INNOVATIVE HEALTH CARE
Mother/Baby RN Comprehensive Exam
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1. When instilling erythromycin ointment into the neonate’s eyes, the nurse should place the medication: a. On the cornea b. At the inner canthus c. At the outer canthus d. In the lower conjuntival sac 2. When the nurse accidentally bumps the bassinet, the neonate throws out its arms, hands open and begins to cry. Following instructions, the nurse determines that the mother understands this reflex when she states that it is the: a. Moro reflex b. Rooting reflex c. Grasping reflex d. Tonic neck reflex 3. In planning care for the client for the first 24 hours, the nurse should plan for her primary concerns, which will mostly likely focus on her: a. Baby b. Husband / partner c. Own comfort d. Developing mothering skills 4. The nurse plans to teach the client about infant care when the client is in which phase of postpartum psychological adaptation? a. Taking in b. Letting go c. Taking hold d. Letting down 5. Following a spontaneous vaginal delivery under local anesthesia, a client reports she needs to urinate approximately 4 hours after delivery. The nurse should: a. Catherize the patient b. Offer her a bedpan c. Check her for distention d. Assisting her in ambulating to the bathroom 6. While the client is taking her first shower after delivery, the nurse warns her and remains close by to assess her for: a. Cramping b. Fainting c. Vomiting d. Hemorrhaging
7. Twelve hours after delivery, the nurse documents that involution is progressing normally after palpating the client’s fundus: a. Slightly above the level of the umbilicus b. Midway between the umbilicus and the symphysis pubis c. Barely above the upper margin of the symphysis pubis d. At the level of the umbilicus, deviated to the left 8. Assessing the client on the second post-partum day, the nurse notes an ecchymotic area to the right of the perineum. The nurse should: a. Apply an ice bag to the perineum b. Continue with the client’s usual care c. Increase the number of sitz baths from 3 – 6 each day. d. Contact the physician 9. Following a vaginal delivery with the client under an epidural block anesthesia, the nurse notes that a client’s bladder is distended. The nurse explains to the patient that this is due to: a. Having delivered a large baby b. A bladder infection c. Pressure of the unterus on the bladder d. Urinary retention related to the trauma of delivery 10. Eight hours after delivery, the client is still unable to urinate. While catherizing the patient, the nurse feels resistence. The sRN should: a. Remove the catheter and try in 1 hour b. Pull the catheter back about ½ inch and then try to advance again c. Allow the labia to fall into place and try again to gently advance d. Ask the client to bear down gently as if to void and slowly advance the catheter 2-3 inches 12. After teaching the client about what to expect related to nd the lochia on the 2 post-partum day, the patient should expect it to be: a. Light red b. Dark red c. Dark brown d. Bright red
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INNOVATIVE HEALTH CARE
Mother/Baby RN Checklist
13. The RN on the night shift finds the client drenched in perspiration. The nurse assumes this is due to: a. Altered urinary elimination related to infection b. Impaired thermoregulation secondary to hormones c. Secondary to infection d. Fluid volume excess related to normal postpartum elimination process 14. After teaching the client about spinal anesthesia, the RN notes sufficient teaching when the patient says: a. A possible side effect is a spinal headache b. After 20-30 minutes, you will be able to get up c. After 1 hour I can walk if I drink lots of fluid d. I won’t be able to walk for 24 hours 15. When assessing the lient 24 hours after delivery, the nurse determines that the fondues is firm but to the right of midline. The RN should then check for: a. Constipation b. Uterine atony c. Urine retention d. Retentiion of blood clots 16. The client receives a rubella vaccine during the post partum period. Notify the client that: a. The vaccine prevents a future fetus from being infected b. Pregnancy should be avoided for 3 months after injection c. The injection is being fgiven because it was not done prior to the baby’s birth d. The Injection will immunize the client from the 7 day measles
17. After teaching the client how to care for the umbilical cord, the nurse determines that the instructions have been effective if the client states that care of the cord area should be done with: a. Soap and H2O b. Petroleum jelly c. Hydrogen peroxide d. Alcohol pledgets 18. The RN is assisting a client breast feed who has inverted nipples. The RN reviews with the client: a. How to position the infant to maximize surface area to the nipple b. Hold the baby closer to the chest to assist in grasping c. Inform the mother that she may not be able to breastfeed d. Explain how to push the areolar tissues away from the nipple and then grasp the nipple to tease them out of the tissues 19. After determining that a patient’s fundus is firm and midline, the RN assists the patient to the bathroom. A moderate amount of lochia gushes from the client’s vagina. The RN should: a. Return the client to bed and notify the MD b. Return the client to bed in the Trendelenburg position c. Reassess the fondus when the client returns to bed d. Continue to ambulate the patient and explain that this gush is normal
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