CUSTOM C11 MATERNITY FINAL

Question: 2 of 80

CUSTOM C11 MATERNITY FINAL. A nurse on a postpartum unit is assisting in the care of a client. (Nurses’ notes show findings at 2 hr postpartum and 24 hr postpartum: temperature 38.3°C [101°F], heart rate 105/min, respiratory rate 18/min, blood pressure 115/78 mm Hg, lochia rubra with foul odor present). Click to highlight the findings that require follow-up.

Uterus boggy and midline, 2 cm below the umbilicus
Foul odor present on perineal pad
Temperature 38.3°C (101°F)
Heart rate 105/min

Question: 3 of 80

A nurse is collecting data from a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?

Periodic contractions
Urinary frequency
Edema in lower extremities
Decreased fetal movement

Question: 4 of 80

A client asks the nurse to explain why some newborns have elongated heads. Which of the following explanations should the nurse provide? CUSTOM C11 MATERNITY FINAL

Newborns who are born with elongated heads should be scheduled immediately with head circumference assessment.
The spaces between the fetal skull bones allow the fetal head to change shape as it passes through the client’s pelvis.
Elongation of the fetal head is an unexpected finding that rarely results in any brain damage.
Elongation of the fetal head during labor is common and usually reverses in a few months.

Question: 5 of 80

A nurse is assisting with the care of a newborn 3 hr following a circumcision procedure. Complete the following sentence by using the list of options: The nurse should first recommend that the RN address the newborn’s selection followed by the newborn’s selection .

Stop Guessing On Nursing Exams

Thousands of nursing students are already using ATI Proctored Exams to practice realistic NCLEX and ATI TEAS-style questions before their exams.

Unlock Free Mock Tests →

Free signup • Instant access • Realistic ATI-style practice questions

petroleum gauze dressing findings
heart rate
diaper findings
NIPS score

Question: 6 of 80

A nurse is caring for a client in a labor and delivery unit. Which of the following qualified actions should the nurse understand is a requirement to work on the unit?

Monitor and assess fetal heart rate
Routinely perform amniotomy
Administer regional anesthesia
Prescribe medications for labor

Question: 7 of 80

A nurse is assisting with the care of a client who has their newborn placed skin-to-skin immediately following birth with a temperature of 37∘C. Which of the following interventions by the nurse would place the newborn at higher risk for hypothermia?

Place a hat on the newborn’s head
Maintain the delivery room temperature at 20∘C
Dry and stimulate newborn with a towel
Place a blanket on top of maternal client and newborn

Question: 8 of 80

A nurse is contributing to the care of a newborn who is non-vigorous and born at 42 weeks of gestation with meconium-stained fluid. Which of the following interventions should the nurse anticipate being included in the plan of care? CUSTOM C11 MATERNITY FINAL

Assist the provider with rapid sequencing of endotracheal tube intubation followed by mechanical ventilation
Obtain a chest X-ray
Place a preductal and postductal pulse oximeter to monitor oxygenation and perfusion CUSTOM C11 MATERNITY FINAL
Determine the newborn’s Apgar score

Question: 9 of 80

A nurse is assisting in the care of a newborn following birth. Which of the following findings should the nurse report to the provider immediately?

Acrocyanosis
Flexed extremities
Nasal flaring

Question: 10 of 80

A nurse is assisting an RN in the care of a client in the second stage of labor whose provider has recommended an assisted vaginal birth via vacuum extraction due to nonreassuring fetal status. The client asks the nurse, “Why can’t I just have a cesarean birth?” Which of the following responses should the nurse expect to be made?

“You will need to be given general anesthesia if the provider determines that a cesarean birth is necessary”.
“Let’s discuss this together briefly with your provider before you sign the consent form.”
“Your risk of complications is much lower with an operative vaginal birth, and it is much safer for the baby”.
“A cesarean birth would take much longer, and your baby needs to be born as quickly as possible”.

Question: 11 of 80

A nurse is assisting in the care of the following clients who are all in the fourth stage of labor. Which of the following clients should the nurse see first?

