Maternal–Newborn Nursing Proctored-Style Exam:
Questions 40–80
40.
Which finding in a newborn requires immediate intervention?
A. Respiratory rate of 42/min
B. Heart rate of 136/min
C. Grunting with nasal flaring and retractions
D. Flexed posture
41.
A nurse is assessing a pregnant client at 34 weeks' gestation who reports regular uterine
contractions. Which finding indicates preterm labor?
A. Contractions that stop with rest
B. Regular contractions with cervical change
C. Occasional Braxton Hicks contractions
D. Mild pelvic pressure without contractions
42.
A client receiving magnesium sulfate has a respiratory rate of 8/min and absent deep tendon
reflexes. What is the nurse's priority action?
A. Increase the magnesium sulfate infusion
B. Administer calcium gluconate as prescribed
C. Encourage the client to ambulate
D. Place the client in a sitting position
43.
A nurse is caring for a client who has just delivered a newborn. Which assessment is the priority
immediately after birth?
A. Maternal appetite
B. Newborn airway and breathing
C. Maternal ability to ambulate
D. Newborn birth certificate
44.
Which assessment finding is expected in a healthy newborn?
, A. Respiratory rate of 20/min
B. Heart rate of 120/min
C. Persistent central cyanosis
D. Severe intercostal retractions
45.
A client with placenta previa is admitted with vaginal bleeding. Which intervention should the
nurse avoid?
A. Monitoring fetal heart rate
B. Assessing maternal vital signs
C. Performing a digital vaginal examination
D. Monitoring vaginal bleeding
46.
A postpartum client has a firm uterus but continues to have heavy vaginal bleeding. Which
condition should the nurse suspect?
A. Uterine atony
B. Retained placental fragments or genital tract trauma
C. Normal lochia
D. Bladder distention
47.
Which medication is commonly prescribed to treat postpartum hemorrhage caused by uterine
atony?
A. Oxytocin
B. Terbutaline
C. Magnesium sulfate
D. Betamethasone
48.
A newborn is receiving phototherapy. Which intervention is appropriate?
A. Keep the newborn's eyes covered
B. Apply thick lotion to the skin
C. Keep the newborn completely clothed
D. Restrict feeding
49.
Questions 40–80
40.
Which finding in a newborn requires immediate intervention?
A. Respiratory rate of 42/min
B. Heart rate of 136/min
C. Grunting with nasal flaring and retractions
D. Flexed posture
41.
A nurse is assessing a pregnant client at 34 weeks' gestation who reports regular uterine
contractions. Which finding indicates preterm labor?
A. Contractions that stop with rest
B. Regular contractions with cervical change
C. Occasional Braxton Hicks contractions
D. Mild pelvic pressure without contractions
42.
A client receiving magnesium sulfate has a respiratory rate of 8/min and absent deep tendon
reflexes. What is the nurse's priority action?
A. Increase the magnesium sulfate infusion
B. Administer calcium gluconate as prescribed
C. Encourage the client to ambulate
D. Place the client in a sitting position
43.
A nurse is caring for a client who has just delivered a newborn. Which assessment is the priority
immediately after birth?
A. Maternal appetite
B. Newborn airway and breathing
C. Maternal ability to ambulate
D. Newborn birth certificate
44.
Which assessment finding is expected in a healthy newborn?
, A. Respiratory rate of 20/min
B. Heart rate of 120/min
C. Persistent central cyanosis
D. Severe intercostal retractions
45.
A client with placenta previa is admitted with vaginal bleeding. Which intervention should the
nurse avoid?
A. Monitoring fetal heart rate
B. Assessing maternal vital signs
C. Performing a digital vaginal examination
D. Monitoring vaginal bleeding
46.
A postpartum client has a firm uterus but continues to have heavy vaginal bleeding. Which
condition should the nurse suspect?
A. Uterine atony
B. Retained placental fragments or genital tract trauma
C. Normal lochia
D. Bladder distention
47.
Which medication is commonly prescribed to treat postpartum hemorrhage caused by uterine
atony?
A. Oxytocin
B. Terbutaline
C. Magnesium sulfate
D. Betamethasone
48.
A newborn is receiving phototherapy. Which intervention is appropriate?
A. Keep the newborn's eyes covered
B. Apply thick lotion to the skin
C. Keep the newborn completely clothed
D. Restrict feeding
49.
