SAFE MATERNITY AND PEDIATRIC NURSING CARE 3RD
EDITION LINNARD-PALMER ALL CHAPTERS COMPLETE
LATEST UPDATED NEWEST QUESTIONS 2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED
The nurse is counseling a client who wants to become pregnant. She tells the
nurse that she has a 36-day menstrual cycle and the first day of her last
menstrual period was January 8. When will the client's next fertile period
occur?
A.January 14 to 15
B.January 22 to 23
C.January 29 to 30
D.February 6 to 7
C.January 29 to 30
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Rationale: This client can expect her next period to begin 36 days from the first day
of her last menstrual period. Her next period would begin on February 12. Ovulation
occurs 14 days before the first day of the menstrual period. The client can expect
ovulation to occur January 29 to 30. Options A, B, and D are incorrect.
In developing a teaching plan for expectant parents, the nurse decides to
include information about when the parents can expect the infant's fontanels
to close. Which statement is accurate regarding the timing of closure of an
infant's fontanels that should be included in this teaching plan?
A.The anterior fontanel closes at 2 to 4 months and the posterior fontanel by
the end of the first week.
B.The anterior fontanel closes at 5 to 7 months and the posterior fontanel by
the end of the second week.
C.The anterior fontanel closes at 8 to 11 months and the posterior fontanel by
the end of the first month.
D.The anterior fontanel closes at 12 to 18 months and the posterior fontanel by
the end of the second month
D.The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the
end of the second month
Rationale: In the normal infant, the anterior fontanel closes at 12 to 18 months of age
and the posterior fontanel closes by the end of the second month. These growth and
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development milestones are frequently included in questions on the licensure
examination. Options A, B, and C are incorrect.
A client who is 3 days postpartum and breastfeeding asks the nurse how to
reduce breast engorgement. Which instruction should the nurse provide?
A.Avoid using the breast pump.
B.Breastfeed the infant every 2 hours.
C.Reduce fluid intake for 24 hours.
D.Skip feedings to let the sore breasts rest.
B.Breastfeed the infant every 2 hours.
Rationale: The mother should be instructed to attempt feeding her infant every 2
hours while massaging the breasts as the infant is feeding. If the infant does not feed
adequately and empty the breast, using a breast pump helps extract the milk and
relieve some of the discomfort. Dehydration irritates swollen breast tissue. Skipping
feedings may cause further engorgement and discomfort.
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority?
A.Use thread to tie off the umbilical cord.
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B.Provide privacy for the woman.
C.Reassure the husband and keep him calm.
D.Put the newborn to the breast immediately.
D.Put the newborn to the breast immediately.
Rationale: Putting the newborn to the breast will help contract the uterus and prevent
a postpartum hemorrhage. This intervention has the highest priority. Option A is not
necessary; the infant can be transported attached to the placenta. Option B is an
important psychosocial need but does not have the priority of option D. Although the
husband is an important part of family-centered care, he is not the most important
concern at this time.
The nurse calls a client who is 4 days postpartum to follow up about her
transition with her newborn son at home. The woman tells the nurse, "I don't
know what is wrong. I love my son, but I feel so let down. I seem to cry for no
reason!" Which adjustment phase should the nurse determine the client is
experiencing?
A.Taking-in phase
B.Postpartum blues
C.Attachment difficulty