RPN - Registered Practical Nurse Maternal and Newborn Care Questions and Answers

Question 1

An RPN is assessing a client who is 12 hours postpartum.
The RPN palpates the client's fundus and finds it to be boggy, located two fingerbreadths above the umbilicus, and deviated to the right.
What is the RPN's priority action?

Accepted Answer

Assist the client to empty her bladder and then reassess the fundus.

Answer

Administer a PRN analgesic for afterpains.

Answer

Document the findings and reassess in one hour.

Answer

Encourage the client to breastfeed to stimulate uterine contractions.

Question 2

An RPN is preparing to administer routine medications to a healthy term newborn within the first hour of life. Which of the following injections is administered to prevent hemorrhagic disease?

Accepted Answer

Vitamin K

Answer

Hepatitis B vaccine

Answer

Erythromycin

Answer

Rh immune globulin

Question 3

An RPN is providing discharge teaching to a new mother about lochia. The client is 3 days postpartum. Which statement by the mother indicates an understanding of the normal progression?

Accepted Answer

"The flow should change from red to a pinkish-brown colour around this time."

Answer

"If my discharge becomes pinkish-brown, I should call the clinic immediately."

Answer

"I should expect a heavy, bright red flow for at least the first week."

Answer

"I won't have any more discharge after today."

Question 4

An RPN is reinforcing safe sleep education with new parents to reduce the risk of Sudden Infant Death Syndrome (SIDS). Which of the following recommendations is a key component of this teaching?

Accepted Answer

Place the infant on their back to sleep on a firm, flat surface.

Answer

Place the infant on their stomach to sleep to prevent choking.

Answer

Ensure the crib is soft with bumpers, blankets, and stuffed animals for comfort.

Answer

Share a bed with the infant to facilitate nighttime feedings.

Question 5

An RPN is assessing a newborn 2 hours after birth. Which of the following assessment findings requires immediate notification of the Registered Nurse (RN) or physician?

Accepted Answer

Presence of nasal flaring and grunting.

Answer

Respiratory rate of 55 breaths per minute.

Answer

Apical heart rate of 140 beats per minute.

Answer

Axillary temperature of 36.8°C.

Question 6

An RPN is assessing a newborn and observes acrocyanosis. Which of the following best describes this finding?

Accepted Answer

A bluish discoloration of the hands and feet.

Answer

A bluish discoloration of the lips and mucous membranes.

Answer

A fine, downy hair covering the newborn's back and shoulders.

Answer

A yellowish tint to the skin and sclera.

An RPN is assessing a client who is 12 hours postpartum.The RPN palpates the client's fundus and finds it to be boggy, located two fingerbreadths above the umbilicus, and deviated to the right.What is the RPN's priority action?

An RPN is assessing a client who is 12 hours postpartum.
The RPN palpates the client's fundus and finds it to be boggy, located two fingerbreadths above the umbilicus, and deviated to the right.
What is the RPN's priority action?