Answers Latest Update.
A nurse is caring for a client who is to receive oxytocin to augment their
labor. Which of the
following findings contraindicates the initiation of the oxytocin infusion and
should be reported to the provider?
• ☐ Late decelerations
• ☐ Moderate variability of the FHR
• ☐ Cessation of uterine dilation
• ☐ Prolonged active phase of labor
Question: 37 of 60
A nurse is caring for a newborn who was transferred to the nursery 30 min
after birth because of mild respiratory distress. Which of the following actions
should the nurse take first?
• ☐ Confirm the newborn's Apgar score.
• ☐ Verify the newborn's identification.
• ☐ Administer vitamin K to the newborn.
• ☐ Determine obstetrical risk factors.
Question: 38 of 60
A nurse is planning care for a client who is in labor and is requesting epidural
anesthesia for pain control. Which of the following actions should the nurse
include in the plan of care?
• ☐ Place the client in a supine position for 30 min following the first
dose of anesthetic solution.
• ☐ Administer 1,000 mL of dextrose 5% in water prior to the first
dose of anesthetic solution.
pg. 1
, ®™ ®™ ®™
• ☐ Monitor the client’s blood pressure every 5 min following the first
dose of anesthetic solution.
• ☐ Ensure the client has been NPO 4 hr prior to the placement of the
epidural and the first dose of anesthetic solution.
Question: 52 of 60
A nurse is assessing a newborn following a circumcision. Which of the
following findings should the nurse identify as an indication that the newborn
is experiencing pain?
• ☐ Decreased heart rate
• ☐ Chin quivering
• ☐ Pinpoint pupils
• ☐ Slowed respirations
Question: 53 of 60
A nurse is performing a routine assessment on a client who is at 18 weeks of
gestation. Which of the following findings should the nurse expect?
• ☐ Deep tendon reflexes 4+
• ☐ Fundal height 14 cm
• ☐ Blood pressure 142/94 mm Hg
• ☐ FHR 152/min
Question: 54 of 60
A nurse is caring for a client who becomes unresponsive upon delivery of the
placenta. Which of the following actions should the nurse take first?
• ☐ Determine respiratory function.
pg. 2
