Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?

  • A. "You will need to stay in a side-lying position for 30 minutes after each dose."
  • B. "You will receive an IV infusion of oxytocin 1 hour after your last dose."
  • C. " You will receive a magnesium supplement immediately following therapy."
  • D. " You will need to have a full bladder before the therapy begins."
Correct Answer: A

Rationale: The correct statement the nurse should make to the client receiving misoprostol intravaginally is, "You will need to stay in a side-lying position for 30 minutes after each dose." This instruction is important because maintaining a side-lying position can help prevent leakage and promote proper absorption of the medication. It enhances the effectiveness of the medication and reduces the risk of its expulsion before absorption, ultimately leading to a better response to the treatment. The other options are not relevant to the administration of misoprostol intravaginally and do not align with best practice for this specific therapy.

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The nurse is caring for a client in the postpartum period. What finding indicates a need for immediate intervention?

  • A. Fundus firm and midline.
  • B. Lochia rubra with large clots.
  • C. Perineal pain after delivery.
  • D. Slight swelling of the feet.
Correct Answer: B

Rationale: Large clots in lochia rubra may indicate retained placental fragments or postpartum hemorrhage.

The nurse is monitoring a postpartum client with a boggy uterus. What is the priority intervention?

  • A. Notify the healthcare provider.
  • B. Massage the fundus until firm.
  • C. Administer prescribed oxytocin.
  • D. Check the client’s vital signs.
Correct Answer: B

Rationale: Massaging a boggy uterus stimulates contraction and reduces the risk of postpartum hemorrhage.

What history would lead you to suspect an ectopic pregnancy in a client at 8 weeks' gestation presenting with abdominal pain and bleeding?

  • A. Treated one year ago for PID
  • B. Irregular cycle for 1 year
  • C. Oral contraception for 3 years
  • D. Urinary frequency for 1 week
Correct Answer: A

Rationale: A history of previous pelvic inflammatory disease (PID) treatment would lead to suspicion of an ectopic pregnancy in a client presenting with abdominal pain and bleeding at 8 weeks' gestation. PID can cause scarring and damage to the fallopian tubes, increasing the risk of an ectopic pregnancy where the fertilized egg implants outside of the uterus, usually in the fallopian tubes. Symptoms of an ectopic pregnancy can include abdominal pain, vaginal bleeding, and signs of shock, making it important to consider this possibility in a client with a history of PID.

A client at 12 weeks' gestation reports mild cramping and spotting. What is the nurse's priority intervention?

  • A. Reassure the client that this is normal.
  • B. Encourage the client to hydrate.
  • C. Advise the client to avoid heavy lifting.
  • D. Notify the healthcare provider immediately.
Correct Answer: D

Rationale: Spotting and cramping in early pregnancy could indicate a threatened miscarriage, requiring immediate evaluation.

A woman has been in labor for 16 hours. Her cervix is dilated

  • A. The fetal presenting part is not engage
  • B. The nurse would expect which malpresentation
  • C. CPD (prevents presenting part form becoming engage
Correct Answer: A

Rationale: If a woman has been in labor for 16 hours and her cervix is not dilated, it suggests that the fetal presenting part is not engaged. Engagement refers to the descent of the fetal presenting part (usually the head) into the pelvis. When the presenting part is not engaged, it may lead to a prolonged labor as the fetus needs to descend further for labor to progress effectively. This can result in slower cervical dilation and may require interventions to help facilitate engagement, such as position changes or use of gravity-assisted techniques.

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