Maternal and Newborn Care Flashcards
7 cards from real RPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Maternal and Newborn Care flashcards as text
A nurse is preparing to administer vitamin K to a newborn. Which statement best explains the rationale for this injection?
Answer: Newborns lack intestinal bacteria needed to synthesize vitamin K, increasing bleeding risk
Newborns are born without intestinal flora that synthesize vitamin K, making them susceptible to hemorrhagic disease of the newborn.
A postpartum client on day 2 reports calf pain, warmth, and redness in her left leg. Which nursing action takes priority?
Answer: Notify the provider and avoid massaging the leg
These signs suggest deep vein thrombosis; the nurse must notify the provider and avoid massaging the leg to prevent embolization.
Which assessment best confirms that a newborn has passed the initial gastrointestinal transition successfully?
Answer: Passage of meconium within 24–48 hours
Passage of meconium within the first 24–48 hours confirms patency of the gastrointestinal tract.
A nurse is caring for a client in transition phase of labor who is 8 cm dilated. She begins hyperventilating. What is the most effective initial intervention?
Answer: Have the client breathe slowly and deeply with coaching
Coaching slow, paced breathing corrects the respiratory alkalosis caused by hyperventilation and is the safest immediate intervention.
A nurse notes that a newborn's umbilical cord has one artery and one vein instead of the normal two arteries and one vein. What is the most important follow-up action?
Answer: Notify the provider, as this may indicate renal or cardiac anomalies
A single umbilical artery (two-vessel cord) is associated with renal, cardiac, and chromosomal anomalies and must be reported to the provider.
A nurse is assessing lochia on a postpartum client at day 5. Which description is expected?
Answer: Lochia serosa: pinkish-brown, decreasing flow
Lochia serosa, which is pinkish-brown and decreasing in amount, is the expected finding between approximately days 3 and 10 postpartum.
Which intervention is most appropriate when a client in the second stage of labor has a prolonged deceleration on the fetal monitor?
Answer: Reposition the client, administer oxygen, and increase IV fluids
Repositioning, oxygen administration, and IV fluid bolus are the first-line intrauterine resuscitation measures for a prolonged deceleration.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy