Maternal Newborn Final Exam Study Questions | Answered with complete solutions

Maternal Newborn Final Exam Study Questions | Answered with complete solutions A nurse is caring for a client who is 8 hours postpartum and is experiencing hemorrhage. Which of the following actions should the nurse i ...

Maternal Newborn Final Exam Study Questions | Answered with complete solutions A nurse is caring for a client who is 8 hours postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? (Select all that apply) A. Massage the fundus. B. Give oxygen at 2L/min via nasal cannula. C. Administer oxytocin. D. Insert an indwelling catheter. E. Place the client in a lateral position with her legs elevated 30 degrees. While assessing a client in the fourth stage of labor, the nurse suspects bladder distention. Which of the following findings would the nurse expect to see? A. The fundus is displaced from the midline. B. The uterus is firm. C. The fundus is below the umbilicus. D. The bladder is resonant with percussion. A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the following reflexes is the nurse assessing by holding the newborn upright with feet touching a flat surface? A. Babinski Reflex B. Moro Reflex C. Stepping Reflex D. Plantar Grasp Reflex The nurse in the newborn nursery has just received report. Which of the following infants should the nurse see FIRST? A. A 2 day old infant who is lying quietly alert with a heart rate of 185 B. A 1 day old infant who is crying and has a bulging anterior fontanel C. A 12 hour old infant who is being held, with respirations that are 45 breaths per minute and regular D.A 5 hour old infant who is sleeping and whose hands and feet are blue bilaterally The nurse on a postpartum unit is preparing 4 clients for discharge. It would be MOST important for the nurse to refer which of the following clients for home care? A. A 15 year old primipara who delivered a 7 lb male 2 days ago B. An 18 year old multipara who delivered a 9 lb female by c-section 2 days ago C. A 20 year old multipara who delivered 1 day ago and is complaining of cramping D. A 22 year old who delivered by c-section and is complaining of burning on urination The nurse teaches a primigravid woman how to measure the frequency of uterine contractions. The nurse should explain to the client that the frequency of uterine contractions is determined by which of the following? A. By timing from the beginning of one contraction to the end of the next contraction B. By timing from the beginning of one contraction to the end of the same contraction C. By the number of contractions that occur within a given period of time D. By the strength of the contraction at its peak Which of the following are presumptive signs of pregnancy? (Select all that apply) A. Positive pregnancy test B. Enlarged breasts C. Urinary frequency d. Braxton Hicks contractions E. Fetal heart tones heard by the provider F. Amenorrhea Which of the following is the priority during the third stage of labor for the mother? A. Educating the mother B. Pain management C. Skin to skin contact D. Adequate tissue perfusion Which fetal presentation is optimal for vaginal delivery? A. Military B. Brow C. Vertex D. Face A woman in labor starts to exhibit late decels on the EFM, what actions should the nurse take? Select all that apply A. Give 02 B. Turn patient on left side C. Put patient in Trendelenburg position D. Decrease IV fluids E. Raise the pt.s feet above the level of her heart A woman comes in for her 18 week ultrasound. The provider notes an abnormality with the umbilical cord where the blood vessels travel unprotected from the placenta to the umbilical cord. The nurse knows this disorder is known as: A. Placenta Accreta B. Velamentous Cord Insertion C. Ubruptio Placentae D. Uterine Rupture A nurse is perform a newborn assessment on a 24 hour old newborn. Which of the following should the nurse report to the provider? A. cross eyed appearance B. body temperature of 37.0 C C. Yellow appearance of the skin D. large posterior fontanelle A patient is 12 weeks pregnant and her nurse is performing an assessment to locate the position of her fundus. At what location should it be found? A. Just below the xiphoid process B. At the symphysis pubis C. At the umbilicus D. Between the symphysis pubis and umbilicus Upon assessment of a laboring patient, a nurse gathers the following information: cervical dilation of 5 cm, contractions every 5 minutes and moderate in strength along with some feelings of restlessness. What stage of labor is her patient in? A. Second Stage B. First Stage - Transition Stage C. Third Stage D. First Stage - Active Phase A nurse if providing education to a client who is 2 hours postpartum and has a perineal laceration. Which of the following