PN VATI Maternal Newborn
A nurse is reinforcing teaching with a guardian about how to care for the umbilical cord of their
newborn infant. Which of the following statements by the guardian indicates a need for further
teaching?
I will give my newborn a bath once daily."
The nurse should reinforce with the guardian to avoid giving the newborn a daily bath because
it can damage the integrity of the newborn's skin.
A nurse is reinforcing teaching with a client who is at 8 weeks of gestation and has chlamydia.
Which of the following statements should the nurse include?
"After treatment, you will need another test in 3 weeks and again between 35 and 37 weeks."
The nurse should reinforce with the client that they will need to be retested for chlamydia 3
weeks after completing the prescribed regimen and again between 35 and 37 weeks of
gestation. Most clients who have chlamydia are asymptomatic. Therefore, clients should be
retested to identify potential reinfection, which would allow for additional treatment and
decrease the risk for harm to the fetus during delivery.
A nurse is reinforcing teaching with a client who plans to use a modified-paced breathing
technique to relieve labor pain. Which of the following instructions should the nurse include in
the teaching?
"Begin and end modified-breathing with a deep cleansing breath.
,The nurse should instruct the client that all breathing patterns begin with a deep, relaxing,
cleansing breath to "greet the contraction" and end with an exhaled deep breath to "blow the
contraction away." Deep breaths ensure sufficient oxygenation for both the client and fetus.
A nurse is reviewing the laboratory reports of four newborns. Which of the following laboratory
results should the nurse report to the provider?
Hgb 10 g/dL
A hemoglobin level of 10 g/dL is below the expected reference range of 14 to 24 g/dL for a
newborn. The nurse should report this finding to the provider.
A nurse is collecting data from an antepartum client who reports taking ferrous sulfate twice
per day for the past month. The nurse should notify the provider of which of the following
findings?
Diarrhea
The nurse should report diarrhea to the provider because it is a potential adverse effect of the
medication. Diarrhea can lead to dehydration, which can cause preterm labor. This finding
should be reported to the provider.
A nurse is collecting data from a client who is 24 hr postpartum. Which of the following findings
is the priority for the nurse to report to the provider?
Saturated perineal pad within 15 min
A saturated perineal pad within 15 min can indicate a cervical or vaginal tear. Therefore, the
nurse should report this finding to the provider immediately.
, Anurse is collecting data from a newborn who is 6 hr old. Which of the following manifestations
should the nurse expect? (Select all that apply.)
Rust-stained urine is correct. A newborn's first void can contain uric acid crystals, which will give
the urine a rust-stained appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures should be palpable without
evidence of fusion. Overlapping sutures can occur during a vaginal birth to allow passage of the
fetus through the birth canal.
Periodic breathing is correct. A newborn's respiratory effort is shallow and irregular and can
have periods of 5 to 10 seconds with respiratory effort.
A nurse is reinforcing teaching about daily fetal movement count with a client who is at 34
weeks of gestation. Which of the following statements by the client indicates an understanding
of the teaching?
"I will notify my provider if I do not feel my baby move for 12 hours."
The nurse should instruct the client to report absence of fetal movement for 12 hr to the
provider. This is known as the fetal alarm signal, which can indicate fetal distress
A nurse is collecting data from a newborn whose mother tested positive for cocaine use. Which
of the following newborn withdrawal manifestations should the nurse expect?
Excessive sucking
A nurse is reinforcing teaching with a guardian about how to care for the umbilical cord of their
newborn infant. Which of the following statements by the guardian indicates a need for further
teaching?
I will give my newborn a bath once daily."
The nurse should reinforce with the guardian to avoid giving the newborn a daily bath because
it can damage the integrity of the newborn's skin.
A nurse is reinforcing teaching with a client who is at 8 weeks of gestation and has chlamydia.
Which of the following statements should the nurse include?
"After treatment, you will need another test in 3 weeks and again between 35 and 37 weeks."
The nurse should reinforce with the client that they will need to be retested for chlamydia 3
weeks after completing the prescribed regimen and again between 35 and 37 weeks of
gestation. Most clients who have chlamydia are asymptomatic. Therefore, clients should be
retested to identify potential reinfection, which would allow for additional treatment and
decrease the risk for harm to the fetus during delivery.
A nurse is reinforcing teaching with a client who plans to use a modified-paced breathing
technique to relieve labor pain. Which of the following instructions should the nurse include in
the teaching?
"Begin and end modified-breathing with a deep cleansing breath.
,The nurse should instruct the client that all breathing patterns begin with a deep, relaxing,
cleansing breath to "greet the contraction" and end with an exhaled deep breath to "blow the
contraction away." Deep breaths ensure sufficient oxygenation for both the client and fetus.
A nurse is reviewing the laboratory reports of four newborns. Which of the following laboratory
results should the nurse report to the provider?
Hgb 10 g/dL
A hemoglobin level of 10 g/dL is below the expected reference range of 14 to 24 g/dL for a
newborn. The nurse should report this finding to the provider.
A nurse is collecting data from an antepartum client who reports taking ferrous sulfate twice
per day for the past month. The nurse should notify the provider of which of the following
findings?
Diarrhea
The nurse should report diarrhea to the provider because it is a potential adverse effect of the
medication. Diarrhea can lead to dehydration, which can cause preterm labor. This finding
should be reported to the provider.
A nurse is collecting data from a client who is 24 hr postpartum. Which of the following findings
is the priority for the nurse to report to the provider?
Saturated perineal pad within 15 min
A saturated perineal pad within 15 min can indicate a cervical or vaginal tear. Therefore, the
nurse should report this finding to the provider immediately.
, Anurse is collecting data from a newborn who is 6 hr old. Which of the following manifestations
should the nurse expect? (Select all that apply.)
Rust-stained urine is correct. A newborn's first void can contain uric acid crystals, which will give
the urine a rust-stained appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures should be palpable without
evidence of fusion. Overlapping sutures can occur during a vaginal birth to allow passage of the
fetus through the birth canal.
Periodic breathing is correct. A newborn's respiratory effort is shallow and irregular and can
have periods of 5 to 10 seconds with respiratory effort.
A nurse is reinforcing teaching about daily fetal movement count with a client who is at 34
weeks of gestation. Which of the following statements by the client indicates an understanding
of the teaching?
"I will notify my provider if I do not feel my baby move for 12 hours."
The nurse should instruct the client to report absence of fetal movement for 12 hr to the
provider. This is known as the fetal alarm signal, which can indicate fetal distress
A nurse is collecting data from a newborn whose mother tested positive for cocaine use. Which
of the following newborn withdrawal manifestations should the nurse expect?
Excessive sucking
