CPNRE Maternal and Newborn Care 4

Question 1

A nurse is caring for a client at 38 weeks gestation who reports sudden, painless, bright red vaginal bleeding. Which condition does this presentation most likely indicate?

Accepted Answer

Placenta previa

Answer

Placenta previa typically presents with sudden, painless, bright red vaginal bleeding in the third trimester due to the placenta covering the cervical os.

Question 2

A postpartum client is being discharged after a cesarean birth. Which instruction is most important regarding activity restrictions?

Accepted Answer

Refrain from driving for at least 2 weeks or while taking opioid analgesics

Answer

Driving is contraindicated while taking opioid analgesics and typically for at least 2 weeks post-cesarean due to impaired reaction time and incisional pain.

Question 3

A newborn at 24 hours of life has a bilirubin level of 9 mg/dL. The nurse understands that physiological jaundice in term newborns typically appears:

Accepted Answer

Between 24 and 72 hours of life

Answer

Physiological jaundice in term newborns typically appears between 24 and 72 hours of life, distinguishing it from pathological jaundice which appears within the first 24 hours.

Question 4

A nurse is monitoring a client in active labour and notes late decelerations on the fetal monitor. What is the priority nursing action?

Accepted Answer

Reposition the client to the left lateral position

Answer

Repositioning to the left lateral position is the first priority action to relieve aortocaval compression and improve uteroplacental blood flow when late decelerations are noted.

Question 5

Which finding in a 2-day-old newborn should the nurse report to the physician immediately?

Accepted Answer

Respiratory rate of 68 breaths per minute

Answer

A respiratory rate of 68 breaths per minute exceeds the normal newborn range of 30–60 breaths per minute and requires immediate physician notification.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Maternal and Newborn Care 4