LVN Maternal & Newborn Nursing 2

Question 1

A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition does the nurse suspect first?

Accepted Answer

Placenta previa

Answer

Painless, bright red bleeding in the third trimester is the classic presentation of placenta previa.

Question 2

The nurse is caring for a client with severe preeclampsia receiving magnesium sulfate. Which finding requires immediate intervention?

Accepted Answer

Respiratory rate of 10 breaths/min

Answer

A respiratory rate below 12 breaths/min indicates magnesium toxicity and requires immediate intervention.

Question 3

When assessing a postpartum client's fundus 12 hours after delivery, the nurse notes it is deviated to the right. What is the priority action?

Accepted Answer

Ask the client to void or catheterize

Answer

A deviated uterus is most commonly caused by a full bladder, which must be emptied to allow the uterus to contract midline.

Question 4

A newborn has an Apgar score of 4 at 1 minute. What is the priority nursing action?

Accepted Answer

Begin positive pressure ventilation

Answer

An Apgar score of 4–6 indicates moderate distress and requires stimulation and positive pressure ventilation if breathing is inadequate.

Question 5

Which intervention is most appropriate for a client in the latent phase of labor experiencing back pain?

Accepted Answer

Apply counterpressure to the sacral area

Answer

Sacral counterpressure is a non-pharmacologic comfort measure that relieves back pain commonly associated with occiput posterior positioning.

(LVN) Licensed Vocational Nurses Certification Practice Test