Learning System RN 3.0 Maternal
Newborn Final Quiz 2024
A nurse is assessing a client on the first postpartum day. Findings include fundus firm
and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra
with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the
following actions should the nurse take? -Answer-Ask the client when she last voided
A nurse is preparing to administer naloxone to a newborn. Which of the following
conditions can require administration of this medication? -Answer-IV narcotics
administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute
narcotic toxicity, which can result from IV narcotics administration during labor.
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for
induction of labor. Which of the following statements should the nurse make? -Answer-
An epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually find the
progression of their labor to slow. The medication depresses the central nervous
system. Therefore, it will take longer for the cervix to dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of
the following instructions should the nurse provide the client? -Answer-You should eat
some crackers before rising from bed in the morning
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
following situations should the nurse administer Rh(D) Immune Globulin? -Answer-At 28
weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and
has Rh-negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of
passive antibodies against the Rh factor, which will destroy any fetal RBCs in the
maternal circulation and block maternal antibody production.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat
preterm labor. Which of the following clinical manifestations in the newborn indicates
toxicity due to the magnesium sulfate therapy? -Answer-Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use
disorder. Which of the following nursing actions should the nurse identify as a
contraindication for the care of the newborn? -Answer-Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical record? -Answer-Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis.
In this case, the occipital bone is the presenting part and is located anteriorly in the
client's right side. Based on the presentation of the fetus, the position is vertex.
Newborn Final Quiz 2024
A nurse is assessing a client on the first postpartum day. Findings include fundus firm
and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra
with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the
following actions should the nurse take? -Answer-Ask the client when she last voided
A nurse is preparing to administer naloxone to a newborn. Which of the following
conditions can require administration of this medication? -Answer-IV narcotics
administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute
narcotic toxicity, which can result from IV narcotics administration during labor.
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for
induction of labor. Which of the following statements should the nurse make? -Answer-
An epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually find the
progression of their labor to slow. The medication depresses the central nervous
system. Therefore, it will take longer for the cervix to dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of
the following instructions should the nurse provide the client? -Answer-You should eat
some crackers before rising from bed in the morning
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
following situations should the nurse administer Rh(D) Immune Globulin? -Answer-At 28
weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and
has Rh-negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of
passive antibodies against the Rh factor, which will destroy any fetal RBCs in the
maternal circulation and block maternal antibody production.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat
preterm labor. Which of the following clinical manifestations in the newborn indicates
toxicity due to the magnesium sulfate therapy? -Answer-Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use
disorder. Which of the following nursing actions should the nurse identify as a
contraindication for the care of the newborn? -Answer-Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical record? -Answer-Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis.
In this case, the occipital bone is the presenting part and is located anteriorly in the
client's right side. Based on the presentation of the fetus, the position is vertex.
