Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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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.

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How should a nurse respond to a mother asking about newborn hearing screening?

  • A. Explain that hearing screening is optional
  • B. Reassure the mother that this is a routine test
  • C. Inform the mother that hearing screening is mandatory
  • D. Provide resources for further testing if needed
Correct Answer: B

Rationale: Hearing screening is a routine test to identify hearing issues early and ensure proper interventions.

A nurse is leading a discussion about contraception with a group of 14-year-old-client. After the presentation a client asks the client which method would be best for her to use. How should the nurse respond?

  • A. "Because of your age, i think that a barrier method would be the best choice."
  • B. "Before i can help you, i need to know more about your sexual activity."
  • C. "A provider can help you with that after a physical examination."
  • D. "You are so young. Are you ready for the responsibilities of a sexual relationship?"
Correct Answer: B

Rationale: The appropriate response for the nurse to provide to the 14-year-old client who asks the best contraception method for her is to gather more information about her sexual activity first. This approach is essential in understanding the client's individual needs and situation before recommending a suitable contraceptive method. It allows the nurse to offer personalized and accurate advice based on the client's specific circumstances, rather than making assumptions or providing generic recommendations. By starting with a discussion about the client's sexual activity, the nurse can ensure that the advice given is tailored to the client's needs and preferences, promoting informed decision-making and effective contraceptive use.

The nurse is caring for a patient who could be at risk for uterine

  • A. What should the nurse be monitoring the fetus closely for? SATA
  • B. Loss of ability to determine fetal station
  • C. Bradycardia
  • D. Late decelerations
Correct Answer: A

Rationale: A. What should the nurse be monitoring the fetus closely for? SATA

The nurse is caring for a client with severe preeclampsia. What finding would indicate magnesium sulfate toxicity?

  • A. Increased deep tendon reflexes.
  • B. Respiratory rate of 10 breaths per minute.
  • C. Urine output of 50 mL/hour.
  • D. Blood pressure of 160/110 mmHg.
Correct Answer: B

Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity, requiring immediate action.

The nurse is caring for a client in labor receiving epidural anesthesia. What is the priority nursing assessment?

  • A. Assess for bladder distention.
  • B. Monitor maternal blood pressure.
  • C. Evaluate fetal heart rate.
  • D. Check for pain relief.
Correct Answer: B

Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension, a common side effect of epidural anesthesia.