Maternal newborn practice questions and answers 2023

Shortness of breath (Posible PE or MI) - A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider Leakage of fluid from the vagina - A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? September 3rd - A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? Biophysical profile (BPP) - A nurse is caring for a client who is at 41 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? "You can share your room with your baby for the next few weeks." - A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching? Apply sacral counter pressure (Sacral counterpressure to assist in relieving back labor pain related to fetal posterior position) - A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? Cover the newborn's eyes while under the phototherapy light - A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. which of the following actions should the nurse take? Apply internal upward pressure to the presenting part using two gloved fingers - A nurse is preforming a vaginal exam on a client who is in labor and observes the umbilical cord is protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next? Flaccid uterus Excess vaginal bleeding - A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.) All staff members that care for newborns are required to wear a photo identification badge - A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make? Vomiting - A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? Left lower quadrant - A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer in order to assess the fetal heart rate? Stop suctioning when the newborn's cry sounds clear - A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions. Which of the following instruction should the nurse include? Platelets 50,000/mm3 - A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? Caucasian baby with small bruise-like/birthmark at the base of the back above buttocks - A nurse is performing a newborn assessment which of the following images should the nurse identify as an indication of spina bifida occulta A client who is at 34 weeks of gestation and reports epigastric pain. - A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? Demonstrate to the client how to perform a newborn bath - A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? "I will eat foods that appeal to my taste instead of trying to balance my meals." - A nurse is providing dietary teaching to a client who has hyperemesis gravidarum Which of the following statements by the client indicates an understanding of the teaching? a. Swelling of the face - A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? Jitteriness - A nurse is assessing a newborn for manifestations of hypoglycemia. which of the following should the nurse expect?