Maternal Newborn Nursing

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How does estrogen work in COC pills?

  • A. inhibits ovulation through suppression of LH hormone
  • B. provides most of the contraceptive effect of the COC
  • C. stabilizes the endometrium for less unscheduled bleeding
  • D. inhibits sperm penetration by thickening cervical mucus
Correct Answer: A

Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.

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What is the nurse's role when preparing a mother for epidural anesthesia?

  • A. Monitor the mother's contractions
  • B. Ensure the mother has an empty bladder
  • C. Ensure the mother is in a supine position
  • D. Administer a test dose of the epidural medication
Correct Answer: C

Rationale: Ensuring the bladder is empty helps prevent complications during epidural anesthesia.

What findings would make the nurse suspicious of anorexia in a client?

  • A. Aversion to exercise and food allergies.
  • B. Significant weight loss and amenorrhea.
  • C. Respiratory distress and thick oral mucus.
  • D. Cardiac arrhythmias and anasarca.
Correct Answer: B

Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.

Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.

  • A. TRUE
  • B. FALSE
Correct Answer: B

Rationale: Newborns do feel pain, and current guidelines recommend using analgesia during circumcision.

Which finding would lead the nurse to suspect toxic shock syndrome related to tampon use?

  • A. Diffuse rash with fever.
  • B. Angina.
  • C. Hypertension.
  • D. Thrombocytopenia with pallor.
Correct Answer: A

Rationale: Toxic shock syndrome often presents with a diffuse rash and fever.

A 29-year-old low-risk primiparous patient has just placental abruption?

  • A. Mild: Grade 1
  • B. Moderate: Grade 2
  • C. Marked: Grade 3
  • D. Severe: Grade 4
Correct Answer: B

Rationale: Placental abruption is classified based on the severity of symptoms and extent of separation of the placenta from the uterine wall. In a low-risk primiparous patient like the one described, a moderate placental abruption (Grade 2) is likely when there is some vaginal bleeding, mild to moderate abdominal pain, and signs of fetal distress such as abnormal fetal heart rate patterns.

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