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

Painless bright red bleeding suggests placenta previa, and a vaginal exam could cause severe hemorrhage.

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

Painful bleeding with a rigid uterus is the classic sign of placental abruption.

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

Intrapartum penicillin prevents early-onset GBS sepsis in the newborn.

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

The sterile newborn gut cannot make vitamin K, so it is given to prevent vitamin K deficiency bleeding.

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

Jaundice in the first 24 hours is considered pathologic and often points to hemolysis.

(LVN) Licensed Vocational Nurse Practice Test