Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

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A patient at 24 weeks of gestation reports that she has a glass of wine with dinner every evening. Which rationale should the nurse provide this patient regarding the necessity to eliminate alcohol intake? N R I G B.C M U S N T O

  • A. The fetus is placed at risk for altered brain growth.
  • B. The fetus is at risk for severe nervous system injury.
  • C. The patient will be at risk for abusing other substances as well.
  • D. A daily consumption of alcohol indicates a risk for alcoholism.
Correct Answer: A

Rationale: The correct rationale that the nurse should provide to the patient regarding the necessity to eliminate alcohol intake during pregnancy is that the fetus is placed at risk for altered brain growth. Alcohol consumption during pregnancy can lead to a condition known as Fetal Alcohol Syndrome (FAS), which is characterized by various physical and intellectual disabilities in the child. One of the major consequences of alcohol exposure during pregnancy is impaired brain development in the fetus. This can result in cognitive, behavioral, and neurological problems that may persist throughout the child's life. Therefore, it is crucial for pregnant women to completely abstain from alcohol to protect the health and well-being of the developing fetus.

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What education should a nurse provide for safe sleeping practices for a newborn?

  • A. Place the newborn in the prone position
  • B. Use a firm mattress and avoid loose bedding
  • C. Use a soft mattress and co-sleep with the baby
  • D. Encourage side-lying sleeping position
Correct Answer: B

Rationale: Using a firm mattress and avoiding loose bedding reduces the risk of SIDS.

A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?

  • A. Headaches B Nervousness
  • B. Tremors
  • C. Dyspnea
Correct Answer: C

Rationale: Terbutaline is a beta-adrenergic agonist that is commonly used to suppress preterm labor by relaxing the uterine smooth muscle. Adverse effects of terbutaline can include respiratory distress or dyspnea, which is a serious concern and should be reported to the healthcare provider immediately. Both the nurse and the client should be alert for signs of difficulty breathing, such as shortness of breath or chest tightness, as these symptoms could indicate a potential serious reaction to the medication. Headaches, nervousness, and tremors are common side effects of terbutaline that are less concerning and may not require immediate provider notification unless they become severe or persistent.

Which newborn is at higher risk for developing hypoglycemia? SATA

  • A. SGA
  • B. Post term newborn
  • C. LGA
  • D. 38 week gestation (term newborn)
Correct Answer: A

Rationale: - Small for gestational age (SGA) newborns are at higher risk for developing hypoglycemia due to limited glycogen stores and decreased adipose tissue for energy reserve.

A client in labor is receiving an epidural for pain relief. What is the nurse's priority assessment immediately after the procedure?

  • A. Monitor maternal blood pressure.
  • B. Assess fetal heart rate.
  • C. Check for bladder distention.
  • D. Evaluate the client's pain level.
Correct Answer: A

Rationale: Monitoring maternal blood pressure is essential to detect and manage hypotension, a common side effect of epidurals.

A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate?

  • A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
  • B. Left Upper Abdomen
  • C. Two fingerbreadths above the umbilicus
  • D. Lateral at the Xiphoid Process
Correct Answer: A

Rationale: When assessing the fetal heart rate in a client who is 14 weeks of gestation, the nurse should place the Doppler device at the midline 2 to 3 cm above the symphysis pubis. This is the appropriate location for detecting the fetal heartbeat at this gestational age. Placing the Doppler device too high on the abdomen may result in difficulty in detecting the fetal heart rate due to the position of the uterus and fetal size. Placing it too low may not capture the fetal heartbeat accurately. Therefore, the midline location above the symphysis pubis provides the best chance for accurate assessment of the fetal heart rate at 14 weeks of gestation.

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