RN Maternal Newborn Online Practice 2019 A with NGN
1. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease).
Which of the following actions should the nurse take?: Schedule an ultrasound
2. 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 the nurse report to the provider?: Fundal height measure-
ment
3. A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative
and just had an amniocentesis. Which of the following interventions is the
nurse's priority following the procedure?: Monitor the FHR
4. A nurse is providing education about family bonding to parents who re-
cently adopted a newborn. The nurse should make which of the following
suggestions to aid the family's 7 year old child in accepting the new family
member?: Obtain a gift from the newborn to present to the sibling.
5. 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
6. A nurse in a prenatal 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
7. A nurse is providing teaching to a client who 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.
8. A nurse is providing teaching to a client about the physiological changes
that occur during the pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following client
statements indicates an understanding of the teaching?: I will likely need to use
alternative positions for sexual intercourse.
9. 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
10. A nurse is preparing to collect a blood specimen from a newborn via a heel
stick. Which of the following techniques should the nurse use to help minimize
the pain of the procedure for the newborn?: Place the newborn skin to skin on
the mother's chest
11. A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse report
to the provider?: Weight gain of 2.2kg (4.8 lb)
1/6
, RN Maternal Newborn Online Practice 2019 A with NGN
12. 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 in-
clude?: You can still become pregnant if you are breastfeeding.
13. A nurse is caring for a client who is 3 days postpartum.: Action to take 1 -
Plan to administer IV antibiotics
Action to take 2 -
Obtain a culture of vaginal fluid using a sterile swab
Potential Complication - Endometritis
Parameter to monitor 1 - Temperature
Parameter to monitor 2 - Lochia amount and odor
14. A nurse is assessing a client who received carboprost for postpartum
hemorrhage. Which of the following findings is an adverse effect of this
medication?: Hypertension
15. A nurse is assessing a late preterm newborn. Which of the following
manifestation is an indication of hypoglycemia?: Respiration distress
16. A nurse is teaching a newly licensed nurse about collecting a specimen for
the universal newborn screening. Which of the following statements should
the nurse include in the teaching?: Ensure that the newborn has been receiving
feedings for 24 hours prior to obtaining the specimen.
17. A nurse is reviewing the prenatal laboratory results for a client who is at
12 weeks of gestation following an initial prenatal visit. Which of the following
laboratory findings should the nurse to the provider?: Hemoglobin 10g/dL
18. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?: Respiratory rate
10/min
19. A nurse is caring for a client who is anemic at 32 weeks gestation and is
in preterm labor. The provider prescribed betamethasone 12 mg IM . Which
of the following outcomes should the nurse expect?: A reduction in respiratory
distress in the newborn
20. A charge nurse on a labor and delivery unit is teaching a newly licensed
nburse how to perform Leopold Maneuvers. Which of the following images
indicates the first step of Leopold Maneuvers?: Nurse palpates the clients ab-
domen with the palms to determine which fetal part is in the uterine fundus.
21. A nurse is caring for a newborn who is 70 hr old.: Central nervous system
findings
Gastrointestinal findings
2/6
1. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease).
Which of the following actions should the nurse take?: Schedule an ultrasound
2. 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 the nurse report to the provider?: Fundal height measure-
ment
3. A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative
and just had an amniocentesis. Which of the following interventions is the
nurse's priority following the procedure?: Monitor the FHR
4. A nurse is providing education about family bonding to parents who re-
cently adopted a newborn. The nurse should make which of the following
suggestions to aid the family's 7 year old child in accepting the new family
member?: Obtain a gift from the newborn to present to the sibling.
5. 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
6. A nurse in a prenatal 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
7. A nurse is providing teaching to a client who 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.
8. A nurse is providing teaching to a client about the physiological changes
that occur during the pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following client
statements indicates an understanding of the teaching?: I will likely need to use
alternative positions for sexual intercourse.
9. 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
10. A nurse is preparing to collect a blood specimen from a newborn via a heel
stick. Which of the following techniques should the nurse use to help minimize
the pain of the procedure for the newborn?: Place the newborn skin to skin on
the mother's chest
11. A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse report
to the provider?: Weight gain of 2.2kg (4.8 lb)
1/6
, RN Maternal Newborn Online Practice 2019 A with NGN
12. 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 in-
clude?: You can still become pregnant if you are breastfeeding.
13. A nurse is caring for a client who is 3 days postpartum.: Action to take 1 -
Plan to administer IV antibiotics
Action to take 2 -
Obtain a culture of vaginal fluid using a sterile swab
Potential Complication - Endometritis
Parameter to monitor 1 - Temperature
Parameter to monitor 2 - Lochia amount and odor
14. A nurse is assessing a client who received carboprost for postpartum
hemorrhage. Which of the following findings is an adverse effect of this
medication?: Hypertension
15. A nurse is assessing a late preterm newborn. Which of the following
manifestation is an indication of hypoglycemia?: Respiration distress
16. A nurse is teaching a newly licensed nurse about collecting a specimen for
the universal newborn screening. Which of the following statements should
the nurse include in the teaching?: Ensure that the newborn has been receiving
feedings for 24 hours prior to obtaining the specimen.
17. A nurse is reviewing the prenatal laboratory results for a client who is at
12 weeks of gestation following an initial prenatal visit. Which of the following
laboratory findings should the nurse to the provider?: Hemoglobin 10g/dL
18. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?: Respiratory rate
10/min
19. A nurse is caring for a client who is anemic at 32 weeks gestation and is
in preterm labor. The provider prescribed betamethasone 12 mg IM . Which
of the following outcomes should the nurse expect?: A reduction in respiratory
distress in the newborn
20. A charge nurse on a labor and delivery unit is teaching a newly licensed
nburse how to perform Leopold Maneuvers. Which of the following images
indicates the first step of Leopold Maneuvers?: Nurse palpates the clients ab-
domen with the palms to determine which fetal part is in the uterine fundus.
21. A nurse is caring for a newborn who is 70 hr old.: Central nervous system
findings
Gastrointestinal findings
2/6
