LVN Maternal and Newborn Nursing 5

Question 1

A client at 34 weeks reports sudden bright red, painless vaginal bleeding. Which action should the nurse avoid?

Accepted Answer

Performing a vaginal examination

Answer

Counting saturated pads

Answer

Placing the client on her side

Answer

Monitoring fetal heart tones

Question 2

A client at 37 weeks has dark red vaginal bleeding, a rigid board-like abdomen, and severe constant pain. The nurse suspects which condition?

Accepted Answer

Abruptio placentae

Answer

Braxton Hicks contractions

Answer

Placenta previa

Answer

Normal bloody show

Question 3

A laboring client who tested positive for group B streptococcus at 36 weeks asks why she needs IV antibiotics. What is the best response?

Accepted Answer

It lowers the risk of passing the infection to your baby during birth

Answer

It is needed because GBS will make labor longer

Answer

It prevents infection of your cesarean incision

Answer

It treats a current urinary tract infection

Question 4

Why is vitamin K given IM to newborns shortly after birth?

Accepted Answer

Newborns lack the intestinal bacteria needed to make vitamin K

Answer

To prevent neonatal eye infections

Answer

To prevent physiologic jaundice

Answer

To raise blood glucose levels

Question 5

A breastfed newborn is noted to have jaundice at 12 hours of age. What is the nurse's priority interpretation?

Accepted Answer

This is pathologic and must be reported

Answer

This is normal if the infant feeds well

Answer

This is expected physiologic jaundice

Answer

This is caused by breast milk and needs no action

Question 6

On postpartum day 5, a client reports pinkish-brown vaginal discharge. How should the nurse document this?

Accepted Answer

Lochia serosa, an expected finding

Answer

Lochia alba, an early finding

Answer

Abnormal discharge suggesting infection

Answer

Lochia rubra, an expected finding

Question 7

A client at 28 weeks gestation has a fundal height of 28 cm. How should the nurse interpret this?

Accepted Answer

Consistent with gestational age

Answer

Indicates the dates are wrong

Answer

Suggests polyhydramnios

Answer

Suggests fetal growth restriction

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