Post-vaginal birth with QBL of 250 mL at birth, and pads weighing 240 g
Post-cesarean birth with QBL of 630 mL at birth, and pads weighing 100 g
Post-vaginal birth with QBL of 300 mL at birth and pads weighing 150 g
Post-cesarean birth with quantitative blood loss (QBL) of 500 mL at birth and pads weighing 210 g

Question: 12 of 80

A nurse is collecting data on a newborn on the first day of life. Which of the following is an expected finding?

(Select All that Apply.)

Fusion of labia in female genitalia
Erythema toxicum on a newborn’s skin
Hypospadias is noted in the male newborn
Presence of syndactyly in extremities
Negative Ortolani sign

Question: 13 of 80

A nurse is collecting data from a client who is at 36 weeks of gestation. Which of the following statements made by the client should the nurse address first?

“My feet are starting to swell when they didn’t before”.
“I noticed some bright red blood when I went to the bathroom”
“I have been having some occasional lightening of my belly”.

Question: 14 of 80

A nurse is collecting data from a fetal monitor strip and recognizes late decelerations. Which of the following actions should the nurse expect to be taken at this time?

Reposition the client to a left lateral position
Document the findings in the electronic health record.
Insert a fetal scalp electrode
Adjust the fetal monitor sensors

Question: 15 of 80

A client who is primiparous at 40 weeks of gestation calls the labor and delivery unit to ask about coming in to be evaluated for labor. The client reports having contractions every 6 to 8 min which feel slightly painful. Which of the following questions should the nurse ask the client next?

“Have you had any health concerns during your pregnancy?”
“When was your last prenatal visit?”
“Do you have a support person present?”
“Have you noticed any fluid leaking from your vagina?”

Question: 16 of 80

A nurse is meeting with a couple who has an adopted newborn. Which of the following suggestions should the nurse make to ease the transition to parenthood for these clients?

Avoid discussion of the birth.
Try bonding techniques that are specific to adoptive parents.
Join a support group with other adoptive parents.
Avoid outside support in the first weeks to establish confidence in caregiving.

Question: 17 of 80

A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, “What is a normal fetal heart rate?” Which of the following ranges should the nurse provide?

100 to 160/min
80 to 100/min
110 to 160/min
120 to 180/min

Question: 18 of 80

100 to 160/min
80 to 100/min
110 to 160/min
120 to 180/min

Question: 20 of 80

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 10 weeks ago. Which of the following actions should the nurse plan to take?

(Select All that Apply.)

Stop Guessing On Nursing Exams

Thousands of nursing students are already using ATI Proctored Exams to practice realistic NCLEX and ATI TEAS-style questions before their exams.

Unlock Free Mock Tests →

Free signup • Instant access • Realistic ATI-style practice questions

Calculate the estimated date of birth
Obtain the client’s personal and family medical history
Obtain baseline information about prior pregnancies
Check the client’s urine with a reagent strip
Schedule the client for prenatal laboratory testing
Discuss chorionic villus sampling with the client

Question: 22 of 80

A nurse is assisting with a prenatal class and a learner asks the nurse to explain what happens during a prolapsed umbilical cord. Which of the following statements should the nurse make?

“A occult prolapsed cord occurs when the umbilical cord is wrapped around the fetal neck”.
“A compound prolapsed cord occurs when the cord is felt through the cervix inside the intact amniotic sac”.
“An occult cord prolapse occurs when the umbilical cord is hidden within the vagina”.
“An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part”

Question: 23 of 80

A nurse is assisting in the care of a client who gave birth 1 hour ago and is experiencing excessive vaginal bleeding. Which of the following medications should the nurse anticipate the provider will prescribe?

Tranexamic acid
Betamethasone
Terbutaline
Magnesium sulfate

Question: 24 of 80

A nurse is reinforcing teaching to a group of nursing students. Which of the following topics should be included in the education of caring for clients who are postpartum?

(Select All that Apply.)

Breastfeeding Support
Bathing the newborn
Emotional changes
Perineal Care
Prescribing pain medication

Question: 25 of 80

A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?

