Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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A patient who has an LNG-IUC in place calls the office and states she just took a pregnancy test, and it is positive. She comes in for a visit, and the nurse does another pregnancy test, which is positive. What does the nurse know that the clinician will inform the patient regarding the IUC?

  • A. Removing the IUC may increase the chance of infertility.
  • B. The fetus is at risk for congenital defects.
  • C. The IUC needs to be removed regardless of the plans for this pregnancy.
  • D. There is no risk to the fetus if the IUC is left in place.
Correct Answer: D

Rationale: The correct statement the nurse knows that the clinician will inform the patient regarding the LNG-IUC is that there is no risk to the fetus if the IUC is left in place. The LNG-IUC (levonorgestrel-releasing intrauterine system) is a highly effective form of contraception that works by releasing progesterone locally in the uterus. The hormonal effect of the LNG-IUC is mostly limited to the uterus and very little of it circulates systemically. Therefore, there is no known increased risk of congenital defects or harm to the fetus if the IUC is left in place during pregnancy. The IUC can be left in place if the patient chooses to continue the pregnancy, provided there are no signs of infection or other complications that would necessitate its removal.

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A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations...Which of the following actions should the nurse take first?

  • A. Prepare the equipment necessary to initiate an amnioinfusion.
  • B. Administer oxygen at 10 L/min via nonrebreather face mask.
  • C. Discontinue the infusion of oxytocin.
  • D. Place the client in a left lateral position.
Correct Answer: C

Rationale: Recurrent variable decelerations during labor can indicate umbilical cord compression, which can result in fetal hypoxia and distress. Discontinuing the oxytocin infusion is the priority in this situation as oxytocin can cause or exacerbate uteroplacental insufficiency leading to fetal distress. By discontinuing the oxytocin, the nurse can help improve fetal oxygenation and alleviate the variable decelerations. After stopping the oxytocin infusion, the nurse should continue to monitor the fetal heart rate pattern and follow the healthcare provider's orders for further management if needed.

A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?

  • A. Headaches B Nervousness
  • B. Tremors
  • C. Dyspnea
Correct Answer: C

Rationale: Terbutaline is a beta-adrenergic agonist that is commonly used to suppress preterm labor by relaxing the uterine smooth muscle. Adverse effects of terbutaline can include respiratory distress or dyspnea, which is a serious concern and should be reported to the healthcare provider immediately. Both the nurse and the client should be alert for signs of difficulty breathing, such as shortness of breath or chest tightness, as these symptoms could indicate a potential serious reaction to the medication. Headaches, nervousness, and tremors are common side effects of terbutaline that are less concerning and may not require immediate provider notification unless they become severe or persistent.

In caring for an immediate postpartum client, you note she has

  • A. You monitor closely for which clotting disorder? (Which bleeding problem causes this: HEELP
  • C. DIC
Correct Answer: A

Rationale: In caring for an immediate postpartum client, you should monitor closely for HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count. HELLP syndrome is a serious complication of pregnancy characterized by high blood pressure, protein in the urine, and problems with the liver and blood-clotting system. It can lead to severe bleeding issues, organ failure, and other life-threatening complications if not promptly recognized and managed. Therefore, close monitoring for signs of HELLP syndrome is crucial in the postpartum period to ensure timely intervention and prevent adverse outcomes.

A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth?

  • A. Pneumococcal
  • B. Hepatitis
  • C. Human papillomavirus
  • D. Rubella
Correct Answer: D

Rationale: The CDC recommends that women who are not up-to-date with the MMR (measles, mumps, rubella) vaccine should receive it immediately postpartum. Rubella, also known as German measles, is particularly important during pregnancy because contracting rubella during pregnancy can lead to serious complications in the baby, such as birth defects and miscarriage. By ensuring the client receives the MMR vaccine postpartum, it helps protect both the mother and any future pregnancies from the risk of rubella infection.

What is the leading cause of death in persons AFAB worldwide?

  • A. breast cancer
  • B. stroke
  • C. cardiovascular disease
  • D. lung cancer
Correct Answer: C

Rationale:

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