RN Maternal Newborn Online Practice 2019 A
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1. A nurse is caring for a client who has uterine atony Massage the
and is experiencing postpartum hemorrhage. Which clients fundus.
of the following actions is the nurse's priority?
2. A nurse is caring for a client who is to receive oxytocin Late decelarations
to augment her labor. Which of the following findings
contraindicates the initiation of the oxytocin infusion
and should be reported to the provider?
3. A nurse is assessing a client who has severe
Blurred vision
preeclampsia. Which of the following manifestations
should the nurse expect?
4. A nurse is assessing a client who is 1 day postpartum Vaginal Pressure
and has a vaginal hematoma. Which of the following
manifestations should the nurse expect?
5. A nurse is caring for a client who is at 36 weeks of
Biophysical profile
gestation and has a positive contraction stress test.
The nurse should plain to prepare the client for which
of the following diagnostic tests?
6. A nurse is providing teaching for a client who has
Depression
a new prescription for combined oral contraceptives.
Which of the following findings should the nurse include as an adverse effect of this medication?
7. A nurse is caring for a postpartum client who is re- Maintain the client
ceiving heparin via a continuous IV infusion for throm- on bed rest.
bophlebitis in her left calf. Which of the following actions should the nurse take?
8. A nurse is providing teaching to a client is at 40 weeks
of gestation and has a new prescription for misoprostol. Which of the following instructions should the
nurse include in the teaching?
"I can administer
oxytocin 4 hours
after the insertion
of the medication."
9. A nurse is assessing four newborns. Which of the
following findings should the nurse report to the
provider?
A newborn who is
18 hr old and has
an axillary temper-
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ature of 37.7 C
(99.9 F)
10. A nurse is caring for a client is at 30 weeks of gesRespiratory rate
tation and has a prescription for magnesium sulfate 10/min
IV to treat preterm labor. The nurse should notify the
provider of which of the following adverse effects?
11. A nurse is teaching a client who is at 10 weeks of
"I should take 600
gestation about nutrition during pregnancy. Which of micrograms of folic
the following statements by the client indicates an
acid each day"
understanding of the teaching?
12. A nurse is assessing a late preterm newborn. Which Respiratory disof the following manifestation is an indication of hy- tress
poglycemia?
13. A nurse is a prenatal clinic is assessing a group of
A client who is
clients. Which of the following client should the nurse 11 weeks of gessee first?
tation and reports
abdominal cramping
14. A nurse is demonstrating to a client how to bathe their 1. Wipe the newnewborn. In which order should the nurse preform the borns eyes from
following actions?
inner cants outward.
2. Wash the newborns neck by lifting the newborns
chin
3. Cleanse the
skin around the
newborns umbilical stump
4. Wash the newborns legs and
feet
5. Clean the newborns diaper area
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15. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following should the nurse include
in the teaching?
"Ensure that the.
newborn has been
receiving feedings
for 24 hours prior to obtaining the
specimen"
16. A nurse is creating a plan of care for a client who is Protect the clients
postpartum and adheres to traditional Hispanic cul- head and feet from
ture beliefs. Which of the following culture practices the cold air
should the nurse include in the plan of care?
17. A nurse is assessing a newborn who was born at
Minimal arm recoil
26 weeks of gestation using the New Ballard Score.
Which of the following findings should the nurse expect?
18. A nurse is caring for a client who is at 15 weeks of
Monitor the FHR
gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the
nurses priority following the procedure?
19. A nurse is assessing a newborn who is 16 hr old.
Substernal retracWhich of the following findings should the nurse re- tions
port to the provider?
20. A nurse is preforming a physical assessment of a
newborn upon admission to the nursery. Which of the
following manifestations should the nurse expect?
Select all that apply.
1. Acrocyanosis
2. Positive Babinski reflex
3. Two umbilical arteries visible
21. A nurse is caring for a client who is experiencing
calcium gluconate
preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications
should the nurse anticipate administering if the client
developed magnesium toxicity?
22.
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A nurse is teaching a client who is at 37 weeks of
You should press
gestation and has a prescription for a non stress test. the handheld butWhich of the following instructions should the nurse ton when you feel
include?
your baby move
23. A nurse is providing education about family binding to
parents who recently adopted a newborn. The nurse
should make which of the following suggestions to
aid the family's 7 years old child in accepting the new
family member?
Obtain a gift from
the newborn to
present to the siblings
24. A nurse is caring for a client who is at 35 weeks of
gestation and is undergoing a non stress test that
reveals a variable deceleration in the FHR. Which of
the following actions should the nurse take?
Have the client
change position
25. A nurse is assessing a client who is at 38 weeks
Weight gain of
of gestation during a weekly prenatal visit. Which of 2.2kg (4.8 lb)
the following findings should the nurse report to the
provider?
26. A nurse is providing teaching for a client who gave
birth 2 hr ago about the facility policy for newborn
safety. Which of the following client statements indicates an understanding of the teaching?
The person who
comes to take
my baby's pictures
will be wearing
a photo identification badge
27. A nurse is assessing a client who is receiving mor- Naloxone
phine via IV bolus for pain following a cesarean birth.
The nurse notes a respiratory rate of 8/min. Which of
the following medication should the nurse administer?
28. A nurse is preforming a routine assessment on a client FHR 152/min
who is at 18 weeks of gestation. Which of the following
findings should the nurse expect?
29. A nurse in an antepartum clinic is providing care for a fundal hight meaclient who is at 26 weeks of gestation. Upon reviewing surement
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the clients medical records, which of the following
findings. should the nurse report to the provider?
