RN Maternal Newborn Online Practice 2023 A

A nurse is teaching a client who is 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the clinet indicates an understanding of the teaching?

"I should take 600 micrograms of folic acid each day."

A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

"I will continue taking my insulin if I experience nausea and vomiting."

A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat foods that taste good instead of balancing my meals."

A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make?

"Staff members who take care of your baby will be wearing a photo identification badge."

A nurse is teaching a client who is 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?

"You should press the handheld button when you feel your baby move."

A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?

"You should take the medication within 72 hours following unprotected sexual intercourse."

Steps of Leopold Maneuver

1. Palpate the client's fundus to identify the fetal part. 2. Determine the location of the fetal back. 3. Palpate for the fetal part presenting at the inlet. 4. Identify the attitude of the head.

A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. Order states, " Admin azithromycin 1g orally now". Available is 250mg tablets. How many tablets should the nurse give?

4 tablets

A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?

A client who is at 11 weeks of gestation and reports abdominal cramping

A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?

A client who is at 34 weeks of gestation and reports epigastric pain

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 temperature of 37.7° C (99.9° F)

A nurse in a clinic is caring for a 16-year-old adolescent. For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.

Abdominal Pain: Gonnorhea Greenish D/C: Gonnorhea, Trichomoniasis Diabetes: Candidiasis Pain on urination: Gonnorhea, Candidiasis, Trichomoniasis Absence of Condom Use: Gonnorhea, Trichomoniasis

A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? SATA

Abdominal assessment Vaginal discharge Temp Dyspareunia Condom usage

A nurse is caring for a newborn who is 48 hr old. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Actions to Take: Place newborn skin to skin on birthing parent's chest. Encourage birthing parent to breastfeed. Potential Condition: Cold stress Parameters to Monitor: Blood glucose level and temperature

A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following stages of labor?

Active

Assessing a pt. who gave birth vaginally 12 hrs ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?

Assist the client to empty their bladder.

A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke". Which of the following interventions is the nurse's priority?

Begin FHR monitoring

A nurse is caring for a client who is 41 weeks pregnant and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare for the client?

Biophysical profile (BPP)

A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

Blood pressure 105/64 mm Hg

A nurse is caring for a newborn who is 70 hr old. Which of the following findings should the nurse report to the provider? SATA.

Central nervous system findings Gastrointestinal findings

A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?

Chin quivering

A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the clients history should the nurse recognize as a contraindication to oral contraceptives? SATA.

Cholecystitis Hypertension Migraine Headaches

A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?

Decreased platelet count

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

Depression

A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?

Determine respiratory function.

A nurse in the antepartum clinic is assessing a pt's adaption to pregnancy. The pt. states that she is, "happy one minute and crying the next." The nurse should interpret the pt's statement as indication of which of the following?

Emotional lability

A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?

Ensure that the parent's identification band number matches the newborn's identification band number.

A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?

FHR 152/min

A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (select all)

Flaccid uterus Excess vaginal bleeding

A nurse is caring for a client who is at 10 weeks gestation. Which one of the following findings should the nurse report to the provider?

Frequent vomiting with weight loss of 3 lb in 1 week

A nurse is caring for a client who is 15 weeks of gestation, is RH-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?

Fundal height measurement

A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?

Have calcium gluconate readily available.

A nurse is teaching a client who is at 35 wks of gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?

Headache that is unrelieved by analgesia

A nurse is caring for a newborn. Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn.

Indicated: Educate the parents to begin range of motion exercises on the affected arm after 1 week Assess for grasp reflex in the affected extremity Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt Contraindicated: Instruct parents to limit physical handling for 2 weeks

A nurse is reviewing the provider's prescription in the adolescent's medical chart. The nurse has just reviewed discharge instructions with the adolescent. Which of the following indicates whether the adolescent understands the teaching or requires further education? For each of the statements made by the adolescent, click to specify whether the statement indicates an understanding or requires further education.

Indicates Understanding: "I should continue taking all my medications even if I don't show any symptoms." "If I continue to get this type of infection, it can affect my ability to have kids in the future." "I'm more likely to get a sunburn while taking these medications." Requires Further Education: "I should go to the emergency department if my urine turns dark." "As long as I keep my IUD, I don't need to use condoms."

A nurse on an antepartum unit is caring for a client. Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the client.

Indication: Insert a large bore IV catheter Weigh perineal pads Contraindication: Administer methotrexate Assessing cervical dilation

A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?

Instruct the client to press the provided button each time fetal movement is detected.

A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?

Jaundice

A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initation of the oxytocin infusion and should be reported to the provider?

Late decelerations

A nurse is observing a new guardian for their crying newborn who is bottle feeding. Which actions by the guardian should the nurse recognize as a positive parenting behavior?

Lays the newborn across their lap and gently sways

A nurse is caring for a pt. following an amniocentesis at 18 wks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?

Leakage of fluid from the vagina

A nurse is caring for a postpartum pt who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?

Maintain the client on bed rest.

A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?

Minimal arm recoil

A nurse is caring for a client who is 15 weeks of gestation, is RH-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?

Monitor the FHR.

A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?

Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.

A nurse is reviewing the medical record of a newly admitted client who is 32 weeks of gestation. Which of the following conditons is an indication for fetal assessment using electronic fetal monitoring?

Oligohydramnios

A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?

Perform Leopold maneuvers.

For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each finding may support more than one disease process.

Poor Feeding: Hypoglycemia, Hyperbilirubinemia, Sepsis Decreased Temp: Hypoglycemia, Sepsis Respiratory Distress: Hypoglycemia, Sepsis Ecchymotic caput succedaneum: Hyperbilirubinemia Yellow sclera and oral mucosa: Hyperbilirubinemia, Sepsis Lethargy: Hypoglycemia, Sepsis

The nurse is reviewing laboratory results in the adolescent's medical record.

The nurse should anticipate a provider's prescription for doxycyline and ceftriaxone.

A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?

Reespiratory distress

A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbillirubinemia. Which of the following actions should the nurse include in the plan?

Remove all clothing from the newborn except the diaper.

A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?

Substernal retractions

A nurse is assessing a pt. who is at 30 wks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

Swelling of the face

A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as a priority?

Temperature

A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?

Temperature

A nurse is reviewing the provider's prescription in the adolescent's medical chart.

The nurse should first implement providing education on medications and administering ceftriaxone.

The nurse is reviewing laboratory results in the adolescent's medical record.

The adolescent is most likely developing pelvic inflammatory disease as evidenced by c-reactive protein.

A nurse is caring for a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider? Select the 3 findings that should be reported.

Unterine contractions Gestational age Vaginal examination

A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?

Verify the newborn's identification.

A nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?

Vomiting