RN Maternity/Pediatric NGN RN Maternity/Pediatric NGN

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Sample questions from RN Maternity/Pediatric NGN RN Maternity/Pediatric NGN

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client at 9 weeks of pregnancy reports nausea that is worse in the morning. Which instruction is most appropriate?

   • A.Drink a large glass of water with each meal.
   • B.Lie flat for 30 minutes after eating.
   • C.Skip breakfast until the nausea resolves.
   • D.Eat a few crackers before getting out of bed.

   Rationale: Eating a small amount of dry food before rising may reduce nausea associated with an empty stomach. Large fluid volumes with meals can worsen fullness, and skipping meals may aggravate symptoms. Remaining upright after meals is preferable to lying flat.

2. 2.At a prenatal visit, a client at 18 weeks asks how to reduce the risk of listeriosis. Which recommendations should the nurse provide? Select all that apply.

   • A.Choose unpasteurized soft cheeses for their calcium content.
   • B.Reheat leftover foods until steaming hot.
   • C.Heat deli meats until steaming before eating them.
   • D.Avoid refrigerated smoked seafood unless it is cooked in a dish.
   • E.Wash raw fruits and vegetables before eating them.
   • F.Eat refrigerated pate as a convenient source of iron.

   Rationale: Heating deli meats and leftovers until steaming reduces foodborne pathogen risk, and produce should be washed before consumption. Refrigerated smoked seafood and refrigerated pate can harbor Listeria unless cooked thoroughly. Unpasteurized cheeses should be avoided during pregnancy.

3. 3.Refer to the client's chart. Which finding requires the most immediate follow-up?

   • A.The client has trace ankle edema at the end of the day.
   • B.The client reports mild nausea after breakfast.
   • C.The client reports a headache that is not relieved by acetaminophen.
   • D.The client reports urinary frequency without dysuria.

   Rationale: The persistent headache together with a blood pressure increase from 138/86 to 164/108 mm Hg and proteinuria suggests preeclampsia with severe features. This finding requires prompt evaluation and intervention to reduce maternal and fetal risk. Mild nausea, dependent edema, and urinary frequency can occur in pregnancy but do not explain the concerning blood pressure trend.

4. 4.Which supplement is most important for a client planning pregnancy to take before conception and during early pregnancy?

   • A.Folic acid
   • B.Calcium carbonate only
   • C.Vitamin E
   • D.Vitamin A in high doses

   Answer and rationale are in the full material.

5. 5.A client at 27 weeks is reviewing instructions for daily fetal movement counting. Which statements indicate understanding? Select all that apply.

   • A.I should contact my care team if movement is markedly decreased.
   • B.I will count when the baby is usually active.
   • C.I can drink something cold and ignore decreased movement if movement resumes briefly.
   • D.I will use the same position and time when possible.
   • E.I should expect movement to stop near the end of pregnancy.
   • F.I will follow the specific movement-count method my clinician recommends.

   Answer and rationale are in the full material.