PN MATERNAL NEWBORN 2025 EDITION
Question 17:
A nurse is caring for a client who is at 12 weeks of gestation and has
hyperemesis gravidarum. Which of the following manifestations should the nurse expect?
• A) Pruritus
• B) Decreased BP
• C) WBC count 15,000/mm³ (5,000 to 15,000/mm³)
• D) Hemoglobin 18 g/dL (11 to 16 g/dL)
Answer: B) Decreased BP
Explanation: Hyperemesis gravidarum often leads to dehydration due to severe nausea and vomiting, which can resul
in a decreased blood pressure. Elevated WBC counts may indicate an infection, and a hemoglobin level of 18 g/dL is
elevated, which is not typical of hyperemesis gravidarum. Pruritus is not a typical manifestation of this condition.
,Question 11:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding. Which of the following
instructions should the nurse include?
• A) "Cover your breasts immediately after feedings."
• B) "You should use a breast pump if you plan to return to work."
• C) "Wash your nipples with soap and water daily."
• D) "Wear an underwire bra between feedings."
Answer: B) "You should use a breast pump if you plan to return to work."
Explanation: Mastitis is often caused by milk stasis, and using a breast pump can help to prevent this if the mother is
returning to work. Washing the nipples with soap daily is not recommended, as it can lead to dryness. An underwire
bra can also restrict milk flow and should be avoided. Covering the breasts immediately after feedings isn't a key
preventive measure for mastitis.
,Question 54:
A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone. For which of the
following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?
History and Physical:
• Gravida 2 Para 1, previous vaginal delivery, hypothyroidism, Herpes simplex virus type 2
• Current diagnosis: Labor induction at 39 weeks and 3 days of gestation
Answer Options:
• A) Terbutaline
• B) WBC count
• C) Lesions noted
• D) FHR
• E) Breech presentation
Answer:
• C) Lesions noted
• E) Breech presentation
Explanation:
Dinoprostone is used for cervical ripening and labor induction. If there are active genital lesions (Herpes simplex virus)
or a breech presentation, dinoprostone should be withheld because these conditions may cause complications during
labor.
, Question 12:
A nurse is reinforcing teaching about travel with a client who is pregnant. Which of the following instructions should
the nurse include?
• A) "Position the lap belt across your navel."
• B) "Take a break and walk at least once every hour during long trips."
• C) "Move your car seat forward, close to the steering wheel."
• D) "Wear the shoulder harness snug across your stomach."
Answer: B) "Take a break and walk at least once every hour during long trips."
Explanation: It is recommended for pregnant clients to take frequent breaks to prevent blood clots and promote
circulation during long trips. The lap belt should be positioned below the navel to avoid pressure on the uterus.
Moving the car seat forward and placing the seatbelt across the stomach is not safe for the pregnant client.
Question 17:
A nurse is caring for a client who is at 12 weeks of gestation and has
hyperemesis gravidarum. Which of the following manifestations should the nurse expect?
• A) Pruritus
• B) Decreased BP
• C) WBC count 15,000/mm³ (5,000 to 15,000/mm³)
• D) Hemoglobin 18 g/dL (11 to 16 g/dL)
Answer: B) Decreased BP
Explanation: Hyperemesis gravidarum often leads to dehydration due to severe nausea and vomiting, which can resul
in a decreased blood pressure. Elevated WBC counts may indicate an infection, and a hemoglobin level of 18 g/dL is
elevated, which is not typical of hyperemesis gravidarum. Pruritus is not a typical manifestation of this condition.
,Question 11:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding. Which of the following
instructions should the nurse include?
• A) "Cover your breasts immediately after feedings."
• B) "You should use a breast pump if you plan to return to work."
• C) "Wash your nipples with soap and water daily."
• D) "Wear an underwire bra between feedings."
Answer: B) "You should use a breast pump if you plan to return to work."
Explanation: Mastitis is often caused by milk stasis, and using a breast pump can help to prevent this if the mother is
returning to work. Washing the nipples with soap daily is not recommended, as it can lead to dryness. An underwire
bra can also restrict milk flow and should be avoided. Covering the breasts immediately after feedings isn't a key
preventive measure for mastitis.
,Question 54:
A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone. For which of the
following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?
History and Physical:
• Gravida 2 Para 1, previous vaginal delivery, hypothyroidism, Herpes simplex virus type 2
• Current diagnosis: Labor induction at 39 weeks and 3 days of gestation
Answer Options:
• A) Terbutaline
• B) WBC count
• C) Lesions noted
• D) FHR
• E) Breech presentation
Answer:
• C) Lesions noted
• E) Breech presentation
Explanation:
Dinoprostone is used for cervical ripening and labor induction. If there are active genital lesions (Herpes simplex virus)
or a breech presentation, dinoprostone should be withheld because these conditions may cause complications during
labor.
, Question 12:
A nurse is reinforcing teaching about travel with a client who is pregnant. Which of the following instructions should
the nurse include?
• A) "Position the lap belt across your navel."
• B) "Take a break and walk at least once every hour during long trips."
• C) "Move your car seat forward, close to the steering wheel."
• D) "Wear the shoulder harness snug across your stomach."
Answer: B) "Take a break and walk at least once every hour during long trips."
Explanation: It is recommended for pregnant clients to take frequent breaks to prevent blood clots and promote
circulation during long trips. The lap belt should be positioned below the navel to avoid pressure on the uterus.
Moving the car seat forward and placing the seatbelt across the stomach is not safe for the pregnant client.
