NUR 445 - Maternal Newborn CMS Prep UPDATED ACTUAL
Questions and CORRECT Answers
A nurse is caring for a client who is at 26 weeks gestation "You should walk for at least 30 min every day."
and reports constipation. Which of the following
responses by the nurse is appropriate?
A nurse is assessing a postpartum client and observes a Notify the provider
steady trickle of bright red blood from the client's vagina.
The uterus is palpated as firm, midline, and located 1 cm
below the umbilicus. Which of the following actions
should the nurse take?
A nurse is caring for a client who is postpartum and is Assist the client to the bathroom
having difficulty voiding. Which of the following actions
should the nurse take first?
A nurse is caring for a client who is in labor and is Fetal asphyxia
receiving an infusion of oxytocin. The nurse should
monitor the client for which of the following potential
adverse effects?
A nurse is providing teaching for a postpartum client who "Your milk supply will noticeably increase in volume around the third or fourth day
is breastfeeding. Which of the following pieces of after delivery."
information should the nurse include in the teaching?
A nurse is initiating phototherapy for a newborn who has Place an opaque mask over the newborn's eyes
hyperbilirubinemia. Which of the following actions should
the nurse take?
, A nurse is providing care for a pregnant adolescent who Provide examples of how eating well will help maintain a healthy weight during
is at 12 weeks gestation and verbalizes a fear of gaining pregnancy.
weight during pregnancy. Which of the following actions
should the nurse take?
A nurse at a prenatal clinic is caring for a client who A urine test for the presence of human chorionic gonadotropin
suspects she may be pregnant and asks the nurse how
the provider will confirm her pregnancy.
Which of the following laboratory tests will be used to
confirm this client's pregnancy?
A nurse is planning care for a client who has a Active genital herpes
prescription for oxytocin.
Which of the following is a contraindication to the use of
this medication?
A postpartum nurse is caring for a client who is 4 hours Apply cold ice packs to the client's perineum
postpartum and has a painful third-degree perineal
laceration. Which of the following interventions should
the nurse take?
A nurse is performing a physical assessment of a male There is decreased abdominal movement with breathing.
newborn. Which of the following findings should the
nurse report to the provider?
A nurse is planning care for a client in labor who is Administer the hepatitis B vaccine prior to discharge
positive for HIV. Which of the following actions should
the nurse take after the baby is born?
A nurse at a family-planning clinic is preparing to teach a "Use spermicidal jelly whenever you use your diaphragm."
class about how to use a diaphragm. Which of the
following pieces of information should the nurse plan to
include in the teaching?
A nurse is caring for a client who is 24 years old and at 13 HbA1C
weeks of gestation. The client's history includes a BMI of
31 prior to pregnancy, a prior post-term delivery, and a
newborn birth weight of 4,167.38 g (9 lb 3 oz). Which of
the following laboratory values should the nurse expect
to collect?
A nurse is discussing risk factors for necrotizing Respiratory distress syndrome
enterocolitis (NEC) in newborns with a newly licensed
nurse. Which of the following risk factors should the nurse
include?
A nurse is teaching a client who is pregnant about "You should avoid gardening during your pregnancy to decrease your risk of
toxoplasmosis. Which of the following instructions should contracting toxoplasmosis."
the nurse include?
Questions and CORRECT Answers
A nurse is caring for a client who is at 26 weeks gestation "You should walk for at least 30 min every day."
and reports constipation. Which of the following
responses by the nurse is appropriate?
A nurse is assessing a postpartum client and observes a Notify the provider
steady trickle of bright red blood from the client's vagina.
The uterus is palpated as firm, midline, and located 1 cm
below the umbilicus. Which of the following actions
should the nurse take?
A nurse is caring for a client who is postpartum and is Assist the client to the bathroom
having difficulty voiding. Which of the following actions
should the nurse take first?
A nurse is caring for a client who is in labor and is Fetal asphyxia
receiving an infusion of oxytocin. The nurse should
monitor the client for which of the following potential
adverse effects?
A nurse is providing teaching for a postpartum client who "Your milk supply will noticeably increase in volume around the third or fourth day
is breastfeeding. Which of the following pieces of after delivery."
information should the nurse include in the teaching?
A nurse is initiating phototherapy for a newborn who has Place an opaque mask over the newborn's eyes
hyperbilirubinemia. Which of the following actions should
the nurse take?
, A nurse is providing care for a pregnant adolescent who Provide examples of how eating well will help maintain a healthy weight during
is at 12 weeks gestation and verbalizes a fear of gaining pregnancy.
weight during pregnancy. Which of the following actions
should the nurse take?
A nurse at a prenatal clinic is caring for a client who A urine test for the presence of human chorionic gonadotropin
suspects she may be pregnant and asks the nurse how
the provider will confirm her pregnancy.
Which of the following laboratory tests will be used to
confirm this client's pregnancy?
A nurse is planning care for a client who has a Active genital herpes
prescription for oxytocin.
Which of the following is a contraindication to the use of
this medication?
A postpartum nurse is caring for a client who is 4 hours Apply cold ice packs to the client's perineum
postpartum and has a painful third-degree perineal
laceration. Which of the following interventions should
the nurse take?
A nurse is performing a physical assessment of a male There is decreased abdominal movement with breathing.
newborn. Which of the following findings should the
nurse report to the provider?
A nurse is planning care for a client in labor who is Administer the hepatitis B vaccine prior to discharge
positive for HIV. Which of the following actions should
the nurse take after the baby is born?
A nurse at a family-planning clinic is preparing to teach a "Use spermicidal jelly whenever you use your diaphragm."
class about how to use a diaphragm. Which of the
following pieces of information should the nurse plan to
include in the teaching?
A nurse is caring for a client who is 24 years old and at 13 HbA1C
weeks of gestation. The client's history includes a BMI of
31 prior to pregnancy, a prior post-term delivery, and a
newborn birth weight of 4,167.38 g (9 lb 3 oz). Which of
the following laboratory values should the nurse expect
to collect?
A nurse is discussing risk factors for necrotizing Respiratory distress syndrome
enterocolitis (NEC) in newborns with a newly licensed
nurse. Which of the following risk factors should the nurse
include?
A nurse is teaching a client who is pregnant about "You should avoid gardening during your pregnancy to decrease your risk of
toxoplasmosis. Which of the following instructions should contracting toxoplasmosis."
the nurse include?
