Maternal Newborn Nursing

Maternal Newborn Nursing Related

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A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

  • A. "should position my baby's car seat at a 45-degree angle in the car."
  • B. "should place the car seat rear facing until my baby is 12 months old."
  • C. "should place the harness snugly in a slot above my baby's shoulders."
  • D. "should position the retainer clip at the top of my baby's abdomen."
Correct Answer: B

Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect:

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What findings would make the nurse suspicious of anorexia in a client?

  • A. Aversion to exercise and food allergies.
  • B. Significant weight loss and amenorrhea.
  • C. Respiratory distress and thick oral mucus.
  • D. Cardiac arrhythmias and anasarca.
Correct Answer: B

Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.

What behavior indicates effective teaching about the temperature rhythm method of fertility control?

  • A. The woman takes her basal body temperature before retiring each evening.
  • B. The couple charts information from at least six menstrual cycles before using the method.
  • C. The couple resumes having intercourse as soon as they see a rise in the basal body temperature.
  • D. The woman assesses her vaginal discharge daily for changes in color and odor.
Correct Answer: B

Rationale: Charting multiple cycles helps identify the fertile window accurately.

A nurse receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?

  • A. A client who experienced a cesarean birth 4 hr ago and reports pain
  • B. A client who has preeclampsia with a BP of 138/90 mm Hg
  • C. A client who experienced a vaginal birth 24 hr ago and reports no bleeding
  • D. A client who is scheduled for discharge following a laparoscopic tubal ligation Which of the following findings indicates that it is safe for the nurse to continue the infusion? .
Correct Answer: A

Rationale: The client who experienced a cesarean birth 4 hours ago and is reporting pain should be seen first by the nurse. Pain assessment and management are crucial following a cesarean birth to ensure the client's comfort and well-being. Uncontrolled pain can lead to complications and affect the client's recovery process. Addressing the client's pain promptly is a priority to promote their comfort and facilitate their recovery.

The nurse is preparing a client for a nonstress test. What instruction should the nurse provide?

  • A. Avoid eating or drinking before the test.
  • B. Press the button whenever you feel the baby move.
  • C. Lie flat on your back during the test.
  • D. Expect contractions to occur during the test.
Correct Answer: B

Rationale: The client should press the button when fetal movements are felt, which are correlated with fetal heart rate accelerations.

The nurse would classify a newborn delivered at 39 weeks' gestation, weighing 2400 g ( 5.0 lbs) as being:

  • A. Preterm and immature
  • B. Small-for-gestational age
  • C. Average-for-gestational age
  • D. Average-for-gestational age but pre-term
Correct Answer: B

Rationale: Weight below the 10th percentile indicates small-for-gestational age.

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