Maternal and Newborn Nursing

Maternal and Newborn Nursing Related

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Which factor should alert the nurse for the potential of a prolapsed umbilical cord?

  • A. Presenting part at station minus 3 (too much empty space in between)
  • B. Meconium stained amniotic fluid
  • C. Pregnancy at 38 weeks' gestation
  • D. Oligohydramnios
Correct Answer: A

Rationale: A presenting part at station minus 3 indicates that there is too much empty space between the presenting part (usually the fetus's head) and the pelvic inlet. This increased space raises the potential for the umbilical cord to prolapse through the cervix and into the birth canal ahead of the baby, especially when the membranes rupture. A prolapsed umbilical cord is a severe obstetric emergency that can cause fetal compromise due to umbilical cord compression and compromise of blood flow. It requires immediate intervention to relieve the pressure on the cord and increase the likelihood of a safe delivery. Therefore, a presenting part at station minus 3 should alert the nurse to the potential of a prolapsed umbilical cord.

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What cancer type is the leading cause of death in persons AFAB?

  • A. breast cancer
  • B. lung cancer
  • C. cervical cancer
  • D. ovarian cancer
Correct Answer: A

Rationale:

What nursing intervention is appropriate for a woman diagnosed with syphilis?

  • A. Council the woman about how to live with a chronic infection.
  • B. Question the woman regarding symptoms of other sexually transmitted infections.
  • C. Assist the primary health care practitioner with cryotherapy procedures.
  • D. Educate the woman regarding the safe disposal of menstrual pads.
Correct Answer: B

Rationale: Syphilis often coexists with other STIs, so questioning is important.

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.

A postpartum client calls the pediatric clinic to report that her 4-day old female newborn has a spot of blood on her diaper. Which of the following statements made by the nurse is most appropriate?

  • A. Your newborn may have a urinary infection, continue to breastfeed frequently
  • B. Your newborn has jaundice so it may need phototherapy
  • C. This is a normal finding due to withdrawal of maternal hormones
  • D. Your baby has an immature immune system, continue to breastfeed frequently
Correct Answer: C

Rationale: Pseudomenstruation is a normal finding due to hormonal withdrawal.

The nurse is assessing a client with hyperemesis gravidarum. What finding requires immediate intervention?

  • A. Urine output of 50 mL/hr.
  • B. Weight loss of 5 pounds in 2 weeks.
  • C. Dry mucous membranes and poor skin turgor.
  • D. Nausea relieved by eating crackers.
Correct Answer: C

Rationale: Dehydration, indicated by dry mucous membranes and poor skin turgor, requires immediate intervention in hyperemesis gravidarum.

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