Maternal newborn practice quiz

A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of the following instructions should the nurse suggest for the plan?

Use a firm mattress in the newborn's crib.

A nurse in a clinic is collecting data from a client who is 12 weeks of gestation. Which of the following actions should the nurse take?

Use an ultrasound stethoscope to listen to fetal heart tones.

A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings should the nurse identify as an indication of infection.

WBC 35,000/mm

A nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next?

Wrap the newborn's heel with a cloth moistened with warm water.

A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements should the nurse include?

You must be at 37 weeks of gestation before you can use hydrotherapy

A nurse is reinforcing teaching about preventing urinary tract infections with a client who is 25 weeks of gestation. Which of the following instructions should the nurse include?

You should empty your bladder before you to to bed at night.

A nurse is reinforcing teaching about newborn home safety precautions with a group of guardians. Which of the following instructions should the nurse include?

You should ensure that crib slats are no more than 2.25 inches apart.

A nurse is reinforcing teaching about a nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include?

You will press a button when you feel the baby move.

A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following food should the nurse recommend as the best source of folate?

1 cup of cooked spinach.

A nurse is caring for a client who is 48 hr postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider? (select all that apply)

1. Warm, tender area on the calf 2. Dysuria 3. Cracked nipples

A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which of the following information should the nurse include when helping to develop the newborn's plan of care (Select) all that apply)

1. maternal group B streptococcus (GBS) status 2. Apgar score 3. Type of birth.

A nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? (select all that apply)

1. nasal flaring 2. intercostal retractions 3. grunting

A nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following findings should the nurse report to the provider.

Absent deep-tendon reflexes

A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse plan to include as the priority immediately following a seizure?

Administer oxygen via face mask at 10 L/mm

A nurse is reinforcing education about the prevention of newborn abduction with a client who recently gave birth. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

An alarm will sound if someone removes my baby safety device.

A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1-hour oral glucose tolerance test. Which of the following instructions should the nurse include?

Avoid caffeine the morning of the test.

A nurse is collecting data from a client who is at 37 weeks of gestation. Which of the following findings should the nurse report to the provider?

Blurred vision

A nurse is collecting data from the parent of a newborn immediately following birth. The parent states, "she is so tiny. We don't know how to pick her up without hurting her." Which of the following actions should the nurse take first to promote parent-newborn attachment?

Demonstrate to the parent how to hold the newborn.

A nurse is collecting data from clients who is a primigravida and has hyperthyroidism. Which of the following findings should the nurse expect?

Diaphoresis

A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. which of the following interventions should the nurse recommend in the plan?

Drink 2 L of water per day.

A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include?

Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit.

A nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect?

FHR 120/min

A nurse is collecting data from a 28-year old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptives?

Frequent headache and visual changes.

A nurse is collecting data from a client who gave birth 18 hrs ago. Which of the following findings should the nurse identify as an indication of a postpartum complication?

Fundus is palpable at 2 cm above the umbilicus.

A nurse is contributing to the plan of care for a client who is 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client?

Genetic counseling

A nurse is collecting data from a client who is 38 weeks of gestation. Which of the following findings should the nurse report to the provider?

Glycosuria

A nurse is assisting with the care of a client who is in the active phase of the first stage of labor. Which of the following findings should the nurse report to the charge nurse?

Green fluid from the vagina

A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take to decrease the client's risk of developing thrombophebitis?

Have the client ambulate several times each day.

A nurse is assisting with the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort?

Have the client perform relaxing breathing techniques.

A nurse in a postpartum unit is caring for a client who has endometritis and is 48 hr postpartum following a cesarean birth. Which of the following findings should the nurse anticipate?

Heart rate 110/min

A nurse in an antepartum clinic is reviewing laboratory test results for a group of clients. The nurse should notify the provider of which of the following results?

Hematocrit 31%

A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching?

I am likely to gain weight while taking this medication

A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication?

I have pain in my upper right abdomen

A nurse is reinforcing teaching with a client who is at a 8 weeks of gestation. Which of the following response by the client indicates an understanding of the teaching?

I should expect to have white vaginal discharge during pregnancy.

A nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

I should wake up my baby to feed during the night.

A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates and understanding of the teaching?

I will position the retainer clip at the level of the newborn's axillae and not over the neck or abdomen.

A nurse is reinforcing teaching about newborn umbilical cord care who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

I will report any drainage from my baby's umbilical cord

A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take?

Inject the medication the medication into the client's vastus lateralis muscle.

A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend?

Monitor intake and output.

A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include?

Overdiluted formula can result in inadequate growth.

A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider?

Perineal pad soaked in 15 minutes.

A nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include?

Provide the newborn with six to eight feedings during a 24 hour period.

A nurse is reinforcing discharge teaching with a client who has mastitis of the left breast. Which of the following instructions should the nurse include?

Pump the affected breast frequently

A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider?

Respiratory rate of 10/min.

A nurse is caring for a 12-hor-old male newborn who was delivered from a breech position. Which of the following findings should the nurse report to the charge nurse?

Skin appears jaundiced.

A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive reflexes. Which of the following images indicates a characteristic response of the tonic neck reflex?

The nurse should identify this as the tonic neck reflex. When the newborn's head is quickly turned to one side, the arm and leg on the same side extend, while the arm and leg on the opposite side flex.

A nurse is assisting with the care of a client who is pregnant and has preclampsia. While the nurse is collecting data the client has a seizure. Which of the following actions should the nurse take first?

Turn the client on her side.