Maternal Newborn Practice B
A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the
following actions should the nurse take? - ANS-Use an ultrasound stethoscope to listen to fetal
heart tones.
\A nurse in a postpartum unit is caring for a client who has endometritis and is 48 hr postpartum
following a cesarean birth. Which of the following findings should the nurse anticipate? -
ANS-Heart rate 110/min
\A nurse in an antepartum clinic is reviewing laboratory test results for multiple clients. The
nurse should notify the provider of which of the following results? - ANS-Hematocrit 31%
\A nurse is assisting with the care of a client who is in the active phase of the first stage of labor.
Which of the following findings should the nurse report to the charge nurse? - ANS-Green fluid
from the vagina.
\A nurse is assisting with the care of a client who is postpartum and is receiving lactated
Ringer's 1,500 mL IV to infuse over 10 hr. The nurse should verify that the IV pump's settings
will deliver how many mL/hr? - ANS-150 mL/hr
\A nurse is caring for a 12-hr-old male newborn who was delivered from a breech position.
Which of the following findings should the nurse report to the charge nurse? - ANS-Skin
appears jaundiced.
\A nurse is caring for a client following a cesarean birth. Which of the following actions should
the nurse take to decrease the client's risk of developing thrombophlebitis? - ANS-Have the
client ambulate several times each day.
\A nurse is caring for a client who gave birth to a newborn who is large for gestation age (LGA)
16 hr ago. Which of the following findings should the nurse identify as a complication of the birth
of a newborn who is LGA? - ANS-Hemorrhage
\A nurse is caring for a client who is 18 hr postpartum and has a fourth-degree perineal
laceration. The client reports a pain rating of 4 on a scale from 0-10. Which of the following
should the nurse take? (SATA) - ANS--Promote the use of witch hazel pads
-Give the client ice packs
-Have the client take a cool water sitz bath
-Encourage the client to practice relation techniques
\A nurse is caring for a client who is 2 hr postpartum. The nurse locates the client's fundus 2 cm
above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The
nurse should identify which of the following complications as the likely cause of these findings? -
ANS-Bladder distention
\A nurse is caring for a client who is 48 hr postpartum following a vaginal delivery. Which of the
following findings should the nurse report to the provider? (SATA) - ANS--Reddened area on the
calf
-Dysuria
-Cracked nipples
A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the
following actions should the nurse take? - ANS-Use an ultrasound stethoscope to listen to fetal
heart tones.
\A nurse in a postpartum unit is caring for a client who has endometritis and is 48 hr postpartum
following a cesarean birth. Which of the following findings should the nurse anticipate? -
ANS-Heart rate 110/min
\A nurse in an antepartum clinic is reviewing laboratory test results for multiple clients. The
nurse should notify the provider of which of the following results? - ANS-Hematocrit 31%
\A nurse is assisting with the care of a client who is in the active phase of the first stage of labor.
Which of the following findings should the nurse report to the charge nurse? - ANS-Green fluid
from the vagina.
\A nurse is assisting with the care of a client who is postpartum and is receiving lactated
Ringer's 1,500 mL IV to infuse over 10 hr. The nurse should verify that the IV pump's settings
will deliver how many mL/hr? - ANS-150 mL/hr
\A nurse is caring for a 12-hr-old male newborn who was delivered from a breech position.
Which of the following findings should the nurse report to the charge nurse? - ANS-Skin
appears jaundiced.
\A nurse is caring for a client following a cesarean birth. Which of the following actions should
the nurse take to decrease the client's risk of developing thrombophlebitis? - ANS-Have the
client ambulate several times each day.
\A nurse is caring for a client who gave birth to a newborn who is large for gestation age (LGA)
16 hr ago. Which of the following findings should the nurse identify as a complication of the birth
of a newborn who is LGA? - ANS-Hemorrhage
\A nurse is caring for a client who is 18 hr postpartum and has a fourth-degree perineal
laceration. The client reports a pain rating of 4 on a scale from 0-10. Which of the following
should the nurse take? (SATA) - ANS--Promote the use of witch hazel pads
-Give the client ice packs
-Have the client take a cool water sitz bath
-Encourage the client to practice relation techniques
\A nurse is caring for a client who is 2 hr postpartum. The nurse locates the client's fundus 2 cm
above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The
nurse should identify which of the following complications as the likely cause of these findings? -
ANS-Bladder distention
\A nurse is caring for a client who is 48 hr postpartum following a vaginal delivery. Which of the
following findings should the nurse report to the provider? (SATA) - ANS--Reddened area on the
calf
-Dysuria
-Cracked nipples
