Maternal Newborn Nursing Practice Questions

Maternal Newborn Nursing Practice Questions Related

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What two steps of the CJMM are included in the assessment step of the nursing process?

  • A. noticing cues and evaluating outcomes
  • B. analyzing cues and generating solutions
  • C. noticing and analyzing cues
  • D. analyzing cues and taking action
Correct Answer: A

Rationale: In the assessment step of the nursing process, two steps of the CJMM (Clinical Judgment Model) that are included are noticing cues and evaluating outcomes. Noticing cues involves observing and recognizing relevant information or data related to the patient's health status, while evaluating outcomes involves assessing the effectiveness of the nursing interventions and patient responses to the care provided. By noticing cues, nurses gather information that guides their decision-making process, and by evaluating outcomes, they determine the impact of their actions on the patient's health and adjust the plan of care as needed. These two steps are essential in the assessment phase as they contribute to developing a comprehensive understanding of the patient's needs and progress towards achieving desired health outcomes.

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What is the most important teaching for a mother of a preterm infant in an incubator?

  • A. Emphasize the importance of frequent temperature checks
  • B. Demonstrate proper hand hygiene practices
  • C. Educate the mother on kangaroo care
  • D. Explain the importance of reduced stimulation
Correct Answer: C

Rationale: Educating about kangaroo care promotes bonding and stabilizes the infant's vital signs.

The nurse is monitoring a pregnant client with suspected gestational hypertension. What finding confirms the diagnosis?

  • A. Proteinuria.
  • B. Blood pressure of 140/90 mmHg on two occasions.
  • C. Edema of the hands and feet.
  • D. Elevated blood glucose levels.
Correct Answer: B

Rationale: Gestational hypertension is diagnosed by consistent readings of 140/90 mmHg or higher without proteinuria.

The nurse is educating a male patient on how a vasectomy works. What is the best explanation for this procedure?

  • A. The procedure blocks the sperm from entering into the semen and being ejaculated.
  • B. The procedure removes the testicle so that sperm are not made.
  • C. The tube that carries seminal fluid is blocked, causing no semen to be ejaculated.
  • D. The procedure kills all sperm so they are unable to make it to the ovulated egg.
Correct Answer: A

Rationale: A vasectomy involves blocking or cutting the vas deferens to prevent sperm from being ejaculated with semen, making it an effective method of contraception. Choice B is incorrect because the testicles are not removed during a vasectomy, only the vas deferens is altered. Choice C is incorrect because seminal fluid is still produced, but sperm are prevented from entering it. Choice D is incorrect because sperm are not killed, but rather prevented from mixing with semen.

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor

  • A. Cervical dilation
  • B. Report of pain above the umbilicus
  • C. Brownish vaginal discharge
  • D. Amniotic fluid in the vaginal vault
Correct Answer: A

Rationale: Cervical dilation is a key physiological change that confirms labor has begun. During the late stages of pregnancy, the cervix starts to soften, thin out (efface), and open up (dilate) in preparation for childbirth. Therefore, cervical dilation is a critical finding that indicates the onset of labor. Pain above the umbilicus, brownish vaginal discharge, and amniotic fluid in the vaginal vault are not definitive signs of labor and do not confirm the initiation of the labor process.

The nurse is monitoring a postpartum client with a boggy uterus. What is the priority intervention?

  • A. Notify the healthcare provider.
  • B. Massage the fundus until firm.
  • C. Administer prescribed oxytocin.
  • D. Check the client’s vital signs.
Correct Answer: B

Rationale: Massaging a boggy uterus stimulates contraction and reduces the risk of postpartum hemorrhage.

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