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Maternal Newborn CMS Exam Questions and Answers

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Maternal Newborn CMS A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? - Answer- "A water-soluble lubricant should be used with condoms" A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger indications to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following manifestations? - Answer- Shortness of breath A nurse in an obstetrical clinic is reinforcing teaching with a client about using and IUD for contraception. Which if the following statements by the client indicated an understanding of the information? - Answer- "I will check to be sure the strings of the IUD are still present after my periods." A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? - Answer- -Irregular vaginal bleeding -Weight gain -Breast changes A nurse in a clinic is reinforcing teaching with a client about her new prescription for MEDROXYPROGESTERONE. Which of the following information should the nurse include? - Answer- -"You should increase your intake of calcium." -"Irregular vaginal spotting can occur." A nurse is caring for client who is pregnant and states that her last mensural period was April 1. Which if the following is the client's estimated date of delivery? - Answer- January 8 A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should the nurse interpret this information. - Answer- -Client has delivered one newborn at term -Client has had two prior pregnancies -Client has one living A nurses is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? - Answer- -Goodell's sign -Ballottement -Chadwick's sign A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? - Answer- "This is due to the weight of the uterus on the large blood vessels."

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Maternal Newborn CMS
A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent clients. Which of
the following statements by an adolescent reflects an understanding of the teaching? - Answer- "A
water-soluble lubricant should be used with condoms"

A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger
indications to report to her provider. The nurse determines the client understands the teaching
when the client states the need to report which of the following manifestations? - Answer-
Shortness of breath

A nurse in an obstetrical clinic is reinforcing teaching with a client about using and IUD for
contraception. Which if the following statements by the client indicated an understanding of the
information? - Answer- "I will check to be sure the strings of the IUD are still present after my
periods."

A nurse is reinforcing teaching with a client about potential adverse effects of implantable
progestins. Which of the following adverse effects should the nurse include? - Answer- -Irregular
vaginal bleeding
-Weight gain
-Breast changes

A nurse in a clinic is reinforcing teaching with a client about her new prescription for
MEDROXYPROGESTERONE. Which of the following information should the nurse include? -
Answer- -"You should increase your intake of calcium."
-"Irregular vaginal spotting can occur."

A nurse is caring for client who is pregnant and states that her last mensural period was April 1.
Which if the following is the client's estimated date of delivery? - Answer- January 8

A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The
client's health record includes this data: G3 T1 P0 L1. How should the nurse interpret this
information. - Answer- -Client has delivered one newborn at term
-Client has had two prior pregnancies
-Client has one living

A nurses is reviewing the health record of a client who is pregnant. The provider indicated the
client exhibits probable signs of pregnancy. Which of the following findings should the nurse
expect? - Answer- -Goodell's sign
-Ballottement
-Chadwick's sign

A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
hypotension. The client asks the nurse what causes these episodes. Which of the following
responses should the nurse make? - Answer- "This is due to the weight of the uterus on the large
blood vessels."

, A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a
pregnancy test. Which of the following information should the nurse provide to the client? -
Answer- "You should collect the urine from your first morning void."

A nurse is reinforcing teaching with a group of clients about measures to relive backache during
pregnancy. Which of the following measures should the nurse include? - Answer- -Preform pelvic
rock exercise everyday
-Use proper body mechanics

A nurse is caring for a client who is pregnant and reviewing clinical manifestations of complications
the client should promptly report to the provider. Which of the following complications should the
nurse include? - Answer- Vaginal bleeding

A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which
of the following information should the nurse include? - Answer- Eat crackers or plain toast before
getting out of bed

A nurse is discussing common discomforts of pregnancy with a client who is at 6 weeks of
gestation. Which of the following findings should the nurse include? - Answer- -Breast tenderness
-Urinary frequency
-Epistaxis

A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being
pregnant. Which of the following responses should the nurse make? - Answer- "It is normal to
these feeling during the first few months of pregnancy"

A nurse in a prenatal clinic is reinforcing education with a client who at 8 weeks of gestation. The
client states that she does not like milk. Which of the following foods should the nurse recommend
as a good source of calcium? - Answer- Dark green leafy vegetables

A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the following
clients' weight gain should the nurse report to the provider. - Answer- 3.6 kg (8lbs) weight gain in
the first trimester

A nurse in a clinic is reinforcing instructions with a client of childbearing age about recommended
folic acid supplements. Which of the following defects can occur in the neonate as a result of folic
acid deficiency? - Answer- Neural tube defects

A nurse is reviewing a prescription for iron supplements with a client who is at 8 weeks of
gestation and has iron deficiency anemia. Which of the following beverages should the nurse
instructs the client to take the iron supplements with? - Answer- OJ

A nurse is assisting the charge nurse with reviewing postpartum nutrition needs with a group of
new mothers who are breastfeeding their newborns. Which of the following statements by a
member of the group indicates an understanding of the teaching? - Answer- "I will continue my
calcium supplements because I don't like milk."

A nurse is reviewing findings of a client's biophysical profile (BPP) with the charge nurse. Which of
the following variables should the nurse expect the test to include. - Answer- -Fetal breathing
movement

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