LVN Maternal & Newborn Nursing 3

Question 1

A nurse is monitoring a client in active labor on continuous electronic fetal monitoring. Late decelerations are noted with every contraction. What is the priority intervention?

Accepted Answer

Increase IV fluid rate and reposition the client

Answer

Late decelerations indicate uteroplacental insufficiency; repositioning and IV fluid bolus are first-line interventions to improve placental perfusion.

Question 2

A nurse assesses a newborn and notes a soft, fluctuant swelling that crosses the suture lines on the scalp. This finding is most consistent with:

Accepted Answer

Caput succedaneum

Answer

Caput succedaneum is edema of the scalp soft tissue that crosses suture lines and resolves within a few days.

Question 3

Which laboratory value indicates HELLP syndrome in a pregnant client with hypertension?

Accepted Answer

AST of 80 units/L

Answer

Elevated liver enzymes (AST/ALT) are part of the HELLP syndrome triad: Hemolysis, Elevated Liver enzymes, Low Platelets.

Question 4

A postpartum nurse notes a client has a temperature of 38.4°C on day 2 after a vaginal delivery. What is the most likely cause?

Accepted Answer

Endometritis

Answer

Fever after 24 hours postpartum is most commonly caused by endometritis, especially after vaginal delivery with prolonged labor or rupture of membranes.

Question 5

A nurse is teaching a new mother about newborn jaundice. Which statement indicates correct understanding?

Accepted Answer

Phototherapy converts bilirubin into a water-soluble form for excretion

Answer

Phototherapy converts unconjugated bilirubin into lumirubin, a water-soluble isomer that can be excreted without liver conjugation.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Maternal & Newborn Nursing 3