Maternal and Newborn Nursing

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A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements should indicate to the nurse the

  • A. "I am likely to have a fever during the first week I am home."
  • B. "I will resume taking my prenatal vitamins."
  • C. "I will call my provider if I have discharge from my incision."
  • D. "I should not have unrelieved pain in my abdomen."
Correct Answer: C

Rationale: The correct statement that should indicate to the nurse that the client understands the discharge teaching is "I will call my provider if I have discharge from my incision." This response demonstrates the client's understanding of the importance of monitoring the incision site for signs of infection or complications. It shows that the client is aware of the potential risks postoperatively and is prepared to take necessary action by notifying the healthcare provider if any issues arise. Monitoring incision discharge is essential to prevent infection and ensure proper healing after a cesarean birth.

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Which statement best describes the problem of regulation of body temperature in a 3-lb. (1361g) premature infant?

  • A. The surface area of the premature infant is relatively smaller than that of a healthy-term infant.
  • B. There is a lack of subcutaneous fat, which furnishes insulation.
  • C. There are frequent episodes of diaphoresis causing loss of body heat.
  • D. There is a limited ability to produce body proteins.
Correct Answer: B

Rationale: Lack of subcutaneous fat contributes to poor thermoregulation.

The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?

  • A. Preterm labor.
  • B. Placenta previa.
  • C. Macrosomia.
  • D. Abruptio placentae.
Correct Answer: C

Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.

What action is of highest priority for a nurse seeing a woman with multiple bruises accompanied by her partner?

  • A. Take the woman's vital signs.
  • B. Interview the woman in private.
  • C. Assess for additional bruising.
  • D. Document the location of the bruises.
Correct Answer: B

Rationale: Private interviews uncover hidden abuse.

Three hours after birth, a newborn of a mother with diabetes becomes jittery, has weak, high-pitched cry , and exhibits irregular respirations. The nurse recognizes that these signs are often associated with:

  • A. Hypovolemia
  • B. Hypocalcemia
  • C. Hypoglycemia
  • D. Hyperglycemia
Correct Answer: C

Rationale: Hypoglycemia is common in infants of diabetic mothers.

The nurse is caring for a 2-week-old girl with a metabolic disorder. Which activity would deviate from the characteristics of family-centered care?

  • A. Softening unpleasant information or prognoses
  • B. Evaluating and changing the nursing plan of care
  • C. Collaborating with the child and family as equals
  • D. Showing respect for the family's beliefs and wishes
Correct Answer: A

Rationale: Family-centered care requires that the nurse provide open and honest information to the child and family. It is inappropriate to soften unpleasant information or prognoses.