NCLEX EXAM zm
Exam Solution zm
PN Maternal Newborn Online A 2026 A+ GRADE ASSUR
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ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (1
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EA65)
QUESTION 1 zm
A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vo
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miting. Which of the following findings should the nurse identify as an indication that
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the client has hyperemesis gravidarum?*
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ANSWER
Ketonuria The nurse should identify that ketonuria is an indication of hyperemesis gravidarum. Keto
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nuria occurs due to the breakdown of fat secondary to malnutrition or starvation.
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QUESTION 2 zm
A nurse is reinforcing teaching with the client who is at 9 weeks of gestation and rep
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orts frequent episodes of nausea and vomiting. Which of the following instructions sh
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ould the nurse include?
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ANSWER
Consume small meals frequently each day.
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QUESTION 3 zm
A nurse in a maternal-
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newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks
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if he may take the newborn to his daughter's room. Which of the following responses
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should the nurse make?*
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ANSWER
"Let me wash my hands and then I'll take your grandson to his mother." Only facility personnel wit
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h appropriate ID badges that indicate that the individual works specifically in the maternal-
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newborn unit should transport newborns.
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, QUESTION 4 zm
A nurse is reinforcing teaching about interventions to treat breast engorgement with
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a client who is breastfeeding. Which of the following instructions should the nurse inc
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lude in the teaching?*
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ANSWER
Breastfeed the newborn baby at least every 2 hr. The nurse should instruct the client to breastfeed
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the newborn every 2 hr during engorgement. Frequent feedings soften the breasts and decrease pai
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n.
QUESTION 5 zm
A nurse on a postpartum unit is assisting with the care of a client who has a hypotoni
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c uterus and excessive vaginal bleeding. Which of the following actions should the nur
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se take first?*
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ANSWER
Provide fundal massage for the client. The nurse should identify that the greatest risk to this client i
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s postpartum hemorrhage. Therefore, the first action the nurse should take is to provide fundal mas
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sage to increase uterine muscle tone and express blood clots from the uterus, which will decrease bl
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eeding.
QUESTION 6 zm
A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labo
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r. Which of the following client statements indicates an understanding of the teaching
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?
ANSWER
"This medication might make me dizzy."
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QUESTION 7 zm
A nurse is collecting data from a client who is in her second trimester of pregnancy.
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Which of the following findings should the nurse report to the provider?
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ANSWER
Frequent uterine contractions.
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QUESTION 8 zm
Exam Solution zm
PN Maternal Newborn Online A 2026 A+ GRADE ASSUR
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ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (1
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EA65)
QUESTION 1 zm
A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vo
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miting. Which of the following findings should the nurse identify as an indication that
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the client has hyperemesis gravidarum?*
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ANSWER
Ketonuria The nurse should identify that ketonuria is an indication of hyperemesis gravidarum. Keto
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nuria occurs due to the breakdown of fat secondary to malnutrition or starvation.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
A nurse is reinforcing teaching with the client who is at 9 weeks of gestation and rep
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orts frequent episodes of nausea and vomiting. Which of the following instructions sh
zm zm zm zm zm zm zm zm zm zm zm zm
ould the nurse include?
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ANSWER
Consume small meals frequently each day.
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QUESTION 3 zm
A nurse in a maternal-
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newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks
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if he may take the newborn to his daughter's room. Which of the following responses
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should the nurse make?*
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ANSWER
"Let me wash my hands and then I'll take your grandson to his mother." Only facility personnel wit
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h appropriate ID badges that indicate that the individual works specifically in the maternal-
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newborn unit should transport newborns.
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, QUESTION 4 zm
A nurse is reinforcing teaching about interventions to treat breast engorgement with
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a client who is breastfeeding. Which of the following instructions should the nurse inc
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lude in the teaching?*
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ANSWER
Breastfeed the newborn baby at least every 2 hr. The nurse should instruct the client to breastfeed
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the newborn every 2 hr during engorgement. Frequent feedings soften the breasts and decrease pai
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n.
QUESTION 5 zm
A nurse on a postpartum unit is assisting with the care of a client who has a hypotoni
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c uterus and excessive vaginal bleeding. Which of the following actions should the nur
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se take first?*
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ANSWER
Provide fundal massage for the client. The nurse should identify that the greatest risk to this client i
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s postpartum hemorrhage. Therefore, the first action the nurse should take is to provide fundal mas
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sage to increase uterine muscle tone and express blood clots from the uterus, which will decrease bl
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
eeding.
QUESTION 6 zm
A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labo
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r. Which of the following client statements indicates an understanding of the teaching
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?
ANSWER
"This medication might make me dizzy."
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QUESTION 7 zm
A nurse is collecting data from a client who is in her second trimester of pregnancy.
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Which of the following findings should the nurse report to the provider?
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ANSWER
Frequent uterine contractions.
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QUESTION 8 zm
