Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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What is the second stage of pathophysiology in an on anticoagulant therapy due to a deep vein throm- amniotic fluid embolism characterized by? bosis, which occurred after giving birth. Which of

  • A. Hemorrhage the following instructions should the nurse include?
  • B. Hypoxia
  • C. Take an herbal supplement such as St. John's wort
  • D. Capillary damage to help increase the effect of the anticoagulant.
Correct Answer: A

Rationale: The second stage of pathophysiology in an amniotic fluid embolism characterized by deep vein thrombosis on anticoagulant therapy after giving birth involves the risk of hemorrhage. Anticoagulant therapies such as heparin increase the risk of bleeding since they inhibit the blood's ability to clot effectively. This means that in the event of an injury or surgery, there is a higher likelihood of excessive bleeding. Therefore, it is crucial to monitor for signs of hemorrhage such as bruising, bleeding gums, blood in urine or stool, and low blood pressure. Intervention to manage bleeding may include reducing the dosage of the anticoagulant, administering blood products, and implementing pressure or surgical interventions as necessary.

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The nurse is educating a client about kick counts. What instruction is most appropriate?

  • A. Perform kick counts once a week.
  • B. Lie on your back to count fetal movements.
  • C. Count 10 fetal movements over 2 hours.
  • D. Start counting movements at 36 weeks.
Correct Answer: C

Rationale: Counting 10 fetal movements within 2 hours is a standard method to monitor fetal well-being.

The nurse is performing Leopold's maneuvers on a client in labor. What is the primary purpose of this assessment?

  • A. Evaluate fetal heart rate.
  • B. Determine fetal position and presentation.
  • C. Check for uterine contractions.
  • D. Assess amniotic fluid volume.
Correct Answer: B

Rationale: Leopold's maneuvers help identify fetal position, presentation, and engagement for labor management.

A patient at 24 weeks of gestation reports that she has a glass of wine with dinner every evening. Which rationale should the nurse provide this patient regarding the necessity to eliminate alcohol intake? N R I G B.C M U S N T O

  • A. The fetus is placed at risk for altered brain growth.
  • B. The fetus is at risk for severe nervous system injury.
  • C. The patient will be at risk for abusing other substances as well.
  • D. A daily consumption of alcohol indicates a risk for alcoholism.
Correct Answer: A

Rationale: The correct rationale that the nurse should provide to the patient regarding the necessity to eliminate alcohol intake during pregnancy is that the fetus is placed at risk for altered brain growth. Alcohol consumption during pregnancy can lead to a condition known as Fetal Alcohol Syndrome (FAS), which is characterized by various physical and intellectual disabilities in the child. One of the major consequences of alcohol exposure during pregnancy is impaired brain development in the fetus. This can result in cognitive, behavioral, and neurological problems that may persist throughout the child's life. Therefore, it is crucial for pregnant women to completely abstain from alcohol to protect the health and well-being of the developing fetus.

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?

  • A. Cephalic
  • B. Transverse
  • C. Posterior
  • D. Frank breech
Correct Answer: A

Rationale: When the nurse locates the fetal heart tones above the client's umbilicus at midline, it indicates that the fetus is in a cephalic position. In this position, the baby's head is facing downward towards the birth canal, which is the optimal position for a vaginal delivery. This positioning is considered normal and favorable for childbirth.

The nurse is caring for a client in labor receiving epidural anesthesia. What is the priority nursing assessment?

  • A. Assess for bladder distention.
  • B. Monitor maternal blood pressure.
  • C. Evaluate fetal heart rate.
  • D. Check for pain relief.
Correct Answer: B

Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension, a common side effect of epidural anesthesia.

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