Maternity Test Qs
A baby with hemolytic jaundice is being treated with fluorescent phototherapy. To provide safe newborn care, which of the following actions should the nurse perform?
Cover the baby's eyes with eye pads.
A mother-baby nurse assesses newborns for their risk of developing hypoglycemia. Which infant would the nurse assess as being at highest risk? - Infant delivered by cesarean section - Infant with heat stress - Infant with cold stress - Delayed feedings after birth
Infant with cold stress
A female patient is scheduled to have a hysterosalpingogram, for which condition is the reason for this test? - Huntington's disease - Poly cystic ovarian syndrom - Preeclampsia - Infertility
Infertility
Four babies are in the newborn nursery. The nurse pages the neonatologist to see the baby who exhibits which of the following? Vernix caseosa. Erythema toxicum Acrocyanosis Intercostal retractions
Intercostal retractions
Which of the following is the most effective at preventing pregnancy? * Condom * Intrauterine device * Oral Contraceptive Pills * Lactation Amenorhea
Intrauterine device
A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? "An IUD should be replaced annually during a pelvic exam." "A change in the string length of my IUD is expected." "I cannot get an IUD until after I've had a child." "If i decide to get pregnant, the IUD can come out and my fertility will be bak to normal"
"If i decide to get pregnant, the IUD can come out and my fertility will be bak to normal"
A 25-year-old female is seeking information from the clinic nurse about usage of a cervical cap for birth control. Which of the following are correct responses by the nurse? Select all that apply. - "No spermicide is needed for application." - "It is easy to apply." - "This type of method must be prescribed and fitted by the health-care provider." - "The cap requires that you insert it into your vagina to cover the cervix." - "If you have any significant weight gain or weight loss you will need to be refitted for a new one"
"This type of method must be prescribed and fitted by the health-care provider." "The cap requires that you insert it into your vagina to cover the cervix." "If you have any significant weight gain or weight loss you will need to be refitted for a new one"
A preterm labor client, 30 weeks' gestation, who ruptured membranes 4 hours ago is being given IM dexamethasone (Decadron). When she asks why she is receiving the drug, the nurse replies: "To help to mature your baby's lungs." "To decrease the pain from the contraction "To help to stop your labor contractions." "To prevent an infection in your uterus
"To help to mature your baby's lungs."
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? "Apply cold compresses between feedings." "Use the various infant positions for feedings." "Take a warm shower right after feedings." "Apply breast milk to the nipples and allow them to air dry."
"Use the various infant positions for feedings."
How many after weeks of gestation is a post-term newborn baby delivered?
42 weeks
The client, who is 12 days postpartum, telephones the clinic and tells the nurse that she is concerned that she may have an infection because her vaginal discharge has been creamy white for 2 days now. Which response by the nurse is correct? * Take your temperature and let me know if it is elevated. * You need to come to the clinic as soon as possible. * A creamy, white discharge 10 days postpartum is normal. * You'll need an antibiotic; which pharmacy do you use?
A creamy, white discharge 10 days postpartum is normal.
What action by the nurse is most important to prevent hemorrhagic disease of the newborn? - Handle the infant gently to prevent injury. - Coordinate laboratory sticks to minimize blood loss. - Assess daily hemoglobin and hematocrit levels. - Administer vitamin K1 phytonadione (AquaMEPHYTON).
Administer vitamin K1 phytonadione (AquaMEPHYTON). reasoning: Infants are given one dose of vitamin K during initial care and assessment to prevent hemorrhagic disease of the newborn.
A new mother requests that prophylactic eye medication not be given to her newborn as she is concerned about the impact on the maternal bonding experience. How should the nurse respond to this concern? - Document the mother's request and do not administer the medication. - Tell the mother that the medication is required to be given at this time. - Allow some time for the mother-infant to bond and then administer the medication. - Suggest that the medication be withheld until the newborn is transferred to the nursery.
Allow some time for the mother-infant to bond and then administer the medication. reasoning: Eye prophylaxis is required per the Center for Disease Control (CDC) to be administered to prevent ophthalmia neonatorum in the newborn. Even though it must be given following birth, the nurse can allow for maternal-infant bonding and then administer the medication in a timely manner.
What type of lighting is most used in NICUs?
Ambient lighting
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take? - Offer a warm sitz bath - Place a hot pack to the perineum - Apply an ice pack to the affected area - Provide a squeeze bottle of antiseptic solution
Apply an ice pack to the affected area
Standards of practice are guidelines that determine the scope and practice of nurses. Which of the following are included aspects of states nursing practice acts? Select all that apply: Evidence based practice - Concept analysis -Answer Authority, power, and composition of a nursing board -Types of nursing titles and nursing licenses -Educational program standards
Authority, power, and composition of a nursing board Types of nursing titles and nursing licenses Educational program standards
After orienting a new patient to their room on labor and delivery, the nurse asks the patient if she has a birthing plan that outlines her wishes and needs for her delivery for the staff. By doing so, the nurse is following what basic ethical principle? Nonmaleficence Benefice Justice Autonomy
Autonomy
A nurse is assessing a newborn who is jittery, diaphoretic, and hypothermic, and has poor feeding. What laboratory value would the nurse correlate with this condition?
