Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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A woman has been having contractions since 4am this morning. At 8am her cervix dilated 5cm. Contractions are frequent, mild to moderate in intensity. CPD has been ruled out. After giving her sedation so she can rest, what would anticipate preparing her for?

  • A. oxytocin induction
  • B. Amnioinfusion
  • C. c/s
  • D. increased IV infusion
Correct Answer: C

Rationale: The scenario describes a woman in active labor with frequent, mild to moderate contractions and significant cervical dilation. If cephalopelvic disproportion (CPD) has been ruled out and the progress of labor is slow despite sufficient dilation and descent of the fetus, it may indicate cephalopelvic disproportion, failure to progress, or other complications that could necessitate a cesarean section (c/s). In this case, providing sedation to allow for rest suggests that the medical team is considering the possibility of further intervention, such as a c/s, if the labor does not progress effectively despite sufficient dilation. Therefore, preparing the woman for a c/s would be the anticipated next step in her care.

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The nurse is educating a client about gestational diabetes. What is the best recommendation for managing blood sugar levels?

  • A. Avoid all carbohydrates.
  • B. Exercise for 60 minutes daily.
  • C. Eat balanced meals and monitor blood sugar levels.
  • D. Only take insulin when blood sugar is high.
Correct Answer: C

Rationale: Balanced meals and regular blood sugar monitoring are essential for managing gestational diabetes.

What does the nurse say about labor beginning to the laboring person who has studied Lamaze?

  • A. We should walk in the hallways to get your labor started.”
  • B. Let's turn the lights down and get you into a comfortable position with your partner next to you.”
  • C. I bet you are ready for the Pitocin to get started to get your baby here.”
  • D. Early labor is the best time for you to come to the hospital.”
Correct Answer: B

Rationale: Lamaze emphasizes comfort and partner support, aligning with creating a calm environment for labor.

A parent asks the nurse what makes the opening between the baby's atrium close at birth? The nurse's response is that cardiovascular changes that cause to foramen ovale to close at birth are the direct result of:

  • A. Increased pressure in the L atrium (with the increase in the blood flow to the L atrium from the lungs, the pressure is
  • C. Increased pressure in the R atrium
  • D. Changes in the hepatic blood flow
Correct Answer: C

Rationale: The foramen ovale is a normal fetal structure that allows blood to bypass the lungs by shunting blood from the right atrium to the left atrium. This is essential during fetal development since the lungs are not functioning until birth. After birth, when the baby takes its first breaths and the lungs start working, the pressure in the left atrium increases due to the increased blood flow from the pulmonary circulation. This increased pressure in the left atrium causes the foramen ovale to close, preventing blood from flowing from the right atrium to the left atrium. Therefore, the closure of the foramen ovale is a result of the increased pressure in the left atrium rather than any other cardiovascular changes.

A client at 34 weeks' gestation is diagnosed with polyhydramnios. What is the nurse's priority assessment?

  • A. Monitor maternal blood pressure.
  • B. Assess for signs of preterm labor.
  • C. Check for signs of infection.
  • D. Evaluate for fetal heart rate changes.
Correct Answer: B

Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension, requiring close monitoring.

A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:

  • A. This is not a birth injury probably just a birthmark
  • B. These are caused by forceps used to aid in the delivery of the baby
  • C. This a temporary complication that will disappear in about a week
  • D. These Mongolian spots, common in dark-skinned babies, disappear within a year
Correct Answer: A

Rationale: The large black and blue areas on the buttocks and legs of the newborn are likely Mongolian spots. Mongolian spots are common in infants with dark skin and are not a result of birth trauma. They are benign birthmarks caused by pigment that did not make it to the top layer of the skin before birth. These spots typically fade over time and may disappear completely within a few years. It is important to educate parents about Mongolian spots to alleviate any concerns they may have about their baby's skin markings.

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