Maternal-Newborn Nursing Study

The first follow-up visit should take place: A. 24 hours after discharge B. 48-72 hours after discharge C. One week after discharge D. It depends

B. 48-72 hours after discharge

Which of the following tasks is the most important task of the first trimester of pregnancy? a. Accepting the pregnancy b. Accepting a coming child c. Making plans for the baby d. Sharing time with a significant other

a. accepting the pregnancy. Rationale: before a fetus moves, adjusting to pregnancy is a primary task; later, adjusting to having a baby becomes the primary task.

The mother's incision staples are removed _____. A.2 hours after surgery B.before discharge to home C.3 weeks postsurgery D.6 weeks postsurgery

B. Before discharge to home The woman's staples are removed before discharge, after wound dehiscence and infection potential are ruled out.

Endometrial changes are assessed by examining which of the following? A. Vital signs B. Lochia C. Fundal height D. All of the above

B. Lochia The appearance and amount of lochia tells the nurse about the progress of endometrial shedding and regeneration.

Which test best provides an answer to the question of whether or not the infant has a congenital defect? A. Screening B. Diagnostic test C. Biophysical profile D. Multiple marker screening

B. Diagnostic test Diagnostic tests, which are often invasive and can pose risks to the fetus, can obtain a definitive answer on suspected congenital defects.

Which of the following is a contraindication for breastfeeding? A. Obesity B. Tuberculosis C. Prematurity D. Autoimmune disease

B. Tuberculosis Active or latent tuberculosis in the mother is a contraindication for breastfeeding.

What are ways to lower the risk of Caesarean birth? A. Allow labor to progress naturally B. Use vacuum-assisted birth C. Use forceps D. All of the above

D. All of the above Allowing the second stage of labor to proceed naturally and using vacuum- or forceps-assisted birth can decrease the risk of need for Caesarean birth.

Postpartum blues are caused by what? A. Hormones B. Stress C. Fatigue D. All of the above

D. All of the above Hormonal changes, stress, and fatigue all contribute to postpartum blues.

placenta previa

A condition of pregnancy in which the placenta is implanted abnormally in the uterus so that it impinges on or covers the internal os of the uterine cervix. It is the most common cause of painless bleeding in the third trimester of pregnancy. -If severe hemorrhage occurs, immediate cesarean section is usually required to stop the bleeding and to save the mother's life; it is performed regardless of the stage of fetal maturity.

Which of the following is protective tissue that assists in thermoregulation in the neonate? A. Brown fat B. Foramen ovale C. Bilirubin D. Vernix

A. Brown fat Brown fat is the protective adipose tissue that can be metabolized to generate warmth in the neonate.

Which of the following F H R patterns indicates a normal F H R? A. Category 1 B. Category 2 C. Category 3 D. None of the above

A. Category 1 Category 1 are normal. Category 2 F H R's are indeterminate, while Category 3 F H R's are an abnormal pattern.

The multiple marker screenings identify: A.Neural tube defects B.Cerebral palsy C.Hemolytic diseases D.Cleft palate

A. Neural tube defects Multiple marker screenings can identify most open neural tube defects. They also identify Down syndrome.

When does a mother begin adjusting to her new role? A. Pregnancy B. Infancy C. First four months D. After four months

A. Pregnancy The first stage of motherhood occurs during pregnancy.

Analgesics used during labor include: A. Morphine sulfate B. Butorphanol C. Sublimaze D. All of the above

D. All of the above Morphine sulfate, butorphanol, and sublimaze are all analgesics used during delivery when benefits outweigh risks.

Meconium Aspiration Syndrome affects: A. Preterm infants B. Post-term infants C. Children over 1 month D. None of the above

B. Post-term infants Large and post-term infants are likely to pass meconium in utero, leading to a dangerous respiratory situation.

Which of the following is the treatment of choice for primary postpartum hemorrhage? A. Terbutaline B. Oxytocin C. Misoprostol D. Low-weight heparin

B. Oxytocin Oxytocin is the treatment of choice for primary postpartum hemorrhage.

A fertilized egg that implants outside the uterus is called? A. A molar pregnancy B. Eclampsia C. An ectopic pregnancy D. An elective termination

C. An ectopic pregnancy A pregnancy that implants in the fallopian tubes and must be removed is called an ectopic pregnancy.

