Maternal Newborn Final Exam Questions Correctly
Answered.
1. A nurse is reviewing the The nurse should not administer a rectal
medical record of a client suppository or enema to a client who has a
who is one day fourth-degree perineal
postpartum. The client had a vagi- laceration. These can cause separation of the
suture line,
nal birth with a fourth-degree per- bleeding, or infection.
ineal laceration. The nurse
should contact the provider
regarding which of the
following prescrip- tions?
2. A nurse is preparing to administer STEP 8: Reassess to determine whether the
amount to
hepatitis B immune globulin to administer makes sense. If there are 10 mcg/mL and
a newborn. The prescription the prescription reads 5 mcg, it makes sense to
states, admin-
"Administer 5 mcg IM once today." ister 0.5 mL. The nurse should administer
hepatitis B
Available is a 5 mL vial with immunoglobulin 0.5 mL IM.
10 mcg/mL. How many mL
should the nurse administer?
(Round the an- swer to the
nearest tenth. Use a leading
zero if it applies. Do not use
a trailing zero.)
The nurse should instruct the client to engage in
3. A nurse is teaching a client
30 min of moderate exercise every day to improve
who is at 8 weeks of
muscle tone throughout her pregnancy.
gestation about exercise.
Which of the following
instructions should the nurse
in- clude in the teaching?
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31
, Maternal Newborn Final Exam Questions Correctly
Answered.
4. A nurse is assessing a client who is The nurse should identify fetal head
compression as a
in labor and notes early decelera- likely cause of the early decelerations on the
fetal mon-
tions on the fetal monitor. Which of itor. Early decelerations are an expected fetal
pattern
the following findings caused by fetal head compression due to
should the nurse identify as a uterine con- tractions, fundal pressure, and
possible cause of the early vaginal examinations.
decelerations?
2/
31
, Maternal Newborn Final Exam Questions Correctly
Answered.
5. A nurse is caring for a client Take photos of the newborn to give to the parents.
and her partner who have
experienced a fetal death. The nurse should create a memory box that
Which of the follow- includes
ing actions should the nurse take? mementos of the newborn (for example,
photos, the
newborn's ID bands, the newborn's hat, and the
new- born's blanket).
6. A nurse is observing a new moth- Lays the newborn across her lap and gently
sways.
er caring for her crying newborn
who is bottle feeding. Which of the This is a correct technique for quieting a
newborn. This
following actions by the tactile stimulation promotes a sense of security for
mother should the nurse the newborn.
recognize as a positive
parenting behavior?
Epigastric pain is a clinical manifestation of
7. A nurse on an antepartum preeclampsia
unit is
caring for four clients. Which of the and indicates hepatic involvement, which is
an urgent
following clients should the finding. Therefore, the nurse should identify this
nurse identify as the client as the priority.
priority?
8. A nurse is preparing to administer Flaccid uterus is correct. Oxytocin increases
the contrac-
oxytocin to a client who is postpar- tility of the uterus.
tum. Which of the following find-
ings is an indication for the admin- Cervical laceration is incorrect. Bleeding
resulting from
istration of the medication? (Select a cervical laceration continues even when the
3/
31
, Maternal Newborn Final Exam Questions Correctly
Answered.
uterus is
all that contracted and firm. It will require repair by the
apply.) provider.
Excess vaginal bleeding is correct. Oxytocin
enhances uterine contractility, decreasing
vaginal bleeding.
Increased afterbirth cramping is incorrect. The
use of oxytocin will increase, rather than
decrease, afterbirth cramping.
4/
31
Answered.
1. A nurse is reviewing the The nurse should not administer a rectal
medical record of a client suppository or enema to a client who has a
who is one day fourth-degree perineal
postpartum. The client had a vagi- laceration. These can cause separation of the
suture line,
nal birth with a fourth-degree per- bleeding, or infection.
ineal laceration. The nurse
should contact the provider
regarding which of the
following prescrip- tions?
2. A nurse is preparing to administer STEP 8: Reassess to determine whether the
amount to
hepatitis B immune globulin to administer makes sense. If there are 10 mcg/mL and
a newborn. The prescription the prescription reads 5 mcg, it makes sense to
states, admin-
"Administer 5 mcg IM once today." ister 0.5 mL. The nurse should administer
hepatitis B
Available is a 5 mL vial with immunoglobulin 0.5 mL IM.
10 mcg/mL. How many mL
should the nurse administer?
(Round the an- swer to the
nearest tenth. Use a leading
zero if it applies. Do not use
a trailing zero.)
The nurse should instruct the client to engage in
3. A nurse is teaching a client
30 min of moderate exercise every day to improve
who is at 8 weeks of
muscle tone throughout her pregnancy.
gestation about exercise.
Which of the following
instructions should the nurse
in- clude in the teaching?
1/
31
, Maternal Newborn Final Exam Questions Correctly
Answered.
4. A nurse is assessing a client who is The nurse should identify fetal head
compression as a
in labor and notes early decelera- likely cause of the early decelerations on the
fetal mon-
tions on the fetal monitor. Which of itor. Early decelerations are an expected fetal
pattern
the following findings caused by fetal head compression due to
should the nurse identify as a uterine con- tractions, fundal pressure, and
possible cause of the early vaginal examinations.
decelerations?
2/
31
, Maternal Newborn Final Exam Questions Correctly
Answered.
5. A nurse is caring for a client Take photos of the newborn to give to the parents.
and her partner who have
experienced a fetal death. The nurse should create a memory box that
Which of the follow- includes
ing actions should the nurse take? mementos of the newborn (for example,
photos, the
newborn's ID bands, the newborn's hat, and the
new- born's blanket).
6. A nurse is observing a new moth- Lays the newborn across her lap and gently
sways.
er caring for her crying newborn
who is bottle feeding. Which of the This is a correct technique for quieting a
newborn. This
following actions by the tactile stimulation promotes a sense of security for
mother should the nurse the newborn.
recognize as a positive
parenting behavior?
Epigastric pain is a clinical manifestation of
7. A nurse on an antepartum preeclampsia
unit is
caring for four clients. Which of the and indicates hepatic involvement, which is
an urgent
following clients should the finding. Therefore, the nurse should identify this
nurse identify as the client as the priority.
priority?
8. A nurse is preparing to administer Flaccid uterus is correct. Oxytocin increases
the contrac-
oxytocin to a client who is postpar- tility of the uterus.
tum. Which of the following find-
ings is an indication for the admin- Cervical laceration is incorrect. Bleeding
resulting from
istration of the medication? (Select a cervical laceration continues even when the
3/
31
, Maternal Newborn Final Exam Questions Correctly
Answered.
uterus is
all that contracted and firm. It will require repair by the
apply.) provider.
Excess vaginal bleeding is correct. Oxytocin
enhances uterine contractility, decreasing
vaginal bleeding.
Increased afterbirth cramping is incorrect. The
use of oxytocin will increase, rather than
decrease, afterbirth cramping.
4/
31
