Maternity Nursing – |Test bank Verified Practice|
Questions with A+ Answers | Final Exam Guide
FOR 2025/2026 (the most recent quizzes)
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a
vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider
regarding which of the following prescriptions? - The nurse should not administer a rectal
suppository or enema to a client who has a fourth-degree perineal laceration. These can cause
separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription
states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many
mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.) - STEP 8: Reassess to determine whether the amount
to administer makes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes
sense to administer 0.5 mL. The nurse should administer hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching? - The nurse should instruct the
client to engage in 30 min of moderate exercise every day to improve muscle tone throughout
her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor.
Which of the following findings should the nurse identify as a possible cause of the early
decelerations? - The nurse should identify fetal head compression as a likely cause of the
early decelerations on the fetal monitor. Early decelerations are an expected fetal pattern
caused by fetal head compression due to uterine contractions, fundal pressure, and vaginal
examinations.
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the
following actions should the nurse take? - Take photos of the newborn to give to the
parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which
of the following actions by the mother should the nurse recognize as a positive parenting
behavior? - Lays the newborn across her lap and gently sways.
, This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of
security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should
the nurse identify as the priority? - Epigastric pain is a clinical manifestation of
preeclampsia and indicates hepatic involvement, which is an urgent finding. Therefore, the
nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.) - Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even
when the uterus is contracted and firm. It will require repair by the 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.
Increased maternal temperature is incorrect. The use of oxytocin will have no effect on
maternal temperature.
A nurse is teaching a new mother about newborn safety. Which of the following instructions
should the nurse include in the teaching? - Room-sharing is recommended during the
first few weeks. This allows the parents to be readily available to the newborn and learn the
newborn's cues. However, the nurse should instruct the parents to avoid placing the newborn in
their bed as it increases the risk for sudden infant death syndrome.
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the
nurse that her last menstrual cycle started on November 27th. Which of the following dates is
the client's expected date of birth? - When using Naegele's rule to calculate the
estimated date of birth for a client, the nurse should subtract 3 months from the first day of the
Questions with A+ Answers | Final Exam Guide
FOR 2025/2026 (the most recent quizzes)
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a
vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider
regarding which of the following prescriptions? - The nurse should not administer a rectal
suppository or enema to a client who has a fourth-degree perineal laceration. These can cause
separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription
states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many
mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.) - STEP 8: Reassess to determine whether the amount
to administer makes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes
sense to administer 0.5 mL. The nurse should administer hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching? - The nurse should instruct the
client to engage in 30 min of moderate exercise every day to improve muscle tone throughout
her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor.
Which of the following findings should the nurse identify as a possible cause of the early
decelerations? - The nurse should identify fetal head compression as a likely cause of the
early decelerations on the fetal monitor. Early decelerations are an expected fetal pattern
caused by fetal head compression due to uterine contractions, fundal pressure, and vaginal
examinations.
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the
following actions should the nurse take? - Take photos of the newborn to give to the
parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which
of the following actions by the mother should the nurse recognize as a positive parenting
behavior? - Lays the newborn across her lap and gently sways.
, This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of
security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should
the nurse identify as the priority? - Epigastric pain is a clinical manifestation of
preeclampsia and indicates hepatic involvement, which is an urgent finding. Therefore, the
nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.) - Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even
when the uterus is contracted and firm. It will require repair by the 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.
Increased maternal temperature is incorrect. The use of oxytocin will have no effect on
maternal temperature.
A nurse is teaching a new mother about newborn safety. Which of the following instructions
should the nurse include in the teaching? - Room-sharing is recommended during the
first few weeks. This allows the parents to be readily available to the newborn and learn the
newborn's cues. However, the nurse should instruct the parents to avoid placing the newborn in
their bed as it increases the risk for sudden infant death syndrome.
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the
nurse that her last menstrual cycle started on November 27th. Which of the following dates is
the client's expected date of birth? - When using Naegele's rule to calculate the
estimated date of birth for a client, the nurse should subtract 3 months from the first day of the
