Learning System RN 3.0 Maternal Newborn
Final Quiz with Accurate Answers
A nurse administers betamethasone to a client who is at 33 weeks gestation to
stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this
medication? correct answer Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the
newborn to hypoglycemia in the first hours after delivery. It is important to assess
the newborn's blood glucose level within the first hour following birth and
frequently thereafter until blood glucose levels are stable.
A nurse in a prenatal clinic is caring for a client who is within the recommended
guidelines for weight. The client asks the nurse how much weight is safe for her to
gain during her pregnancy. Which of the following responses should the nurse
make? correct answer A weight gain of about 25-35 pounds is good
A nurse in an antepartum clinic answers a phone call from a client who is at 37
weeks of gestation and reports, "I become very dizzy while lying in bed this
morning, but the feeling went away when I turned on my side." Which of the
following actions should the nurse take? correct answer Instruct the client about
vena cava syndrome and measures to prevent it
A nurse is assessing a client on the first postpartum day. Findings include fundus
firm and one fingerbreadth above and to the right of the umbilicus, moderate
lochia rubra with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min.
Which of the following actions should the nurse take? correct answer Ask the
client when she last voided
, A nurse is assessing a client who is receiving magnesium sulfate as treatment for
preeclampsia. Which of the following clinical findings is the nurse's priority?
correct answer Urinary output 40ml in 2 hours
A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the
face and trunk. Which of the following actions should the nurse take? correct
answer Obtain a stat prescription for a bilirubin level
A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. Which of the following findings is a contraindication for the use of
this device? correct answer Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that changes
the uterine environment to prevent pregnancy. An IUD is contraindicated for
women who have menorrhagia, severe dysmenorrhea, or history of ectopic
pregnancy.
A nurse is caring for a client who has a prescription for naloxone. Which of the
following is the intended action of the medication in relation to the central
nervous system? correct answer Blocks effects of narcotics on the CNS
A nurse is caring for a client who has clinical manifestations of an ectopic
pregnancy. Which of the following findings is a risk factor for an ectopic
pregnancy? correct answer Pelvic inflammatory disease (PID)
An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of
the uterus and the placenta and fetus begin to develop there. The most common
site is within a fallopian tube, but ectopic pregnancies can occasionally occur in
the ovary or the abdomen. Most cases are a result of scarring caused by a
Final Quiz with Accurate Answers
A nurse administers betamethasone to a client who is at 33 weeks gestation to
stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this
medication? correct answer Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the
newborn to hypoglycemia in the first hours after delivery. It is important to assess
the newborn's blood glucose level within the first hour following birth and
frequently thereafter until blood glucose levels are stable.
A nurse in a prenatal clinic is caring for a client who is within the recommended
guidelines for weight. The client asks the nurse how much weight is safe for her to
gain during her pregnancy. Which of the following responses should the nurse
make? correct answer A weight gain of about 25-35 pounds is good
A nurse in an antepartum clinic answers a phone call from a client who is at 37
weeks of gestation and reports, "I become very dizzy while lying in bed this
morning, but the feeling went away when I turned on my side." Which of the
following actions should the nurse take? correct answer Instruct the client about
vena cava syndrome and measures to prevent it
A nurse is assessing a client on the first postpartum day. Findings include fundus
firm and one fingerbreadth above and to the right of the umbilicus, moderate
lochia rubra with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min.
Which of the following actions should the nurse take? correct answer Ask the
client when she last voided
, A nurse is assessing a client who is receiving magnesium sulfate as treatment for
preeclampsia. Which of the following clinical findings is the nurse's priority?
correct answer Urinary output 40ml in 2 hours
A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the
face and trunk. Which of the following actions should the nurse take? correct
answer Obtain a stat prescription for a bilirubin level
A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. Which of the following findings is a contraindication for the use of
this device? correct answer Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that changes
the uterine environment to prevent pregnancy. An IUD is contraindicated for
women who have menorrhagia, severe dysmenorrhea, or history of ectopic
pregnancy.
A nurse is caring for a client who has a prescription for naloxone. Which of the
following is the intended action of the medication in relation to the central
nervous system? correct answer Blocks effects of narcotics on the CNS
A nurse is caring for a client who has clinical manifestations of an ectopic
pregnancy. Which of the following findings is a risk factor for an ectopic
pregnancy? correct answer Pelvic inflammatory disease (PID)
An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of
the uterus and the placenta and fetus begin to develop there. The most common
site is within a fallopian tube, but ectopic pregnancies can occasionally occur in
the ovary or the abdomen. Most cases are a result of scarring caused by a
