Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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What history would lead you to suspect an ectopic pregnancy in a client at 8 weeks' gestation presenting with abdominal pain and bleeding?

  • A. Treated one year ago for PID
  • B. Irregular cycle for 1 year
  • C. Oral contraception for 3 years
  • D. Urinary frequency for 1 week
Correct Answer: A

Rationale: A history of previous pelvic inflammatory disease (PID) treatment would lead to suspicion of an ectopic pregnancy in a client presenting with abdominal pain and bleeding at 8 weeks' gestation. PID can cause scarring and damage to the fallopian tubes, increasing the risk of an ectopic pregnancy where the fertilized egg implants outside of the uterus, usually in the fallopian tubes. Symptoms of an ectopic pregnancy can include abdominal pain, vaginal bleeding, and signs of shock, making it important to consider this possibility in a client with a history of PID.

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A couple who has stated that they are LGBTQIA+ during prior visits arrives at the clinic for prenatal care. What can the nurse say in the waiting area to help them feel welcome and safe?

  • A. You can take this tablet to an area in the waiting room and check in. Then bring the tablet back to me when you are done.
  • B. Are you pregnant? Your paperwork says your name is Tom.
  • C. You can have a seat, and a person from the LGBTQIA+ office will come to assist you.
  • D. Here is our paperwork. It doesn't have a box for your sex, but you can write it next to the gender box.
Correct Answer: A

Rationale: Providing a neutral and respectful approach helps create a welcoming environment for LGBTQIA+ patients.

The nurse is teaching a client about postpartum depression. What statement indicates understanding?

  • A. It’s normal to feel hopeless for several weeks.
  • B. Postpartum depression only occurs in first-time mothers.
  • C. I should seek help if I feel disconnected from my baby.
  • D. It is caused by a lack of support from family.
Correct Answer: C

Rationale: Feeling disconnected from the baby is a common symptom of postpartum depression and should prompt seeking help.

The nurse is caring for a postpartum client who is

  • A. Maternal hyperglycemia 1 day postcesarean birth. What assessment data
  • B. FHR, early decelerations would indicate infection? Select all that apply.
  • C. FHR, late decelerations
  • D. Increased pulse
Correct Answer: A

Rationale: Maternal hyperglycemia 1 day post-cesarean birth can indicate infection. Hyperglycemia can impair immune function and make the body more susceptible to infections.

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.

The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?

  • A. where the patient will be staying after birth
  • B. who will be watching their other children
  • C. what position they want to birth in
  • D. how they will time contractions
Correct Answer: C

Rationale: Birth plans often include preferences for birthing positions to promote comfort and effectiveness.

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