Blood glucose: 32 mg/dL This infant has signs of hypoglycemia, confirmed with a blood glucose level below 40 mg/dL (normal is 40-60 mg/dL)
A 6-month-old child is being seen in the pediatrician's office. The child was born preterm and remained in the neonatal intensive care unit for the first 5 months of life. The child is being monitored for 5 chronic problems. Which of the following problems are directly related to the prematurity and treatments in the NICU. - hypoglycemia - Hypothryroid - Seizure disorder - Bronchopulmonary dysplasia.
Bronchopulmonary dysplasia.
A nurse is caring for a client who is breastfeeding and states that her nipples are sore. Which of the following interventions should the nurse suggest? - Keep the nipples covered between feedings - Massage the breast while breastfeeding - Apply mineral oil to the nipples - Change the newborn's position when you feel pain
Change the newborn's position when you feel pain
A 40-week-gestation neonate is in the first period of reactivity. Which of the following actions should the nurse take at this time - Notify the pediatrician of the finding - Place the newborn under the overhead warmer - Perform a Ballard Gestational age assessment - Encourage breastfeeding
Encourage breastfeeding
The birth of a baby, weight 4,500 grams, was complicated by shoulder dystocia. Which of the following neonatal complications should the nursery nurse observe for?
Erb's Palsy
A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions is incorrect? - Validate the signature is authentic. - Verify the client understands the surgical procedure. - Confirm that the consent is voluntary. - Establish that the client is able to pay for the surgical procedure.
Establish that the client is able to pay for the surgical procedure
A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times? * On days 13-17 after the menstrual cycle * Every morning before arising * 1 hour following intercourse * before going to bed
Every morning before arising
Universal screening for IPV is defined by which of the following statements? * Every patient is screen when they present with indicators *Every patient is screen who has a history of IPV * Every patient is screened, whether they present with indicators or not * Every patient is screen who has numerous high risk factors for IPV
Every patient is screened, whether they present with indicators or not
The nurse educator on a postpartum unit is gathering information on a new delayed bathing procedure. She's found several journal articles, watched recordings from multiple pediatric providers, and asked her local AHWONN leadership for documentation on the topic. What is the nurse educator doing? * Evidenced based research * Performing a concept analysis * Implementing the nursing process * Conducting a case study
Evidenced based research
The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal? - Fundus 1 cm above the umbilicus, lochia rosa. - Fundus 2 cm above the umbilicus, lochia alba. - Fundus 3 cm below the umbilicus, lochia serosa. - Fundus 2 cm below the umbilicus, lochia rubra.
Fundus 3 cm below the umbilicus, lochia serosa.
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended? * Client report of increased thirst * Less than 2.5 cm of rubra lochia on perineal pad * Client report of frequent uterine contractions * Fundus palpable to right of midline
Fundus palpable to right of midline
A newborn nursery nurse notes that a 36-hour-old baby's body is jaundiced. Which of the following nursing interventions will be most therapeutic? - Maintain a warm ambient environment. - Have the mother feed the baby frequently - Have the mother hold the baby skin to skin. - Place the baby naked by a closed sunlit window.
Have the mother hold the baby skin to skin.
Your client is staring on OCP and you are teaching your client about ACHES. This ensures that you address all but which of the following risk? - Thromboembolism - Hypotension - Blood clots - Cardiovascular accident
Hypotension
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching? - I will massage my breast while I breastfeed - I will breastfeed every two hours - I will change positions of my baby while feeding - I will apply ice packs to my breast after feeding
I will apply ice packs to my breast after feeding
A nurse is observing a patient in the emergency department who is being admitted for a UTI R/O sepsis and is also being triaged for suspected intimate partner violence (IPV). The patient is a 65-year-old female who lives with her daughter and states that she stays in her room most of the time while at home, has no visits from friends, and is not allowed to leave the house alone. What type of IPV does the nurse suspect? Threats Emotional Economic Isolation
Isolation Reasoning: Isolation is a type of IPV that occurs when the individual is cut off from friends and/or family and is not allowed to leave the house.
