obstetrics/maternity practice quiz
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just given birth to an 8-lb boy when dark red blood comes from the client's vagina. What action is most important for the PN to implement?
A. Continue to massage the fundus until firm.
The practical nurse (PN) quickly moves the crib of a male newborn and notices that his legs flex, arms fan out, and then return toward his midline. What action should the PN implement?
A. Document the newborn demonstrates a Moro reflex.
After repeating the vital signs for a newborn who is 4 hrs old, the practical nurse (PN) obtains an axillary temp of 97.2f and places the newborn under a radiant heat warmer. Which additional finding should the PN observe in the newborn?
A. Tremors of the hands during crying.
Which client should the practical nurse (PN) closely monitor for severe afterpains?
C. A multigravida who is breastfeeding.
A primiparous client asks the practical nurse (PN) how much her newborn baby boy should sleep every day. What information should the PN provide?
C. A newborn sleeps most of the day and gradually will have increasing periods of wakefullness.
A multiparou client's membrane rupture after hours of labor. Which action should the practical nurse implement at this time?
D. Assess the fetal heart rate (FHR) and pattern.
A father expresses concern that his -day-old infant looks "yellow". Which information should the practical nurse (PN) provide?
D. Physiology jaundice occurs from a normal reduction in red blood cells.
A mother who is preparing for discharge begins asking the practical nurse (PN) questions about bottle feeding her infant. What information should the PN reinforce?
B. Burp the newborn periodically during the feeding.
A yound adult female comes to the health clinic to confirm a positive home pregnancy test. After determining the client's last menstrual period (LMP) as August 5, what expected date of birth (EDB) should the practical nurse (PN) calculate?
B. May 12
The practical nurse places a newborn who is 4 hrs old with an axillary temp of 97.2F under the radiant heat warmer. which rationale supports the PN's actions?
B. The newborn's thin layer of subcutaneous fat provides poor insulation.
