Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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A client has just given birth, during labor the fetus was in brow presentation, but after prolonged laboring the fetus convert to occiput presentation and was delivered vaginally by vacuum extraction

  • A. What should be explained
  • B. Molding of the head will subside in a few days
  • C. Meconium aspiration
  • D. Infant will have prophylactic antibiotic
Correct Answer: A

Rationale: In this scenario, it is important to explain to the client what happened during labor and delivery. It is essential to communicate that the fetus was in a brow presentation initially, which can sometimes lead to complications during labor. However, the fetus converted to occiput presentation and was successfully delivered vaginally with the help of vacuum extraction. Providing this information to the client helps in ensuring transparency and understanding of the events that occurred, addressing any concerns or questions they may have about the delivery process.

You may also like to solve these questions

Which newborn is at higher risk for developing hypoglycemia? SATA

  • A. SGA
  • B. Post term newborn
  • C. LGA
  • D. 38 week gestation (term newborn)
Correct Answer: A

Rationale: - Small for gestational age (SGA) newborns are at higher risk for developing hypoglycemia due to limited glycogen stores and decreased adipose tissue for energy reserve.

The nurse is caring for a client in the second stage of labor. What finding indicates readiness for delivery?

  • A. Fetal head is at station 0.
  • B. Contractions every 3–5 minutes.
  • C. Fetal head is crowning.
  • D. Cervix is dilated to 8 cm.
Correct Answer: C

Rationale: Crowning indicates that the fetal head is visible at the vaginal opening, signifying readiness for delivery.

In caring for an immediate postpartum client, you note she has

  • A. You monitor closely for which clotting disorder? (Which bleeding problem causes this: HEELP
  • C. DIC
Correct Answer: A

Rationale: In caring for an immediate postpartum client, you should monitor closely for HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count. HELLP syndrome is a serious complication of pregnancy characterized by high blood pressure, protein in the urine, and problems with the liver and blood-clotting system. It can lead to severe bleeding issues, organ failure, and other life-threatening complications if not promptly recognized and managed. Therefore, close monitoring for signs of HELLP syndrome is crucial in the postpartum period to ensure timely intervention and prevent adverse outcomes.

A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0°F) over the past 36 hours. This most likely indicates what?

  • A. Menstruation is about to begin.
  • B. Ovulation will occur soon.
  • C. Ovulation has occurred.
  • D. She is pregnant, and will not menstruate.
Correct Answer: C

Rationale: Mittelschmerz, or mid-cycle pain, combined with a basal temperature rise and cervical mucus changes, is a sign that ovulation has occurred. These indicators are part of the body's natural fertility signals.

A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?

  • A. Headaches B Nervousness
  • B. Tremors
  • C. Dyspnea
Correct Answer: C

Rationale: Terbutaline is a beta-adrenergic agonist that is commonly used to suppress preterm labor by relaxing the uterine smooth muscle. Adverse effects of terbutaline can include respiratory distress or dyspnea, which is a serious concern and should be reported to the healthcare provider immediately. Both the nurse and the client should be alert for signs of difficulty breathing, such as shortness of breath or chest tightness, as these symptoms could indicate a potential serious reaction to the medication. Headaches, nervousness, and tremors are common side effects of terbutaline that are less concerning and may not require immediate provider notification unless they become severe or persistent.

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