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Worksheetsati mat newborn proctored
Total questions: 63
Worksheet time: 32mins
A nurse is providing discharge teaching to a client following tubal ligation (occlusion). Which of the following statement by the client indicates an understanding of the teaching?
“premenstrual tension will no longer be present.”
"Ovulation will remain the same"
“Hormone replacements will be needed following this procedure.”
“My monthly menstrual period will be shorter.”
A nurse is assessing a newborn following forceps-assisted birth. Which of the following
clinical manifestations should the nurse identify as a complication of the birth method?
Hypoglycemia
Polycythemia
Facial palsy
Bronchopulmonary dysplasia
A nurse is providing teaching about terbutaline to a client who is experiencing preterm
labor. Which of the following statements by the client indicates understanding of the
teaching?
"This medication could cause me to experience heart palpitations"
“This medication could cause me to experience blurred vision.”
“This medication could cause me to experience ringing in my ears.”
“This medication could cause me to experience frequent urination.”
A nurse is caring for a client who is in labor and requests nonpharmacological pain
management. Which of the following nursing actions promotes client comfort?
Assisting the client into squatting position
Having the client lie in a supine position
Applying fundal pressure during contractions
Encouraging the client to void every 6 hrs.
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which
of the following findings should the nurse expect?
Thick, White Vaginal Discharge
Urinary Frequency
Vulva lesions
Malodorous discharge
A nurse is caring for a client who is at 14 weeks of gestation. At which of the following
locations should the nurse place the doppler device when assessing the fetal heart rate?
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
Left Upper Abdomen
Two fingerbreadths above the umbilicus
Lateral at the Xiphoid Process
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Urine protein concentration 200 mg/24 hr.
Creatinine 0.8 mg/ dL
Hemoglobin 14.8 g/ dL
Platelet Count 60,000/ mm3
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Which of the following adverse effect should the nurse include?
Tinnitus
Urinary frequency
Breast tenderness
Chills
A nurse is assessing a newborn upon admission to the nursery. Which of the following
should the nurse expect?
Bulging fontanels
Nasal flaring
Length from head to heel of 40 cm (15.7 in)
Chest circumference 2 cm (0.8 in) smaller than the head circumference
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of
the following interventions should the nurse include in the plan of care?
Increase the newborn’s visual stimulation
Weigh the newborn every other day
Discourage parental interaction until after a social evaluation
Swaddle the newborn in a flexed position
A nurse is caring for a newborn who is 6 hrs. old and has a bedside glucometer reading of
65 mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following
actions should the nurse take?
Obtain a blood sample for a serum glucose level
Feed the newborn immediately
Administer 50 mL of dextrose solution IV
Reassess the blood glucose level prior to the next feeding.
A nurse is providing teaching to a client about exercise safety during pregnancy. Which
of the following statements by the client indicates an understanding of the teaching?
(Select all that apply).
“I will limit my time in the hot tub to 30 minutes after exercise.”
“I should consume three 8-ounce glasses of water after I exercise.”
“I will check my heart rate every 15 minutes during exercise sessions.”
“I should limit exercise sessions to 30 minutes when the weather is humid.”
“I should rest by lying on my side for 10 minutes following exercise.”
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
Contraction durations of 95 to 100 seconds
Contraction frequency of 2 to 3 min apart
Absent early deceleration of fetal heart rate
Fetal heart rate is 140/min
A nurse in a woman’s health clinic is obtaining a health history from a client. Which of
the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)?
Recurrent cystitis
frequent alcohol use
use of oral contraceptives
Chlamydia infection
A nurse is teaching a prenatal class about immunizations that newborns receive following
birth. Which of the following immunizations should the nurse include in the teaching?
Hepatitis B
Rotavirus
Pneumococcal
Varicella
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan
diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the
highest amount of calcium?
1⁄2 cup cubed avocado
1 large banana
1 medium potato
1 cup cooked broccoli
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?
The client expels the placenta.
The client experiences gradual dilation of the cervix
The client begins to have regular contractions.
The client delivers the newborn.
A nurse is assessing a client who is at 37 weeks (about 8 and a half months) of gestation. Which of the following statement by the client requires immediate intervention by the nurse?
"It burns when I urinate."
“My feet are really swollen today.”
“I didn’t have lunch today, but I had breakfast this morning.”
“I have been seeing spots this morning.”
A nurse is providing discharge teaching to a new parent about car seat safety. Which of
the following statement by the parent indicates an understanding of the teaching?
“I should position my baby’s car seat at a 45-degree angle in the car.”
“I should place the car seat rear facing until my baby is 12 months old.”
“I should place the harness snugly in a slot above my baby’s shoulders.”
“I should position the retainer clip at the top of my baby’s abdomen.”
A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
The mother is Rh positive, and the father is Rh negative.
The mother is Rh negative, and the father is Rh positive.
The mother and the father are both Rh positive.
The mother and the father are both Rh negative.
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of
the following clients should the nurse assess first?
