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Exam (elaborations)

RN Maternal Newborn Online Practice 2019 A with NGN

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A nurse is car- ing for a pre- natal client who has parvovirus B19 (fifth dis- ease). Which of the following ac- tions should the nurse take? Schedule an ultrasound Administer antiviral medication.Currently, there are no antiviral medications avail- able to treat fifth disease. Schedule an ultrasound examination.MY ANSWERThe nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth. Administer Haemophilus influenzae type b vaccine.The Haemophilus influenzae type b v

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Institution
RN Maternal Newborn
Course
RN Maternal Newborn

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November 21, 2025
Number of pages
37
Written in
2025/2026
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RN Maternal Newborn Online Practice 2019 A with NGN
Study online at https://quizlet.com/_dbwrft

1. A nurse is car- Schedule an ultrasound
ing for a pre-
natal client who Administer antiviral medication.Currently, there are no antiviral medications avail-
has parvovirus able to treat fifth disease.
B19 (fifth dis- Schedule an ultrasound examination.MY ANSWERThe nurse should schedule serial
ease). Which of ultrasound examinations to monitor the fetus during the pregnancy to detect
the following ac- the possible development of fetal hydrops. Also, the virus can cause miscarriage,
tions should the intrauterine growth restriction, fetal anemia, or stillbirth.
nurse take? Administer Haemophilus influenzae type b vaccine.The Haemophilus influenzae
type b vaccine is given during infancy and childhood to protect against multiple
infections caused by Haemophilus influenzae type b, not fifth disease. Currently,
there are no vaccines to protect against fifth disease.
Schedule an indirect Coombs' test.An indirect Coombs' test determines whether
the client has antibodies to the Rh antigen. The titer determines the prenatal
client's sensitization and if there is Rh incompatibility.

2. A nurse in an an- Fundal height measurement
tepartum clinic is
providing care for
a client who is
at 26 weeks of
gestation. Upon
reviewing the
client's medical
record, which
of the follow-
ing findings the
nurse report to
the provider?

3. A nurse is car- Monitor the FHR
ing for a client


, RN Maternal Newborn Online Practice 2019 A with NGN
Study online at https://quizlet.com/_dbwrft

who is at 15 The greatest risk to this client and her fetus is fetal death. Therefore, the priority
weeks of gesta- nursing intervention is to monitor the FHR following an amniocentesis.
tion, is Rh-nega-
tive, and has just
had an amnio-
centesis. Which
of the following
interventions is
the nurse's prior-
ity following the
procedure?
Check the client's
temperature.
Observe for uter-
ine contractions.
Administer
Rho(D) immune
globulin.
Monitor the FHR.

4. A nurse is Obtain a gift from the newborn to present to the sibling.
providing educa-
tion about fami- Perform Nitrazine testing.The nurse should perform a Nitrazine test to determine
ly bonding to par- the pH of the fluid. An alkaline pH can indicate rupture of membranes. However,
ents who recent- this is not the first action the nurse should take.
ly adopted a new- Assess the fluid.The nurse should observe the characteristics of the fluid to docu-
born. The nurse ment color, odor, and amount. However, this is not the first action the nurse should
should make take.
which of the fol- Check cervical dilation.The nurse should check the client's cervical dilation to assess
lowing sugges- progress of labor. However, this is not the first action the nurse should take.
tions to aid the Begin FHR monitoring.MY ANSWERThe greatest risk to the client and her fetus
family's 7 year following a rupture of membranes is umbilical cord prolapse. The nurse should


, RN Maternal Newborn Online Practice 2019 A with NGN
Study online at https://quizlet.com/_dbwrft

old child in ac- monitor the fetus closely to ensure well-being. Therefore, this is the priority action
cepting the new the nurse should take.
family member?

5. A nurse is admit- Begin FHR monitoring
ting a client to
the labor and de-
livery unit when
the client states,
"My water just
broke." Which of
the following in-
terventions is the
nurse's priority?

6. A nurse in a A client who is at 11 weeks of gestation and reports abdominal cramping
prenatal is as-
sessing a group A client who is at 11 weeks of gestation and reports abdominal cramping
of clients. Which MY ANSWER
of the following When using the urgent vs nonurgent approach to client care, the nurse should
clients should the determine that the priority finding is a client who is at 11 weeks of gestation
nurse see first? and reports abdominal cramping. Abdominal cramping can indicate an ectopic
pregnancy or manifestations of spontaneous abortion. The nurse should request
A client who is that the provider see this client first.
at 11 weeks of
gestation and re-
ports abdominal
cramping
A client who
is at 15 weeks
of gestation and
reports tingling



, RN Maternal Newborn Online Practice 2019 A with NGN
Study online at https://quizlet.com/_dbwrft

and numbness in
right hand
A client who is
at 20 weeks of
gestation and re-
ports constipa-
tion for the past 4
days
A client who
is at 8 weeks
of gestation and
reports having
three bloody
noses in the past
week

7. A nurse is provid- I can administer oxytocin 4 hours after the insertion of the medication
ing teaching to a
client who is at "I can administer oxytocin 4 hours after the insertion of the medication."
40 weeks of ges- The nurse can administer oxytocin no sooner than 4 hr after the last dose of
tation and has misoprostol. Oxytocin can be administered following misoprostol for clients who
a new prescrip- have cervical ripening and have not begun labor..
tion for miso-
prostol. Which of
the following in-
structions should
the nurse include
in the teaching?

8. A nurse is provid- I will likely need to use alternative positions for sexual intercourse.
ing teaching to
a client about "I will likely need to use alternative positions for sexual intercourse."

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