CPNRE Maternal and Newborn Care 2

Question 1

A woman at 32 weeks gestation reports painless, bright red vaginal bleeding. Which condition does this presentation most suggest?

Accepted Answer

Placenta previa

Answer

Painless bright red vaginal bleeding in the third trimester is the classic presentation of placenta previa.

Question 2

A newborn receives a 1-minute Apgar score of 5. Which interpretation and action is correct?

Accepted Answer

Score of 5 indicates mild to moderate depression requiring stimulation and supplemental oxygen

Answer

Apgar 4-6 indicates mild to moderate depression requiring stimulation (drying, rubbing back) and supplemental oxygen.

Question 3

A nursing mother reports breast engorgement on postpartum day 2. Which advice should the practical nurse provide?

Accepted Answer

Feed frequently on demand, ensure proper latch, and apply warm compress before feedings

Answer

Frequent, effective breastfeeding with proper latch resolves engorgement; warm compresses before feeding stimulate let-down.

Question 4

During oxytocin infusion, the fetal heart rate drops from 140 to 80 bpm coinciding with each contraction and returning to baseline quickly. How should this be interpreted?

Accepted Answer

Early decelerations indicating head compression, normal finding

Answer

Decelerations that begin with contraction onset and return to baseline quickly (mirror contractions) are early decelerations from head compression, a benign finding.

Question 5

A client who delivered vaginally 6 hours ago has a fundal height at the umbilicus, deviated to the right, and a boggy uterus. What should the practical nurse suspect?

Accepted Answer

Bladder distension causing uterine displacement and atony

Answer

A boggy uterus deviated to the right 6 hours postpartum typically indicates bladder distension preventing effective uterine contraction.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Maternal and Newborn Care 2