Which of the following hormones are crucial during the menstrual cycle? Select all that apply. * Leutenizing hormone * Human Chorionic gonadotropin * Follicle stimulating hormone * Prolactin hormone * Estrogen
Leutenizing hormone Follicle stimulating hormone Estrogen
You are taking vital signs on your patient who is a multiparous patient and is now 30 hours postpartum, she reports a lot of cramping with breastfeeding and you first take her vital signs. You obtain the following vital signs: blood pressure 123/72 mm Hg, heart rate 63, respirations 15, and temperature 100.2°F. What actions to you take based on these findings? - Notify the provider of the beginning of an infection - Ask her if she wants the PRN acetaminophen medication that is ordered - Massage the uterus to determine if it is firm - Assess the lochia to determine the amount of bleeding
Massage the uterus to determine if it is firm
The nurse is discussing contraception with a couple before discharge following the birth of a first child. The couple are uncertain about the method but are certain about avoiding pregnancy for at least 2 years. Which method does the nurse recommend? - Emergency Contraceptives - Oral estrogen/progesterone pill - Depo-Provera - Natural Family planning
Oral estrogen/progesterone pill
The nurse is reviewing the paperwork for a new patient who is seeing the health-care provider for the first time. What finding would alert the nurse to the presence to the tension-building phase of intimate partner violence (IPV)? - Denies use of drugs or alcohol - Patient states that he has a great relationship with his partner - History of black eyes - Patient reports that his partner has a bad temper and tries to stay out of his way during this time
Patient reports that his partner has a bad temper and tries to stay out of his way during this time Reasoning: During the tension-building phase of IPV, the victim senses escalating behavior by the perpetrator. In this case, the patient is providing information that is associated with a problem.
The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments are covered by REEDA? Select all that apply. - Perineal coloration - Approximation of the suture line - Degree of laceration - Description of pain - Amount of swelling
Perineal coloration Approximation of the suture line Amount of swelling
A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best? *Allow the family to continue these practices as desired. * Assess how these practices reflect religious beliefs. * Provide evidence-based information about the therapies. * Inform the family that most of these practices do not work.
Provide evidence-based information about the therapies. Reasoning: The nurse working with individuals or families who use CAM practices should respect the beliefs, values, and desires of the patient. The nurse should encourage families to make decisions regarding CAM practices based on evidence and research into their effects. The nurse can best assist in this by providing and discussing information.
New parents are concerned that after initially breastfeeding their baby 2 hours after being born, she is sleeping soundly and will not awaken. What action by the nurse is most appropriate? Document the neonate's behavior in the chart. Stimulate the baby to wake her up. Call the rapid response team Reassure the parents that this is normal.
Reassure the parents that this is normal reasoning: After the initial period of reactivity, the infant falls into a deep sleep from which she is difficult to arouse. The nurse should reassure the parents that this is normal.
A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need - Breast tenderness - Reduced menstrual flow - Shortness of breath - Dysmenorrhea
Shortness of breath
A nurse is observing a mother who has just had a spontaneous vaginal delivery. Which observation would alert the nurse to a potential concern related to maternal-infant bonding? The new mother avoids looking at the baby when placed on her abdomen. The new mother states that she is very tired. The placenta has yet to be delivered. The new mother states that she is hungry.
The new mother avoids looking at the baby when placed on her abdomen. reasoning: Facilitation of bonding experiences between mother and newborn focus on maintaining eye contact. The fact that the mother's gaze is averted is a potential concern that can impact maternal-infant bonding.
A full-term neonate has brown adipose fat tissue (BAT) stores that were deposited during the latter part of the third trimester. What does the nurse understand is the function of BAT stores? - To promote melanin production in the neonatal period - To provide heat production when the baby is hypothermic - To provide calories for neonatal growth between feedings. - To protect the bony structures of the body from injury
To provide heat production when the baby is hypothermic
Your patient is trying to become pregnant and you are discussing the following signs and symptoms to be aware of to indicate that ovulation will occur soon and the time to have intercourse. - 1-2 days after the ceasing of the menstrrual bleed - When your patient notices thick whitish cervical mucus - When they perform a urine test that indicates the presence of LH - When there is a sudden drop in basal body temperature
When they perform a urine test that indicates the presence of LH
With regard to rubella and Rh issues, nurses should be aware that: - Breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus. - Rh immune globulin cannot be administered intravenously because it can interfere with breastfeeding. - Rh immune globulin boosts the immune system and thereby enhances the effectiveness of vaccinations. - Women should be warned that the rubella vaccination is teratogenic and they must avoid pregnancy for at least 1 month after vaccination.
Women should be warned that the rubella vaccination is teratogenic and they must avoid pregnancy for at least 1 month after vaccination. Reasoning: Because the live attenuated rubella virus is not communicable in breast milk, breastfeeding mothers can be vaccinated. Rh immune globulin is administered IM; it should never be given to an infant. Rh immune globulin suppresses the immune system and therefore might thwart the rubella vaccination.
