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LPN exams maternity and newborn practice questions, set 14

LPN exams · maternity and newborn

LPN exams maternity and newborn practice questions set 14

You work labor, postpartum, and newborn safety items the way maternity exams write the next action. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.

Five maternity and newborn questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, he preceding nurse indicated that the patient’s lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient’s peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse’s priority action with this finding?

  1. A. Weigh the peripad.
  2. B. Replace the peripad.
  3. C. Contact the health care provider.
  4. D. Document the finding in the patient’s chart.
Show answer and rationale

Correct answer: C — Contact the health care provider.

The correct answer is C: Contact the health care provider. This is the priority action because the sudden increase in lochia flow after breastfeeding could indicate postpartum hemorrhage, which is a serious complication that requires immediate medical attention. Contacting the healthcare provider will allow for prompt assessment and intervention. A: Weigh the peripad - This is not the priority action as assessing the amount of blood loss is important, but contacting the healthcare provider for further assessment and intervention takes precedence. B: Replace the peripad - While maintaining cleanliness and hygiene is important, addressing the potential postpartum hemorrhage is the priority. D: Document the finding in the patient’s chart - Documentation is necessary but should come after the immediate concern of postpartum hemorrhage is addressed.

Question 2

The decrease in systemic vascular resistance aids in decreasing which physiological measure?

  1. A. Cardiac output
  2. B. Pulse rate
  3. C. Renal blood flow
  4. D. Blood pressure
Show answer and rationale

Correct answer: D — Blood pressure

The decrease in systemic vascular resistance leads to a decrease in blood pressure for the following reasons: 1. Vasodilation reduces resistance to blood flow in the blood vessels, lowering overall pressure. 2. As resistance decreases, the heart doesn't have to work as hard to pump blood, resulting in a decrease in blood pressure. 3. Lower resistance allows blood to flow more easily, reducing pressure on the arterial walls. The other choices are incorrect because: A: Decreasing systemic vascular resistance would typically increase cardiac output, not decrease it. B: Pulse rate is primarily affected by factors like sympathetic nervous system activity and not directly by changes in vascular resistance. C: Renal blood flow is more influenced by factors like renal artery pressure and hormonal regulation, rather than changes in systemic vascular resistance.

Question 3

Prior to discharge from the birthing center, the nurse informs the patient that she will receive vaccines for rubella, hepatitis B, pertussis, and influenza. For which reason does the nurse explain the need for the vaccinations?

  1. A. Discharge with a neonate is discouraged if the mother is not vaccinated.
  2. B. Vaccinating the mother will protect the neonate from serious illnesses.
  3. C. The mother's immune system has been suppressed during pregnancy.
  4. D. Vaccination is more easily accomplished while the mother is under medical care.
Show answer and rationale

Correct answer: B — Vaccinating the mother will protect the neonate from serious illnesses.

Step-by-step rationale for why choice B is correct: 1. Vaccinating the mother will protect the neonate: Maternal vaccination can provide passive immunity to the newborn through transplacental transfer of antibodies. 2. Protect from serious illnesses: Rubella, hepatitis B, pertussis, and influenza can have severe consequences for newborns. 3. Immunization of the mother is a preventive measure: It reduces the risk of neonatal infections. 4. Ensures the health and well-being of the newborn: By preventing potential diseases. Summary of other choices: A: Discharge with a neonate is not solely dependent on the mother's vaccination status. C: Pregnancy does not suppress the immune system to the extent that vaccination is contraindicated. D: Vaccination timing is based on the immunization schedule and not solely dependent on medical care availability.

Question 4

A nurse is caring for a client who is 32 weeks gestation who comes to the emergency department for painful bleeding. Which is the priority nursing assessment?

  1. A. Monitor for contractions
  2. B. Assess pain level
  3. C. Assess for hemorrhage
  4. D. Provide emotional support
Show answer and rationale

Correct answer: C — Assess for hemorrhage

The correct priority nursing assessment in this scenario is to assess for hemorrhage (Choice C). This is crucial because painful bleeding in a client at 32 weeks gestation could indicate a potential life-threatening situation such as placental abruption or placenta previa. Assessing for hemorrhage involves checking the amount and type of bleeding, vital signs, and signs of shock. It is essential to identify and address hemorrhage promptly to prevent adverse outcomes for both the mother and the baby. Monitoring for contractions (Choice A) is important but assessing for hemorrhage takes precedence due to the immediate risk it poses. Assessing the pain level (Choice B) is secondary to assessing for hemorrhage in this case. Providing emotional support (Choice D) is important but should come after ensuring the client's physical well-being is addressed.

Question 5

The nurse is performing Leopold's maneuvers on a pregnant patient at 36 weeks of gestation and determines the fetal lie is longitudinal, palpates the fetal legs in the top of the uterus, and palpates the fetal head above the symphysis pubis. Which fetal presentation does the nurse document in the EHR?

  1. A. cephalic
  2. B. compound
  3. C. transverse
  4. D. breech
Show answer and rationale

Correct answer: D — breech

The correct answer is D: breech. At 36 weeks of gestation, if the nurse palpates the fetal head above the symphysis pubis and the fetal legs are at the top of the uterus, it indicates a breech presentation where the baby's buttocks or feet are positioned to be delivered first. In a breech presentation, the fetal head is not engaged in the pelvis and is palpable above the symphysis pubis. The longitudinal lie with the fetal legs on top further supports the breech presentation. Summary: A: Cephalic presentation would have the fetal head engaged in the pelvis. B: Compound presentation involves an additional body part alongside the presenting part. C: Transverse lie would have the baby positioned horizontally across the uterus. D: Breech presentation aligns with the given scenario of palpating fetal legs on top and head above the symphysis pubis.

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Question 6

A pregnant woman who is 28 weeks gestation reports that she feels dizzy and faint when she stands up. What should the nurse instruct the patient to do?

  1. A. Lie down flat on your back immediately.
  2. B. Stand up quickly to prevent dizziness from worsening.
  3. C. Drink a large amount of water to alleviate the dizziness.
  4. D. Get up slowly and avoid standing for long periods.
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Question 7

What is the most appropriate nursing action when a laboring person requests pain relief during the first stage of labor?

  1. A. provide non-pharmacological pain relief
  2. B. administer epidural analgesia
  3. C. administer IV analgesics
  4. D. administer pain medication as requested
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Question 8

The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful?

  1. A. Encourage the couple to identify mutual expectations of the fathering role.
  2. B. Critique the father's methods of providing physical care for the neonate.
  3. C. Provide written materials about the physical and emotional role of a father.
  4. D. Observe for a competitive attitude between the parents about providing baby care.
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Question 9

A nurse is monitoring a laboring person's vital signs during the first stage of labor. Which vital sign change is most likely to indicate the need for further evaluation?

  1. A. decrease in heart rate
  2. B. increase in blood pressure
  3. C. increase in pulse rate
  4. D. no change in vital signs
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Question 10

The nurse is caring for a pregnant patient who is 32 weeks gestation and reports a sudden increase in vaginal discharge. What is the nurse's priority action?

  1. A. Assess the color, consistency, and odor of the discharge.
  2. B. Instruct the patient to rest and monitor the discharge.
  3. C. Encourage the patient to increase fluid intake to reduce discharge.
  4. D. Perform a pelvic exam to check for signs of preterm labor.
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Question 11

The nurse is assessing a pregnant patient at 28 weeks gestation who reports increased vaginal discharge. What is the nurse's priority action?

  1. A. Assess the characteristics of the discharge, including color and odor.
  2. B. Encourage the patient to rest and monitor for changes in discharge.
  3. C. Perform a pelvic exam to assess the discharge further.
  4. D. Call the healthcare provider immediately to report the change.
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Question 12

A woman has been diagnosed with single intraductal papilloma and has nipple discharge. Which diagnostic tests will most likely be required?

  1. A. MRI
  2. B. Mammogram
  3. C. Core needle biopsy
  4. D. Ductogram
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Question 13

A pregnant patient is at 34 weeks gestation and reports persistent lower back pain and difficulty sleeping. What is the nurse's best recommendation for this patient?

  1. A. Rest in bed and avoid any physical activity.
  2. B. Use a firm mattress and avoid sleeping on the back.
  3. C. Take over-the-counter pain medications to alleviate symptoms.
  4. D. Apply heat to the back and practice good posture while sitting.
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Question 14

The nurse is teaching a woman receiving adjuvant hormonal therapy on how she can manage her side effects and symptoms. Which education and teaching will the nurse include? Select all that apply.

  1. A. Wear layered clothing and avoid caffeine and spicy foods to help relieve hot flashes
  2. B. Decrease vaginal dryness by using vaginal moisturizers such as Replens or vitamin E suppositories daily
  3. C. Manage nausea and vomiting by consuming a bland diet and taking medication first thing in the morning.
  4. D. Ease musculoskeletal symptoms with warm baths and nonsteroidal analgesics
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Question 15

Which woman is the best candidate for a trial of labor after cesarean (TOLAC)?

  1. A. A 34-year-old gravida 2, para 1 with one previous classical cesarean section for prematurity
  2. B. A 21-year-old gravida 2, para 1 with one previous low-transverse cesarean section for CPD
  3. C. A 31-year-old gravida 4, para 2 with one previous low-transverse cesarean section for late decelerations
  4. D. A 27-year-old gravida 3, para 2 with one previous T-shaped incision for macrosomia
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About these LPN exams maternity and newborn questions

LPN exams maternity and newborn practice questions, set 14 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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