A client who has diabetes mellitus and an HbA1c of 5.8%
A client who has preeclampsia and a creatinine level of 1.1 mg/ dL
A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
A client who has placenta previa and a hematocrit of 36%
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
Molding
Vernix caseosa
Acrocyanosis
Sternal retractions
A nurse on the postpartum unit is caring for four clients. For which of the following
clients should the nurse notify the provider?
A client who has a urinary output of 300 ml in 8 hr.
A client who reports abdominal cramping during breastfeeding
A client who is receiving magnesium sulfate and has absent deep tendon reflexes.
A client who reports lochia rubra requiring changing perineal pads every 3 hr.
A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer?
Metronidazole
Penicillin
Acyclcovir
Gentamicin
A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?
Hyperemesis
Proteinuria
Hypoxia
Hemorrhage
A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion
for labor induction. Which of the following interventions should the nurse include in the
plan?
Increase the infusion rate every 30 to 60 min.
Maintain the client in a supine position.
Titrate the infusion rate by 4 milliunits/min.
Limit IV intake to 4 L per 24 hr.
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes
late decelerations of the fetal heart rate on the monitor Tracing. Which of the following
action should the nurse take?
Decrease maintenance IV solution infusion rate.
Place the client in lateral position
Administer misoprostol 25 mcg vaginally
Administer oxygen via face mask at 2 L/min
A nurse is planning care for a client who is pregnant and has HIV. Which of the following
actions should the nurse include in the plan of care?
Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation.
Use a fetal scalp electrode during labor and delivery.
Administer a pneumococcal immunization to the newborn within 4 hrs. following birth.
Bathe the newborn before initiating skin-to-skin contact
A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2
hrs. postpartum and has a boggy uterus. For which of the following assessment findings
should the nurse withhold the medication?
Blood pressure 142/92 mm Hg
Urine output 100 mL in hr.
Pulse 58/min
Respiratory rate 14/min
A nurse is reviewing laboratory results for client who is pregnant. The Nurse should
expect which of the following laboratory values to increase?
RBC count
Bilirubin
Fasting blood glucose
BUN
A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?
A client who has an ultrasound that confirms a molar pregnancy
A client who has a crown-rump length of 7 weeks gestation
A client who has a positive urine pregnancy test 1 week after missed menses
A client who has felt quickening for the first time.
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
Dress the newborn in lightweight clothing.
Avoid using lotion or ointment on the newborn skin.
Keep the newborn supine throughout treatment
Measure the newborn’s temperature every 8hr
A nurse is receiving laboratory results for a term newborn who is 24 hrs. old. Which of
the following results require intervention by the nurse?
WBC count 10,000/mm3
Platelets180,000/mm3
Hemoglobin 20g/dL
Glucose 20 mg/dL
A nurse is assessing a client following an amniocentesis. Which of the following findings
should the nurse recognize as complications? (select all that apply).
Amnionitis
Urinary tract infection
Leakage of amniotic fluid
Polyhydramnios
Preterm labor
A nurse on a labor and delivery unit is reviewing infection control standards with a newly
licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for
which of the following procedures?
Assisting a mother with breastfeeding
Performing a newborns initial bath
Administering the measles, mumps, rubella vaccine
Performing umbilical cord cares
A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2 months of pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
“I will count baby’s kicks every other day.”
“I will alternate the arm use to check my blood pressure.”
“I will check my urine for protein daily.”
“I will consume 50 grams of protein daily.”
A nurse is caring for four newborns. Which of the following newborns should the nurse
assess first?
Newborn who has nasal flaring
newborn who has subconjunctival hemorrhage of the left eye
A newborn who has overlapping suture lines
A newborn who has rust-stained urine
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for infection.
Meconium-stained fluid
Placenta previa
Midline episiotomy
Gestational hypertension
A nurse is caring for a client who is 4 hrs. postpartum and is experiencing hypovolemic
shock. Which of the following actions should the nurse take?
Administer indomethacin orally
Insert a second IV using a 22-gauge IV catheter
Insert an indwelling urinary catheter
Administer oxygen at 2 L/min via nasal cannula.
A nurse is teaching a client who is 28 weeks of gestation and not up to date on current
immunization. Which of the following immunizations should the nurse inform the client
to anticipate receiving following birth?
Pneumococcal
Hepatitis B
Human papilloma virus
Rubella
A nurse is caring for a newborn who is 24 hrs. old. Which of the following Laboratory
findings should the nurse report to the provider?
Hgb 20 g/dL
Bilirubin 2mg/dL
Platelets 200,000/mm3
WBC count 32,000/mm3
A nurse is caring for newborn who is 1 hr. old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.10C (97F). Which of the following actions should the nurse take?
Give the newborn a warm bath.
Reposition the newborn.
Apply a cap to the newborn head
Obtain an oxygen saturation level
A nurse is planning care for a newborn who is scheduled to start phototherapy using a
lamp. Which of the following actions should the nurse include in the plan?
Apply a thin layer of lotion to the newborn skin every 8 hrs.
