Maternal Newborn Practice Test B (with Rationale)

1) A nurse is planning care for a client who is to undergo an NST. Which of the following

actions should the nurse include in the plan of care?

- Instruct the client to press the button provided each time fetal movement is detected.

Fetal movement may not be evident on the fetal monitor and tracing.

Instructing the client to press the button when she detects fetal movement will

ensure that the fetal movement is noted.

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2) A nurse in 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 CI to oral contraceptives?

- Cholecystitis is correct. A history of gallbladder disease is a contraindication for

the use of oral contraceptives.

- Hypertension is correct. Hypertension is a contraindication for the use of oral

contraceptives.

- Migraine headaches is correct. A history of migraine headaches is a

contraindication for the use of oral contraceptives.

3) A nurse is preparing to administer azithromycin to a client who is 16 weeks and has a

positive chlamydia culture. The prescription states "administer azithromycin 1g orally

now." Available is 250mg tablets. How many tablets should you give?

- 4

4) 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 med?

- Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.

- Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility,

decreasing vaginal bleeding.

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5) A nurse is teaching a client who has a new prescription for combined oral contraceptives

about AE of the medication. For which of the following findings should the nurse instruct

the client to notify the provider?

- SOB

The nurse should instruct the client to notify the provider immediately of any

shortness of breath. Shortness of breath and chest pain can indicate a

pulmonary embolus or myocardial infarction. Also, the nurse should instruct

the client to notify the provider of other adverse effects that can indicate

potential complications, including abdominal pain, sudden or persistent

headaches, blurred vision, and severe leg pain.

6) A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has

determined the fetal position as left occipital anterior. To which of the following areas of

the client’s abdomen should the nurse apply the ultrasound transducer to assess the point

of maximum intensity of the fetal heart?

- LLQ

The fetal heart tones of a fetus in the left occipital anterior position are best

heard in the LLQ.

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7) A nurse is caring for a newborn who has 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.

When using the safety/risk reduction approach to client care, the first action

the nurse should take is to verify the newborn's identity upon arrival to the

nursery.

8) 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."

Clients who have hyperemesis gravidarum should eat foods they like in order

to avoid nausea, rather than trying to consume a well-balanced diet.

9) A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2

weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the

following responses should the nurse make?

- "You can miss your period for several other reasons. Describe your typical menstrual

cycle."

Amenorrhea is a presumptive sign of pregnancy, not a positive sign.

Therefore, the nurse should explore the client's menstrual cycle to determine

other necessary interventions.

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10) A nurse on an antepartum unit is caring for 4 pts. Which of the following pts. should the

nurse identify as the priority?

- A client who is at 34 weeks of gestation and reports epigastric pain.

When using the urgent vs nonurgent approach to client care, the nurse should

assess the client who reports epigastric pain. Epigastric pain is a

manifestation of preeclampsia and indicates hepatic involvement, which is an

urgent finding. Therefore, the nurse should identify this client as the priority.

11) A nurse is calculating a client's expected d.o.b using Naegele’s rule. The client tells the

nurse that her last menstrual cycle started on Nov. 27th. Which of the following dates is

the client's expected d.o.b.?

- September 3rd

When using Naegele’s rule to calculate the estimated date of birth for a client,

the nurse should subtract 3 months from the first day of the client's last

menstrual cycle and then add 7 days. November 27th minus 3 months equals

August 27th. August 27th plus 7 days equals September 3rd.

12) A nurse in a women's is providing teaching about nutritional intake to a client who is at 8

weeks of gestation. The nurse should instruct the client to increase her daily intake of

which of the following nutrients?

- Iron

The recommendation for iron intake during pregnancy is higher than that for

women who are not pregnant. For women who are pregnant, it is 27 mg/day.

For women who are not pregnant, it is 15 mg/day for women younger than 19

years old and 18 mg/day for women between the ages of 19 and 50 years old.

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