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Maternal Newborn NCLEX Prep- Postpartum/Newborn

Total questions: 20

Worksheet time: 15mins

Name
Class
Date
1.

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

a)

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

b)

"Injectable progestins cannot be taking while breastfeeding"

c)

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

d)

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

2.

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.

a)

breastfeeding is not recommended

b)

an allergy to peanuts is a contraindication

c)

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

d)

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

3.

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

a)

lethargy

b)

tachypnea

c)

hypothermia

d)

sunken fontanel

e)

low serum glucose

4.

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.

a)

check V/S

b)

notify the HCP

c)

firmly massage the uterine fundus

d)

put the baby to breast

5.

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.

a)

providing the mother with an ordered abdominal binder

b)

taking the mother's vital signs

c)

checking the amount of lochia present

d)

assisting the mother with ambulation

e)

assisting the mother with breastfeeding

6.

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?

a)

today's weight is 6 # 9 oz (3Kg)

b)

the infants skin is peeling

c)

the infants breast tissue is swollen

d)

there is a yellow discharge from the infants right eye.

7.

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?

a)

advise the patient of community groups, and depression hotlines.

b)

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

c)

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

d)

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

8.

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?

a)

hypotension

b)

hypothyroidism

c)

diabetes mellitus

d)

peripheral vascular disease

9.

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?

a)

Intradermal

b)

Intratracheal

c)

Subcutaneous

d)

Intramuscular

10.

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?

a)

Nulbuphine

b)

Betamethasone

c)

RH Immune globulin

d)

Dinoprostone vaginal insert

11.

the nurse is monitoring a client in preterm labor who is receiving Magnesium sulfate. The nurse should monitor for which adverse affects of this medication. Select all that apply.

a)

Flushing

b)

Hypertension

c)

Increased Urine output

d)

Depressed respiration's

e)

Extreme muscle weakness

12.

The nurse in a newborn nursery is monitoring a preterm infant for respiratory distress syndrome. Which assessment findings should alert the nurse to the possibility of this syndrome. Select all that apply.

a)

Cyanosis

b)

Tachypnea

c)

Hypotension

d)

Retractions

e)

Audible grunts

13.

The postpartum nurse is providing instructions to the mother of a newborn with hyperbilirubinemia who is being breastfed. The nurse should provide which instruction to the mother?

a)

feed the newborn less frequently

b)

continue to breastfeed every 2-4 hours

c)

switch to bottle feeding the infant for the next 2 weeks

d)

stop breastfeeding and switch to bottle feeding permanently

14.

The nurse assisted with the birth of a newborn. which nursing action is the most effective in preventing heat loss by evaporation?

a)

warming the crib pad

b)

closing the doors to the room

c)

drying the infant with a warm blanket

d)

turning on the overhead radiant warmer

15.

The nurse is assessing a newborn after circumcision and notes the circumcised area is red with a small amount of bloody drainage. Which nursing action is the most appropriate?

a)

apply gently pressure

b)

reinforce the dressing

c)

document the findings

d)

contact the HCP

16.

The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign is noted, would be an early sign of excessive blood loss?

a)

a temperature of 100.4 (38 c)

b)

an increase in pulse rate from 88 to 102 bpm

c)

a blood pressure change from 130/88 to 124/80 mmHG

d)

an increase in the respiratory rate from 18 to 22 breaths/min

17.

The nurse is assessing the client in the fourth stage of labor and notes the fundus is firm, but that bleeding is excessive. Which should be the initial action?

a)

document the findings

b)

massage the fundus

c)

notify the HCP

d)

place the client in Trendelenburg

18.

On assessment of a postpartum client, the nurse notes that the uterus feels soft and boggy. The nurse should take which initial action?

a)

document the findings

b)

elevate the clients legs

c)

massage the fundus until its firm

d)

push on the uterus to assist in expressing clots

19.

A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in the care of the client?

a)

providing sitz baths

b)

encouraging fluid intake

c)

placing ice on the perineum

d)

motioning H&H levels

20.

The nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. the client required an episiotomy and has several hemorrhoids. What is the priority nursing consideration for this client?

a)

client pain level

b)

inadequate urinary output

c)

client perception of body changes

d)

potential for imbalanced body fluid volume