Practice Quiz

Maternal Newborn Nursing Certification Practice Test - Question List

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16. A nurse is teaching a 75-year-old client how to use an aluminum walker appropriately. Which of the following techniques are accurate?
  1. The client lifts and moves the walker forward, steps forward with the good leg, followed by the affected leg.
  2. The client lifts and moves the walker forward 10 inches, and steps forward with the affected leg first, followed by the good leg.
  3. The client pushes the walker forward as the walker bears the weight of the client.
  4. The client glides the walker forward 18 inches and swings both legs forward.
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17. The nurse provides home instructions to a postpartum client. Which of the following statements, if made by the client, indicates that further teaching is necessary?
  1. “It is normal to have strong, menstrual-like cramps during the first few days to weeks when nursing my baby.”
  2. “Breast tenderness and redness and easy fatigability should alert me to call my physician.”
  3. “I will call my physician if my vaginal discharge becomes brownish-pink in color.”
  4. “A rise of body temperature up to 102° is normal.”
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18. The nurse provides discharge teaching to a postpartum client on how to care for her perineum at home. Which of the following statements, if made by the client, suggests that further teaching is necessary?
  1. “I need to increase my fluid intake.”
  2. “Application of ice packs can relieve the swelling.”
  3. “I need to see my physician within 3 weeks to have my episiotomy stitches removed.”
  4. “I will use a peri-bottle to squirt the water on my perineum as I urinate.”
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19. A nurse is caring for a postpartum client. Which of the following is the earliest sign of excessive blood loss?
  1. A blood pressure change from 130/83 to 126/80
  2. A respiratory rate from 16 to 20 breaths per minute
  3. An increase of pulse rate from 80 to 102 per minute
  4. A temperature of 100.8°F
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20. A nurse is assessing a client who gave birth 12 hours ago. On assessment, the nurse notes that the client’s fundus is above the umbilicus to the right. Which of the following is the nurse’s initial action?
  1. Place the client on her left side
  2. Massage the fundus
  3. Ask the client to void
  4. Notify the physician
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