MATERNAL NEWBORN 2025
A nurse is caring for a newborn.
he nurse reviews the assessment findings and determines the findings are consistent with which of the
following birth complications?
For each assessment finding, click to specify if the findings is consistent with a clavicle fracture or Erb-
Duchenne paralysis. Each finding may support more than one condition.-----ANS----Clavicle Fracture:
-crepitus
-moro reflex
-palmer grasp
Erb-Duchenne:
-wrist flexion
-palmer grasp
A nurse is caring for a client who is pregnant.
Which of the following actions are the nurse's priorities?
Select the 4 actions that the nurse should take immediately.-----ANS-----administer a bolus of IV fluids
-reposition the client to their side
, -apply O2 at 10 to 12 L/min by non rebreather mask
-elevate clients legs
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test.
The nurse should plan to prepare the client for which of the following diagnostic tests?-----ANS----
Biophysical profile
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test.
Which of the following statements should the nurse include in the teaching?-----ANS----If this test is
positive, you will be scheduled for a 3 hr glucose tolerance test.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the
following complications should the nurse assess?-----ANS----Abruptio placenta
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that
their last menstrual cycle started on November 27th. Which of the following dates is the client's
expected date of birth?-----ANS----September 3rd
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium
sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the
plan?-----ANS----Monitor the FHR continuously
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord
protruding from the vagina. After calling for assistance, which of the following actions should the nurse
take?-----ANS----Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
A nurse is providing teaching to a client about the physiological changes that occur during pregnancy.
The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the
following client statements indicates an understanding of the teaching?-----ANS----I will likely need to
use alt. positions for sexual intercourse.
A nurse is providing teaching about family planning to a client who has a new prescription for a
diaphragm. Which of the following statements should the nurse include in the teaching?-----ANS----You
should leave the diaphragm in place for at least 6 hr after intercourse