MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM NEWEST
ACTUAL EXAM TEST BANK COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A mother in late middle age who is certain she is not pregnant tells the nurse
during an office visit that she has urinary problems and sensations of bearing
down and of something in her vagina. Which would the nurse suspect that the
patient most likely is experiencing?
a. Pelvic relaxation
b. Cystocele
c. Uterine displacement
d. Genital fistulas - Correct Answer-ANS: B
Cystoceles are protrusions of the bladder downward into the vagina rectoceles
are herniations of the anterior rectal wall through a relaxed or ruptured vaginal
fascia. Both can present as a bearing-down sensation with urinary dysfunction.
They occur more often in older women who have borne children.
The symptoms of mild-to-moderate urinary incontinence (UI) can be successfully
decreased by a number of strategies. Which should the nurse instruct the patient
to use first?
a. Pelvic floor support devices
b. Bladder training and pelvic muscle exercises
c. Surgery
d. Medications - Correct Answer-ANS: B
1|Page
, MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
Pelvic muscle exercises known as Kegel exercises along with bladder training can
significantly decrease or entirely relieve stress incontinence in many women.
Pelvic floor support devices also known as pessaries come in a variety of shapes
and sizes. Pessaries may not be effective for all women and require scrupulous
cleaning to prevent infection. Anterior and posterior repairs and even a
hysterectomy may be performed. If surgical repair is performed the nurse must
focus her care on preventing infection and helping the woman avoid putting
stress on the surgical site. Pharmacological therapy includes serotonin-
norepinephrine uptake inhibitors or vaginal estrogen therapy. These are not the
first action a nurse should recommend.
What is one of the main concerns when a woman is diagnosed with postpartum
depression (PPD) without psychotic features?
a. She may have outbursts of anger.
b. She may neglect her hygiene.
c. She may harm her infant.
d. She may lose interest in her husband. - Correct Answer-ANS: C
Thoughts of harm to oneself or the infant are among the most serious symptoms
of PPD and require immediate assessment and intervention. Although outbursts
of anger hygiene neglect and loss of interest in her husband are attributable to
PPD the major concern would be the potential to harm herself or her infant.
What should the nurse know to provide adequate postpartum care to the patient
experiencing postpartum depression (PPD) without psychotic features?
a. PPD means that the woman is experiencing the baby blues. In addition she has
a visit with a counsellor or psychologist.
b. PPD is more common among older White women because they have higher
expectations.
2|Page
, MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
c. PPD is distinguished by irritability severe anxiety and panic attacks.
d. PPD will disappear on its own without outside help. - Correct Answer-ANS: C
PPD is also characterized by spontaneous crying long after the usual duration of
the baby blues. PPD even without psychotic features is more serious and
persistent than postpartum baby blues. It is more common among younger
mothers and those with less education. Most women need professional help
including pharmacological intervention to get through PPD.
What should the nurse be aware of to provide adequate postpartum care for the
woman experiencing postpartum psychosis?
a. Postpartum psychosis is more likely to occur in women after the birth of their
first child.
b. Postpartum psychosis is rarely delusional and then usually about someone
trying to harm her (the mother).
c. Although serious postpartum psychosis is not likely to require psychiatric
hospitalization.
d. Postpartum psychosis is most commonly associated with bipolar disorder. -
Correct Answer-ANS: D
Postpartum psychosis is most commonly associated with the diagnosis of
bipolar (or manic-depressive) disorder. Manic mood swings are possible. Once a
woman has had one postpartum episode with psychotic features there is a 30 to
50% likelihood of recurrence with each subsequent birth therefore it is not more
likely to occur after the birth of a woman's first child. Episodes of postpartum
psychosis are typified by auditory or visual hallucinations and paranoid or
grandiose delusions. Postpartum psychosis is a psychiatric emergency that
requires hospitalization.
3|Page
, MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
With shortened hospital stays new mothers are often discharged before they
begin to experience symptoms of the "baby blues" or postpartum depression. As
part of the discharge teaching the nurse can prepare the mother for this
adjustment to her new role by instructing her in self-care activities to help prevent
postpartum depression. What is the most accurate statement as related to these
activities?
a. Stay home and avoid outside activities to ensure adequate rest.
b. Be certain that you are the only caregiver for your baby to facilitate infant
attachment.
c. Keep feelings of sadness and adjustment to your new role to yourself.
d. Realize that this is a common occurrence that affects many women. - Correct
Answer-ANS: D
Should the new mother experience symptoms of the baby blues it is important
that she be aware that this is nothing to be ashamed of. As many as 80% of new
mothers experience similar symptoms. Although it is important for the mother
to obtain enough rest she should not distance herself from family and friends.
Her spouse or partner can communicate the best visiting times so the new
mother can obtain adequate rest. It is also important that she not isolate herself
at home during this time of role adjustment. Even if she is breastfeeding other
family members can participate in the infant's care. If depression occurs the
symptoms can often interfere with mothering functions and this support will be
essential. The new mother should share her feelings with someone else. It is
also important that she not overcommit herself or think she has to be
"superwoman." A telephone call to the hospital warm line may provide
reassurance about lactation issues and other infant care questions. Should
symptoms continue a referral to a professional therapist may be necessary.
A family is visiting two surviving triplets. The third triplet died 2 days ago. What
action would indicate that the family had begun to grieve for the dead infant?
