RN Maternal Newborn Online Practice
2023 B Exam Questions With New
Update Solutions
/. A nurse is caring for a newborn.
he nurse reviews the assessment findings and determines the findings are consistent
with which of the following birth complications?
For each assessment finding, click to specify if the findings is consistent with a clavicle
fracture or Erb-Duchenne paralysis. Each finding may support more than one condition.
- Answer-Clavicle Fracture:
-crepitus
-moro reflex
-palmer grasp
Erb-Duchenne:
-wrist flexion
-palmer grasp
/.A nurse is caring for a client who is pregnant.
Which of the following actions are the nurse's priorities?
Select the 4 actions that the nurse should take immediately. - Answer--administer a
bolus of IV fluids
-reposition the client to their side
-apply O2 at 10 to 12 L/min by non rebreather mask
-elevate clients legs
/.A nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests? - Answer-Biophysical profile
/.A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose
tolerance test. Which of the following statements should the nurse include in the
teaching? - Answer-If this test is positive, you will be scheduled for a 3 hr glucose
tolerance test.
, /.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? - Answer-Abruptio
placenta
/.A nurse is calculating a client's expected date of birth using Naegele's rule. The client
tells the nurse that their last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth? - Answer-September 3rd
/.A nurse is developing a plan of care for a client who has preeclampsia and is receiving
magnesium sulfate via a continuous IV infusion. Which of the following interventions
should the nurse include in the plan? - Answer-Monitor the FHR continuously
/.A nurse is performing a vaginal examination on a client who is in labor and observes
the umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take? - Answer-Insert two gloved fingers into the
vagina and apply upward pressure to the presenting part.
/.A nurse is providing teaching to a client about the physiological changes that occur
during pregnancy. The client is at 10 weeks of gestation and has a BMI within the
expected reference range. Which of the following client statements indicates an
understanding of the teaching? - Answer-I will likely need to use alt. positions for sexual
intercourse.
/.A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse
include in the teaching? - Answer-You should leave the diaphragm in place for at least 6
hr after intercourse
/.A nurse is providing discharge teaching to a client who is postpartum. For which of the
following manifestations should the nurse instruct the client to monitor and report to the
provider? - Answer-Unilateral breast pain
/.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? - Answer-
Weight gain of 2.2 kg
/.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? - Answer-Report of visual disturbances
/.A nurse is assessing a newborn who is 12 hr old. Which of the following findings
should the nurse report to the provider? - Answer-Central cyanosis
/.A nurse is caring for a client who is experiencing preterm labor at 29 weeks of
gestation and has a prescription for betamethasone. Which of the following statements
should the nurse make about the indication for medication administration? - Answer-
This medication stimulates fetal lung maturity
2023 B Exam Questions With New
Update Solutions
/. A nurse is caring for a newborn.
he nurse reviews the assessment findings and determines the findings are consistent
with which of the following birth complications?
For each assessment finding, click to specify if the findings is consistent with a clavicle
fracture or Erb-Duchenne paralysis. Each finding may support more than one condition.
- Answer-Clavicle Fracture:
-crepitus
-moro reflex
-palmer grasp
Erb-Duchenne:
-wrist flexion
-palmer grasp
/.A nurse is caring for a client who is pregnant.
Which of the following actions are the nurse's priorities?
Select the 4 actions that the nurse should take immediately. - Answer--administer a
bolus of IV fluids
-reposition the client to their side
-apply O2 at 10 to 12 L/min by non rebreather mask
-elevate clients legs
/.A nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests? - Answer-Biophysical profile
/.A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose
tolerance test. Which of the following statements should the nurse include in the
teaching? - Answer-If this test is positive, you will be scheduled for a 3 hr glucose
tolerance test.
, /.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? - Answer-Abruptio
placenta
/.A nurse is calculating a client's expected date of birth using Naegele's rule. The client
tells the nurse that their last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth? - Answer-September 3rd
/.A nurse is developing a plan of care for a client who has preeclampsia and is receiving
magnesium sulfate via a continuous IV infusion. Which of the following interventions
should the nurse include in the plan? - Answer-Monitor the FHR continuously
/.A nurse is performing a vaginal examination on a client who is in labor and observes
the umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take? - Answer-Insert two gloved fingers into the
vagina and apply upward pressure to the presenting part.
/.A nurse is providing teaching to a client about the physiological changes that occur
during pregnancy. The client is at 10 weeks of gestation and has a BMI within the
expected reference range. Which of the following client statements indicates an
understanding of the teaching? - Answer-I will likely need to use alt. positions for sexual
intercourse.
/.A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse
include in the teaching? - Answer-You should leave the diaphragm in place for at least 6
hr after intercourse
/.A nurse is providing discharge teaching to a client who is postpartum. For which of the
following manifestations should the nurse instruct the client to monitor and report to the
provider? - Answer-Unilateral breast pain
/.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? - Answer-
Weight gain of 2.2 kg
/.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? - Answer-Report of visual disturbances
/.A nurse is assessing a newborn who is 12 hr old. Which of the following findings
should the nurse report to the provider? - Answer-Central cyanosis
/.A nurse is caring for a client who is experiencing preterm labor at 29 weeks of
gestation and has a prescription for betamethasone. Which of the following statements
should the nurse make about the indication for medication administration? - Answer-
This medication stimulates fetal lung maturity
