Q&A Study Guide
1. Safety for the newborn cannot be stressed enough at the first well child visit.
The primary areas that need to be addressed at the first visit are the following:
Pool safety, dealing with strangers, parental conflict.
Bed safety, hot liquid spills, loud noises, bright lights
Crib safety, hot water heaters, car seat safety, smoke detectors, and
sun exposure.
Home safety, ingestions, infant walkers, pet awareness
2. If a patient at 35 weeks of pregnancy reports sudden swelling in the hands
and face, what should be the immediate action taken by the healthcare
provider?
Recommend increased fluid intake
Schedule a follow-up appointment in a week
Advise the patient to rest
Assess for signs of preeclampsia
3. What occurs during the third stage of labor?
Delivery of the placenta
Fetal descent
Cervical dilation
Uterine contractions
,4. Describe the significance of monitoring a cervical cerclage at week 35 of
pregnancy.
Monitoring a cervical cerclage at week 35 is crucial to ensure the
cervix remains closed and to prevent preterm labor.
Monitoring is unnecessary as the cerclage is only needed in the first
trimester.
Monitoring is done to assess the fetal position.
Monitoring is only important if there are signs of infection.
5. What is the medical agent for treatment of an ectopic pregnancy?
Levonorgestrel
Aspirin 81 mg
Methotrexate
Misoprostol
6. If a mother who has had a cesarean section is experiencing discomfort while
using the cradle hold, what alternative position could she try to alleviate
pressure on her incision?
Football hold
Cradle hold
Side-lying hold
Standing hold
7. What is the significance of elevated alpha-fetoprotein levels during
pregnancy?
It may indicate potential fetal abnormalities or complications.
, It is a marker for maternal hypertension.
It suggests normal fetal development.
It indicates a high risk of maternal diabetes.
8. The nurse is caring for a client on a heparin drip for thrombophlebitis in his
left lower leg. Which of the following laboratory tests is most important for
the nurse to monitor?
Hemoglobin
PTT
WBC
PT
9. Describe the importance of monitoring vital signs during the administration of
epidural anesthesia.
Monitoring vital signs helps in determining the dosage of anesthesia.
Monitoring vital signs is not necessary if the patient is stable.
Monitoring vital signs is crucial to detect any adverse reactions or
complications that may arise from the anesthesia.
Monitoring vital signs is only necessary for the patient’s comfort.
10. The safest way for a newborn to ride home in a car from the hospital is
In a rear-facing newborn car seat in the rear seat
With a newborn carrier that is secured with the lap belt system
In the front seat belted in a rear-facing newborn seat
Held in the arms of his or her mother
, 11. What is the threshold for glucose levels that should be reported to the
provider?
When glucose levels are within the normal range.
When glucose levels are outside the normal range.
When glucose levels fluctuate frequently.
When glucose levels are stable for 24 hours.
12. Select how to prevent Mastitis:
Wash hands and breasts with every feeding
Tell mom to empty breasts completely
Change breast pad normally
Have baby feed from each boob
13. The breastfeeding mother should try to avoid all hormonal contraceptives.
But if the mother absolutely needs it, which type of oral contraceptive could
be used?
Contraceptives that contain progestin-only
A breastfeeding mother should NEVER use oral contraceptives - no
matter what
Contraceptives that contain estrogen and progestin
Contraceptives that contain estrogen only
14. If a newborn is observed to have a breathing rate of 70 breaths per minute,
what action should the caregiver take?
Check the newborn's temperature first.
Administer oxygen immediately.