Maternal and Newborn Nursing

Maternal and Newborn Nursing Related

Review Maternal and Newborn Nursing related questions and content

A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?

  • A. Initiate continuous monitoring of the FHR.
  • B. Administer a dose of betamethasone.
  • C. Check the cervix for dilation every 8 hr.
  • D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A

Rationale: In placenta previa, the placenta partially or completely covers the cervix, which can lead to vaginal bleeding. Continuous monitoring of the fetal heart rate (FHR) is crucial in this situation to assess the well-being of the fetus. Any signs of distress or changes in the FHR can indicate potential complications, such as fetal hypoxia. This monitoring allows for prompt intervention if necessary to ensure the safety of both the mother and the baby. Administering betamethasone may be indicated to promote fetal lung maturity in cases of anticipated preterm birth, but it is not the priority in this scenario where monitoring the fetal well-being is crucial. Checking the cervix for dilation every 8 hours is not necessary and may increase the risk of further bleeding. Misoprostol, a medication used to induce labor, is contraindicated in cases of placenta previa because it can cause further

You may also like to solve these questions

Which aspect of client wellness has not been a focus of health during the 21st century ?

  • A. Disease prevention
  • B. Health promotion
  • C. Wellness
  • D. Analysis of morbidity and mortality
Correct Answer: D

Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.

In teaching parents to use a bulb syringe to suction an infant, the nurse should teach them to:

  • A. suction the back of the throat vigorously.
  • B. always suction the nose before suctioning the mouth.
  • C. use it only once a day.
  • D. insert the syringe into the sides of the mouth.
Correct Answer: B

Rationale: Suctioning the nose first prevents pushing secretions further down the throat.

The nurse is caring for a 14-year-old boy with a growth hormone deficiency. Which action best reflects using the nursing process to provide quality care to children and their families?

  • A. Reviewing the effectiveness of interventions
  • B. Questioning the facility standards for care
  • C. Earning continuing education credits
  • D. Ensuring reasonable costs for care provided
Correct Answer: A

Rationale: The nursing process is used to care for the child and family during health promotion, maintenance, restoration, and rehabilitation. Reviewing the effectiveness of interventions is related to outcome evaluation in the nursing process.

The nurse is monitoring a client with severe preeclampsia. What assessment finding requires immediate intervention?

  • A. Blood pressure of 150/90 mmHg.
  • B. Urine output of 25 mL/hr.
  • C. Headache relieved by acetaminophen.
  • D. Deep tendon reflexes +2.
Correct Answer: B

Rationale: Oliguria (urine output <30 mL/hr) may indicate worsening renal function or severe complications in preeclampsia.

A patient's newborn is neurologically impaired. The most important nursing action should be:

  • A. Assist the patient and her family with the grieving process.
  • B. Perform neurological assessments of the newborn every four hours.
  • C. Arrange for social services to discuss possible placement of the newborn
  • D. Obtain an order for an antidepressant to help the patient cope with the depressing news.
Correct Answer: A

Rationale: Supporting the family through grief is crucial.

Copyright © 2025 Nokea. All rights reserved.