Practice Mode Assessment

End

No.

1 :
A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?

External ultrasound transducer monitor

Internal fetal scalp electrode

Transvaginal fetal Doppler probe

DeLee-Hillis fetoscope

Hint : 🧼When membranes are intact, a method that avoids insertion is usually preferred for monitoring fetal status.

Correct Answers:

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2 :
A nurse is caring for a client who is postpartum and has mastitis.

Repeat cesarean birth 3 days ago

Area of erythema and warmth in upper, outer quadrant of left breast.

Cracking of nipples noted bilaterally.

Client reports body aches, chills, headache, and pain in left breast.

Client reports tenderness of left breast upon palpation.

WBC count 28,000/mm3 (5,000 to 10,000/mm3)

Hgb 13 g/dL (11 to 16 g/dL)

Hct (33% to 47%)

Blood pressure 130/84 mm Hg

Heart rate 106/min

Respiratory rate 20/min

Temperature 38.9°C (102.1°F)

The nurse is assessing the client 24 hrs later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving or an indication that the client's conditions is worsening.

Findings 24hrs later	Unrelated to Diagnosis	Sign of potential improvement	Indication of Potential Worsening Condition
Moderate lochia rubra
WBC count 35,000/mm³
Purulent nipple discharge
Temperature 38.4°C (101.1°F)
Hgb 12 g/dL
Client reports decreased level of pain

Hint : 🧠Focus on findings that directly reflect infection activity, systemic inflammation, or symptom relief when deciding whether the condition is improving or worsening.

Correct Answers

Moderate lochia rubra [ Unrelated to Diagnosis ]
WBC count 35,000/mm³ [ Indication of Potential Worsening Condition ]
Purulent nipple discharge [ Indication of Potential Worsening Condition ]
Temperature 38.4°C (101.1°F) [ Indication of Potential Worsening Condition ]
Hgb 12 g/dL [ Unrelated to Diagnosis ]
Client reports decreased level of pain [ Sign of potential improvement ]

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3 :
A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?

Initiate oxytocin via continuous IV infusion prior to the procedure.

Perform a surgical timeout while the client is in the preoperative holding area.

Insert an indwelling urinary catheter immediately following the procedure.

Apply sequential compression devices prior to the procedure.

Hint : ✅One critical step before surgery involves confirming patient identity and procedure details.

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4 :
A nurse is providing discharge teaching to a new guardian about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

“I should position my baby's car seat at a 45° angle in the car.”

“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."

“I should place the car seat rear-facing until my baby is 12 months old."

Hint : 🎯Angle and positioning are crucial for preventing airway obstruction in newborns during transport.

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5 :
A nurse is caring for a newborn who is 5 days old.

Newborn exhibits a continuous high-pitched cry and has minimal sleep. Tremors and hyperactive Moro reflex noted. Increased muscle tone and excessive sucking observed. Newborn has uncoordinated sucking and swallowing during feeding.

History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy.

Maternal and neonatal positive urine drug screens for methadone.

Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).

Heart rate 172/min

Temperature 38.2°C (100.8°F)

Respiratory rate 80/min

Which of the following actions should the nurse take? Select all that apply.

Answer Options

Swaddle the newborn with flexed extremities.

Plan to administer naloxone.

Maintain a low stimulation environment.

Instruct the parent to avoid breastfeeding.

Weigh the newborn daily.

Instruct the parent to avoid eye contact with the newborn during feeding.

Perform Ballard newborn screening each shift.

Hint : 🎧Babies with withdrawal symptoms benefit from decreased environmental input and consistent monitoring.

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6 :
A nurse is caring for a client who is at 28 weeks of gestation and has been diagnosed with HELLP syndrome.