Blood pressure values 10% above prepregnancy values
Increased blood volume
Heart rate 20% above prepregnancy values
Decreased cardiac workload

Question: 26 of 80

A nurse is reinforcing teaching with a client who is exclusively breastfeeding and has mastitis. Which of the following information should the nurse include?

Avoid use of a breast pump on the affected breast.
Discontinue breastfeeding on the affected breast for 7 days.
Avoid massaging the affected breast prior to breastfeeding.
Use cool compresses on the affected breast

Question: 27 of 80

A nurse is reviewing the laboratory results of a client who is at 28 weeks of gestation. For which of the following results should the nurse reinforce client teaching?

(Select All that Apply.)

Rh immune globulin
Hepatitis vaccine
Antibiotics during labor
Measles, mumps, and rubella (MMR) vaccine
Need to schedule a glucose tolerance test

Question: 28 of 80

A nurse is caring for a 37-year-old G4P3 client who is at 14 weeks of gestation. The client asks, “Why are you taking my blood pressure? It’s always been normal.” Which of the following responses should the nurse make?

“No need to worry about that, let’s talk about how you’re feeling”.
“Your age is a risk factor for developing high blood pressure during pregnancy.”
“You are at an increased risk for high blood pressure since you’ve had several pregnancies”.
“Because blood pressure often increases early in the second trimester of pregnancy”.

Question: 29 of 80

A nurse is completing a home visit to a client who is 3 days postpartum. The nurse finds that the client is adapting well to parenthood. The nurse asks about their birth experience, and the client says they “felt in control and were listened to” during the process for labor and delivery. What is this client describing that contributes to improved self-esteem and self-efficacy in transitioning to parenthood?

An understanding of the inevitable during childbirth
A positive empowerment during childbirth
Listening to the client’s partner instead of the client during childbirth
A feeling of stress during childbirth

Question: 30 of 80

A nurse is assisting with the planning of an in-service about identifying clients at risk for postpartum depression. Which of the following strategies should a nurse expect to be included in the teaching?

(Select All that Apply.)

Discourage clients at risk for postpartum depression to focus on positive aspects of pregnancy.
Assess or review the client’s chart for a history of depression or anxiety
Provide all clients with information regarding manifestations of postpartum depression
Screen all clients with a valid screening tool
Avoid assessing or reviewing notes for suicidal thoughts to not upset the client. CUSTOM C11 MATERNITY FINAL

Question: 31 of 80

A nurse is contributing to the care of a newborn who has experienced excess oral and nasal secretions followed by cyanosis, choking, and coughing during the initial feeding after birth. Which of the following actions should the nurse anticipate?

Suction nose and monitor airway with next feeding
Anticipate preparing the newborn for immediate surgery
Withhold feedings pending further diagnostic testing
Position the newborn supine with the radiant warmer at 37∘C CUSTOM C11 MATERNITY FINAL

Question: 32 of 80

A nurse is assisting with the planning of an educational staff presentation about newborn sensory behaviors. Which of the following statements should the nurse include?

“A newborn’s taste buds are not fully developed”.
“A newborn is able to recognize the voice of the pregnant client in utero.”
“A newborn is able to see colors”.

Question: 33 of 80

A nurse is reinforcing teaching to a student nurse about Apgar scores in newborns. Which of the following statements by the student demonstrates effective reinforcement?

Resuscitation interventions should not be started until after the 1-minute Apgar.
“These are the components included in the Apgar score that are each given a number of 0, 1, or 2”.
“An Apgar score evaluates how the newborn is transitioning to extrauterine life.”
“It is unexpected for a newborn to receive a score of 1 for color”.

Question: 34 of 80

A nurse is assisting with the care of a client who is at 36 weeks of gestation. Select the 3 findings that require follow-up.

