Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

  • A. Administer prescribed analgesic medication.
  • B. Encourage the client to rest between contractions.
  • C. Massage the client's back.
  • D. Turn the client onto her left side.
Correct Answer: C

Rationale: The gate control theory of pain proposes that non-painful input can close the "gates" to painful input, which helps to control and reduce pain perception. Massage, such as massaging the client's back, is a non-pharmacological intervention that can help close the gates and reduce the perception of pain. By massaging the client's back, the nurse is applying this theory to help manage the client's labor pain. Administering analgesic medication (Choice A) is a pharmacological intervention and not specifically related to the gate control theory. Choices B and D are also beneficial nursing actions but do not directly relate to the gate control theory of pain.

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The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?

  • A. where the patient will be staying after birth
  • B. who will be watching their other children
  • C. what position they want to birth in
  • D. how they will time contractions
Correct Answer: C

Rationale: Birth plans often include preferences for birthing positions to promote comfort and effectiveness.

A client at 34 weeks' gestation reports regular uterine contractions. What is the nurse's priority action?

  • A. Encourage ambulation to relieve discomfort.
  • B. Perform a sterile vaginal examination.
  • C. Assess fetal heart rate and contraction pattern.
  • D. Administer an analgesic as prescribed.
Correct Answer: C

Rationale: Assessing fetal heart rate and contraction pattern is crucial to evaluate for preterm labor.

The nurse is preparing a client for a nonstress test. What instruction is most appropriate?

  • A. You need to fast for 12 hours before the test.
  • B. You will be given medication to stimulate fetal movements.
  • C. You will need to press a button each time you feel the baby move.
  • D. You must lie flat on your back during the test.
Correct Answer: C

Rationale: The client presses a button during fetal movements, which are correlated with fetal heart rate changes.

What method of heat loss may occur if a newborn is placed on a cold scale or touch with cold hands:

  • A. Conduction (occurs when the infant comes in contact with cold objects)
Correct Answer: A

Rationale: Conduction is the transfer of heat between objects that are in direct contact with each other. In the scenario where a newborn is placed on a cold scale or touched with cold hands, heat loss occurs through conduction. The cold temperature of the scale or hands will draw heat away from the infant's body, leading to a drop in body temperature. It is essential to ensure that newborns are not exposed to cold surfaces or objects for prolonged periods to prevent heat loss through conduction and maintain their body temperature within a safe range.

A pregnant client reports frequent urination and lower abdominal pressure at 36 weeks. What should the nurse explain?

  • A. This is a sign of preterm labor.
  • B. This indicates urinary tract infection.
  • C. This is common due to fetal descent.
  • D. This is caused by Braxton Hicks contractions.
Correct Answer: C

Rationale: As the fetus descends into the pelvis (lightening), increased pressure on the bladder causes frequent urination.

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