4|Page
MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM NEWEST
ACTUAL EXAM TEST BANK COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A mother in late middle age who is certain she is not pregnant tells the nurse
during an office visit that she has urinary problems and sensations of bearing
down and of something in her vagina. Which would the nurse suspect that the
patient most likely is experiencing?
a. Pelvic relaxation
b. Cystocele
c. Uterine displacement
d. Genital fistulas - Correct Answer-ANS: B
Cystoceles are protrusions of the bladder downward into the vagina rectoceles
are herniations of the anterior rectal wall through a relaxed or ruptured vaginal
fascia. Both can present as a bearing-down sensation with urinary dysfunction.
They occur more often in older women who have borne children.
The symptoms of mild-to-moderate urinary incontinence (UI) can be successfully
decreased by a number of strategies. Which should the nurse instruct the patient
to use first?
a. Pelvic floor support devices
b. Bladder training and pelvic muscle exercises
c. Surgery
d. Medications - Correct Answer-ANS: B
1|Page
, MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
Pelvic muscle exercises known as Kegel exercises along with bladder training can
significantly decrease or entirely relieve stress incontinence in many women.
Pelvic floor support devices also known as pessaries come in a variety of shapes
and sizes. Pessaries may not be effective for all women and require scrupulous
cleaning to prevent infection. Anterior and posterior repairs and even a
hysterectomy may be performed. If surgical repair is performed the nurse must
focus her care on preventing infection and helping the woman avoid putting
stress on the surgical site. Pharmacological therapy includes serotonin-
norepinephrine uptake inhibitors or vaginal estrogen therapy. These are not the
first action a nurse should recommend.
What is one of the main concerns when a woman is diagnosed with postpartum
depression (PPD) without psychotic features?
a. She may have outbursts of anger.
b. She may neglect her hygiene.
c. She may harm her infant.
d. She may lose interest in her husband. - Correct Answer-ANS: C
Thoughts of harm to oneself or the infant are among the most serious symptoms
of PPD and require immediate assessment and intervention. Although outbursts
of anger hygiene neglect and loss of interest in her husband are attributable to
PPD the major concern would be the potential to harm herself or her infant.
What should the nurse know to provide adequate postpartum care to the patient
experiencing postpartum depression (PPD) without psychotic features?
a. PPD means that the woman is experiencing the baby blues. In addition she has
a visit with a counsellor or psychologist.
b. PPD is more common among older White women because they have higher
expectations.
2|Page
, MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
c. PPD is distinguished by irritability severe anxiety and panic attacks.
d. PPD will disappear on its own without outside help. - Correct Answer-ANS: C
PPD is also characterized by spontaneous crying long after the usual duration of
the baby blues. PPD even without psychotic features is more serious and
persistent than postpartum baby blues. It is more common among younger
mothers and those with less education. Most women need professional help
including pharmacological intervention to get through PPD.
What should the nurse be aware of to provide adequate postpartum care for the
woman experiencing postpartum psychosis?
a. Postpartum psychosis is more likely to occur in women after the birth of their
first child.
b. Postpartum psychosis is rarely delusional and then usually about someone
trying to harm her (the mother).
c. Although serious postpartum psychosis is not likely to require psychiatric
hospitalization.
d. Postpartum psychosis is most commonly associated with bipolar disorder. -
Correct Answer-ANS: D
Postpartum psychosis is most commonly associated with the diagnosis of
bipolar (or manic-depressive) disorder. Manic mood swings are possible. Once a
woman has had one postpartum episode with psychotic features there is a 30 to
50% likelihood of recurrence with each subsequent birth therefore it is not more
likely to occur after the birth of a woman's first child. Episodes of postpartum
psychosis are typified by auditory or visual hallucinations and paranoid or
grandiose delusions. Postpartum psychosis is a psychiatric emergency that
requires hospitalization.
3|Page
, MATERNAL AND PEDIATRIC NURSING - MIDTERM EXAM
With shortened hospital stays new mothers are often discharged before they
begin to experience symptoms of the "baby blues" or postpartum depression. As
part of the discharge teaching the nurse can prepare the mother for this
adjustment to her new role by instructing her in self-care activities to help prevent
postpartum depression. What is the most accurate statement as related to these
activities?
a. Stay home and avoid outside activities to ensure adequate rest.
b. Be certain that you are the only caregiver for your baby to facilitate infant
attachment.
c. Keep feelings of sadness and adjustment to your new role to yourself.
d. Realize that this is a common occurrence that affects many women. - Correct
Answer-ANS: D
Should the new mother experience symptoms of the baby blues it is important
that she be aware that this is nothing to be ashamed of. As many as 80% of new
mothers experience similar symptoms. Although it is important for the mother
to obtain enough rest she should not distance herself from family and friends.
Her spouse or partner can communicate the best visiting times so the new
mother can obtain adequate rest. It is also important that she not isolate herself
at home during this time of role adjustment. Even if she is breastfeeding other
family members can participate in the infant's care. If depression occurs the
symptoms can often interfere with mothering functions and this support will be
essential. The new mother should share her feelings with someone else. It is
also important that she not overcommit herself or think she has to be
"superwoman." A telephone call to the hospital warm line may provide
reassurance about lactation issues and other infant care questions. Should
symptoms continue a referral to a professional therapist may be necessary.
A family is visiting two surviving triplets. The third triplet died 2 days ago. What
action would indicate that the family had begun to grieve for the dead infant?
4|Page
