LVN Maternal & Newborn Nursing 4

Question 1

A G1P0 client is in the second stage of labor for 2.5 hours. The nurse notes variable decelerations and the provider orders an amnioinfusion. What is the purpose of this intervention?

Accepted Answer

Relieve cord compression by instilling fluid into the uterus

Answer

Amnioinfusion instills saline into the uterine cavity to cushion the umbilical cord and relieve variable decelerations caused by cord compression.

Question 2

A postpartum client reports excessive lochia and saturates a pad in 15 minutes. Fundal massage yields large clots. What medication should the nurse anticipate administering?

Accepted Answer

Oxytocin (Pitocin)

Answer

Oxytocin promotes uterine contraction and is the first-line uterotonic agent for postpartum hemorrhage due to uterine atony.

Question 3

Which assessment finding in a newborn requires immediate reporting to the provider?

Accepted Answer

Grunting with each exhalation

Answer

Expiratory grunting is a sign of respiratory distress as the newborn attempts to maintain residual lung volume, requiring immediate evaluation.

Question 4

The nurse is caring for a client with a diagnosis of hyperemesis gravidarum. Which intervention takes priority?

Accepted Answer

Administer IV fluid and electrolyte replacement

Answer

IV rehydration and electrolyte correction are the priority interventions for hyperemesis gravidarum to prevent dehydration and metabolic imbalances.

Question 5

A client is receiving oxytocin for labor induction. The nurse notes contractions every 90 seconds lasting 75 seconds. What is the correct action?

Accepted Answer

Discontinue or reduce the oxytocin infusion

Answer

Tachysystole (>5 contractions in 10 minutes or contractions lasting >90 seconds) requires stopping or reducing oxytocin to prevent fetal hypoxia.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Maternal & Newborn Nursing 4