Presence of bleeding
Contractions
Temperature 36.7∘C
Heart rate 92/min
Respiratory rate 18/min
Blood pressure 144/96 mm Hg
Oxygen saturation 98% on room air

Question: 35 of 80

A nurse is contributing to the care of a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective? CUSTOM C11 MATERNITY FINAL

Jaundice moves from chest to joint level
Hemoglobin and hematocrit have increased
Transcutaneous bilirubin (TcB) level has decreased from 6 mg/dL
Serum bilirubin level has increased from 6 hr ago

Question: 36 of 80

A nurse is collecting data from a client at 10 weeks of gestation who has been diagnosed with hyperemesis gravidarum. Which of the following manifestations should the nurse expect?

(Select All that Apply.)

Abdominal cramping
Severe vomiting
Electrolyte imbalances
Vaginal blood spotting

Question: 37 of 80

A nurse is collecting data on a newborn. Which of the following findings indicates the newborn has epispadias?

The urethral opening is located on the midshaft underside of the penis and urine is excreted from the opening.
The urethral opening is at the pubic bone with a small opening and urine excretes from the abdomen
The urethral opening is on the top of the penis glans and urine excretes from the opening with a downward curve.
The urethral opening is on the underside of the penis and urine excretes at an opening under the scrotum.

Question: 38 of 80

A nurse is caring for a primigravid client who is at 36 weeks of gestation and asks, “How will I know if I am in labor?” Which of the following manifestations of true labor should the nurse discuss with the client?

(Select All that Apply.)

Contractions that increase in intensity
Leakage of fluid from the vagina
Increased blood pressure
Dilation of cervix
Uterine contractions that decrease with new activity

Question: 39 of 80

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?

Lightening
Ballottement
Goodell’s sign
Chadwick’s sign

Question: 40 of 80

A nurse is assisting the RN who is caring for a client at 36 weeks of gestation who reports vomiting and diarrhea for the past 48 hr. The client reports no amniotic fluid leakage, bleeding, or uterine contractions. The fetal heart rate baseline is 180/min. Which of the following factors should the nurse anticipate the RN identifying as most likely associated with the fetal heart rate pattern?

Prematurity
Prolonged bed activity
Fetal cardiac anomalies

Question: 41 of 80

A nurse, assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client’s fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?

“This monitor measures the intensity and frequency of your contractions so I can note labor progress”.
“This monitor allows me to observe your labor progress by observing the pattern, not how strong your contractions are”.
“This monitor provides me with information related to the duration and frequency of your contractions.”
“The monitor gives me information related to fetal heart rate fluctuations during your labor”.

Question: 42 of 80

A nurse is reviewing the medical record of a client who is at 28 weeks of gestation. Which of the following findings is the nurse’s priority?

A-level
Rubella non-immune
Dyspnea with activity
Blood type negative

Question: 43 of 80

A nurse is collecting data from a client at the first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client’s estimated date of delivery using Naegele’s Rule? CUSTOM C11 MATERNITY FINAL

June 20
June 10
June 24
June 24

Question: 44 of 80

A nurse is assisting with the admission of a client who presented to a labor and delivery unit reporting labor contractions. When collecting data about the initial assessment, which of the following findings indicate that the fetus is likely in a breech presentation?

The nurse palpates a firm rounded presenting part during the cervical examination.
The nurse hears the fetal heart tones most clearly in the lower right quadrant of the abdomen.
The nurse palpates the contractions as moderate, but the client reports them as strong.
The nurse palpates a soft mass above the symphysis pubis during Leopold’s maneuver

Question: 45 of 80

A nurse is reinforcing teaching to a parent about breastfeeding. Which of the following statements by the parent demonstrates understanding of the teaching?

“I understand that routine care should be delayed until the first feeding”.
“I will feed my baby once they start to cry.”
“My newborn will need to eat every hour”.
“I understand I may feel pain in my nipple when loading my baby”.

Question: 46 of 80

A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for a postpartum hemorrhage?

First degree perineal laceration
Moderate lochia rubra
Boggy uterus

Question: 47 of 80

A nurse is assisting the RN who is analyzing a fetal heart monitor strip. The fetal heart rate pattern has been occurring for 30 min. Based on the findings, which of the following actions should the nurse expect to take?

