RPN Maternal and Newborn Care 2

Question 1

A nurse is caring for a client at 38 weeks gestation who reports decreased fetal movement. Which action should the nurse take first?

Accepted Answer

Apply external fetal monitor

Answer

Applying an external fetal monitor provides immediate assessment of fetal heart rate and activity patterns.

Question 2

Which finding during a postpartum assessment at 12 hours after delivery indicates a normal finding?

Accepted Answer

Uterine fundus at the umbilicus, firm

Answer

A firm fundus at the umbilical level is expected within the first 12 hours after delivery.

Question 3

A newborn is assessed at 1 minute after birth and receives an Apgar score of 6. Which intervention is priority?

Accepted Answer

Stimulate and provide supplemental oxygen

Answer

An Apgar score of 4–6 indicates moderate depression and requires stimulation and supplemental oxygen.

Question 4

A breastfeeding mother reports sore, cracked nipples on day 3 postpartum. What is the most appropriate nursing intervention?

Accepted Answer

Evaluate the infant's latch and positioning

Answer

Sore, cracked nipples are most often caused by improper latch, so assessing and correcting positioning is the priority intervention.

Question 5

Which maternal vital sign change during active labor is most concerning and requires immediate intervention?

Accepted Answer

Blood pressure of 160/110 mmHg

Answer

A blood pressure of 160/110 mmHg meets the criteria for severe-range hypertension and indicates risk for eclampsia.

RPN - Registered Practical Nurse Practice Test