Which of the following is the condition that affects infants who have received mechanical ventilation? A. L S syndrome B. R D S C. B P D D. P D A

C. B P D B P D or bronchopulmonary dysplasia is a potentially fatal complication of use of mechanical ventilation and oxygenation in neonates.

The frequency of uterine contractions measure from: A. The time between contractions B. The length of the contraction C. The start of one contraction to the start of the next contraction D. All of the above

C. The start of one contraction to the start of the next contraction The frequency of uterine contractions measures from the start of one contraction to the start of the next contraction.

The neonate is given which of the following to facilitate blood coagulation? A. Oxygen B. Erythromycin C. Vitamin K D. Hepatitis B vaccine

C. Vitamin K Vitamin K is administered I M after birth to compensate for the absence of vitamin K due to the lack of intestinal flora.

eclampsia

Characterized by grand mal seizure, coma, hypertension, proteinuria, and edema. -The symptoms of impending seizure: body temperature of up to 104°F, anxiety, epigastric pain, severe headache, blurred vision

Gastrointestinal postpartum changes include which of the following? A. Constipation B. Hemorrhoids C. Increased appetite D. All of the above

D. All of the above After delivery the mother may experience constipation, hemorrhoids, and increased appetite.

Acute hypertension is treated with what? A. I V labetolol and hydralazine B. Nifedipine C. Frequent monitoring of vital signs D. All of the above

D. All of the above Nursing actions for acute hypertension include medication with I V labetolol and hydralazine, nifedipine, and frequent monitoring of vital signs.

Who's at risk for gestational diabetes? A. Obese pregnant women B. History of fetal macrosomia C. Family history of diabetes D. All of the above

D. All of the above Obesity, history of fetal macrosomia, and family history of diabetes increases the risk of gestational diabetes.

Which of the following is a method of induction? A. Oxytocin B. Sweeping the membranes C. Cervical ripening D. All of the above

D. All of the above Oxytocin induction, sweeping the membranes, and cervical ripening are all methods to stimulate labor.

The first stage of labor includes which of the following? A. Latent phase B. Active phase C. Transitional phase D. All of the above

D. All of the above The first stage of labor has three phases: Latent, active, and transitional.

abruptio placentae

Separation of the placenta implanted in normal position in a pregnancy of 20 weeks or more or during labor before delivery of the fetus. -It occurs in approximately 1 in 200 births, and because it often results in severe hemorrhage, it is a significant cause of maternal and fetal mortality. Cesarean section must be performed immediately and rapidly

A woman during her first trimester questions how much longer she will have urinary frequency. Which should the nurse advise her regarding urinary frequency? a. It is a common complaint during the first trimester and again later in the third trimester b. It is a common concern reported during the entire pregnancy c. It will subside after the first trimester d. It is a concern until the last trimester of pregnancy

a. It is a common complaint during the first trimester and again later in the third trimester Rationale: The weight of the growing uterus causes urinary frequency during the first trimester. After lightning occurs in the last trimester, urinary frequency reoccurs.

Blood volume normally increases during pregnancy. The extent of this increase is what percentage of prepregnancy volume? a. 1% to 10% b. 20% to 30% c. 30% to 50% d. 70% to 90%

c. 30% to 50% Rationale: to supply adequate blood for fetal circulation, blood volume increases 30% to 50%.

As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. The nurse recognizes which as the probable cause? a. Her cerebral arteries are growing congested with blood b. The uterus requires more blood in a supine position c. Blood is trapped in the vena cava in a supine position d. Sympathetic nerve responses cause dyspnea when a woman lies supine

c. blood is trapped in the vena cava in a supine position. Rationale: Supine hypotension syndrome, or an interference with blood return to the heart, occurs when the weight of the fetus rests on the vena cava. Intervention: have her lie on left side.

preeclampsia

characterized by the onset of acute hypertension after the 24th week of gestation. -Classic triad: hypertension, proteinuria, and edema. -Mild preeclampsia: systolic blood pressure of 140 mm Hg or more; diastolic blood pressure of 90 mm Hg or more; proteinuria; edema -Severe preeclampsia: systolic blood pressure of 160 mm Hg or more or a diastolic blood pressure of 110 mm Hg or more on two occasions 6 hours apart with the woman at bed rest; proteinuria of 5 g or more in 24 hours; oliguria of less than 400 ml in 24 hours; ocular or cerebro vascular disorders; and cyanosis or pulmonary edema.