PN MATERNAL NEWBORN ONLINE PRACTICE B WITH
NGN
A nurse is contributing to the plan of care for a client who is pregnant and has
intermittent constipation. Which of the following interventions should the nurse
recommend in the plan? - Answers- Drink 2L of water per day
A nurse in a provider's office is reinforcing teaching with a client. Which of the following
statements should the nurse include? - Answers- "You might experience a metallic
taste in your mouth while taking your medication."
Rationale: A metallic taste in the mouth is a common adverse effect of metronidazole
and does not warrant notification of the provider.
A nurse is assisting with the neuromuscular assessment of a newborn by eliciting
primitive reflexes. Which of the following images indicates a characteristic response of
the tonic neck reflex? - Answers- Newborn's head is quickly turned to one side, the arm
and leg on the same side extended, while the arm and leg on the opposite side flex.
A nurse is reinforcing teaching with a client who has a new prescription for
medroxyprogesterone acetate injection for contraception. Which of the following
statements by the client indicates understanding of the teaching? - Answers- "I am
likely to gain weight while taking this medication"
A nurse is planning to perform a blood collection via heel stick on a newborn. After
performing hand hygiene and donning gloves, which of the following actions should the
nurse plan to take next? - Answers- Wrap the newborn's heel with a cloth moistened
with warm water.
Rationale: The nurse should first warm the newborn's heel by applying a cloth
moistened with warm water for 5 to 10 min. This will allow dilation of the vessels in the
area in order to obtain an adequate sample.
A nurse is reinforcing discharge teaching about home care with the parent of a newborn.
Which of the following instructions should the nurse include? - Answers- "Ensure the
water temperature during your newborn's bath is maintained at 100 degrees
Fahrenheit."
A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following
findings should the nurse report to the provider? - Answers- Perineal pad soaked in 15
min
Rationale: Perineal pad soaked in 15 minutes or less is a manifestation of postpartum
hemorrhage.
, A nurse is caring for a client who is in preterm labor and is receiving betamethasone.
Which of the following actions should the nurse take? - Answers- Inject the medication
into the clients vastus lateralis muscle.
Rationale: Administer the medication IM into the vastus lateralis muscle and administer
a second dose 24 hr later.
A nurse is reinforcing teaching about car seat safety with the guardian of a newborn.
Which of the following statements by the guardian indicates an understanding of the
teaching? - Answers- "I will position the retainer clip at the level of the baby's armpits."
A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of
the following statements should alert the nurse as a sign of a potential complication? -
Answers- "I have pain in my upper right abdomen."
Rationale: Epigastric pain can indicate hepatic involvement and severe preeclampsia.
A nurse is reinforcing teaching about nonstress test with a client who is at 33 weeks of
gestation. Which of the following statements should the nurse include? - Answers- "You
will press a button when you feel the baby move."
The nurse should assist the RN in taking which of the following actions based on the
most recent data collection findings? Select all that apply.
(a nurse is assisting with the care of a client who is in labor) - Answers- Discontinue the
magnesium infusion
Administer calcium gluconate
Apply oxygen at 10 L/min via nonrebreather mask
A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and
has just learned that the fetus has trisomy 21. Which of the following resources should
the nurse recommend for the client? - Answers- Genetic counseling
A nurse in an antepartum clinic is reviewing lab test results for a group of clients. The
nurse should notify the provider of which of the following results? - Answers-
Hematocrit 31%
Rationale: Below the expected reference range for a client who is pregnant.
A nurse on a postpartum unit is contributing to the discharge teaching plan of a client.
Which of the following instructions should the nurse suggest for the plan? - Answers-
Use a firm mattress in the newborn's crib
A nurse is collecting data from the parent of a newborn immediately following birth. The
parent states she is so tiny. We don't know how to pick her up without hurting her.
Which of the following actions should the nurse take first to promote parent-newborn
attachment? - Answers- Demonstrate to the parent how to hold the newborn.
