Maternal Newborn Nursing Certification Practice Test - Question List

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21. A nurse is assessing a woman who just gave birth 18 hours ago. Which of the following findings should alarm the nurse the most?
  1. Sanitary pads soak up bright red vaginal discharge every hour for more than 2 hours.
  2. The uterus is at the level of the umbilicus.
  3. Perineal swelling.
  4. Body temperature of 100°F.
22. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following:
  1. Symmetrical gluteal folds
  2. Trendelemburg sign
  3. Ortolani’s sign
  4. Characteristic limp
23. Included in the plan of care of a 7 year old client with diabetes is glucose monitoring. As a nurse, we must be aware that the most accurate way to evaluate the effectiveness of client and insulin therapy over time is the test that measures:
  1. Serum protein levels
  2. Urine ketones
  3. Serum glucose level
  4. Glycosylated Hemoglobin
24. An IV solution of 10% glucose and mannitol are administered to an infant with Reye’s syndrome. The client’s vital signs should be monitored by the nurse to prevent the occurrence of:
  1. hypovolemic shock
  2. fluid volume excess
  3. heart failure
  4. seizure episodes.
25. Signs of cold stress that the nurse must be alert when caring for a Newborn is:
  1. Hypothermia
  2. Increased Respirations
  3. Shaking
  4. Decreased activity level

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