Document the findings
Prepare the client for an emergency birth
Turn the client to a supine position
Decrease the client’s IV drip

Question: 48 of 80

A nurse is reinforcing education about newborn care to a client and their family prior to discharge. Which of the following statements by the family members indicates the reinforced teaching was understood?

(Select All that Apply.)

I know the parents will want to use the crib and toys that saved from their childhood.
“I plan on helping however I can, but don’t want to overstep the parent’s wishes.”
“I know my role as a caregiver will be different than my role as a parent.”
I am excited to pass down everything I did as a parent to this child.
“I am taking a class tomorrow just for family and caregivers of newborns.”

Question: 49 of 80

A nurse is collecting data about lab values and blood volume for a client who is 6 hr postpartum following a vaginal birth. Which of the following is an expected finding?

Increase in hemoglobin and hematocrit
Increase in blood volume
Increase in white blood cell count
Decrease in fibrinogen

Question: 50 of 80

A nurse is assisting in the care of a client who had an episiotomy during labor after the fetal heart had shown multiple decelerations. Which of the following explanations should the nurse provide to explain the reason for the procedure?

“An episiotomy can be done to speed up birth if the fetus is in distress.”
“An episiotomy can be done to prevent a first-degree perineal tear”.
“An episiotomy is recommended for all spontaneous vaginal births”.
“An episiotomy will help prevent a cervical prolapse”.

Question: 51 of 80

A nurse is contributing to the care of a newborn immediately following birth. The newborn has a large abdominal wall defect that is protruding from the base of the umbilicus and is not covered by a membrane. Which of the following actions should the nurse anticipate assisting with?

Position the newborn supine on a radiant warmer with a sterile gauze dressing on the defect.
Provide intermittent suction once an orogastric tube is placed
Place the newborn into a sterile bowel bag up to the axilla
Assist the maternal client with breastfeeding the newborn

Question: 52 of 80

A nurse is participating in the care of a client who is asking about changes to the cervix after birth. Which of the following is a related change to the cervix after the first vaginal birth?

The cervical external os becomes a small and round opening
The cervical external os becomes a transverse slit opening
The cervical external os remains stated and soft for over a month postpartum
The cervical external os becomes a transverse slit opening immediately postpartum and reverts to a small round opening about one month postpartum

Question: 53 of 80

A nurse is assisting in the care of a newborn who is being tested for critical congenital heart disease (CCHD). Which of the following findings about oxygen saturation should the nurse understand is a positive result for CCHD?

92% in right arm and right foot for three different times each separated by one hour.
Greater than the difference between right hand and foot, three different times each separated by one hour.
90% in left arm for three different times each separated by one hour.
95% or greater in two extremities for 1 hour consecutively

Question: 54 of 80

A client who is at 35 weeks of gestation tells the nurse, “It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again.” The nurse should recognize that the client is experiencing the effects of which of the following?

Lightening
Decreased carbon dioxide production
Decreasing chest diameter
Hyperventilation

Question: 55 of 80

A nurse is assisting in the care of a client who had a vaginal birth yesterday, is not breastfeeding, and had no perineal lacerations. The client was given Ibuprofen 1 hr ago. Which of the following outcomes should the nurse identify as an indication that the medication achieved the desired effect?

Decrease in discomfort from contractions
Decrease in milk production
Decrease in amount of lochia and passage of clots
Decrease in swelling in the extremities

Question: 56 of 80

A nurse is assisting in the discharge planning for a postpartum client and their newborn. Which of the following statements by the client indicates the teaching about preventing heat loss in a newborn has been effective?

“I should keep a hat on the baby even when indoors”.
“Babies need two more layers of clothing than adults do to maintain their temperatures”.
“Blankets can help keep the baby warm while they are sleeping”.
“If the baby seems cold, I can place them skin-to-skin.”

Question: 57 of 80

A nurse is assisting with the care of a client in a provider’s office. For each client finding, click to specify if the finding indicates that the client is experiencing morning sickness or hyperemesis gravidarum.

