Nursier
Register
Log in Register Register

LPN exams maternity and newborn practice questions, set 17

LPN exams · maternity and newborn

LPN exams maternity and newborn practice questions set 17

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 assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?

  1. A. They are normal.
  2. B. They indicate the presence of infection.
  3. C. The physician should be notified of the abnormal findings.
  4. D. The patient should be instructed to increase her fluid intake.
Show answer and rationale

Correct answer: A — They are normal.

The correct answer is A, as the assessment findings described are normal for a patient who is 1 day postpartum. A firm and midline fundus indicates proper uterine involution. Moderate lochia is expected at this stage, and the presence of small clots is normal. The overall picture suggests the normal process of healing after childbirth. Choice B is incorrect because the assessment findings do not indicate signs of infection such as foul-smelling lochia, fever, or elevated white blood cell count. Choice C is incorrect as there are no abnormal findings that would warrant immediate notification of the physician. Choice D is incorrect as there is no indication from the assessment findings that the patient needs to increase her fluid intake; the findings are within the expected range for a patient 1 day postpartum.

Question 2

A pregnant patient is at 24 weeks gestation and reports occasional cramping and lower abdominal discomfort. What should the nurse do first?

  1. A. Assess for signs of preterm labor and monitor the patient for regular contractions.
  2. B. Administer pain medications and encourage the patient to rest.
  3. C. Perform a pelvic exam to assess for cervical changes.
  4. D. Instruct the patient to increase fluid intake and monitor the symptoms.
Show answer and rationale

Correct answer: A — Assess for signs of preterm labor and monitor the patient for regular contractions.

The correct answer is A: Assess for signs of preterm labor and monitor the patient for regular contractions. This is the most appropriate action as the patient is experiencing cramping and lower abdominal discomfort, which could indicate preterm labor. Step 1: Assessing for signs of preterm labor, such as regular contractions, is crucial to determine the patient's condition. Step 2: Monitoring the patient for regular contractions helps in identifying any patterns and assessing the progression of labor. Other choices are incorrect as B: Administering pain medications without assessing for preterm labor can mask important indicators. C: Performing a pelvic exam may increase the risk of infection and is not the priority. D: Instructing the patient to increase fluid intake may not address the potential risk of preterm labor.

Question 3

The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change?

  1. A. Her center of gravity will shift backwar
  2. B. She will have increased lordosis.
  3. C. She will have increased abdominal muscle tone
  4. D. She will notice decreased mobility of her pelvic joints
Show answer and rationale

Correct answer: B — She will have increased lordosis.

The correct answer is B: She will have increased lordosis. During pregnancy, the increased weight of the growing uterus causes the center of gravity to shift forward, leading to an increased curvature of the lower back known as lordosis. This change helps to maintain balance and support the added weight. A: Her center of gravity will shift backward - This is incorrect as the center of gravity shifts forward during pregnancy due to the growing uterus. C: She will have increased abdominal muscle tone - This is incorrect as abdominal muscles may actually stretch and weaken during pregnancy to accommodate the growing baby. D: She will notice decreased mobility of her pelvic joints - This is incorrect as hormonal changes during pregnancy can actually lead to increased mobility of pelvic joints to prepare for childbirth.

Question 4

A nurse is providing prenatal education to a patient who is 22 weeks gestation. Which of the following topics should be emphasized at this stage of pregnancy?

  1. A. Signs and symptoms of preterm labor
  2. B. Signs of gestational diabetes
  3. C. Breastfeeding education
  4. D. Postpartum care
Show answer and rationale

Correct answer: A — Signs and symptoms of preterm labor

The correct answer is A: Signs and symptoms of preterm labor. At 22 weeks gestation, it is crucial to educate the patient about potential signs of preterm labor to help prevent premature birth and ensure the well-being of the baby. Symptoms such as regular contractions, abdominal cramping, backache, and vaginal bleeding should be discussed. This topic is time-sensitive and requires immediate action if observed. Summary of other choices: B: Signs of gestational diabetes - While important, monitoring for gestational diabetes typically occurs later in pregnancy, usually around 24-28 weeks. C: Breastfeeding education - Important, but not as time-sensitive as preterm labor education. D: Postpartum care - Relevant but more appropriate for later stages of pregnancy or after birth, not specifically at 22 weeks gestation.

Question 5

After a mother was diagnosed with gonorrhea immediately after delivery, what is an important goal of the nurse when providing care for her baby?

