Learning System RN 3.0 Maternal
Newborn / Learning System RN 3.0:
Maternal-Newborn Final Quiz – Study
Guide
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? - ---✔✔✔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? - ---
✔✔✔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? -
---✔✔✔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? - ---
✔✔✔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? -
---✔✔✔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.
Newborn / Learning System RN 3.0:
Maternal-Newborn Final Quiz – Study
Guide
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? - ---✔✔✔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? - ---
✔✔✔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? -
---✔✔✔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? - ---
✔✔✔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? -
---✔✔✔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.
