Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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What two steps of the CJMM are included in the assessment step of the nursing process?

  • A. noticing cues and evaluating outcomes
  • B. analyzing cues and generating solutions
  • C. noticing and analyzing cues
  • D. analyzing cues and taking action
Correct Answer: A

Rationale: In the assessment step of the nursing process, two steps of the CJMM (Clinical Judgment Model) that are included are noticing cues and evaluating outcomes. Noticing cues involves observing and recognizing relevant information or data related to the patient's health status, while evaluating outcomes involves assessing the effectiveness of the nursing interventions and patient responses to the care provided. By noticing cues, nurses gather information that guides their decision-making process, and by evaluating outcomes, they determine the impact of their actions on the patient's health and adjust the plan of care as needed. These two steps are essential in the assessment phase as they contribute to developing a comprehensive understanding of the patient's needs and progress towards achieving desired health outcomes.

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A client at 12 weeks' gestation reports mild cramping and spotting. What is the nurse's priority intervention?

  • A. Reassure the client that this is normal.
  • B. Encourage the client to hydrate.
  • C. Advise the client to avoid heavy lifting.
  • D. Notify the healthcare provider immediately.
Correct Answer: D

Rationale: Spotting and cramping in early pregnancy could indicate a threatened miscarriage, requiring immediate evaluation.

A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?

  • A. Contraction frequency every 3 min
  • B. Contraction duration of 100 seconds
  • C. Fetal heart rate with moderate
  • D. variability Fetal heart rate of 118/min
Correct Answer: B

Rationale: Prolonged contractions lasting more than 90-120 seconds may reduce placental perfusion and oxygenation to the fetus, leading to fetal distress. This can result in fetal hypoxia and compromise. Therefore, if the contraction duration reaches 100 seconds, it is an indication for the nurse to discontinue the oxytocin infusion to prevent harm to the fetus. Monitoring for appropriate contraction duration is crucial to ensure the well-being of both the mother and the fetus during labor. While contraction frequency every 3 minutes, a fetal heart rate with moderate variability, and a fetal heart rate of 118/min can be normal findings during labor, a prolonged contraction duration is a concerning sign that requires immediate intervention.

The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?

  • A. Administer oxygen to the mother.
  • B. Notify the healthcare provider.
  • C. Prepare for potential neonatal resuscitation.
  • D. Increase IV fluid rate.
Correct Answer: C

Rationale: Meconium-stained amniotic fluid poses a risk of aspiration; preparation for neonatal resuscitation is critical.

What method of heat loss may occur if a newborn is placed on a cold scale or touch with cold hands:

  • A. Conduction (occurs when the infant comes in contact with cold objects)
Correct Answer: A

Rationale: Conduction is the transfer of heat between objects that are in direct contact with each other. In the scenario where a newborn is placed on a cold scale or touched with cold hands, heat loss occurs through conduction. The cold temperature of the scale or hands will draw heat away from the infant's body, leading to a drop in body temperature. It is essential to ensure that newborns are not exposed to cold surfaces or objects for prolonged periods to prevent heat loss through conduction and maintain their body temperature within a safe range.

A client at 34 weeks' gestation is diagnosed with polyhydramnios. What is the nurse's priority assessment?

  • A. Monitor maternal blood pressure.
  • B. Assess for signs of preterm labor.
  • C. Check for signs of infection.
  • D. Evaluate for fetal heart rate changes.
Correct Answer: B

Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension, requiring close monitoring.

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