Urine color (Morning Sickness: No, Hyperemesis Gravidarum: Yes)
Weight (Morning Sickness: No, Hyperemesis Gravidarum: Yes)
Nausea (Morning Sickness: Yes, Hyperemesis Gravidarum: Yes)
Timing of vomiting (Morning Sickness: Yes, Hyperemesis Gravidarum: No)

Question: 58 of 80

A nurse is reviewing the medical record of a client who gave birth via cesarean section due to placenta accreta. Which of the following findings should the nurse identify as a risk factor for placenta accreta?

Smoking during pregnancy
Maternal age >35 years
Gestational diabetes
Inadequate pregnancy weight gain CUSTOM C11 MATERNITY FINAL

Question: 59 of 80

A nurse is contributing to the care of a newborn who is experiencing jaundice and is prescribed phototherapy. Which of the following interventions should the nurse anticipate including in the plan of care?

Place the newborn under phototherapy lights with eye protection.
Perform skin assessments once every 8 hr for skin breakdown.
Provide water supplements by bottle after breastfeeding.
Encourage frequent skin-to-skin contact to prevent too much exposure to phototherapy lights.

Question: 61 of 80

A nurse is assisting in the care of a client who is a 42-year-old black female, G1P0, at 29 weeks of gestation with chronic hypertension and diabetes. They have a twin pregnancy from In-vitro fertilization (IVF) assistance. Which of the following risk factors for maternal morbidity and mortality does the client have?

(Select All that Apply.)

Twin pregnancy
Race
Weeks of gestation
Diabetes

Question: 62 of 80

A nurse is reinforcing teaching with a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

(Select All that Apply.)

Slower satiety
Nausea
GERD
Constipation
Urinary frequency
Nocturia

Question: 63 of 80

A nurse is reinforcing teaching for a client who gave birth to a term newborn 24 hr ago about the newborn screening for phenylketonuria (PKU). Which of the following statements should the nurse discuss?

“Your newborn does not have manifestations, so the test will not be done”.
“Your newborn will have a heel stick done now for the newborn screening and test.”
“Your newborn will be tested 1 week after birth”.
“Your newborn will be given medication by mouth 24 hours prior to testing”.

Question: 64 of 80

While observing an electronic fetal monitor, a nurse is assisting the RN in identifying persistent fetal bradycardia, despite intrauterine resuscitation measures of client repositioning and increasing fluids. Client vital signs are within normal limits. Which of the following actions should the nurse expect to be taking?

Encourage the client to change position
Administer an antipyretic to the client
Notify the provider for further intervention
Document finding and continue with care

Question: 65 of 80

A nurse is reinforcing teaching about back pain with a client who is at 27 weeks of gestation. The nurse states that lumbar lordosis is common in pregnancy and may lead to additional manifestations experienced throughout the pregnancy. Which of the following musculoskeletal manifestations might the client experience as a result of lumbar lordosis?

Gait changes
Hip pain
Lower extremity edema
Abdominal contractions
Carpal tunnel syndrome
Knee pain

Question: 66 of 80

A nurse is collecting data from a client who had an emergency cesarean section three days ago. The client had no prenatal care. Which of the following findings should the nurse identify as a manifestation of infection?

Taut skin on breasts bilaterally
Uterine cramping when breastfeeding
Moderate lochia rubra
Low mean arterial pressure

Question: 67 of 80

A nurse is discussing the recommended newborn vaccination schedule at an infant care class, when a client expresses concerns about vaccinating their newborn. Which of the following action should the nurse take?

Plan to speak with the client privately during a class break to discuss their concerns.
Refer the client to use the internet to research vaccines.
Change the topic as to not raise concerns by the other parents.
Gather more information by asking the client to express their concerns.

Question: 68 of 80

A nurse is performing Leopold Maneuvers prior to auscultating the fetal heart rate for a client who is at 30 weeks of gestation. The client asks, “Why do you feel around on my belly first?” Which of the following responses should the nurse make?

“It helps me measure how high the top of your uterus is”.
“It helps me determine if you are having contractions”.
“It helps me identify your baby’s position in the uterus.”
“It helps me estimate how much your baby currently weighs”.