Give the newborn 1oz of glucose water every 4 hrs.
Ensure the newborn eyes are closed beneath the shield.
Dress the newborn in a thin layer of clothing during therapy
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which
of the following statement should the nurse make?
“You can bathe and dress your baby if you’d like to.”
"If you don't hold the baby, it will make letting go much harder."
“You should name the baby so she can have an identity.”
“I’m sure you will be able to have another baby when you’re ready.”
A nurse is providing teaching to a client who is at 38 weeks of gestation and has a
prescription to receive misoprostol intravaginally. Which of the following statement
should the nurse make?
“You will need to stay in a side-lying position for 30 minutes after each dose.”
“You will receive an IV infusion of oxytocin 1 hour after your last dose.”
“You will receive a magnesium supplement immediately following therapy.”
“You will need to have a full bladder before the therapy begins.”
A nurse is assessing a newborn who was born post-term. Which of the following findings
should the nurse expect?
Nails extending over tips of fingers
Large deposits of subcutaneous fat
Pale, translucent skin
Thin covering of fine hair on shoulders and back
A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the
teaching?
“Thawed breast milk can be refrigerated for up to 72 hours.”
“Breast milk can be stored in a deep freezer for 12 months.”
“Breast milk can be stored at room temperature for up to 12 hours.”
“Thawed breast milk that is unused can be refrozen.”
A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune Globulin to prevent RH- immunization?
A Rh-negative mother who has a Rh-positive infant
A Rh-positive mother who has a Rh-negative infant
A Rh-positive mother who has a Rh-positive infant
A Rh-negative mother who has a Rh-negative infant
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Provide a stimulating environment
Monitor blood glucose level every hr.
Initiate seizure precautions
Place the infants on his back with legs extended.
A nurse is reviewing signs of effective breastfeeding with a client who is 5 days
postpartum. Which of the following information should the nurse include in the teaching?
“You should feel a tugging (pulling) sensation when the baby is sucking."
"You should expect your baby to have two to three wet diapers in 24 hours period"
“Your baby’s urine should appear dark and concentrated”
“Your breast should stay firm after the baby breastfeeds”
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which
of the following information should the nurse include in the teaching?
“This test will confirm fetal lung maturity “
“This test will determine adequacy of placental perfusion”
"This test will detect fetal infection"
“This test will predict maternal readiness for labor”
A nurse on the labor and delivery unit is assessing four clients. Which of the following
clients is a candidate for an induction of labor with misoprostol?
A client who has active genital herpes
A client who has gestational diabetes mellitus
A client who has a previous uterine incision
A client who has placenta previa
A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate
by continuous IV infusion. Which of the following findings should the nurse reports to
the provider?
Blood pressure 148/94 mmHg
Respiratory rate 14 breath/min
Urinary output 20 mL/hr.
2+ deep tendon reflexes
A nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0 to 10. Which of the following actions should the nurse take?
Instruct the client to use effleurage
Apply counter pressure to the client sacral.
Assist the client with patterned-paced breathing.
Teach the client the technique of biofeedback.
A community health nurse is providing education on gestational diabetes mellitus (GDM)
to a group of clients who are pregnant when discussing risk factors, which of the
following ethnicities should the nurse identify as having the lowest incidence of GDM?
Asain
Non-Hispanic, white american
Hispanic
African American
A nurse is providing teaching about expected changes during pregnancy to a client who is
at 24 weeks of gestation. Which of the following information should the nurse include?
“Your stomach will empty rapidly”
“You should expect your uterus to double in size”
“You should anticipate nasal stuffiness”
“Your nipples will become lighter in color”
A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?
“your contraction will become more intense when walking”
“you will have dilation and effacement of the cervix”
“you will have bloody show”
“your contraction will become temporarily regular”
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
The nurse should monitor for which of the following findings as an adverse effect of the medication?
Hypnosis
Polyuria
Bilateral crackles
Hyperglycemia
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Group B strep culture
1-hr glucose tolerance test
Rubella titer
Blood type and Rh
A nurse is caring for a client who has bacterial vaginosis. Which of the following
medication should the nurse expect to administer?
Cefazolin
Metronidazole
Fluconazole
Acyclovir
A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which
of the following actions should the nurse take?
Place a snug dressing on the client’s nipple when not breastfeeding.
Ensure the newborn’s mouth is wide open before latching to the breast.
Encourage the client to limit the newborn’s feeding to 10 min on each breast.
Instruct the client to begin the feeding with the nipple that is most tender.
A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the
following finding should the nurse expect?
Minimal arm recoil
Popliteal angle of less than 90
Creases over the entire sole
Sparse (thin) lanugo
A nurse on a labor and delivery unit is providing teaching to a client who plans to use
hypnosis to control labor pain. Which of the following information should the nurse include?
Focusing on controlling body functions
“Synchronized breathing will be required during hypnosis”
“Hypnosis can be beneficial in you practiced it during the prenatal period”
“Hypnosis does not work for controlling pain associated with labor”
