Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations...Which of the following actions should the nurse take first?

  • A. Prepare the equipment necessary to initiate an amnioinfusion.
  • B. Administer oxygen at 10 L/min via nonrebreather face mask.
  • C. Discontinue the infusion of oxytocin.
  • D. Place the client in a left lateral position.
Correct Answer: C

Rationale: Recurrent variable decelerations during labor can indicate umbilical cord compression, which can result in fetal hypoxia and distress. Discontinuing the oxytocin infusion is the priority in this situation as oxytocin can cause or exacerbate uteroplacental insufficiency leading to fetal distress. By discontinuing the oxytocin, the nurse can help improve fetal oxygenation and alleviate the variable decelerations. After stopping the oxytocin infusion, the nurse should continue to monitor the fetal heart rate pattern and follow the healthcare provider's orders for further management if needed.

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The nurse is performing an assessment of a postpartum client. Which finding requires immediate action?

  • A. Temperature of 100.4°F.
  • B. Foul-smelling lochia.
  • C. Fundus firm and midline.
  • D. Breast tenderness on palpation.
Correct Answer: B

Rationale: Foul-smelling lochia may indicate an infection and requires prompt medical evaluation.

Which of the following medications should the nurse plan to administer?

  • A. Metronidazole
  • B. Penicillin
  • C. Acyclovir
  • D. Gentamicin
Correct Answer: A

Rationale: Among the medications listed, Metronidazole is commonly used to treat anaerobic bacterial infections, protozoal infections, and certain types of parasitic infections. It is effective against a wide range of pathogens, making it a versatile antibiotic. In this case, the nurse should plan to administer Metronidazole based on the information given in the question. Penicillin is primarily used for Gram-positive bacterial infections, Acyclovir is used for herpes virus infections, and Gentamicin is an aminoglycoside antibiotic typically used for Gram-negative bacterial infections.

The nurse is educating a client about signs of labor. Which symptom indicates true labor?

  • A. Irregular contractions relieved by rest.
  • B. Contractions felt only in the abdomen.
  • C. Contractions that increase in intensity and cause cervical changes.
  • D. Absence of fetal movement.
Correct Answer: C

Rationale: True labor is characterized by contractions that progressively increase in intensity and result in cervical dilation and effacement.

The nurse is educating a client about iron supplements during pregnancy. Which statement indicates understanding?

  • A. I should take the supplement with milk to improve absorption.
  • B. I should take the supplement with orange juice to improve absorption.
  • C. I can stop taking the supplement when I feel better.
  • D. I should only take the supplement if I feel fatigued.
Correct Answer: B

Rationale: Vitamin C in orange juice enhances iron absorption, improving its efficacy.

A mother is learning how to breastfeed her newborn. tions, moderate variability The lactation nurse is assisting her with this process.

  • A. Baseline FHR 140, occasional variable decelera- Which technique is correct? tions, moderate variability
  • B. Have the mother stroke the infant's mouth with
  • C. Baseline FHR 105, no accelerations, recurrent her nipple so the infant will turn toward the variable decelerations, minimal variability mother's breast for feeding.
  • D. Baseline FHR 165, no decelerations, marked
Correct Answer: B

Rationale: Having the mother stroke the infant's mouth with her nipple so the infant will turn toward the mother's breast for feeding is the correct technique when assisting a mother in learning how to breastfeed her newborn. This technique helps stimulate the baby's rooting reflex, which is a natural reflex babies have to turn their head and open their mouth when their cheek is stroked.

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