Question: 69 of 80

A nurse is assisting in the care of four maternal clients in the recovery room following cesarean births. Which of the following clients should the nurse assist first?

A client who is unsure of their whereabouts.
A client with sequential compression devices (SCDs) on their legs.
A client resting with eyes closed and respirations of 16/min.
A client with a blood pressure of 114/78 mm Hg.

Question: 70 of 80

A nurse is planning to discuss the following laboratory results with a client who is at 10 weeks of gestation. Which of the following statements should the nurse make?

“Due to your blood type, you will receive an injection of Rh immune globulin at 28 weeks of gestation”.
“The hepatitis screening shows that you will need the hepatitis vaccine during pregnancy”.
“You will need the MMR vaccine prior to birth of your baby”.
“The urinalysis showed a small amount of protein, which is common in pregnancy.”

Question: 71 of 80

A nurse is reviewing the medical record of a client who gave birth 2 days ago and is reporting pain in the calf. Which of the following findings should the nurse identify as increasing the client’s risk for a deep vein thrombosis (DVT)?

Age 31 years
Prepregnancy BMI 38
History of polyhydramnios
Cholelithiasis

Question: 72 of 80

A nurse is assisting with discharge teaching about the resumption of sexual activity after birth. Which of the following statements by the client reflects an understanding of the teaching?

“Since I have high levels of estrogen from breastfeeding, lubrication shouldn’t be an issue for me”.
“I should wait until 6 weeks postpartum or until I speak with my provider.”
“Since I had a cesarean birth, I can resume sexual activity as soon as I want because I have no vaginal lacerations”.
“I should feel mentally ready for sexual activity within 1 to 2 weeks”.

Question: 73 of 80

A nurse is assisting in the care of a client who is experiencing heavy lochia rubra following birth. The nurse calculates the shock index value to be 0.8. Which of the following types of shock should the nurse identify the client is experiencing?

Moderate
Mild
None
Severe

Question: 74 of 80

A postpartum phone triage nurse has messages from four clients. Which of the following clients should the nurse call back first?

A client who has recently developed blurry vision.
A client who took acetaminophen for a headache and reports an improvement in pain.
A client who is concerned about the presence of lochia alba 3 weeks postpartum.
A client who needs to have a bowel movement but is nervous to do so.

Question: 75 of 80

A nurse in an obstetrics office is reviewing a client’s medical record. Which of the following findings increase the client’s risk for pregnancy complications? Select the 2 findings.

Surgical history
Medical history
Age
BMI
Psychosocial history

Question: 76 of 80

A nurse is assisting with the care of a client in the second stage of labor who does not want any tools used to assist with the vaginal birth. Which of the following interventions should the nurse understand will help prevent an assisted vaginal birth?

(Select All that Apply.)

Change client position every 30 min
Upright positions
Supine positions
Lateral positions
Delayed pushing

Question: 77 of 80

A nurse is assisting with the discharge planning of a client and their newborn. Which of the following statements by the client indicates their teaching about when to call their provider has been effective?

“When my infant refuses a feeding”.
“When my infant does not sleep through the night”.
“When my infant gets diarrhea.”
“When my infant has a rectal temperature over 37.8°C (100°F)”.

Question: 78 of 80

A nurse is assisting with the care of a client who has not delivered the placenta 45 minutes after the birth of their newborn. Which of the following interventions should the nurse recognize as aiding the delivery of the placenta?

(Select All that Apply.)

Supine positioning
Administering oxytocin
Using controlled cord traction
Delayed cord clamping
Breastfeeding

Question: 79 of 80

A nurse is assisting with the admission of a client who is in labor and has a history of type 3 von Willebrand disease (VWD). Which of the following medications should the nurse anticipate the provider will prescribe?

Magnesium sulfate
Nifedipine
Clotting factors
Ampicillin CUSTOM C11 MATERNITY FINAL

Question: 80 of 80

A nurse is assisting in the care of a client in the labor and delivery unit. Which of the following client statements indicates an understanding of the reinforced teaching?

(Select All that Apply.)