Client is awake, alert, and oriented

Client reports right upper quadrant abdominal pain of 8 on a 0 to 10 scale

Client reports fatigue and headache

Client's skin is warm to the touch and flushed

Temperature 37°C (98.6°F)

Heart rate 110/min

Respiratory rate 28/min

BP 210/105 mm Hg

FHR 160/min with minimal variability

History of preeclampsia

History of tinnitus

Epigastric pain

Primigravida

Platelets 90,000/mm' (150,000 to 40,000/mm3)

Aspartate aminotransferase (AST) 80 units/L (0 to 35 units/L)

Alanine aminotransferase (ALT) 40 units/L (4 to 36 units/L)

BUN 30 mg/dL (10 to 20 mg/dL)

Uric acid 15 mg/dL (2.7 to 7.3 mg/dL)

Hgb 9 g/dL (greater than 11 g/dL)

Hct 24.4% (greater than 33%)

PT 14 seconds (11 to 12.5 seconds)

The nurse is assessing the client 1 5 min later. How should the nurse interpret the following findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.

Findings 15 minutes later	Unrelated to Diagnosis	Indication of Potential Improvement	Indication of Potential Worsening Condition
BP 180/100 mm Hg
FHR 80/min with absent variability
Client reports sharp, stabbing abdominal pain
PT 12 seconds
Moderate maternal bleeding
Client reports ringing in ears

Hint : 🧠Focus on changes that signal worsening organ dysfunction, coagulation status, and fetal well-being when interpreting disease progression.

Correct Answers

BP 180/100 mm Hg [ Indication of Potential Worsening Condition ]
FHR 80/min with absent variability [ Indication of Potential Worsening Condition ]
Client reports sharp, stabbing abdominal pain [ Indication of Potential Worsening Condition ]
PT 12 seconds [ Indication of Potential Improvement ]
Moderate maternal bleeding [ Indication of Potential Worsening Condition ]
Client reports ringing in ears [ Unrelated to Diagnosis ]

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7 :
A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?

“I will compress the bulb syringe after I place it in my baby's mouth."

“I will place my baby on their side to sleep."

“I will give my baby a tub bath once daily."

“I will expect my baby’s umbilical cord to fall off in a couple of weeks."

Hint : 🌱Some changes after birth involve natural separation of fetal structures.

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8 :
A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?

The fetus had four limb movements in 30 min.

The fetus had 20 seconds of sustained breathing movements in 30 min.

Nonreactive nonstress test.

Amniotic fluid index of 1 cm.

Hint : 💪When evaluating fetal well-being, look for sufficient motor activity in the profile.

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9 :
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hrs ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

History of human papillomavirus

History of uterine atony

Labor induction with oxytocin

Vacuum-assisted delivery

Newborn weight 2.948 kg (6 lb 8 oz)

Hint : 🩸Anything that overstimulates or injures the uterus can increase bleeding risks after delivery.

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10 :
A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?

Persistent headaches

Abdominal bloating

Breast tenderness

Nausea

Hint : 🔔A sudden or persistent neurological symptom during contraceptive use is often more dangerous than discomfort.

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Total Questions: 10

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RN Maternal Newborn 2023 Exam-3

No.

1 : A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?

2 : A nurse is caring for a client who is postpartum and has mastitis.

Correct Answers

3 : A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?

4 : A nurse is providing discharge teaching to a new guardian about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

5 : A nurse is caring for a newborn who is 5 days old.

Answer Options

6 : A nurse is caring for a client who is at 28 weeks of gestation and has been diagnosed with HELLP syndrome.

Correct Answers

7 : A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?

8 : A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?

9 : A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hrs ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

10 : A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?

1 :
A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?

2 :
A nurse is caring for a client who is postpartum and has mastitis.

3 :
A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?

4 :
A nurse is providing discharge teaching to a new guardian about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

5 :
A nurse is caring for a newborn who is 5 days old.

6 :
A nurse is caring for a client who is at 28 weeks of gestation and has been diagnosed with HELLP syndrome.

7 :
A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?

8 :
A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?

9 :
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hrs ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

10 :
A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?