Maternal Newborn Nursing

Maternal Newborn Nursing Related

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A nurse is monitoring a client with severe preeclampsia who is

  • A. Which sign of toxicity of magnesium should
  • C. Pulse ox 90%
  • D. Absence of DTR
Correct Answer: D

Rationale: The absence of deep tendon reflexes (DTR) is a concerning sign of toxicity of magnesium sulfate in a client with preeclampsia. Magnesium sulfate is commonly used for seizure prophylaxis in preeclampsia, but toxicity can occur, leading to neuromuscular deficits. Absence of DTR indicates muscle relaxation or paralysis, which is a serious sign of magnesium toxicity and requires immediate intervention to prevent further complications. Monitoring and recognizing this symptom promptly is crucial to prevent severe outcomes such as respiratory depression or cardiac arrest. Other signs of magnesium toxicity include decreased level of consciousness, decreased respiratory rate, and cardiac arrhythmias.

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What findings would make the nurse suspicious of anorexia in a client?

  • A. Aversion to exercise and food allergies.
  • B. Significant weight loss and amenorrhea.
  • C. Respiratory distress and thick oral mucus.
  • D. Cardiac arrhythmias and anasarca.
Correct Answer: B

Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.

Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.

  • A. TRUE
  • B. FALSE
Correct Answer: B

Rationale: Newborns do feel pain, and current guidelines recommend using analgesia during circumcision.

Screening at 24 weeks gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning the woman9s care. The nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus due to the GDM. The nurse identifies that the fetus is at risk for which of the following? Congenital anomalies of the central nervous system Macrosomia Preterm birth Low birth weight Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:

  • A. macrosomia.
  • B. congenital anomalies of the central nervous system.
  • C. preterm birth.
  • D. low birth weight. A
Correct Answer: A

Rationale: Gestational diabetes mellitus (GDM) is a condition where high blood sugar levels develop during pregnancy in women who didn't have diabetes before pregnancy. One of the primary risks associated with GDM is fetal overgrowth, also known as macrosomia. This means the baby is larger than normal. Macrosomia can lead to complications during delivery, such as shoulder dystocia (when the baby's shoulders get stuck during delivery) and an increased risk of birth injuries for both the baby and the mother. It can also increase the likelihood of a cesarean section delivery. Therefore, preventing macrosomia is an important goal in managing GDM to ensure the safety and well-being of both the mother and the baby.

What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted?

  • A. Palpate her lower abdomen each month to check the patency of the device.
  • B. Remain on bed rest for 24 hours after insertion of the device.
  • C. Report any complaints of painful intercourse to the physician.
  • D. Insert spermicidal jelly within 4 hours of every sexual encounter.
Correct Answer: C

Rationale: Painful intercourse may indicate IUD displacement or complications.

Which comment shows understanding of care for an asymptomatic woman being treated for HIV infection?

  • A. If I get pregnant, my baby will be HIV positive.
  • B. I should have my viral load and antibody levels checked every day.
  • C. Since my partner and I are both HIV positive, we use a condom.
  • D. To be safe, my partner and I engage only in oral sex.
Correct Answer: C

Rationale: Condom use reduces the risk of HIV transmission even between seroconcordant partners.

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