CPNRE Maternal and Newborn Care 5

Question 1

A nurse is assessing a newborn and notes the Moro reflex is absent on the right side only. This finding most likely indicates:

Accepted Answer

Possible brachial plexus injury (Erb's palsy)

Answer

A unilateral absent Moro reflex suggests brachial plexus injury (Erb's palsy), often associated with shoulder dystocia or difficult delivery.

Question 2

A postpartum client reports saturating more than one perineal pad per hour for two consecutive hours. The nurse's priority action is to:

Accepted Answer

Assess uterine fundal tone and notify the physician

Answer

Saturating more than one pad per hour indicates postpartum hemorrhage; the nurse must immediately assess uterine tone and notify the physician.

Question 3

When performing a newborn assessment using the APGAR score at 5 minutes, which score indicates the newborn requires continued close monitoring but no immediate resuscitation?

Accepted Answer

Score of 4–6

Answer

An APGAR score of 4–6 at 5 minutes indicates the newborn needs continued close monitoring and possible stimulation but typically does not require immediate resuscitation.

Question 4

A nurse is caring for a client receiving magnesium sulfate for severe preeclampsia. Which assessment finding requires the nurse to stop the infusion immediately?

Accepted Answer

Respiratory rate of 10 breaths per minute

Answer

A respiratory rate of 10 breaths per minute indicates magnesium toxicity and is a critical finding requiring immediate cessation of the infusion.

Question 5

A nurse assesses a client who is 12 hours postpartum and notes the uterine fundus is firm, displaced to the right, and located above the umbilicus. The most appropriate intervention is:

Accepted Answer

Assist the client to void or catheterize if unable to void

Answer

A displaced, elevated uterine fundus indicates bladder distension; assisting the client to void will allow the uterus to return to the midline.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Maternal and Newborn Care 5