Maternal Newborn Nursing Health Promotion and Maintenance Quiz

A client in the early postpartum period is talkative and enjoys recounting the details of her labor and birth. The nurse recognizes that these behaviors likely indicate which of the following? Select one: a. The taking-in phase of maternal postpartum adjustment. b. Positive mother-infant bonding. c. Postpartum role transition. d. The taking-hold phase of maternal psychosocial adaptation.

A

A nurse is caring for a client who has been prescribed magnesium sulfate as tocolytic therapy. Several hours after the infusion was started, contractions ceased. Which of the following is the best analysis of this data? Select one: a. The drug is having a therapeutic effect b. The medication dose should be increased c. Deep tendon reflexes should be assessed d. The medication dose should be decreased

A

A nurse is collecting data on newborn. Which of the following is an expected finding? Select one: a. Babinski reflex present b. Decorticate reflex c. Respirations 21 to 24/min d. Pulse rate 70 to 80/min

A

A nurse is caring for a newborn diagnosed with a neonatal infection. Which of the following risk factors is most important to the care of this client? Select one: a. A decreased number of functional alveoli. b. Documented birth trauma. c. Maternal history of cytomegalovirus. d. Increased size of neonate's heart.

C

A nurse is caring for a client who is reporting lower abdominal pain. The client has a positive pregnancy test and is estimated to be 10 weeks pregnant. Which of the following best support a possible ectopic pregnancy? Select one: a. Steady bleeding with lower abdominal pain. b. Absence of fetal heart tones and fetal movement. c. Edematous face, hands, and ankles. d. Unilateral stabbing abdominal lower abdominal pain.

D

A nurse is educating a parent of a newborn about safety measures. Which of the following statements made by the client would indicate a need for further teaching? Select one: a. "Once my baby begins to roll over it is okay to use a small pillow in the crib." b. "I should always support my baby's head when I pick him up." c. "My baby's car seat should be in the back seat facing backwards." d. "I should never leave my baby unattended with pets or other children."

A

A nurse is performing a fundal assessment on the client's second postpartum day. Which of the following should the nurse expect if the client is experiencing normal involution? Select one: a. The fundus will be one centimeter below the umbilicus. b. The fundus will be one centimeter above the umbilicus. c. The fundus will be two centimeters below the umbilicus. d. The fundus will be at the level of the umbilicus.

A

The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the test. Which of the following is the correct response? a. The purpose of the NST is to assess the fetal CNS. b. The purpose of the NST is to determine fetal lie. c. The purpose of the NST helps to determine gestational age. d. The purpose of the NST is to determine fetal breathing.

A

A client in the early postpartum period is talkative and enjoys recounting the details of her labor and birth. The nurse recognizes that the behaviors must likely indicate which of the following? a. Postpartum role transition. b. The taking-in phase of maternal postpartum adjustment. c. Positive mother-infant bonding. d. The taking-hold phase of maternal psychosocial adaptation.

B

A client with gestational diabetes gave birth to a 9 pound neonate 12 hours ago. The neonate is presenting with a high pitched cry and jitteriness. Which of the following is the nurse's priority intervention? Select one: a. Administer subcutaneous insulin b. Offer the neonate breast milk or formula c. Place the neonate under a radiant warmer d. Provide oxygen via oxyhood

B

A nurse is assessing a client during her first prenatal visit. The client reports that her last normal period began on April 22. Use Nagele's rule to calculate this client's expected date of birth (EDB). Use the MMDD format to enter exactly four numerals, with no spaces or punctuation between the numbers. a. 0722 b. 0129 c. 0729 d. 0122

B

The client asks the nurse to explain the difference between true and false labor. Which of the following is an example of true labor? Select one: a. In true labor the presenting part is engaged b. In true labor the cervix will dilate and efface c. In true labor contractions are felt in the abdomen above the umbilicus d. In true labor walking will cause contractions to slow down

B

A breastfeeding mother develops engorgement on her third postpartum day. Which of the following statements by the client indicates a need for further teaching? Select one: a. I will apply warm packs to each breast prior to feeding. b. I will use a breast pump if my breasts do not soften. c. I will offer my baby a bottle following each feeding. d. I will feed my baby every 2 hours.

