Calculation RN Maternal Newborn
Proctored Assessment 3.1 Questions With
Complete Solutions 100% GRADED AT A+
1.The client who is scheduled for a nonstress test (NST) asks the nurse
to explain the purpose of the test. Which of the following is the correct
response?
1. helps determine gestational age
2. determine fetal breathing
3. assess fetal CNS
4. determine fetal lie - ANSWER Assess the fetal CNS ; the test
monitors the response of the FHR to fetal movement.
2. A client in the early postpartum period is talkative and enjoys
recounting the details of her labor and birth. These behaviors indicate
which of the following?
1. postpartum role transition
2. the taking-in phase of maternal postpartum adjustment
3. positive mother-infant bonding
4. taking-hold phase of maternal psychosocial adaption - ANSWER
Taking-in phase of maternal postpartum adjustment ; this begins
immediately following birth and lasts a few hours to a couple of days.
The mother is excited and talkative, relives her birthing experience, and
is focusing on her own needs and the overall health of her newborn.
3. A nurse is performing a fundal assessment on the client's second
postpartum day. Which of the following should the nurse expect if the
client is experiencing normal involution?
1. fundus at the level of the umbilicus
2. fundus two centimeters below the umbilicus
3. fundus one centimeter above the umbilicus
, 4. fundus one centimeter below the umbilicus - ANSWER One
centimeter below the umbilicus
4. A nurse is caring for a client who has been prescribed magnesium
sulfate as tocolytic therapy. Several hours after infusion was started,
contractions ceased. Which of the following is the best analysis of this
data?
1. deep tendon reflexes should be assessed
2. the drug is having a therapeutic effect
3. the medication dose should be decreased
4. the medications should e increased - ANSWER The drug is having a
therapeutic effect
5. A nurse is caring for a newborn diagnosed with a neonatal infection.
Which of the following risk factors is most important to the care of this
client?
1. documented birth trauma
2. maternal history of cytomegalovirus
3. a decreased number of functional alveoli
4. increased size of the neonate's heart - ANSWER Maternal history of
cytomegalovirus
6. A nurse is assisting with the care of a newborn who has
hyperbilirubinemia and is receiving phototherapy. Which of the
following findings should the nurse identify as a potential complication
of phototherapy?
1. loose stools
2. decreased urinary output
3. axillary temp 37 degrees Celsius
4. skin rash - ANSWER Decreased urinary output ; phototherapy can
increase the rate of insensible water loss, which can lead to dehydration.
Ensure the newborn is eating q2-3h to promote adequate hydration.