LPN Maternal and Neonatal Nursing

Question 1

A client at 38 weeks gestation reports sudden, painless, bright red vaginal bleeding. The LPN should first:

Accepted Answer

Notify the charge nurse immediately and do NOT perform a vaginal exam

Answer

Sudden painless bright red bleeding in the third trimester suggests placenta previa. Vaginal exams are contraindicated as they can cause massive hemorrhage. The charge nurse must be notified immediately.

Question 2

An Apgar score is assessed at 1 minute and 5 minutes after birth. Which Apgar score at 5 minutes indicates a neonate in good condition?

Accepted Answer

Score of 7–10

Answer

An Apgar score of 7–10 at 5 minutes indicates a neonate in good condition requiring only routine care. Scores below 7 indicate the need for intervention.

Question 3

A postpartum client 6 hours after vaginal delivery has a uterus that is boggy, displaced to the right, and 2 fingerbreadths above the umbilicus. The LPN's first action should be:

Accepted Answer

Have the client void, then reassess fundal height and tone

Answer

A displaced uterus suggests a full bladder displacing the uterus upward and to the side, preventing proper contraction. Voiding should occur before fundal massage.

Question 4

The LPN is monitoring a laboring client and notes late decelerations on the fetal monitor. What is the appropriate intervention?

Accepted Answer

Reposition the client to her left side, administer oxygen, and stop Pitocin

Answer

Late decelerations indicate uteroplacental insufficiency. The nurse should reposition to left lateral, apply oxygen, stop Pitocin, and notify the charge nurse and provider immediately.

Question 5

A breastfeeding client 2 days postpartum reports breast engorgement. The LPN should advise the client to:

Accepted Answer

Feed frequently (every 1–2 hours), apply warm compresses before feeding, and cold packs after

Answer

Frequent feedings reduce milk accumulation, warm compresses before feeding promote let-down, and cold packs after feeding reduce inflammation and discomfort.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Maternal and Neonatal Nursing