Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor

  • A. Cervical dilation
  • B. Report of pain above the umbilicus
  • C. Brownish vaginal discharge
  • D. Amniotic fluid in the vaginal vault
Correct Answer: A

Rationale: Cervical dilation is a key physiological change that confirms labor has begun. During the late stages of pregnancy, the cervix starts to soften, thin out (efface), and open up (dilate) in preparation for childbirth. Therefore, cervical dilation is a critical finding that indicates the onset of labor. Pain above the umbilicus, brownish vaginal discharge, and amniotic fluid in the vaginal vault are not definitive signs of labor and do not confirm the initiation of the labor process.

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What is the most effective form of contraception for a woman who has just given birth and is breastfeeding?

  • A. Oral contraceptives
  • B. Copper IUD
  • C. Contraceptive injections
  • D. Emergency contraception
Correct Answer: B

Rationale: The copper IUD is a highly effective, long-term contraception method that does not interfere with breastfeeding. Choice A is incorrect because oral contraceptives may reduce milk supply, and many types are not recommended during breastfeeding. Choice C is incorrect because contraceptive injections may not be ideal during breastfeeding. Choice D is incorrect because emergency contraception is used only after unprotected sex and is not a long-term solution.

A newborn is born to a mother with gestational diabetes. What complication is the nurse most likely to monitor for?

  • A. Hypoglycemia
  • B. Hyperthermia
  • C. Jaundice
  • D. Respiratory alkalosis
Correct Answer: A

Rationale: Babies of diabetic mothers risk hypoglycemia due to high insulin.

The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?

  • A. where the patient will be staying after birth
  • B. who will be watching their other children
  • C. what position they want to birth in
  • D. how they will time contractions
Correct Answer: C

Rationale: Birth plans often include preferences for birthing positions to promote comfort and effectiveness.

A pregnant client reports frequent urination and lower abdominal pressure at 36 weeks. What should the nurse explain?

  • A. This is a sign of preterm labor.
  • B. This indicates urinary tract infection.
  • C. This is common due to fetal descent.
  • D. This is caused by Braxton Hicks contractions.
Correct Answer: C

Rationale: As the fetus descends into the pelvis (lightening), increased pressure on the bladder causes frequent urination.

During which stage of the menstrual cycle does the endometrium layer thicken?

  • A. Proliferative phase
  • B. Ovulation phase
  • C. Luteal phase
  • D. Secretory phase
Correct Answer: D

Rationale: The endometrium layer thickens during the secretory phase of the menstrual cycle. This phase occurs after ovulation and is characterized by the endometrium preparing for possible implantation of a fertilized egg by further thickening and becoming more vascularized. If pregnancy does not occur, the thickened endometrial lining will be shed during menstruation. The secretory phase is under the control of the hormone progesterone, which is produced by the corpus luteum formed in the ovary after ovulation.

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