information should the nurse include? (Select all that apply) A. Use a perineal squeeze bottle to cleanse the perineum B. Sit on the perineum while resting in bed C. Apply a topical anesthetic cream or spray to the perineum D. Wipe the perineum thoroughly with a back and forth motion E. Apply cold or ice packs to the perineum Which of the following is a positive sign of pregnancy? A. Positive pregnancy test B. Fetus seen in ultrasound C. Abdominal enlargement D. Mild uterine cramping Upon cervical examination, the nurse finds that the umbilical cord is protruding from the patient's vagina. What should the nurse do? Select all that apply: A. Do the McRoberts maneuver B. Insert fingers into the vagina and move baby's head off the cord C. Position patient in Trendelenburg D. Instruct the patient to push E. Call the provider immediately A woman is admitted to the floor with the following obstetrical history: Delivered a daughter at 40 weeks, now 6 years old; had a miscarriage; delivered a son at 37 weeks, now 4; had a first trimester abortion one and a half years ago, and is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity? A. G5 P2022 B. G4 P2022 C. G4 P2112 D. G5 P2112 Your patient was just diagnosed with HELLP Syndrome, but you don't remember what this condition entails. A charge nurse explains that HELLP Syndrome can be fatal to the mother and baby. What three conditions are included in the "HELLP" acronym? A. Low Liver functions B. Elevated liver functions C. Hematuria D. Low platelets E. Hemolysis Which of the following are signs of postpartum psychosis? (Select all that apply) A. Mood swings and irritability B. Disorientation and confusion C. Paranoia D. Thoughts of self-harm or harming the infant A nurse is teaching a new mother about bathing her infant. Which of the following statements indicate understanding? A. I will make sure my water heater is set to 130 degrees so that my baby stays warm during bath time. B. I will give my baby a bath every night so that she can become more relaxed and sleep longer. C. I will give my baby a bath two to three times a week using a mild soap. Which of the following complications can increase the likelihood of meconium stained amniotic fluid? (Select all that apply) A. Baby is over 38 weeks gestation B. Umbilical cord compression during delivery C. Small for gestational age D. Breech presentation E. Fetal hypoxia Which of the following risk factors can result in a uterine rupture? Select all that apply. A. Previous C-section B. Polyhydramnios C. Magnesium administration D. Oxytocin administration E. Perineal laceration What phase of Maternal role attainment occurs at day 2 or 3, lasts 10 days to several weeks. The mother is focused on improving caregiver competency, and wants to learn and practice? A. Dependent phase B. Taking in phase C. Dependent- independent: Taking hold phase D. Interdependent phase What procedure is used to try and rotate the fetus to cephalic presentation? A. Internal cephalic rotation B. External cephalic version C. McRobert's rotation D. External cephalic rotation What is the most ideal position for delivery? A. Right occipitoposterior (ROP) B. Left occipitoposterior (LOP) C. Right occipitoanterior (ROA) D. Left occipitoanterior (LOA) What shape of the mother's pelvis is the most ideal for a vaginal birth? A. Platypelloid B. Anthropoid C. Gynecoid D. Android A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. January 8th B. January 15th C. February 8th D. December 8th A nurse at a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? A. "This is due to an increase in blood volume." B. "This is due to pressure from the uterus on the diaphragm." C. "This is due to the weight of the uterus on the vena cava." D. "This is due to increased cardiac output." A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm a pregnancy. Which of the following information should the nurse provide to the client? A. "You should wait until 4 weeks after conception to be tested." B. "You should be off medications 24 hours prior to the test." C. "You should be NPO for at least 8 hours before the test." D. "You should collect urine from the first morning void." A nurse is caring for a G2P1 patient who is in the second stage of labor. The nurse notices that the fetal head retracts back into the vaginal canal after being delivered and knows this is an indication of shoulder dystocia. What action should the nurse anticipate? A. Stop the oxytocin infusion B. Turn the patient to the left side C. Perform McRoberts maneuver D. Encourage the mother to use additional force on with the next push The nurse knows that which of the following are risk factors for umbilical cord prolapse? (Select all that apply) A. Rupture of membranes B. Breech fetal presentation