LPN Maternal and Neonatal Nursing 2

Question 1

A nurse is assessing a postpartum client 2 hours after delivery. The fundus is firm, located 2 cm above the umbilicus, and deviated to the right. What is the most likely cause?

Accepted Answer

Urinary bladder distension

Answer

A deviated uterus, especially to the right, typically indicates a full bladder that is displacing the uterus.

Question 2

Which assessment finding in a newborn at 24 hours of life requires immediate nursing intervention?

Accepted Answer

Blood glucose of 38 mg/dL

Answer

A blood glucose below 40–45 mg/dL in a neonate indicates hypoglycemia and requires immediate feeding or IV dextrose.

Question 3

A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition should the nurse suspect first?

Accepted Answer

Placenta previa

Answer

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

Question 4

When performing a fundal assessment on a postpartum client, the nurse finds the fundus is boggy. What is the priority nursing action?

Accepted Answer

Perform uterine massage

Answer

A boggy fundus indicates uterine atony, and the first intervention is uterine fundal massage to stimulate contraction.

Question 5

The nurse is teaching a new mother about newborn care. Which statement about umbilical cord care is most accurate?

Accepted Answer

Keep the cord dry and expose it to air to promote drying

Answer

Keeping the cord dry and exposed to air promotes drying and separation, and current guidelines recommend dry care rather than antiseptic application.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Maternal and Neonatal Nursing 2