Maternal Newborn Nursing

Maternal Newborn Nursing Related

Review Maternal Newborn Nursing related questions and content

A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify

  • A. Fetal attitude is in general flexion.
  • B. Fetal lie is longitudinal.
  • C. Maternal pelvis is gynecoid.
  • D. Fetal position is persistent occiput posterior.
Correct Answer: D

Rationale: In a labor where the fetal position is persistent occiput posterior, the baby is positioned face up, which can lead to a longer and more difficult labor. In this position, the baby's head is pressing against the mother's spine, causing severe backache for the mother. This malposition can slow down the progress of labor, making it more prolonged and challenging. It can also increase the likelihood of complications such as increased risk of instrumental delivery or cesarean section. Therefore, identifying the fetal position as persistent occiput posterior as a contributing cause to the difficult, prolonged labor with severe backache is crucial for effective management and intervention.

You may also like to solve these questions

A primigravida is dilated 5cm just received epidural for pain. She complains of feeling lightheaded within 10 minutes after the

  • A. Her BP was 120/80 before procedure and now 80/
Correct Answer: A

Rationale: The incomplete statement suggests a potential medical emergency where the patient's blood pressure may have dropped significantly after the epidural procedure. The drop in blood pressure could be causing the patient to feel lightheaded. In this scenario, the most appropriate course of action would be to promptly address the drop in blood pressure to prevent any potential complications.

The nurse is performing a prenatal assessment on a client with gestational diabetes. What statement by the client indicates effective teaching?

  • A. I will monitor my blood sugar once a week.
  • B. I will increase my physical activity if my blood sugar is high.
  • C. I will check my blood sugar multiple times a day as prescribed.
  • D. I can reduce my insulin dose on days I eat less.
Correct Answer: C

Rationale: Regular blood sugar monitoring is crucial to manage gestational diabetes effectively and avoid complications.

The nurse notes right cephalhematoma on the otherwise healthy one-day-old newborn. Apriority intervention at the time of discharge would be to instruct the parents:

  • A. How to observe for signs of jaundice
  • B. How to assess the fontanels for tenseness
  • C. How to increase the infant's feeding to every 3 hours
  • D. To record the number of wet diapers the infant has in 24 hours
Correct Answer: A

Rationale: Cephalhematomas can lead to increased bilirubin levels, necessitating jaundice monitoring.

Upon delivery of the newborn, the nursing intervention that most promotes parental attachment is:

  • A. Placing the infant under the radiant warmer
  • B. Allowing the mother to rest immediately after delivery
  • C. Placing the newborn on mother's chest and abdomen
  • D. Taking the newborn to the nursery for the initial assessment
Correct Answer: C

Rationale: Skin-to-skin contact enhances bonding.

What physical findings would the nurse expect to see in a woman diagnosed with primary syphilis?

  • A. Cluster of vesicles.
  • B. Pain-free lesion.
  • C. Macular rash.
  • D. Foul-smelling discharge.
Correct Answer: B

Rationale: A pain-free chancre is characteristic of primary syphilis.

Copyright © 2025 Nokea. All rights reserved.