RN Maternal Newborn Online Practice 2019 A

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A laboring patient's obstetrician suggested an amniotomy as a method for inducing the labor. Which assessment must be made before the amniotomy is performed?

  • A. Fetal presentation, position, and station
  • B. Estimate fetal birth weight
  • C. Maternal temperature, BP, pulse
  • D. Biparietal diameter
Correct Answer: A

Rationale: Before performing an amniotomy (artificial rupture of membranes), it is essential to assess the fetal presentation, position, and station. This assessment helps ensure that the procedure is performed safely without causing harm to the baby. Knowing the fetal presentation (such as breech, transverse, or vertex), position (occiput anterior, occiput posterior, etc.), and station (how far down the baby's head is in the pelvis) allows the obstetrician to determine the best approach and technique for the amniotomy. It also helps in reducing the risk of complications during labor induction and delivery. Therefore, this assessment is crucial in ensuring the well-being of both the mother and the baby during the labor process.

You may also like to solve these questions

What does HypnoBirthing teach about the emotional and physical changes in pregnancy?

  • A. Fear of childbirth provides a healthy incentive to learn.
  • B. Physical changes in pregnancy make relaxation harder.
  • C. Physical and emotional changes are normal.
  • D. Emotional changes cause anxiety that is difficult to let go of.
Correct Answer: C

Rationale: HypnoBirthing normalizes physical and emotional changes, reducing fear and anxiety.

The nurse is educating a client about Rh incompatibility. What statement indicates understanding?

  • A. Rh incompatibility only occurs in first pregnancies.
  • B. I will need Rho(D) immune globulin if my baby is Rh positive.
  • C. Rh incompatibility is treated with antibiotics.
  • D. Rh incompatibility does not affect the baby.
Correct Answer: B

Rationale: Rho(D) immune globulin prevents the mother's immune system from attacking Rh-positive fetal red blood cells.

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

  • A. Variable decelerations are due to umbilical cord compression.
  • B. Variable decelerations are caused by uteroplacental insufficiency.
  • C. Variable decelerations are a result of the administration of IV narcotic analgesics.
  • D. Variable decelerations are related to fetal head compression.
Correct Answer: A

Rationale: Variable decelerations in the fetal heart rate are due to umbilical cord compression. These decelerations are characterized by an abrupt decrease in the fetal heart rate that is variable in duration, depth, and timing in relation to the uterine contraction. They can signify compression of the umbilical cord leading to transient interruption of fetal oxygen supply. It is essential for the nurse to promptly identify variable decelerations and take appropriate actions to alleviate the compression, such as repositioning the client to relieve pressure on the cord.

Be- tions before finding one that works.

  • A. Once you take the prescribed medication, you plan on teaching this client? will be cured of the infection.
  • B. Breastfeeding
  • C. Even though you don't experience symptoms,
  • D. Postpartum depression you can still spread the infection.
Correct Answer: C

Rationale: Option C is the most appropriate statement to make to the client because it addresses the reality of sexually transmitted infections (STIs). Many STIs can be transmitted even when the infected individual is not experiencing any symptoms. This is an important point to communicate to prevent the spread of the infection to other sexual partners. It emphasizes the need for practicing safe sex measures and getting tested regularly, regardless of the presence of symptoms. It is important for the client to understand that they can still be a carrier of the infection even if they are not displaying any noticeable symptoms.

The nurse is conducting a prenatal class on the female reproductive system. When a client asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the best response?

  • A. It promotes the fertilized ovum's chances of survival.
  • B. It promotes the fertilized ovum's exposure to estrogen and progesterone.
  • C. It promotes the fertilized ovum's normal implantation in the top portion of the uterus.
  • D. It promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating hormone.
Correct Answer: C

Rationale: The delay ensures the ovum reaches the uterus at the right developmental stage for proper implantation in the upper uterine segment.

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