Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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A nurse is leading a discussion about contraception with a group of 14-year-old-client. After the presentation a client asks the client which method would be best for her to use. How should the nurse respond?

  • A. "Because of your age, i think that a barrier method would be the best choice."
  • B. "Before i can help you, i need to know more about your sexual activity."
  • C. "A provider can help you with that after a physical examination."
  • D. "You are so young. Are you ready for the responsibilities of a sexual relationship?"
Correct Answer: B

Rationale: The appropriate response for the nurse to provide to the 14-year-old client who asks the best contraception method for her is to gather more information about her sexual activity first. This approach is essential in understanding the client's individual needs and situation before recommending a suitable contraceptive method. It allows the nurse to offer personalized and accurate advice based on the client's specific circumstances, rather than making assumptions or providing generic recommendations. By starting with a discussion about the client's sexual activity, the nurse can ensure that the advice given is tailored to the client's needs and preferences, promoting informed decision-making and effective contraceptive use.

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Which component is important to include in the sexual history assessment to assess the risk of sexually transmitted infections (STIs)?

  • A. current sexual activity
  • B. reproductive plans
  • C. education and counseling
  • D. history of HIV testing
Correct Answer: A

Rationale:

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.

A client at 16 weeks' gestation asks about the purpose of a maternal serum alpha-fetoprotein (MSAFP) test. What is the nurse's best response?

  • A. It screens for chromosomal abnormalities.
  • B. It detects neural tube defects.
  • C. It confirms the gestational age of the baby.
  • D. It identifies the baby's sex.
Correct Answer: B

Rationale: The MSAFP test is used to screen for neural tube defects such as spina bifida.

How should a nurse respond to a mother asking about newborn hearing screening?

  • A. Explain that hearing screening is optional
  • B. Reassure the mother that this is a routine test
  • C. Inform the mother that hearing screening is mandatory
  • D. Provide resources for further testing if needed
Correct Answer: B

Rationale: Hearing screening is a routine test to identify hearing issues early and ensure proper interventions.

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.

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