Maternal Newborn Nursing Certification Practice Test - Question List

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11. A nurse is caring for a client at 28 weeks gestation. The results of the laboratory examinations reveal that both the woman and the baby’s father are negative for Rh factor. An indirect Coombs test is negative. The nurse should expect which of the following actions?
  1. Document the findings; RhoGAM is not administered
  2. Assessment of maternal serum for alpha-fetoprotein
  3. Amniocentesis fluid is aspirated
  4. Administration of Rho immune globulin (RhoGAM)
12. A pregnant woman at 28 weeks gestation finds out that she is infected with human immunodeficiency virus. The nurse informs the mother that which of the following does not put the baby at risk for HIV infection?
  1. Changing diapers
  2. Breastfeeding
  3. Vaginal birth
  4. Being born to an HIV-positive mother, even with a Cesarean birth
13. A nurse is teaching a group of pregnant clients about prenatal care. The nurse informs the group that of which of the following pregnant clients has the highest risk for toxoplasmosis?
  1. A pregnant client with low rubella titer
  2. A pregnant client who handles cat litter
  3. A pregnant client who consumes overcooked meats
  4. A pregnant client who drinks pasteurized milk
14. A nurse is teaching a new mother about breastfeeding. Which of the following statements, if made by the client, indicates that the mother needs further teaching?
  1. “In about 2 weeks, my baby’s weight should surpass her birth weight.”
  2. “My baby should have at least 4 wet diapers a day and at least 1 bowel movement per day.”
  3. “My baby should be fed every 2 to 3 hours during the day and every 4 hours at night.”
  4. “My baby should feed for around 20 minutes per breast.”
15. A nurse is teaching a pregnant client at 32 weeks gestation with human immunodeficiency virus about breastfeeding. The nurse includes which information during teaching?
  1. The infant will not be breast-fed.
  2. The infant will be breast-fed for the first 2 months and switched to bottle-feeding thereafter.
  3. The infant will be breast-fed for the first 6 months.
  4. The infant will be breast-fed for the first 3 months and switched to bottle-feeding thereafter.

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