  1. A. Prevent the development of ophthalmia neonatorum.
  2. B. Lubricate the eyes.
  3. C. Prevent the development of infection.
  4. D. Teach about the risks of breastfeeding with gonorrhea.
Show answer and rationale

Correct answer: A — Prevent the development of ophthalmia neonatorum.

The correct answer is A: Prevent the development of ophthalmia neonatorum. When a mother has gonorrhea, the baby can be infected during delivery, leading to ophthalmia neonatorum, which can cause permanent blindness. Therefore, it is crucial for the nurse to prevent this condition by treating the baby's eyes with an antibiotic prophylactically after birth. Choice B, lubricating the eyes, is not the primary goal in this situation as preventing infection takes precedence. Choice C, preventing the development of infection, is too broad and does not specifically address the potential complication of ophthalmia neonatorum. Choice D, teaching about the risks of breastfeeding with gonorrhea, is important but not the immediate goal in this scenario where preventing ophthalmia neonatorum and potential blindness is the priority.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing

Ten more LPN exams maternity and newborn questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

A laboring patient experiences a sudden rupture of membranes and the nurse observes a prolapsed cord. What is the nurse's priority action?

  1. A. Reposition the patient to relieve pressure on the cord.
  2. B. Immediately prepare the patient for a cesarean delivery.
  3. C. Administer oxygen at 10 L/min.
  4. D. Monitor the fetal heart rate continuously.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to promote effective breastfeeding?

  1. A. assist with positioning
  2. B. administer analgesics
  3. C. administer IV fluids
  4. D. assist with breastfeeding positioning
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

The nurse is completing the family assessment on a patient at 10 weeks of gestation. What data are included in the family assessment? Select all that apply.

  1. A. annual income
  2. B. total number of cousins
  3. C. number of people living in the household
  4. D. person in the household who makes the major decisions for the family
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

A 29-year-old gravida 1, para 0 woman who is 35 weeks pregnant is admitted to the labor and delivery unit. She states that there is fluid leaking from her vagina but she is not sure if it is urine. What should the nurse do to make the determination?

  1. A. A nitrazine test is the most conclusive test.
  2. B. Nitrazine paper changes from yellow to dark blue due to the acidic nature of amniotic fluid.
  3. C. Ferning is more conclusive than nitrazine paper testing.
  4. D. Note if there is fluid leaking from the perineal area.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

A nurse is caring for a pregnant patient at 36 weeks gestation who has been diagnosed with preeclampsia. Which of the following interventions should the nurse prioritize?

  1. A. Encourage the patient to increase fluid intake to prevent dehydration.
  2. B. Monitor the patient's blood pressure and assess for signs of worsening preeclampsia.
  3. C. Provide education about managing gestational diabetes.
  4. D. Administer pain relief to reduce discomfort from swelling.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

What procedure might the nurse perform to determine the presentation of the fetus?

  1. A. vaginal exam
  2. B. ultrasound
  3. C. palpation of contractions
  4. D. laboring person interview
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Which is the cervical exam that most indicates the use of misoprostol?

  1. A. 1 cm dilated, 20% effaced, -3 station, firm and posterior
  2. B. 3-4 cm dilated, 50% effaced, -2 station, firm and midposition
  3. C. 5 cm dilated, 80% effaced, 0 station, soft and midposition
  4. D. 6 cm dilated, 100% effaced, +1 station, soft and anterior
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient's assessment?

  1. A. Have you noticed that it is easier for you to breathe now?'
  2. B. Would you like to hear the baby's heartbeat for the first time?'
  3. C. Have you felt a fluttering sensation in your lower pelvic area yet?'
  4. D. Have you recently developed any unusual cravings, such as for chalk or dirt?'
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports feeling fatigued and weak. What is the most appropriate action for the nurse to take?

  1. A. Assess the patient's hemoglobin levels to check for anemia.
  2. B. Recommend a high-calorie diet to improve energy levels.
  3. C. Encourage the patient to rest and avoid any physical activity.
  4. D. Instruct the patient to perform gentle exercises to combat fatigue.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?

  1. A. Extension
  2. B. Engagement
  3. C. Internal rotation
  4. D. External rotation
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these LPN exams maternity and newborn questions

LPN exams maternity and newborn practice questions, set 17 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the LPN exams exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing