Maternal and Newborn Nursing Practice Questions
Course Introduction
Maternal and Newborn Nursing is a specialized area of nursing focused on the care of women during pregnancy, childbirth, and the postpartum period, as well as the care of newborn infants. This course covers essential concepts such as prenatal assessment, labor and delivery management, newborn adaptation and assessment, and the promotion of health and well-being for both mother and child. Emphasis is placed on evidence-based practice, family-centered care, identification and management of complications, and the development of clinical skills necessary for providing safe and effective support throughout the maternal and newborn period.
Recommended Textbook
Foundations of Maternal Newborn and Womens Health Nursing 6th Edition by Murray
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37 Chapters
1131 Verified Questions
1131 Flashcards
Source URL: https://quizplus.com/study-set/167 Page 2
Chapter 1: Maternity and Women's Health Care Today
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2112
Sample Questions
Q1) Which situation is most representative of an extended family?
A) It includes adoptive children.
B) It is headed by a single parent.
C) It contains children from previous marriages.
D) It is composed of children, parents, and grandparents living in the same house.
Q2) The use of "twilight sleep" during the labor and birth process:
A) provided inadequate pain relief during the labor and birth process.
B) facilitated bonding between mother and infant.
C) resulted in a decreased incidence of puerperal infections.
D) affected the maternal level of consciousness.
Q3) A single client who has just delivered a baby asks the nurse where she can receive help in getting formula for her baby. Which is the nurse's best response?
A) Medicaid can help with buying formula.
B) Head Start is a program that helps provide formula.
C) The Women, Infants, and Children (WIC) program can assist you in getting formula.
D) The National Center for Family Planning has a program that helps with obtaining formula.
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Page 3
Chapter 2: The Nurse's Role in Maternity and Women's Health Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
A) There is stratification of communication in a directed manner between nursing staff and administration.
B) There is increased job satisfaction of nurses, with a low staff turnover rate.
C) Physicians are certified in their respective specialty areas.
D) All nurses have baccalaureate degrees and certification in their clinical specialty area.
Q2) Directing
A)Calling attention to differences or inconsistencies in statements
B)Using nonverbal responses or succinct comments to encourage the person to continue
C)Restating in words other than those used by the woman what she seems to express; a form of clarification
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4
Chapter 3: Ethical, Social, and Legal Issues
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is teaching a homeless pregnant teenager about prenatal care. Which should the nurse emphasize in the teaching session?
A) The importance of naming the baby
B) Risk factors associated with pregnancy
C) Information about employment opportunities
D) Eating habits that will provide adequate nutrition
Q2) The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
A) Providing more women's shelters
B) Ensuring early and adequate prenatal care
C) Resolving all language and cultural differences
D) Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Q3) Duty
A)The nurse's breach of duty caused harm.
B)The nurse has a responsibility to give care to the client.
C)An actual injury or harm to the client occurred because of the nurse's breach of duty.
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5
Chapter 4: Reproductive Anatomy and Physiology
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Proliferative phase of the female reproductive cycle
A)Ovulation marks the beginning of this stage and occurs about 14 days before the next menstrual period.
B)The period in which an ovum matures begins with the first day of menstruation and ends about 14 days later.
C)This occurs as the ovum matures and is released during the first half of the ovarian cycle.
Q2) If a woman's menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?
A) June 10
B) June 16
C) June 29
D) July 5
Q3) Which 16-year-old girl may experience secondary amenorrhea?
A) Jackie, 5 ft 2 in, 130 lb
B) Karen, 5 ft 9 in, 150 lb
C) Carol, 5 ft 7 in, 96 lb
D) Linda, 5 ft 4 in, 120 lb
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Chapter 5: Hereditary and Environmental Influences on Childbearing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Autosomal dominant
A)Two genes are required to produce the trait.
B)A single copy of the gene is enough to produce the trait.
C)Only one copy of the gene is needed to cause the disorder in the male.
Q2) Which characteristic is related to Down syndrome?
A) Up-slanting eyes
B) Abnormal genitalia
C) Bleeding tendency
D) Edema of extremities
Q3) The clinic nurse is reviewing charts on prenatal clients. Which client histories should the nurse understand that a referral to a genetic counselor is warranted? (Select all that apply.)
A) A father who is aged 35
B) A client having a first baby at age 30
C) A family history of unexplained stillbirths
D) A client with a family history of birth defects
E) A client who is a carrier of an X-linked disorder
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Page 7
Chapter 6: Conception and Prenatal Development
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which medication would the nurse anticipate administering to the labor client who is delivering a premature infant?
A) Phytonadione (AquaMEPHYTON)
B) Betamethasone
C) Bromocriptine (Parlodel)
D) Newborn eye prophylaxis
Q2) Which is the purpose of the ovum's zona pellucida?
A) Prevents multiple sperm from fertilizing the ovum
B) Stimulates the ovum to begin mitotic cell division
C) Allows the 46 chromosomes from each gamete to merge
D) Makes a pathway for more than one sperm to reach the ovum
Q3) One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?
A) One artery and one vein
B) Two veins and one artery
C) Two arteries and one vein
D) Two arteries and two veins
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8
Chapter 7: Physiologic Adaptations to Pregnancy
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?
A) 1 week
B) 2 weeks
C) 3 weeks
D) 4 weeks
Q2) Which are presumptive signs of pregnancy? (Select all that apply.)
A) Quickening
B) Amenorrhea
C) Ballottement
D) Goodell's sign
E) Chadwick's sign
Q3) When a pregnant woman develops ptyalism, what should the nurse advise?
A) Chew gum or suck on lozenges between meals.
B) Eat nutritious meals that provide adequate amounts of essential vitamins and minerals.
C) Take short walks to stimulate circulation in the legs and elevate the legs periodically.
D) Use pillows to support the abdomen and back during sleep.
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9
Chapter 8: Psychosocial Adaptations to Pregnancy
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24 Flashcards
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Sample Questions
Q1) A client who is 7 months pregnant states, "I'm worried that something will happen to my baby." Which is the nurse's best response?
A) "Your baby is doing fine."
B) "Tell me about your concerns."
C) "There is nothing to worry about."
D) "The doctor is taking good care of you and your baby."
Q2) During the course of the pregnancy, the client states that she feels a deep connection with her unborn child. This behavior illustrates the maternal task acquisition of:
A) safe passage.
B) gaining acceptance.
C) fostering an interconnection.
D) developing empathy through physical actions.
Q3) Which client may require more help and understanding when integrating the newborn into the family?
A) A primipara from an upper income family
B) A primipara who comes from a large family
C) A multipara (gravida 2) who has a supportive husband and mother
D) A multipara (gravida 6) who has two children younger than 3 years
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Page 10
Chapter 9: Nutrition for Childbearing
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A nurse is developing information to give to a group of pregnant women who are interested in nutritional management of their pregnancy with regard to expected weight gain. The nurse bases the amount of weight gain for pregnant women on calculation of their:
A) EDC (expected date of confinement).
B) prepregnancy weight.
C) BMI (body mass index).
D) basal energy expenditure (BEE).
Q2) Calcium
A)Necessary for metabolism of calcium
B)Necessary for mineralization of fetal bones and teeth
C)Deficiency in first weeks of pregnancy may cause spontaneous abortion and neural tube defects
Q3) A nurse is conducting a prenatal nutritional education class for a group of nursing students. Which should the nurse include as the definition of pica?
A) Iron deficiency anemia
B) Intolerance to milk products
C) Ingestion of nonfood substances
D) Episodes of anorexia and vomiting
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Chapter 10: Antepartum Fetal Assessment
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) What is the purpose of initiating contractions in a contraction stress test (CST)?
A) Increase placental blood flow.
B) Identify fetal acceleration patterns.
C) Determine the degree of fetal activity.
D) Apply a stressful stimulus to the fetus.
Q2) Doppler ultrasound
A)A test for estimating fetal lung maturity
B)A test to assess blood flow to identify abnormalities
C)A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities
Q3) The nurse's role in diagnostic testing is to provide which of the following?
A) Advice to the couple
B) Information about the tests
C) Reassurance about fetal safety
D) Assistance with decision making
Q4) What does a score of 9 on a biophysical profile signify?
A) Normal
B) Abnormal
C) Equivocal
D) Nonreactive
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Chapter 11: Perinatal Education
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is reviewing the option of childbirth classes with a patient in her second trimester. Which statement indicates to the nurse that the patient has understood the teaching?
A) "My labor will likely be shorter if I go to classes."
B) "I will likely perceive less pain during labor if I go to classes."
C) "I will likely be more satisfied with my labor if I go to classes."
D) "I will likely use fewer medications during labor if I go to classes."
Q2) The labor nurse is reviewing breathing techniques with a primipara admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?
A) During labor, when she can no longer talk through contractions
B) During the first stage of labor, when the contractions are 3 to 4 minutes apart
C) Between contractions, during the transitional phase of the first stage of labor
D) Between her efforts to push to facilitate relaxation between contractions
Q3) Lamaze childbirth education
A)Includes the father as a support person and a coach
B)Psychoprophylaxis class that uses the mind to prevent pain
C)Classes focus on breathing to prevent the fear-tension-pain cycle
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Chapter 12: Processes of Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is teaching a group of nursing students about factors that have a role in starting labor. Which should the nurse include in the teaching session? (Select all that apply.)
A) Progesterone levels become higher than estrogen levels.
B) Natural oxytocin in conjunction with other substances plays a role.
C) Stretching, pressure, and irritation of the uterus and cervix increase.
D) The secretion of prostaglandins from the fetal membranes decreases.
Q2) A 28-year-old gravida 1, para 0 client who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet but it is not bloody in nature. She relates a contraction pattern that is irregular, ranging from 5 to 7 minutes and lasting 30 seconds. What questions would be used during the process of phone triage by the nurse? (Select all that apply.)
A) Ask her if her if she thinks that her membranes have ruptured.
B) Ask her if she has any evidence of bloody show.
C) Have her keep monitoring her contraction pattern and call you back if they become more regular.
D) Ask her when her she has her next scheduled visit with her health care provider.
E) Tell her to come into the hospital for evaluation.
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Chapter 13: Nursing Care During Labor and Birth
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Which nursing assessment indicates that a woman who is in the second stage of labor is almost ready to give birth?
A) Bloody mucous discharge increases.
B) The vulva bulges and encircles the fetal head.
C) The membranes rupture during a contraction.
D) The fetal head is felt at 0 station during the vaginal examination.
Q2) Which should the nurse recognize as being associated with fetal compromise?
A) Active fetal movements
B) Fetal heart rate in the 140s
C) Contractions lasting 90 seconds
D) Meconium-stained amniotic fluid
Q3) A woman who is gravida 3, para 2, enters the intrapartum unit. The most important nursing assessments are:
A) contraction pattern, amount of discomfort, and pregnancy history.
B) fetal heart rate, maternal vital signs, and the woman's nearness to birth.
C) last food intake, when labor began, and cultural practices the couple desires.
D) identification of ruptured membranes, the woman's gravida and para, and her support person.
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Chapter 14: Intrapartum Fetal Surveillance
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Which of the following therapeutic applications provides the most accurate information related to uterine contraction strength?
A) External fetal monitoring (EFM)
B) Internal fetal monitoring
C) Intrauterine pressure catheter (IUPC)
D) Maternal comments based on perception
Q2) The nurse admits a laboring patient at term. On review of the prenatal record, the patient's pregnancy has been unremarkable and she is considered low risk. In planning the patient's care, at what interval will the nurse intermittently auscultate (IA) the fetal heart rate during the first stage of labor?
A) Every 10 minutes
B) Every 15 minutes
C) Every 30 minutes
D) Every 60 minutes
Q3) Early decelerations
A)Caused by umbilical cord compression
B)Caused by fetal head compression
C)Caused by uteroplacental insufficiency
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Chapter 15: Pain Management During Childbirth
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Sample Questions
Q1) A labor client has brought in with her a picture of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of:
A) focal point.
B) distraction.
C) effleurage.
D) relaxation.
Q2) Focal point
A)Pressure applied to specific pressure points using hands, rollers, balls, or other equipment
B)Contraction and then release of specific muscle groups until all muscles are relaxed
C)Concentrating on something outside the body
Q3) The method of anesthesia in labor that is considered the safest for the fetus is:
A) epidural block.
B) pudendal block.
C) local infiltration.
D) spinal (subarachnoid) block.
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Chapter 16: Nursing Care During Obstetric Procedures
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?
A) Assess the infant for signs of trauma.
B) Apply a cold pack to the infant's scalp.
C) Give the infant prophylactic antibiotics.
D) Measure the circumference of the infant's head.
Q2) The priority nursing intervention following an amniotomy is to:
A) change the client's gown.
B) assess the fetal heart rate.
C) assess the color of the amniotic fluid.
D) estimate the amount of amniotic fluid.
Q3) Which assessment would be important for a 6-hour-old infant who has bruising over the cheeks from a forceps birth?
A) Presence of newborn reflexes
B) Symmetry of facial movements
C) Caput and molding of the head
D) Anterior and posterior fontanels
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Chapter 17: Postpartum Physiologic Adaptations
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36 Flashcards
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Sample Questions
Q1) A postpartum client asks, "Will these stretch marks go away?" Which is the nurse's best response?
A) "No, never."
B) "Yes, eventually."
C) "They will fade to silvery lines but won't disappear completely."
D) "They will continue to fade and should be gone by your 6-week checkup."
Q2) The nurse is caring for a postpartum client who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?
A) Pulse rate of 50
B) Temperature of 38° C (100.4° F)
C) Firm fundus, but excessive lochia
D) Lightheaded when moving from a lying to standing position
Q3) Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?
A) Client has not been pregnant.
B) Client has had a C section as a method of birth.
C) Client has been treated for an STD with resultant scarring of the cervix.
D) Client has a history of pregnancy.
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Page 19
Chapter 18: Postpartum Psychosocial Adaptations
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29 Flashcards
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Sample Questions
Q1) To promote bonding and attachment immediately after birth, which action should the nurse take?
A) Assist the mother in feeding her baby.
B) Allow the mother quiet time with her infant.
C) Teach the mother about the concepts of bonding and attachment.
D) Assist the mother in assuming an en face position with her newborn.
Q2) The nurse observes a client on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which appropriate action should the nurse take?
A) Hand the baby to the woman.
B) Explain "taking-in" to the woman.
C) Offer to hand the baby to the woman.
D) No action, because this situation is perfectly acceptable.
Q3) The postpartum client who continually repeats the story of her labor, birth, and recovery experiences is doing which?
A) Making the birth experience "real"
B) Accepting her response to labor and birth
C) Providing others with her knowledge of events
D) Taking hold of the events leading to her labor and birth
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Chapter 19: Normal Newborn: Processes of Adaptation
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Sample Questions
Q1) In the newborn nursery, you are reviewing the maternal medication list to ascertain if there is any significant risk to the newborn. Which medications would pose a potential risk to the newborn in terms of clotting ability? (Select all that apply.)
A) Carbamazepine
B) Phenytoin (Dilantin)
C) Phenobarbital
D) INH (Isoniazid)
Q2) How can nurses prevent evaporative heat loss in the newborn?
A) Placing the baby away from the outside wall and the windows
B) Keeping the baby out of drafts and away from air conditioners
C) Drying the baby after birth and wrapping the baby in a dry blanket
D) Warming the stethoscope and nurse's hands before touching the baby
Q3) The postpartum nurse is administering vitamin K (phytonadione) to a newborn. The prescribed order is to administer one dose of 0.5 mg of vitamin K via the intramuscular (IM) route within 1 hour after birth. The ampule of vitamin K sent from the pharmacy is 1 mg/0.5 mL. How many milliliters does the nurse draw up to administer the correct dose? Record your answer to two decimal points.
_____ mL
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21
Chapter 20: Assessment of the Normal Newborn
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Sample Questions
Q1) Caput succedaneum
A)Bleeding between the periosteum and the skull
B)An area of localized edema that appears over the vertex of the newborn's head
C)Changes in the shape of the head that allow it to pass through the birth canal
Q2) The nurse is conducting a body system assessment of the newborn. Which are abnormal findings that the nurse should report? (Select all that apply.)
