Maternal Newborn Practice Questions

Maternal Newborn Practice Questions Related

Review Maternal Newborn Practice Questions related questions and content

What is the second stage of pathophysiology in an on anticoagulant therapy due to a deep vein throm- amniotic fluid embolism characterized by? bosis, which occurred after giving birth. Which of

  • A. Hemorrhage the following instructions should the nurse include?
  • B. Hypoxia
  • C. Take an herbal supplement such as St. John's wort
  • D. Capillary damage to help increase the effect of the anticoagulant.
Correct Answer: A

Rationale: The second stage of pathophysiology in an amniotic fluid embolism characterized by deep vein thrombosis on anticoagulant therapy after giving birth involves the risk of hemorrhage. Anticoagulant therapies such as heparin increase the risk of bleeding since they inhibit the blood's ability to clot effectively. This means that in the event of an injury or surgery, there is a higher likelihood of excessive bleeding. Therefore, it is crucial to monitor for signs of hemorrhage such as bruising, bleeding gums, blood in urine or stool, and low blood pressure. Intervention to manage bleeding may include reducing the dosage of the anticoagulant, administering blood products, and implementing pressure or surgical interventions as necessary.

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A client at 16 weeks' gestation asks about the purpose of a maternal serum alpha-fetoprotein (MSAFP) test. What is the nurse's best response?

  • A. It screens for chromosomal abnormalities.
  • B. It detects neural tube defects.
  • C. It confirms the gestational age of the baby.
  • D. It identifies the baby's sex.
Correct Answer: B

Rationale: The MSAFP test is used to screen for neural tube defects such as spina bifida.

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 teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth?

  • A. Pneumococcal
  • B. Hepatitis
  • C. Human papillomavirus
  • D. Rubella
Correct Answer: D

Rationale: The CDC recommends that women who are not up-to-date with the MMR (measles, mumps, rubella) vaccine should receive it immediately postpartum. Rubella, also known as German measles, is particularly important during pregnancy because contracting rubella during pregnancy can lead to serious complications in the baby, such as birth defects and miscarriage. By ensuring the client receives the MMR vaccine postpartum, it helps protect both the mother and any future pregnancies from the risk of rubella infection.

After her baby's birth a patient wishes to begin breastfeeding. The nurse assists the client by:

  • A. Positioning the infant to grasp the nipple to express milk.
  • B. Giving the infant a bottle first to evaluate the baby's ability to suck
  • C. Leaving them alone and allowing the infant to nurse as long as desired
  • D. Touching the infant's cheek adjacent to the nipple to elicit the rooting reflex
Correct Answer: A

Rationale: Positioning the infant to grasp the nipple to express milk is an essential step in helping the patient begin breastfeeding successfully. As a nurse, it is crucial to ensure that the infant is properly latched onto the breast to facilitate effective feeding and milk transfer. This involves positioning the infant in a way that allows them to effectively grasp the nipple, promoting proper suckling and milk production. By assisting the patient in positioning the infant correctly, the nurse is supporting the establishment of successful breastfeeding and ensuring optimal nutrition for the baby.

A nurse is leading a discussion about contraception with a group of 14-year-old-client. After the presentation a client asks the client which method would be best for her to use. How should the nurse respond?

  • A. "Because of your age, i think that a barrier method would be the best choice."
  • B. "Before i can help you, i need to know more about your sexual activity."
  • C. "A provider can help you with that after a physical examination."
  • D. "You are so young. Are you ready for the responsibilities of a sexual relationship?"
Correct Answer: B

Rationale: The appropriate response for the nurse to provide to the 14-year-old client who asks the best contraception method for her is to gather more information about her sexual activity first. This approach is essential in understanding the client's individual needs and situation before recommending a suitable contraceptive method. It allows the nurse to offer personalized and accurate advice based on the client's specific circumstances, rather than making assumptions or providing generic recommendations. By starting with a discussion about the client's sexual activity, the nurse can ensure that the advice given is tailored to the client's needs and preferences, promoting informed decision-making and effective contraceptive use.

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