Maternal and Newborn Nursing

Maternal and Newborn Nursing Related

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How would the nurse best analyze the results from a patient sonogram that shows the fetal shoulder is the presenting part? What position?

  • A. Bridge transverse
  • B. Cephalic presentation
  • C. Breech presentation
  • D. Vertex presentation
Correct Answer: A

Rationale: When the sonogram shows the fetal shoulder as the presenting part, it indicates a bridge transverse position. This position means that the baby is lying sideways in the uterus, with one shoulder presenting first. It is essential for the nurse to recognize this position as it may impact the mode of delivery and require additional monitoring to ensure the safe delivery of the baby. Through proper analysis and understanding of the sonogram results, healthcare providers can make informed decisions and provide appropriate care for both the mother and the baby.

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What physical findings would the nurse expect in a bulimic client?

  • A. Mastoiditis.
  • B. Hirsutism.
  • C. Gynecomastia.
  • D. Esophagitis.
Correct Answer: D

Rationale: Repeated vomiting damages the esophagus.

A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?

  • A. Initiate continuous monitoring of the FHR.
  • B. Administer a dose of betamethasone.
  • C. Check the cervix for dilation every 8 hr.
  • D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A

Rationale: In placenta previa, the placenta partially or completely covers the cervix, which can lead to vaginal bleeding. Continuous monitoring of the fetal heart rate (FHR) is crucial in this situation to assess the well-being of the fetus. Any signs of distress or changes in the FHR can indicate potential complications, such as fetal hypoxia. This monitoring allows for prompt intervention if necessary to ensure the safety of both the mother and the baby. Administering betamethasone may be indicated to promote fetal lung maturity in cases of anticipated preterm birth, but it is not the priority in this scenario where monitoring the fetal well-being is crucial. Checking the cervix for dilation every 8 hours is not necessary and may increase the risk of further bleeding. Misoprostol, a medication used to induce labor, is contraindicated in cases of placenta previa because it can cause further

Which sexually transmitted infection is characterized by multiple soft warts on the perineum and rectal areas?

  • A. Human papillomavirus (HPV).
  • B. Human immunodeficiency virus (HIV).
  • C. Syphilis.
  • D. Trichomoniasis.
Correct Answer: A

Rationale: HPV can cause genital warts, which appear as soft warts in the genital area.

Which of the following actions is appropriate for the nurse to take regarding a 9-year-old girl diagnosed with gonorrhea?

  • A. Notify the physician so the child can be admitted to the hospital.
  • B. Discuss with the girl the need to stop future sexual encounters.
  • C. Question the mother about her daughter's menstrual history.
  • D. Report the girl's medical findings to child protective services.
Correct Answer: D

Rationale: Gonorrhea in a 9-year-old girl is highly suggestive of sexual abuse, which requires reporting to child protective services.

The nurse is monitoring a client in labor. What finding indicates the transition phase?

  • A. Cervix dilated to 4 cm.
  • B. Cervix dilated to 8 cm.
  • C. Irregular contractions.
  • D. Client reports feeling the urge to push.
Correct Answer: B

Rationale: The transition phase is marked by cervical dilation of 8–10 cm, intense contractions, and significant discomfort.

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