1. A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the following

statements by the client indicated an understanding of the teaching?

a. I will receive this medication if my baby is Rh-negative

b. I will receive this medication at time of delivery

c. I will need a second dose of this medication when my baby is 6 weeks old

d. I will need this medication if I have an amniocentesis- Recommended because of the

potential of fetal RBCs entering the maternal circulation

2. A nurse is caring for a client who is to receive oxytocin (Pitocin) to augment her labor. Which of

the following contraindicates the initiation of the oxytocin infusion and requires notification of

the provider?

a. Late decelerations- Oxytocin is contraindicated based on late decelerations noted on

fetal assessment findings because they indicate uteroplacental insufficiency.

b. Baseline variability

c. Cessation of uterine dilation

d. Prolonged active phase of labor

3. A nurse on the newborn unit is planning discharge for four clients. Which of the following will

require care beyond that of a standard follow-up visit with the provider after delivery?

a. A newborn being sent home after 22 hr after birth- Screening tests must be repeated if

they were performed before he newborn was 24 hr. old.

b. A newborn at 38 weeks of gestational age

c. A newborn who is bottle feeding

d. Twin newborns with Apgar scores of 8 and 9

4. A nurse is assessing a newborn who has a weak cry and is grimacing. The nurse notes the

newborn has a heart rate of 102/min, blueish extremities, and a flaccid muscle tone. Which of

the following reflects the appropriate APGAR score?

a. 4

b. 5

c. 6

d. 7

5. A nurse is caring for a client who has a history of rheumatic disease, but no physical symptoms

prior to pregnancy. The client begins to experience dyspnea, orthopnea, and pulmonary edema.

Which of the following biological alterations explains this change?

a. Increased maternal weight

b. Increased blood volume- Increase in blood volume during pregnancy increase the

workload of the heart, which causes the symptoms

c. Change in hematocrit levels

d. Change in heart size

6. A nurse is providing teaching about nonpharmacological pain management for a postpartum

client who is breastfeed and has engorgement. Which of the following methods should the

nurse recommend?

a. Cold cabbage leaves- Application of this is an effective nonpharmacological method to

relieve pain associated with engorgement

b. Modified lanolin cream