Maternal and Newborn Nursing

Maternal and Newborn Nursing Related

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For which condition should the nurse immediately

  • A. Applying her peri-pad from back to front with notify the health care team?
  • B. Periodic breathing in the newborn lasting
  • C. Using the peri-bottle to rinse her perineum after approximately 3 to 5 seconds
  • D. Blood sugar recording of 60 mg/dL in an infant born 6 hours ago
Correct Answer: D

Rationale: A blood sugar recording of 60 mg/dL in an infant born 6 hours ago requires immediate notification of the health care team. This low blood sugar level, also known as hypoglycemia, is a critical concern in newborns as it can lead to serious complications if not promptly addressed. Infants are particularly vulnerable to hypoglycemia due to their limited glycogen stores and high metabolic demands, which can result in inadequate glucose production. Immediate intervention and close monitoring by the healthcare team are essential to prevent potential long-term neurological consequences associated with hypoglycemia in newborns.

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A patient's newborn is neurologically impaired. The most important nursing action should be:

  • A. Assist the patient and her family with the grieving process.
  • B. Perform neurological assessments of the newborn every four hours.
  • C. Arrange for social services to discuss possible placement of the newborn
  • D. Obtain an order for an antidepressant to help the patient cope with the depressing news.
Correct Answer: A

Rationale: Supporting the family through grief is crucial.

Relaxation of muscles in labor provides many benefits. What is one benefit of this technique in labor?

  • A. Relaxation will prevent a cesarean section.
  • B. Relaxation of the pelvic floor helps in pushing the fetus in the second stage.
  • C. Relaxation of the abdomen ensures an unmedicated birth.
  • D. Relaxation causes the contractions to decrease in strength.
Correct Answer: B

Rationale: Relaxing the pelvic floor facilitates smoother fetal descent during the second stage of labor.

The nurse is preparing a handout for female adolescents on the menstrual cycle. What phase of the cycle occurs if fertilization does not take place?

  • A. Menstrual
  • B. Proliferative
  • C. Secretory
  • D. Ischemic
Correct Answer: D

Rationale: The ischemic phase of the menstrual cycle occurs when the corpus luteum degenerates in the absence of fertilization. This leads to a decline in progesterone and estrogen levels, resulting in the shedding of the uterine lining during menstruation.

The nurse is educating a client with gestational hypertension about home care. What instruction should the nurse include?

  • A. Monitor your blood pressure once a week.
  • B. Report any sudden swelling or weight gain.
  • C. Increase sodium intake to maintain hydration.
  • D. Avoid taking daily medications.
Correct Answer: B

Rationale: Sudden swelling or rapid weight gain may indicate worsening gestational hypertension or preeclampsia.

When should a man with a chlamydial infection expect to experience pain?

  • A. When urinating.
  • B. When ejaculating.
  • C. When the penis becomes erect.
  • D. When the testicles are touched.
Correct Answer: A

Rationale: Chlamydia often causes painful urination.

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