LPN Maternal and Neonatal Nursing 3

Question 1

A nurse is caring for a client with preeclampsia who is receiving magnesium sulfate. Which assessment finding requires the nurse to hold the medication and notify the provider?

Accepted Answer

Respiratory rate of 10 breaths/min

Answer

A respiratory rate below 12 breaths/min indicates magnesium toxicity, which can cause respiratory depression and arrest.

Question 2

Which breastfeeding position is most beneficial for a mother who delivered by cesarean section to avoid incision discomfort?

Accepted Answer

Football (clutch) hold

Answer

The football hold keeps the infant away from the abdominal incision, making it the most comfortable position after a cesarean delivery.

Question 3

A newborn's APGAR score at 1 minute is 5. What is the most appropriate nursing action?

Accepted Answer

Provide stimulation and supplemental oxygen, then reassess at 5 minutes

Answer

An APGAR score of 4–6 indicates moderate depression requiring stimulation and supplemental oxygen, with reassessment at 5 minutes.

Question 4

A nurse is teaching a pregnant client about warning signs. Which symptom should the client report immediately during the third trimester?

Accepted Answer

Sudden decrease in fetal movement

Answer

A sudden decrease in fetal movement may indicate fetal distress and requires immediate evaluation.

Question 5

The nurse is assessing a newborn and notes jaundice visible on the face and chest at 18 hours of life. Which action is most appropriate?

Accepted Answer

Encourage frequent breastfeeding and obtain a serum bilirubin level

Answer

Jaundice appearing before 24 hours of life is pathological and requires a serum bilirubin level along with frequent feeding to promote bilirubin excretion.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Maternal and Neonatal Nursing 3