VATI Maternal Newborn Health Promotion and Maintenance Quiz
A nurse provided discharge teaching to new parents on how to care for their newborn
following circumcision. Which of the following statements by the parents indicates the
need for further clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "The circumcision will heal completely within a couple of weeks."
d. "I can give him a tub bath in two days."
- d. "I can give him a tub bath in two days."
The newborn should not be immersed in water until the circumcision has healed and the
umbilical cord has detached. The circumcision should heal within two weeks.
A nurse is discussing the use of condoms with a female client. Which of the following
statements by client represents a need for further teaching?
Select one:
a. "My partner will put the condom on while his penis is erect."
b. "I will remove the condom 30 minutes after intercourse."
c. "My partner should leave an empty space at the tip."
d. "I can use spermicidal gels or creams to increase effectiveness."
- b. "I will remove the condom 30 minutes after intercourse."
To avoid any semen spillage onto the vulva or the vaginal area, the condom must be
removed the same time as the penis. To do that the condom rim should be held in place
while the penis is withdrawn from the vagina.
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?
Select one:
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?"
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?"
- b. "Have you noticed any bloody show or fluid coming from your vagina?"
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture
of membranes. False labor is characterized by painless, irregular, and intermittent
contractions that decrease in frequency, duration, and intensity with walking or position
, changes. Contractions are felt in the lower back or above the umbilicus and often stop
with comfort measures (like oral hydration). There is usually no vaginal discharge with
false labor.
False labor is characterized by painless, irregular, and intermittent contractions that
decrease in frequency, duration, and intensity with walking or position changes.
Telling the client to walk is not a correct response because it is an intervention rather
than an assessment question.
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?
Select one:
a. The purpose of the NST is to assess the fetal CNS.
b. The purpose of the NST helps to determine gestational age.
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST is to determine fetal breathing.
- a. The purpose of the NST is to assess the fetal CNS.
This is the primary purpose of a NST. The test monitors the response of the FHR to
fetal movement. This allows the nurse to assess the FHR in relationship to the fetal
movement
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?
Select one:
a. The taking-hold phase of maternal psychosocial adaptation.
b. The taking-in phase of maternal postpartum adjustment.
c. Postpartum role transition.
d. Positive mother-infant bonding.
- b. The taking-in phase of maternal postpartum adjustment.
The taking-in phase begins immediately following birth and lasts a few hours to a couple
of days. It is characterized by the mother being excited and talkative, reliving her
birthing experience, and focusing on her own needs and the overall health of her
newborn.
The taking-hold phase of maternal postpartum adjustment begins on the second to third
post-partum day and lasts 10 days to several weeks. The woman's focus is on exerting
her independence in competently caring for her newborn. She may verbalize fears of
incompetence or anxiety about exhaustion, and needs acceptance and encouragement.
Postpartum depression may occur during this time.
A nurse provided discharge teaching to new parents on how to care for their newborn
following circumcision. Which of the following statements by the parents indicates the
need for further clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "The circumcision will heal completely within a couple of weeks."
d. "I can give him a tub bath in two days."
- d. "I can give him a tub bath in two days."
The newborn should not be immersed in water until the circumcision has healed and the
umbilical cord has detached. The circumcision should heal within two weeks.
A nurse is discussing the use of condoms with a female client. Which of the following
statements by client represents a need for further teaching?
Select one:
a. "My partner will put the condom on while his penis is erect."
b. "I will remove the condom 30 minutes after intercourse."
c. "My partner should leave an empty space at the tip."
d. "I can use spermicidal gels or creams to increase effectiveness."
- b. "I will remove the condom 30 minutes after intercourse."
To avoid any semen spillage onto the vulva or the vaginal area, the condom must be
removed the same time as the penis. To do that the condom rim should be held in place
while the penis is withdrawn from the vagina.
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?
Select one:
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?"
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?"
- b. "Have you noticed any bloody show or fluid coming from your vagina?"
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture
of membranes. False labor is characterized by painless, irregular, and intermittent
contractions that decrease in frequency, duration, and intensity with walking or position
, changes. Contractions are felt in the lower back or above the umbilicus and often stop
with comfort measures (like oral hydration). There is usually no vaginal discharge with
false labor.
False labor is characterized by painless, irregular, and intermittent contractions that
decrease in frequency, duration, and intensity with walking or position changes.
Telling the client to walk is not a correct response because it is an intervention rather
than an assessment question.
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?
Select one:
a. The purpose of the NST is to assess the fetal CNS.
b. The purpose of the NST helps to determine gestational age.
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST is to determine fetal breathing.
- a. The purpose of the NST is to assess the fetal CNS.
This is the primary purpose of a NST. The test monitors the response of the FHR to
fetal movement. This allows the nurse to assess the FHR in relationship to the fetal
movement
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?
Select one:
a. The taking-hold phase of maternal psychosocial adaptation.
b. The taking-in phase of maternal postpartum adjustment.
c. Postpartum role transition.
d. Positive mother-infant bonding.
- b. The taking-in phase of maternal postpartum adjustment.
The taking-in phase begins immediately following birth and lasts a few hours to a couple
of days. It is characterized by the mother being excited and talkative, reliving her
birthing experience, and focusing on her own needs and the overall health of her
newborn.
The taking-hold phase of maternal postpartum adjustment begins on the second to third
post-partum day and lasts 10 days to several weeks. The woman's focus is on exerting
her independence in competently caring for her newborn. She may verbalize fears of
incompetence or anxiety about exhaustion, and needs acceptance and encouragement.
Postpartum depression may occur during this time.