NGN
A nurse is contributing to the plan of care for a client who is pregnant and has
intermittent constipation. Which of the following interventions should the nurse
recommend in the plan? - Answers- Drink 2L of water per day
A nurse in a provider's office is reinforcing teaching with a client. Which of the following
statements should the nurse include? - Answers- "You might experience a metallic
taste in your mouth while taking your medication."
Rationale: A metallic taste in the mouth is a common adverse effect of metronidazole
and does not warrant notification of the provider.
A nurse is assisting with the neuromuscular assessment of a newborn by eliciting
primitive reflexes. Which of the following images indicates a characteristic response of
the tonic neck reflex? - Answers- Newborn's head is quickly turned to one side, the arm
and leg on the same side extended, while the arm and leg on the opposite side flex.
A nurse is reinforcing teaching with a client who has a new prescription for
medroxyprogesterone acetate injection for contraception. Which of the following
statements by the client indicates understanding of the teaching? - Answers- "I am
likely to gain weight while taking this medication"
A nurse is planning to perform a blood collection via heel stick on a newborn. After
performing hand hygiene and donning gloves, which of the following actions should the
nurse plan to take next? - Answers- Wrap the newborn's heel with a cloth moistened
with warm water.
Rationale: The nurse should first warm the newborn's heel by applying a cloth
moistened with warm water for 5 to 10 min. This will allow dilation of the vessels in the
area in order to obtain an adequate sample.
A nurse is reinforcing discharge teaching about home care with the parent of a newborn.
Which of the following instructions should the nurse include? - Answers- "Ensure the
water temperature during your newborn's bath is maintained at 100 degrees
Fahrenheit."
A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following
findings should the nurse report to the provider? - Answers- Perineal pad soaked in 15
min
Rationale: Perineal pad soaked in 15 minutes or less is a manifestation of postpartum
hemorrhage.
, A nurse is caring for a client who is in preterm labor and is receiving betamethasone.
Which of the following actions should the nurse take? - Answers- Inject the medication
into the clients vastus lateralis muscle.
Rationale: Administer the medication IM into the vastus lateralis muscle and administer
a second dose 24 hr later.
A nurse is reinforcing teaching about car seat safety with the guardian of a newborn.
Which of the following statements by the guardian indicates an understanding of the
teaching? - Answers- "I will position the retainer clip at the level of the baby's armpits."
A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of
the following statements should alert the nurse as a sign of a potential complication? -
Answers- "I have pain in my upper right abdomen."
Rationale: Epigastric pain can indicate hepatic involvement and severe preeclampsia.
A nurse is reinforcing teaching about nonstress test with a client who is at 33 weeks of
gestation. Which of the following statements should the nurse include? - Answers- "You
will press a button when you feel the baby move."
The nurse should assist the RN in taking which of the following actions based on the
most recent data collection findings? Select all that apply.
(a nurse is assisting with the care of a client who is in labor) - Answers- Discontinue the
magnesium infusion
Administer calcium gluconate
Apply oxygen at 10 L/min via nonrebreather mask
A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and
has just learned that the fetus has trisomy 21. Which of the following resources should
the nurse recommend for the client? - Answers- Genetic counseling
A nurse in an antepartum clinic is reviewing lab test results for a group of clients. The
nurse should notify the provider of which of the following results? - Answers-
Hematocrit 31%
Rationale: Below the expected reference range for a client who is pregnant.
A nurse on a postpartum unit is contributing to the discharge teaching plan of a client.
Which of the following instructions should the nurse suggest for the plan? - Answers-
Use a firm mattress in the newborn's crib
A nurse is collecting data from the parent of a newborn immediately following birth. The
parent states she is so tiny. We don't know how to pick her up without hurting her.
Which of the following actions should the nurse take first to promote parent-newborn
attachment? - Answers- Demonstrate to the parent how to hold the newborn.
