Maternal Newborn Nursing

Maternal Newborn Nursing Related

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With regard to the care management of preterm labor should the nurse should be aware of?

  • A. The diagnosis of preterm labor is based on gestational age, uterine activity and progressive cervical change
Correct Answer: A

Rationale: Preterm labor is diagnosed based on a combination of factors including gestational age (typically less than 37 weeks), uterine activity (regular, painful contractions), and progressive changes in the cervix (dilation, effacement, or both). It is important for the nurse to be aware of these criteria to promptly recognize and manage preterm labor to reduce the risk of complications for both the mother and the baby. Early detection and timely intervention can help improve outcomes for preterm infants.

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After delivery it is determined there is a placental accreta, what intervention should the nurse anticipate?

  • A. Hysterectomy
  • B. IV antibiotic
  • C. IV Pitocin
  • D. 2L oxygen by mask
Correct Answer: A

Rationale: In the case of placental accreta, where the placenta is abnormally attached to the uterine wall, it can be very difficult to detach the placenta without significant bleeding. In severe cases, the safest intervention to prevent life-threatening hemorrhage is a hysterectomy, which involves the removal of the uterus. This is a serious surgical procedure that may be necessary to save the mother's life. Other interventions mentioned in the options (IV antibiotic, IV Pitocin, 2L oxygen by mask) may be part of the management plan but would not address the underlying issue of placental accreta like a hysterectomy would.

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.

Which contraceptive method is best for a woman with multiple sex partners?

  • A. Intrauterine device.
  • B. Female condom.
  • C. Bilateral tubal ligation.
  • D. Birth control pills.
Correct Answer: B

Rationale: Female condoms provide dual protection against pregnancy and STIs.

What serum laboratory reports would the nurse expect in a bulimic client?

  • A. Potassium 3.0 mEq/L.
  • B. Bicarbonate 30 mmol/L.
  • C. Platelet count 450,000 cells/mm3.
  • D. Hemoglobin A1C 9%.
Correct Answer: A

Rationale: Low potassium levels result from vomiting and purging.

What statement by a client suggests the relationship may be in the 'honeymoon phase'?

  • A. My partner said that he will never hurt me again.
  • B. My partner drinks alcohol only on the weekends.
  • C. My partner yells less than he used to.
  • D. My partner has frequent bouts of insomnia.
Correct Answer: A

Rationale: Promises to stop abuse characterize the honeymoon phase.

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