RN Maternal Newborn Online Practice 2019 A

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A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take?

  • A. Administer indomethacin
  • B. Insert a second using a 22-gauge IV catheter.
  • C. Insert an indwelling urinary catheter.
  • D. Administer oxygen at 4L/min via nasal cannula.
Correct Answer: B

Rationale: The priority action for a client experiencing hypovolemic shock is to restore circulating volume. Inserting a second IV using a 22-gauge catheter would allow for rapid administration of IV fluids to help restore blood volume and improve circulation. This intervention is crucial in managing hypovolemic shock to prevent further complications and stabilize the client's condition. Administering indomethacin, inserting an indwelling urinary catheter, or administering oxygen, while potentially necessary in some cases, are not the immediate priority in managing hypovolemic shock.

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The nurse is educating a client about Rh incompatibility. What statement indicates understanding?

  • A. Rh incompatibility only occurs in first pregnancies.
  • B. I will need Rho(D) immune globulin if my baby is Rh positive.
  • C. Rh incompatibility is treated with antibiotics.
  • D. Rh incompatibility does not affect the baby.
Correct Answer: B

Rationale: Rho(D) immune globulin prevents the mother's immune system from attacking Rh-positive fetal red blood cells.

What is the recommended response for a pregnant client reporting decreased fetal movements?

  • A. Encourage the client to lie on her left side
  • B. Schedule an immediate ultrasound
  • C. Advise monitoring for fetal heart rate decelerations
  • D. Instruct the client to monitor movements over the next 48 hours
Correct Answer: C

Rationale: Encouraging the client to monitor fetal movements can help identify any abnormalities early.

Be- tions before finding one that works.

  • A. Once you take the prescribed medication, you plan on teaching this client? will be cured of the infection.
  • B. Breastfeeding
  • C. Even though you don't experience symptoms,
  • D. Postpartum depression you can still spread the infection.
Correct Answer: C

Rationale: Option C is the most appropriate statement to make to the client because it addresses the reality of sexually transmitted infections (STIs). Many STIs can be transmitted even when the infected individual is not experiencing any symptoms. This is an important point to communicate to prevent the spread of the infection to other sexual partners. It emphasizes the need for practicing safe sex measures and getting tested regularly, regardless of the presence of symptoms. It is important for the client to understand that they can still be a carrier of the infection even if they are not displaying any noticeable symptoms.

A client in the third trimester reports severe itching without rash. What condition should the nurse suspect?

  • A. Cholestasis of pregnancy.
  • B. Preeclampsia.
  • C. Gestational diabetes.
  • D. Fungal infection.
Correct Answer: A

Rationale: Severe itching in pregnancy without a rash is commonly associated with cholestasis of pregnancy.

A client in labor is receiving epidural anesthesia. What is the priority nursing intervention?

  • A. Monitor maternal heart rate.
  • B. Assess for bladder distention.
  • C. Check maternal blood pressure frequently.
  • D. Encourage frequent position changes.
Correct Answer: C

Rationale: Frequent monitoring of maternal blood pressure is essential to detect and manage hypotension caused by epidural anesthesia.

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