RN Maternal Newborn ®™
RN Maternal Newborn : Key Assessments and Interventions for Clients
Questions with Answers Latest Update
A nurse is caring for a client who is at 10 weeks of gestation. Which of the
following findings should the nurse report to the provider?
• ☑ Frequent vomiting with weight loss of 3 lb in 1 week
• ☐ Reports of mood swings
• ☐ Nosebleeds occurring approximately 3 times per week
• ☐ Increased vaginal discharge
Question: 11 of 60
A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider?
• ☑ Substernal retractions
• ☐ Acrocyanosis
• ☐ Overlapping suture lines
• ☐ Head circumference 33 cm (13 in)
Question: 12 of 60
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
• ☐ Hypertonia
• ☐ Increased feeding
• ☐ Hyperthermia
• ☑ Respiratory distress
RN MATERNAL NEWBORN ®™
®™
, RN Maternal Newborn ®™
Question: 13 of 60
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates
their uterus to the right above the umbilicus. Which of the following
interventions should the nurse perform?
• ☐ Reassess the client in 2 hr.
• ☐ Administer simethicone.
• ☑ Assist the client to empty their bladder.
• ☐ Instruct the client to lie on their right side.
Question: 14 of 60
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which of the following actions should
the nurse include in the plan?
• ☐ Feed the newborn 1 oz of water every 4 hr.
• ☐ Apply lotion to the newborn's skin three times per day.
• ☑ Remove all clothing from the newborn except the diaper.
• ☐ Discontinue therapy if the newborn develops a rash.
Question: 15 of 60
A nurse is planning care for a client who is to undergo a nonstress test.
Which of the following actions should the nurse include in the plan of care?
• ☐ Maintain the client NPO throughout the procedure.
• ☐ Place the client in a supine position.
• ☐ Instruct the client to massage the abdomen to stimulate fetal
movement.
• ☑ Instruct the client to press the provided button each time fetal
movement is detected.
RN MATERNAL NEWBORN ®™
®™
RN Maternal Newborn : Key Assessments and Interventions for Clients
Questions with Answers Latest Update
A nurse is caring for a client who is at 10 weeks of gestation. Which of the
following findings should the nurse report to the provider?
• ☑ Frequent vomiting with weight loss of 3 lb in 1 week
• ☐ Reports of mood swings
• ☐ Nosebleeds occurring approximately 3 times per week
• ☐ Increased vaginal discharge
Question: 11 of 60
A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider?
• ☑ Substernal retractions
• ☐ Acrocyanosis
• ☐ Overlapping suture lines
• ☐ Head circumference 33 cm (13 in)
Question: 12 of 60
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
• ☐ Hypertonia
• ☐ Increased feeding
• ☐ Hyperthermia
• ☑ Respiratory distress
RN MATERNAL NEWBORN ®™
®™
, RN Maternal Newborn ®™
Question: 13 of 60
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates
their uterus to the right above the umbilicus. Which of the following
interventions should the nurse perform?
• ☐ Reassess the client in 2 hr.
• ☐ Administer simethicone.
• ☑ Assist the client to empty their bladder.
• ☐ Instruct the client to lie on their right side.
Question: 14 of 60
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which of the following actions should
the nurse include in the plan?
• ☐ Feed the newborn 1 oz of water every 4 hr.
• ☐ Apply lotion to the newborn's skin three times per day.
• ☑ Remove all clothing from the newborn except the diaper.
• ☐ Discontinue therapy if the newborn develops a rash.
Question: 15 of 60
A nurse is planning care for a client who is to undergo a nonstress test.
Which of the following actions should the nurse include in the plan of care?
• ☐ Maintain the client NPO throughout the procedure.
• ☐ Place the client in a supine position.
• ☐ Instruct the client to massage the abdomen to stimulate fetal
movement.
• ☑ Instruct the client to press the provided button each time fetal
movement is detected.
RN MATERNAL NEWBORN ®™
®™
