Maternal Newborn Nursing Test Maternity Nursing: Antepartum 2

Question 1

A pregnant client at 28 weeks gestation is prescribed the Rh immunoglobulin (RhoGAM) injection. The nurse knows this is indicated because the client is:

Accepted Answer

Rh-negative with an Rh-positive fetus

Answer

RhoGAM is given to Rh-negative mothers who may be carrying an Rh-positive fetus to prevent isoimmunization.

Question 2

Which laboratory finding is most concerning in a client at 34 weeks gestation with suspected preeclampsia?

Accepted Answer

Platelet count of 85,000/mm³

Answer

A platelet count below 100,000/mm³ suggests HELLP syndrome, a severe complication of preeclampsia requiring immediate intervention.

Question 3

A client at 20 weeks gestation reports painful leg cramps at night. The nurse's best recommendation is to:

Accepted Answer

Dorsiflex the foot during the cramp

Answer

Dorsiflexing the foot stretches the gastrocnemius muscle and relieves the cramp; plantarflexion worsens it.

Question 4

A client with gestational diabetes is being taught about diet management. Which meal plan choice is MOST appropriate?

Accepted Answer

Distribute carbohydrates evenly across three meals and two to three snacks

Answer

Distributing carbohydrates evenly helps maintain stable blood glucose levels and prevents postprandial hyperglycemia.

Question 5

During a routine 16-week prenatal visit, the nurse assesses fundal height. The fundus should be palpable at approximately:

Accepted Answer

Halfway between the symphysis pubis and umbilicus

Answer

At 16 weeks, the fundus is midway between the symphysis pubis and umbilicus, consistent with McDonald's rule.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Antepartum 2