Maternal Newborn NCLEX Prep- Postpartum/Newborn

A nurse provides education to a client who is 2 days postpartum about contraceptive methods. Which of the following statements indicates correct understanding.

• "A vaginal ring must be replaced every 3 months."

• "Injectable progestins cannot be taking while breastfeeding"

• "Diaphragms must be refitted with a weight gain of 5 pounds."

• "The basal body temperature can be influenced by stress."

A nurse provides education to a client who is 1 day postpartum about receiving a rubella vaccine. Which of the following instructions should be included.

• breastfeeding is not recommended

• an allergy to peanuts is a contraindication

• a method of contraception is required for the next 30 days.

• contact the provider if the injection site is sore within 24 hours.

A nurse should recognize which of the following as a manifestation of sepsis in the neonate? (Select all that apply)

• lethargy

• tachypnea

• hypothermia

• sunken fontanel

• low serum glucose

While assessing a 29 y/o G2 P2 who had a normal Spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action.

• check V/S

• notify the HCP

• firmly massage the uterine fundus

• put the baby to breast

A 26 y/o G1 P1 who underwent a Cesarean 24 hours ago tells the nurse she is having trouble breast feeding. Which tasks can be appropriately delegated to the Unlicensed assistive personnel. Select all that apply.

• providing the mother with an ordered abdominal binder

• taking the mother's vital signs

• checking the amount of lochia present

• assisting the mother with ambulation

• assisting the mother with breastfeeding

A full term newborn is in the clinic with his parents. he is 4 days old. His birth weight was 7lbs (3.2kg). Which assessment made by the nurse is the Most significant?

• today's weight is 6 # 9 oz (3Kg)

• the infants skin is peeling

• the infants breast tissue is swollen

• there is a yellow discharge from the infants right eye.

A 22 year old woman is 6 weeks postpartum. In the clinic, she admits to crying everyday, feeling overwhelmed, and sometimes thinking she may hurt the baby. What would be the priority nursing action at this time?

• advise the patient of community groups, and depression hotlines.

• counsel the mother that the "baby blues' are common at this time and assess her nutrition, rest and availability of help at home.

• contact the HCP to evaluate the patient before allowing her to leave the clinic

• advise the woman that she cannot use medication for depression because she is breastfeeding,.

Methylergonovine is prescribed for a patient with postpartum hemorrhage. Before administering the medication, the nurse should contact the HCP if which condition is documented in the patients medical history?

• hypotension

• hypothyroidism

• diabetes mellitus

• peripheral vascular disease

The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route?

• Intradermal

• Intratracheal

• Subcutaneous

• Intramuscular

A client in preterm labor (31) weeks who is dilated to 4 cms has been started on Magnesium Sulfate and the contractions have stopped. If the clients labor can be stopped for the next 48 hours, which medication can the nurse anticipate a prescription for?

• Nulbuphine

• Betamethasone

• RH Immune globulin

• Dinoprostone vaginal insert