RN Maternal Newborn Online Practice 2023 A

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

-Central nervous system findings

-Gastrointestinal findings

A nurse on an antepartum unit is caring for a client.. Which of the following nursing actions should the nurse plan to take?

Weigh perineal pads--indicated

Administer methotrexate--contraindicated

Assess cervical dilation--contraindicated

Insert a large bore intravenous catheter--indicated

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

Vomiting

A nurse is a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (select all that apply.)

-Cholecystitis

-Hypertension

-Migraine headaches

A nurse is caring for a newborn. Which of the following actions should the nurse plan to implement.

Educate the parents to begin ROM exercises on the affected arm after 1 week: indicated

Assess for grasp reflex in the affected extremity: indicated

Immobilize the arm across the abdomen by pinning the newborns sleeve to their shirt: indicated

Instruct parent to limit physical handling for 2 weeks: contraindicated

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 in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider?

Fundal height measurement

A nurse is caring for a newborn who is 48 hr old. Complete the diagram by dragging from the choices below.

Actions to take:

1. Place newborn skin to skin on birthing parent's chest

2. Encourage birthing parent to breastfeed

Potential condition: Cold stress

Parameters to monitor:

1. Temperature

2. Blood glucose level

A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?

Report the client's condition to the local health department

A nurse is caring for a client who is at 10 weeks of gestation. Which 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 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 late preterm newborn. Which of the following manifestation is an indication of hypoglycemia?

Respiratory distress

A nurse is assessing a client who gave birth vagially 12 hr ago and palpates their 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 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

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

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

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 that apply.)

Flaccid uterus

Excess vaginal bleeding

A nurse is teaching a client who is at 35 weeks of gestation about 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 teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's 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 assessing a client who is at 30 weeks 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 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 in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?

Active

A nurse is caring for a 16 year old adolescent. Which of the following findings should the nurse report to the provider? Select all that apply.

-Abdominal assessment

-Vaginal discharge

-Temperature

-Dyspareunia

-Condom usage

A nurse in a clinic is caring for a 16 year old adolescent. Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings?

-Abdominal pain: gonorrhea

-Greenish discharge: trich, gonorrhea

-Diabetes: candidiasis

-Pain on urination: all three

-Absence of condom: trich and gonorrhea

The nurse is reviewing laboratory results in the adolescent's medical record. Which of the following conditions is the client most likely developing?

pelvic inflammatory disease, C-reactive protein

The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe?

Doxycycline and Ceftriaxone

The nurse is reviewing the provider's prescriptions in the adolescent's medical chart. The nurse should first implement _______ and _______.

providing education on medication and administering ceftriaxone

The nurse has just reviewed discharge instructions with the adolescent. Which of the following indicated whether the adolescent understands the teaching or requires further education?

"I should continue taking all my medications even if I dont show any symptoms": understanding

"If I continue to get this type of infection, it can affect my ability to have kids in the future": understanding

"I should go to the ED if my urine turns dark": requires further education

"As long as I keep my IUD, I don't need to use condoms"" requires further teaching

"Im more likely to get a sunburn while taking these medications": understanding

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

Oligohydramnios

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 caring for a client who is at 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 preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.

1. Palpate the 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 caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in their left calf. Which of the following actions should the nurse take?

Elevate the affected leg

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

Late decelerations

A nurse is caring for a newborn 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 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 in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that they are "happy one minute and crying the next." The nurse should interpret the client's statement as an 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 caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?

Have calcium gluconate readily available

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 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 is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?

Biophysical profile (BPP)

A nurse is teaching a client who is at 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 using levonorgestrel for emergency contraception. Which of the following information should the nurse include in the teaching?

"You should take the medication within 120 hours following unprotected sexual intercourse."

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 observing a new guardian caring for their crying infant who is bottle feeding. Which of the following 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 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

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 preparing to administer azithromycin tablets to a client who is at 16 weeks of gestation. Prescription states administer 1g orally now. Available are 250 mg tablets. How many tablets does the nurse administer?

4

Rationale: 1g=1000mg

100mg/250mg=4

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 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 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 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 mmHg

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 temp of 37.7 C (99.9 F)

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?

-Uterine contractions

-Gestational age

-Vaginal examination

A nurse is caring for a newborn. For each assessment finding, click to specify if the finding is consistent w/ hypoglycemia, hyperbilirubinemia, or sepsis.

-Yellow sclera and oral mucosa: hyperbilirubinemia and sepsis

-Respiratory distress: hypoglycemia, sepsis

-Poor feeding: all three

-Lethargy: hypoglycemia, sepsis

-Ecchymotic caput succedaneum: hyperbilirubinemia

-Decreased temperature: hypoglycemia, sepsis

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 caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?

Leakage of fluid from the vagina