C

A client at 35 weeks gestation is admitted to the birthing unit with preterm labor. Which of the following assessments would require the nurse to immediately notify the provider? Select one: a. B/P 138/80mmHg, contractions every 3-4 minutes b. B/P 110/60mmHg, trace protein, contractions every 3-4 minutes c. FHR 120 b/min with late decelerations, contractions- every 1-2 minutes d. FHR 140 b/min: good variability, contractions every 3-4 minutes

C

A nurse is assessing a client in the immediate postpartum period. The fundus is boggy and deviated to the left of the umbilicus. Which of the following is the most appropriate intervention? Select one: a. Begin an oxytocin infusion b. Reassess client in 30 minutes c. Assist client to void d. Assess lochia

C

A nurse is caring for a client diagnosed with pre-eclampsia. The client is receiving magnesium sulfate IV. Which of the following assessment findings is the first sign of magnesium toxicity? Select one: a. Respiratory depression b. Nausea and vomiting c. Decreased deep tendon reflexes d. Visual blurring

C

A nurse is caring for a client who has been prescribed magnesium sulfate for pregnancy induced hypertension. On admission the client's B/P is 160/90 mm Hg and urine output is 25mL/hr. Following initiation of magnesium sulfate, which of the following symptoms should be reported to the provider? Select one: a. The client is voiding 40 mL/hr b. The client reports feeling flushed and warm c. The client is drowsy and difficult to rouse d. The client's blood pressure is 130/70 mm Hg

C

A nurse is caring for a client who is 11 weeks pregnant. Which of the following is an appropriate psychological task for the client? Select one: a. Begin to think about names for the baby b. View morning sickness as tolerable c. Accept the fact that she is pregnant d. Verbalize concerns about the health care facility

C

A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates clinical manifestations of the condition. Which assessment finding is associate with this condition? a. Diminished tendon reflexes b. Negative Startle reflex c. Hypothermia d. Increased drowiness

C

A nurse is positioning a client on the operating room table in preparation for a cesarean birth. Which of the following is the correct position? a. Modified Trendelenburg position with a foam wedge under the legs. b. Lithotomy position with a foam wedge behind the shoulders. c. Supine position with foam wedge positioned under one hip. d. Left lateral position with a foam wedge between the legs.

C

A nurse is providing a tour of the labor and delivery unit to expectant parents. Which statement made by the mother indicates a need for further education? Select one: a. "When the baby is born, my thumb print will be taken along with the baby's footprint." b. "When the baby is returned to us from the nursery, we should check the baby's identification band." c. "We will need to remove the baby's ankle identification band during diaper changes." d. "We will request to see picture identification badges for all facility staff who care for our baby."

C

A postpartum client is reporting heavy vaginal blood flow. The nurse correctly understands which of the following assessments has the highest priority? Select one: a. Assessing vital signs both lying and sitting b. Assess episiotomy for bleeding c. Assess the fundus for tone and position d. Assess the client's last voiding

C

A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor? a. "When did your contractions begin?" b. "Have you felt fetal movement over the last 24 hours?" c. "What happens to your contractions when you move about?" d. "Have you noticed any bloody show or fluid coming from your vagina?"

D

A nurse is teaching a client the correct use a diaphragm as a method of contraception. Which of the following statements is correct? Select one: a. Do not use any cream or jelly with the diaphragm b. Douche promptly after removing the diaphragm c. Insert diaphragm at least 8 hours prior to sexual intercourse d. Leave diaphragm in place for at least 6 hours post coitus

D

Thirty minutes following initiation of oxytocin infusion a client's contractions are lasting 95 seconds and coming one minute apart. Late decelerations are observed on the fetal monitor. Which of the following is the correct priority nursing intervention? Select one: a. Assess vital signs and apply O2 via facemask. b. Stop the pitocin infusion and administer terbutaline 0.25 mg. c. Notify provider and prepare for an emergency cesarean birth d. Stop pitocin infusion and assess contractions and fetal heart rate.

D

Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a weak, high pitched cry. Which of the following would be the nurse's priority action? a. Obtain an order for a drug screening blood test. b. Hold and comfort the infant to stop the crying. c. Feed the infant oral feeding. d. Perform a heel stick to check serum glucose.

DB