RPN Maternal and Newborn Care 3

Question 1

Which assessment finding in a newborn at 24 hours of age should be reported to the provider immediately?

Accepted Answer

Respiratory rate of 68 breaths/min

Answer

A respiratory rate above 60 breaths/min (tachypnea) in a newborn may indicate respiratory distress and requires immediate evaluation.

Question 2

A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition does the nurse suspect?

Accepted Answer

Placenta previa

Answer

Painless, bright red vaginal bleeding in the third trimester is the classic presentation of placenta previa.

Question 3

When caring for a client with preeclampsia receiving magnesium sulfate, which finding requires the nurse to withhold the next dose?

Accepted Answer

Urinary output of 25 mL/hr

Answer

Urinary output below 30 mL/hr indicates decreased renal clearance, increasing the risk of magnesium toxicity.

Question 4

A nurse is assessing a newborn and notes that the anterior fontanelle is bulging and tense. This finding is associated with:

Accepted Answer

Increased intracranial pressure

Answer

A bulging, tense anterior fontanelle is a sign of increased intracranial pressure and requires immediate evaluation.

Question 5

Which instruction should a nurse include when teaching a postpartum client about episiotomy care?

Accepted Answer

Use sitz baths 3–4 times daily starting after 24 hours

Answer

Sitz baths promote healing, reduce edema, and provide comfort; they are recommended beginning 24 hours after delivery.

RPN - Registered Practical Nurse Practice Test