1
Maternal Newborn Practice B
A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation.
R
Which of the following actions should the nurse take? - ANS Use an
E
ultrasound stethoscope to listen to fetal heart tones.
H
A nurse in a postpartum unit is caring for a client who has endometritis and is 48
IG
hr postpartum following a cesarean birth. Which of the following findings should
the nurse anticipate? - ANS Heart rate 110/min
GH
A nurse in an antepartum clinic is reviewing laboratory test results for multiple
clients. The nurse should notify the provider of which of the following results? -
IN
ANS Hematocrit 31%
Y
A nurse is assisting with the care of a client who is in the active phase of the first
L
stage of labor. Which of the following findings should the nurse report to the
F
charge nurse? - ANS Green fluid from the vagina.
A nurse is assisting with the care of a client who is postpartum and is receiving
lactated Ringer's 1,500 mL IV to infuse over 10 hr. The nurse should verify that the
IV pump's settings will deliver how many mL/hr? - ANS 150 mL/hr
, 2
A nurse is caring for a 12-hr-old male newborn who was delivered from a breech
position. Which of the following findings should the nurse report to the charge
nurse? - ANS Skin appears jaundiced.
R
A nurse is caring for a client following a cesarean birth. Which of the following
E
actions should the nurse take to decrease the client's risk of developing
H
thrombophlebitis? - ANS Have the client ambulate several times each day.
G
A nurse is caring for a client who gave birth to a newborn who is large for
I
gestation age (LGA) 16 hr ago. Which of the following findings should the nurse
H
identify as a complication of the birth of a newborn who is LGA? - ANS
G
Hemorrhage
N
A nurse is caring for a client who is 18 hr postpartum and has a fourth-degree
I
perineal laceration. The client reports a pain rating of 4 on a scale from 0-10.
Y
Which of the following should the nurse take? (SATA) - ANS -Promote the
L
use of witch hazel pads
F
-Give the client ice packs
-Have the client take a cool water sitz bath
-Encourage the client to practice relation techniques
A nurse is caring for a client who is 2 hr postpartum. The nurse locates the
client's fundus 2 cm above the umbilicus, with displacement to the right of the
Maternal Newborn Practice B
A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation.
R
Which of the following actions should the nurse take? - ANS Use an
E
ultrasound stethoscope to listen to fetal heart tones.
H
A nurse in a postpartum unit is caring for a client who has endometritis and is 48
IG
hr postpartum following a cesarean birth. Which of the following findings should
the nurse anticipate? - ANS Heart rate 110/min
GH
A nurse in an antepartum clinic is reviewing laboratory test results for multiple
clients. The nurse should notify the provider of which of the following results? -
IN
ANS Hematocrit 31%
Y
A nurse is assisting with the care of a client who is in the active phase of the first
L
stage of labor. Which of the following findings should the nurse report to the
F
charge nurse? - ANS Green fluid from the vagina.
A nurse is assisting with the care of a client who is postpartum and is receiving
lactated Ringer's 1,500 mL IV to infuse over 10 hr. The nurse should verify that the
IV pump's settings will deliver how many mL/hr? - ANS 150 mL/hr
, 2
A nurse is caring for a 12-hr-old male newborn who was delivered from a breech
position. Which of the following findings should the nurse report to the charge
nurse? - ANS Skin appears jaundiced.
R
A nurse is caring for a client following a cesarean birth. Which of the following
E
actions should the nurse take to decrease the client's risk of developing
H
thrombophlebitis? - ANS Have the client ambulate several times each day.
G
A nurse is caring for a client who gave birth to a newborn who is large for
I
gestation age (LGA) 16 hr ago. Which of the following findings should the nurse
H
identify as a complication of the birth of a newborn who is LGA? - ANS
G
Hemorrhage
N
A nurse is caring for a client who is 18 hr postpartum and has a fourth-degree
I
perineal laceration. The client reports a pain rating of 4 on a scale from 0-10.
Y
Which of the following should the nurse take? (SATA) - ANS -Promote the
L
use of witch hazel pads
F
-Give the client ice packs
-Have the client take a cool water sitz bath
-Encourage the client to practice relation techniques
A nurse is caring for a client who is 2 hr postpartum. The nurse locates the
client's fundus 2 cm above the umbilicus, with displacement to the right of the
