Focus on Maternity Test Questions And Answers

Focus on Maternity Test Questions And Answers The delivery room nurse performing an initial assessment on a newborn notes that the ears are low set. Based on this finding, which nursing action is appropriate initially? - ANSWER- Notify the primary health care provider A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion exhibits signs of magnesium toxicity. The nurse immediately prepares for the administration of: - ANSWER- Calcium gluconate The nurse provides instructions to a breastfeeding mother who is experiencing breast engorgement about measures for treating the problem. What does the nurse tell the mother to do? - ANSWER- Gently massage the breasts during breastfeeding to help empty the breasts The home care nurse is instructing a client with hyperemesis gravidarum about measures to ease the nausea and vomiting. What does the nurse tell the client to do? - ANSWER- Eat carbohydrates such as cereals, rice, and pasta A neonate is irritable, cries incessantly, and has a temperature of 99.4 F. The neonate is also tachypneic, diaphoretic, feeding poorly, and hyperactive in response to environmental stimuli. What does the nurse determine that these signs/symptoms are consistent with? - ANSWER- Neonatal abstinence syndrome The nurse, performing an assessment of a pregnant client is preparing to take the client's blood pressure. How does the nurse position the client? - ANSWER- In a sitting position with the arm in a horizontal position at heart level The nurse assessing a pregnant woman in labor notes the presence of early decelerations on the fetal monitor tracing. Which situation would the nurse suspect based on this observation? - ANSWER- Pressure on the fetal head during a contraction The nurse is assessing a newly delivered large for gestational age neonate. The nurse is aware of what manifestations of this neonate category? Select all that apply. - ANSWER- Increased risk for infection Respiratory distress occurs Provide stimulation, such as touch and cuddling A nurse is caring for a client in precipitous labor. In which position does the nurse place the client? - ANSWER- left lateral Sims Immediately after the delivery of a newborn infant, the nurse prepares to deliver the placenta. What does the nurse initially do? - ANSWER- Instruct the mother to push when signs of separation have occurred The nurse is caring for a postpartum client with suspected endometritis. What manifestations of this condition would the nurse expect to note? Select all that apply. - ANSWER- Foul-smelling lochia backache tender uterus The nurse is told that a newborn with myelomeningocele will be admitted to the newborn nursery. In which position does the nurse plan to place the infant? - ANSWER- Prone A nurse is caring for a postpartum client who had a low-lying placenta. What does the nurse assess the client most closely for? - ANSWER- Hemorrhage The nurse is admitting a newly pregnant client to the clinic. The client asks the nurse about gonorrhea. What are some appropriate responses by the nurse? Select all that apply. - ANSWER- "If infection is present, your partner must be treated, too." "If you are at high risk for this infection, then another test should be repeated during your third trimester." "Urinary frequency may occur." "Transmission of this organism is by sexual intercourse." A clinic nurse is developing a plan of care for a pregnant client with AIDS. Which problem does the nurse identify as the priority to be addressed in the plan of care? - ANSWER- History of IV drug use A nurse is assessing a newborn infant with a diagnosis of gastroschisis. What are some problems associated with this condition? - ANSWER- Herniation of intestine is lateral to umbilical ring Surgery performed within several hours after birth Postoperatively, most infants are asymptomatic A nurse assessing a pregnant client's deep tendon reflexes notes a reflex of 2+. What should the nurse do? - ANSWER- Document the finding A Hepatitis B screen is performed on a pregnant client, and the results indicate the presence of antigens in the maternal blood. What does the nurse tell the client? - ANSWER- The infant should receive both the vaccine and hepatitis immune globulin soon after birth The nurse is monitoring a pregnant client with sepsis for signs/symptoms of disseminated intravascular coagulopathy (DIC). Which laboratory finding causes the nurse to suspect DIC? - ANSWER- Increased fibrin degradation products