Maternal and Newborn Nursing

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Which of the following is an example of healthy grieving?

  • A. The mother exhibits an absence of crying or expression of feelings.
  • B. The parents do not mention the baby in conversation with family members.
  • C. The mother asks that the baby be taken away from the delivery area quickly.
  • D. While holding the baby, the mother says to her husband, "He has your eyes and nose."
Correct Answer: D

Rationale: Option D, while holding the baby, the mother saying to her husband, "He has your eyes and nose," is an example of healthy grieving. In this scenario, the mother is acknowledging the baby, expressing emotions, and involving her partner in the process. Verbalizing thoughts and emotions, as well as creating meaningful connections with relevant support persons, are important aspects of healthy grieving. Sharing memories and recognizing the physical similarities between the baby and family members can be therapeutic in the grieving process.

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The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction?

  • A. Variability
  • B. Accelerations
  • C. Early decelerations
  • D. Variable decelerations
Correct Answer: D

Rationale: Variable decelerations are a hallmark sign of umbilical cord compression, requiring immediate monitoring and intervention.

Which should be included in teaching regarding treatment for pubic lice?

  • A. The antibiotics should be taken for a full 10 days.
  • B. All clothing should be pretreated with bleach before wearing.
  • C. Shampoo should be applied for at least 2 hours before rinsing.
  • D. The pubic hair should be combed after shampoo is removed.
Correct Answer: D

Rationale: Combing removes lice and nits after treatment.

What response should the nurse make first to a young woman who showered after a sexual assault?

  • A. The evidence kit may still reveal important information.
  • B. It was important for you to do that for yourself.
  • C. Have you washed your clothes? If not, we might be able to obtain evidence from them.
  • D. Do you remember what happened? If not, someone may have put a drug in your drink.
Correct Answer: A

Rationale: Preserving evidence is critical for legal proceedings.

What action is of highest priority for a nurse seeing a woman with multiple bruises accompanied by her partner?

  • A. Take the woman's vital signs.
  • B. Interview the woman in private.
  • C. Assess for additional bruising.
  • D. Document the location of the bruises.
Correct Answer: B

Rationale: Private interviews uncover hidden abuse.

What signs/symptoms should prompt a woman to seek assessment for ovarian cancer?

  • A. Vaginal bleeding and weight loss.
  • B. Frequent urination, breast tenderness, and extreme fatigue.
  • C. Abdominal pain, bloating, and a constant feeling of fullness.
  • D. Hardness on one side of the abdomen.
Correct Answer: C

Rationale: Abdominal symptoms are common in ovarian cancer.

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