RN Maternal Newborn Online Practice 2019 A

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As a nurse working in a prenatal clinic. It is important to obtain maternal and fetal assessing. While obtaining fetal assessments. Which of the following should the complete for fetal well-being?

  • A. Fetal movement, maternal vital signs, maternal weight
  • B. Fetal movement, fetal position, fetal weight
  • C. Fetal position, fetal heart tone, maternal weight
  • D. Fetal heart tones, fetal movement, fundal height
Correct Answer: D

Rationale: When assessing fetal well-being in a prenatal clinic, it is important to focus on factors directly related to the fetus. Fetal heart tones provide crucial information about the baby's heart rate and rhythm, indicating how well the fetus is doing. Fetal movement is another essential indicator of fetal well-being, as it shows signs of good neurological function and reactivity. Finally, measuring fundal height (the distance from the top of the uterus to the pubic bone) helps assess fetal growth and development. These three aspects - fetal heart tones, fetal movement, and fundal height - provide a comprehensive evaluation of the baby's well-being and development during pregnancy.

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What role do nurses play in addressing social determinants of health (SDOH)?

  • A. Nurses primarily focus on providing medical treatments and interventions.
  • B. Nurses have no role in addressing social determinants of health.
  • C. Nurses are crucial in identifying and addressing the environmental factors that impact health outcomes.
  • D. Nurses solely focus on the physical well-being of individuals and do not address social factors.
Correct Answer: C

Rationale:

A patient who uses a diaphragm as contraception asks if they need to use a backup method. What should the nurse respond?

  • A. No, the diaphragm is effective on its own and does not require a backup method.
  • B. Yes, a diaphragm is effective only when used with spermicide, so a backup method is advised.
  • C. Yes, a diaphragm should always be used with a condom for additional protection.
  • D. No, but the diaphragm should be replaced every 6 months.
Correct Answer: B

Rationale: The diaphragm should be used with spermicide for maximum effectiveness. Choice A is incorrect because while the diaphragm is effective, spermicide enhances its performance and ensures greater protection. Choice C is unnecessary, as the diaphragm alone with spermicide is sufficient. Choice D is incorrect because while regular replacement is recommended, it does not require a backup method.

A client at 20 weeks' gestation asks about the purpose of an anatomy ultrasound. What is the nurse's best response?

  • A. To confirm the baby’s sex.
  • B. To assess the baby’s growth and development.
  • C. To detect early signs of labor.
  • D. To evaluate amniotic fluid levels.
Correct Answer: B

Rationale: The anatomy ultrasound assesses fetal growth, development, and structural abnormalities.

A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

  • A. A client who has a urinary output of 300 ml in 8 hr.
  • B. A client who reports abdominal cramping during breastfeeding
  • C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes
  • D. A client who reports lochia rubra requiring changing perineal pads every 3 hr.
Correct Answer: C

Rationale: The nurse should notify the provider for the client who is receiving magnesium sulfate and has absent deep tendon reflexes. Absent deep tendon reflexes are a sign of magnesium toxicity, which can lead to serious complications such as respiratory depression, cardiac arrest, and death. Prompt intervention by the provider is necessary to adjust the magnesium sulfate dosage and prevent further harm to the client.

Which assessment finding indicates uterine rupture?

  • A. Ctx abruptly stop during labor
  • B. Fetal tachycardia occurs
  • C. Client becomes dyspneic
  • D. Labor progressing unusually quickly
Correct Answer: A

Rationale: Uterine rupture is a rare but serious obstetric emergency that can occur during labor and delivery. One of the key assessment findings indicating uterine rupture is when contractions (ctx) abruptly stop during labor. This abrupt cessation of contractions can be a sign that the uterine muscle has torn due to excessive pressure or force, leading to a disruption in the normal progress of labor. Other signs and symptoms of uterine rupture may include severe abdominal pain, abnormal fetal heart rate patterns, loss of fetal station, and signs of hypovolemic shock in the mother. Immediate intervention and surgical management are required in cases of uterine rupture to ensure the safety of both the mother and the baby.

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