Blood pressure 130/78 mm Hg
Respiratory rate 20/min
Heart rate 90/min
Hemoglobin 12 g/dL
Hematocrit 34%
1-hr glucose tolerance test 120 mg/dL
Fundal height 30 cm
Good fetal movement
Not experiencing headache, dizziness, blurred vision,
or vaginal bleeding
Fetal heart rate 110/min
30. A nurse is developing a plan of care for a newborn
who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse
include in the plan?
Remove all clothing from the newborn except the diaper
31. A nurse is assessing a newborn who was delivered petechiae over the
vaginally and experienced a tight nuchal cord. Which head
of the following findings should the nurse expect?
32. A nurse is caring for a client who is 38 weeks of
preform leopoid
gestation. Which of the following actions should the maneuvers
nurse take prior to apply an external transducer for
fetal monitoring?
33. A nurse is assessing a newborn 12 hr after birth.
Jaundice
Which of the following manifestation should the nurse
report to the provider?
34. A nurse is transporting a newborn back to the patients verify that the parroom following a procedure. Which of the following ents identification
actions should the nurse take?
band matches the
newborns identification band
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35. A nurse is caring for a client who is 32 weeks of ges- premature rupture
tation and has gonorrhea. The nurse should identify of membranes
that the client is at an increased risk for which of the
following complications?
36. A nurse is reviewing the prenatal laboratory results for Hemoglobin
a client who it at 12 weeks of gestation following an 10g/dL
initial prenatal visit. Which of the following laboratory
findings should the nurse report to the provider?
37. A nurse in an antepartum clinic is assessing a client report of dewho is at 32 weeks of gestation. Which of the following creased fetal
findings should the nurse report to the provider?
movement
38. A nurse is caring for a client who is at 36 weeks of ges- To locate a pocket
tation and has a. prescription for an amniocentesis. of fluid
For which of the following. reasons should the nurse.
prepare the client for an ultrasound?
39. A nurse is caring for a client who is at 26 weeks of
Administer oxygestation and has epilepsy. The nurse enters the room gen via a nonreand observes the client having a seizure. After turning breather mask.
the clients head to one side, which of the following
actions should the nurse take immediately after the
seizure?
40. A nurse is caring for a client who is at 22 weeks of
Report the clients
gestation and its HIV positive. Which of the following condition to the loactions should the nurse take?
cal health department
41. A nurse is caring for a client who has hyperemeBUN 25mg/dL
sis gravidarum and is receiving IV fluid replacement.
Which of the following findings should the nurse report to the provider?
42. A nurse is caring for a prenatal client. who has par- Schedule an ulvovirus B19 (fifth disease). Which of the following ac- trasound examinations should the nurse take?
tion
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43. A nurse is developing a plan of care for a client who Monitor the FHR
has preeclampsia and is receiving magnesium sulfate continuously
via a continuous IV infusion. Which of the following
interventions should the nurse include in the plan?
44. A nurse in a providers office is reviewing the medPregestational diical record of a client who is in the first trimester of abetes mellitus
pregnancy. Which of the following finding should the
nurse identify as a risk factor for the development of
preeclampsia?
45. A nurse is providing. teaching to a client about thee
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 statement indicates an understanding of
the teaching?
I will likely need to
use alternative positions for sexual
intercourse
46. A nurse is preforming 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?
Insert two gloved
fingers into the
vagina and apply
upward pressure
to the presenting
part.
47. A nurse is providing discharge teaching to a client
who had a cesarean birth 3 days ago. Which of the
following instructions should the nurse include?
You can still become pregnant if
you are breastfeeding
48. A nurse is providing teaching about non pharmaco- Cold Cabbage
logical pain management to a client who is breastfeed- leaves
ing and has engorgement. The nurse should recommend the application of which of the following?
49. A nurse is absorbing a new parent caring for her
Lays the newborn
crying newborn who is bottle feeding. Which of the across her lap and
following actions by the parent should the nurse rec- gently sways
ognize as a positive parenting behavior?
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50. A nurse is assessing a client who received carboprost Hypertension
for postpartum hemorrhage. Which of the following
findings is an adverse effect of this medication?
51. A nurse is preparing to collect a blood specimen from Place the newborn
a newborn via a heel stick. Which of the following
skin to skin on the
techniques should the nurse use to help minimize the mother's chest
pain of the procedure for the newborn?
52. A nurse is assessing a client who has gestational
Repors incense
diabetes mellitus and is experiencing hyperglycemia. urinary output
Which of the following findings should he nurse expect?
53. A nurse is admitting a client states, "my water just
broke". Which of the following interventions is the
nurses priority?
Begin FHR monitoring
54. A nurse is caring for a client who is 24 seeks of
gestation and has a suspected placental abruption.
Which of the following laboratory tests should the
nurse expect the provider to prescribe?
Kleihauer- Betke
test
55. A nurse is preforming a physical assessment of a new- 1. Heart rate
born. Which of the following clinical finding should the 154/min
nurse expect?
2. Respiratory rate
58/min
3. Weight 2.6 kg
(5lb 12oz)
56. A nurse is assessing a client who is at 36 weeks of Report of visual
gestation. Which of the following findings should the disturbances
nurse report to the provider?
57. A nurse is preparing to administer magnesium sulfate 50 mL/hr
2g/hr IV to a client who is in preterm labor. Available
is 20g magnesium sulfate in 500mL of dextrose 5%
in water (D5W). The nurse should set the IV infusion
pump to administer how many mL/hr?
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58. A nurse is admitting a client who is in labor. The client Abruptio placenta
admits to recent cocaine use. For which of the following complications should the nurse assess?
59. A nurse is caring for a client who is anemic at
A reduction in res32 weeks of gestation and is in preterm labor. The
piratory distress in
provider prescribed betamethasone 12mg IM. Which the newborn.
of the following outcomes should the nurse expect?
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