LVN Maternal and Newborn Nursing

Question 1

What is the recommended weight gain during the first trimester of pregnancy for a woman with a normal pre-pregnancy BMI?

Accepted Answer

0–5 pounds

Answer

During the first trimester, only 1–5 pounds of total weight gain is recommended because the fetus is still very small.

Question 2

Which vitamin supplement is most important during the first trimester of pregnancy to prevent neural tube defects?

Accepted Answer

Folic acid

Answer

Folic acid (vitamin B9) is essential in early pregnancy to support neural tube closure and prevent defects such as spina bifida.

Question 3

A patient at 28 weeks gestation reports significantly decreased fetal movement over the past several hours. What is the priority nursing action?

Accepted Answer

Instruct the patient to perform a fetal kick count for one hour

Answer

A fetal kick count is the priority assessment to quantify movement and determine whether further intervention or fetal monitoring is needed.

Question 4

Which complication of pregnancy is characterized by hypertension, proteinuria, and edema occurring after 20 weeks of gestation?

Accepted Answer

Preeclampsia

Answer

Preeclampsia is defined by new-onset hypertension with proteinuria after 20 weeks of gestation and can progress to eclampsia if untreated.

Question 5

During Leopold's maneuvers, what information does the first maneuver (fundal grip) provide?

Accepted Answer

What part of the fetus occupies the fundus

Answer

The first Leopold's maneuver involves palpating the fundus to determine whether the fetal head or breech is located at the top of the uterus.

(LVN) Licensed Vocational Nurse Practice Test