1
Maternal Newborn CMS
A client at 32 weeks gestation is in preterm labor. Which medication should the
R
nurse anticipate to enhance fetal lung maturity? - ANS Betamethasone
HE
A client experiences a large gush of fluid from her vagina while walking. What
action should the nurse take first? - ANS Monitor FHR for distress
IG
A client has been in labor for 12 hr and her membranes are intact. The MD has
H
decided to preform and amniotomy the nurse needs to ensure what during a
G
vaginal exam? - ANS Fetal engagement
IN
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the
morning. Which of the following information should the nurse include? - ANS
Y
Eat crackers or plain toast before getting out of bed
FL
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is
happy about being pregnant. Which of the following responses should the nurse
make? - ANS "It is normal to these feeling during the first few months of
pregnancy"
, 2
A father seems nervous to help with care of the newborn what action should you
take to promote bonding? - ANS Reinforce education about newborn care
when father is present.
R
A mother of a newborn has a concern about a blueish mark across the back and
E
butt of the baby. What should the nurse inform the mother of? - ANS This is
H
frequently seen in newborns of African American, Asian, Native American origin.
G
A newborn with high bilirubin and undergoing phototherapy. What is an expected
I
finding? - ANS Sunken fontanels
GH
A nurse at an antepartum clinic is caring for a client who is at 16 weeks gestation.
The client reports continued nausea and vomiting and scant, prune colored
N
discharge. She has experienced no weight loss and a fundal height larger than
I
expected. Which complications should the nurse expect? - ANS
Y
Hydatidiform mole
L
-increased fundal height, elevated HCG W/ excessive N/V. Scant dark, discharge
F
A nurse in a clinic is reinforcing instructions with a client of childbearing age
about recommended folic acid supplements. Which of the following defects can
occur in the neonate as a result of folic acid deficiency? - ANS Neural tube
defects
, 3
A nurse in a clinic is reinforcing teaching with a client about her new prescription
for MEDROXYPROGESTERONE. Which of the following information should the
nurse include? - ANS -"You should increase your intake of calcium."
-"Irregular vaginal spotting can occur."
ER
A nurse in a clinic receives a phone call from a client whose period is 1 week late
H
and requests a pregnancy test. Which of the following information should the
nurse provide to the client? - ANS "You should collect the urine from your
G
first morning void."
HI
A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent
G
clients. Which of the following statements by an adolescent reflects an
understanding of the teaching? - ANS "A water-soluble lubricant should be
N
used with condoms"
YI
A nurse in a prenatal clinic is caring for a client who is in the first trimester of
L
pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should
F
the nurse interpret this information. - ANS -Client has delivered one
newborn at term
-Client has had two prior pregnancies
-Client has one living
Maternal Newborn CMS
A client at 32 weeks gestation is in preterm labor. Which medication should the
R
nurse anticipate to enhance fetal lung maturity? - ANS Betamethasone
HE
A client experiences a large gush of fluid from her vagina while walking. What
action should the nurse take first? - ANS Monitor FHR for distress
IG
A client has been in labor for 12 hr and her membranes are intact. The MD has
H
decided to preform and amniotomy the nurse needs to ensure what during a
G
vaginal exam? - ANS Fetal engagement
IN
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the
morning. Which of the following information should the nurse include? - ANS
Y
Eat crackers or plain toast before getting out of bed
FL
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is
happy about being pregnant. Which of the following responses should the nurse
make? - ANS "It is normal to these feeling during the first few months of
pregnancy"
, 2
A father seems nervous to help with care of the newborn what action should you
take to promote bonding? - ANS Reinforce education about newborn care
when father is present.
R
A mother of a newborn has a concern about a blueish mark across the back and
E
butt of the baby. What should the nurse inform the mother of? - ANS This is
H
frequently seen in newborns of African American, Asian, Native American origin.
G
A newborn with high bilirubin and undergoing phototherapy. What is an expected
I
finding? - ANS Sunken fontanels
GH
A nurse at an antepartum clinic is caring for a client who is at 16 weeks gestation.
The client reports continued nausea and vomiting and scant, prune colored
N
discharge. She has experienced no weight loss and a fundal height larger than
I
expected. Which complications should the nurse expect? - ANS
Y
Hydatidiform mole
L
-increased fundal height, elevated HCG W/ excessive N/V. Scant dark, discharge
F
A nurse in a clinic is reinforcing instructions with a client of childbearing age
about recommended folic acid supplements. Which of the following defects can
occur in the neonate as a result of folic acid deficiency? - ANS Neural tube
defects
, 3
A nurse in a clinic is reinforcing teaching with a client about her new prescription
for MEDROXYPROGESTERONE. Which of the following information should the
nurse include? - ANS -"You should increase your intake of calcium."
-"Irregular vaginal spotting can occur."
ER
A nurse in a clinic receives a phone call from a client whose period is 1 week late
H
and requests a pregnancy test. Which of the following information should the
nurse provide to the client? - ANS "You should collect the urine from your
G
first morning void."
HI
A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent
G
clients. Which of the following statements by an adolescent reflects an
understanding of the teaching? - ANS "A water-soluble lubricant should be
N
used with condoms"
YI
A nurse in a prenatal clinic is caring for a client who is in the first trimester of
L
pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should
F
the nurse interpret this information. - ANS -Client has delivered one
newborn at term
-Client has had two prior pregnancies
-Client has one living