A) Low-set ears
B) Yellow sclera
C) A doll's eye sign
D) Edema of the eyelids
E) Absence of the grasp reflex
Q3) The hips of a newborn are examined for developmental dysplasia. Which sign indicates an incomplete development of the acetabulum?
A) Negative Barlow test
B) Equal knee heights
C) Negative Ortolani sign
D) Thigh and gluteal creases are asymmetric
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Chapter 21: Care of the Normal Newborn
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Sample Questions
Q1) Which should the nurse implement to prevent the kidnapping of a newborn from the hospital?
A) Restricting the amount of time infants are out of the nursery
B) Questioning anyone who is seen walking in the hallways carrying an infant
C) Allowing no visitors in the maternity area except those who have identification bracelets
D) Instructing the parents to not give the baby to anyone except the nurse assigned that day
Q2) The nurse is preparing a male infant for circumcision. On review of the chart, the nurse notes that the consent has been signed, vitamin K has been administered, the temperature has been between 36.8° to 37° C (98.2° to 98.6° F), and the heart rate range is 126 to 144 beats per minute (bpm). Which finding, if omitted from the chart, would cause the nurse to have to cancel the circumcision?
A) Consent
B) Vitamin K
C) Heart rate
D) Temperature
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Chapter 22: Infant Feeding
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Sample Questions
Q1) A mother conveys concern over the fact that she is not sure if her newborn child is getting enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears about nutrient status for her newborn?
A) Monitor the infant's output; as long as at least six or more diapers are changed in a 24-hour period, that should be sufficient.
B) Tell the mother that if a baby is satisfied with feeding, she or he will be content and not fussy.
C) Tell the mother that breast milk contains everything required for the infant and not to worry about nutrition.
D) Provide nutrition information in the form of pamphlets for the mother to take home with her so that she uses them as a point of reference.
Q2) Which is the first step in assisting the breastfeeding mother?
A) Assess the woman's knowledge of breastfeeding.
B) Provide instruction on the composition of breast milk.
C) Discuss the hormonal changes that trigger the milk ejection reflex.
D) Help her obtain a comfortable position and place the infant to the breast.
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Page 24
Chapter 23: Home Care of the Infant
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Sample Questions
Q1) Which statement is true about growth and development during the first 6 months?
A) The infant will grow 1 cm in length per month.
B) The infant will gain about 2 pounds per month.
C) The infant will regain weight lost after birth within 1 week.
D) The infant will have a 1-inch increase in head circumference per month.
Q2) Which statement made by a new mother should be a cause of concern to the nurse?
A) "I will start my baby on solid foods at 5 months."
B) "I usually keep the temperature in my house at 72° F."
C) "I plan to position my infant on his back when sleeping."
D) "I don't intend to spoil my baby by picking him up every time he cries."
Q3) A client is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for her newborn. Which information should be cause for concern?
A)The crib slats are 3 1/2 inches apart.
B) The crib has been stripped and repainted with a lead-free paint.
C) The mattress fits snugly in the crib with ½-inch space around the sides.
D) The side rail hardware has been replaced so that the latches remain fastened.
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25
Chapter 24: The Childbearing Family with Special Needs
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Sample Questions
Q1) Which antidepressant is no longer recommended for use during pregnancy?
A) Sertraline (Zoloft)
B) Paroxetine (Paxil)
C) Fluoxetine (Prozac)
D) Citalopram (Celexa)
Q2) The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. What topics will the nurse include in the teen's teaching plan?
A) Smoking habits, folic acid intake, and heart disease
B) Hyperlipidemia, distracted driving, and menstrual history
C) Sexual activity, contraception, and screening for violence
D) Optimum weight, hypothyroidism, and sexually transmitted diseases
Q3) Which environment can assist a pregnant teen to achieve the task of establishing a stable identity?
A) Home schooling
B) Alternative education program
C) School-based mothers' program
D) Continuing mainstream high school classes
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26
Chapter 25: Complications of Pregnancy
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Sample Questions
Q1) A health care provider reports to the labor nurse that a patient is being transferred from the clinic directly to the hospital with possible preeclampsia. What is the nurse's priority action when the patient is admitted?
A) Obtain the patient's weight.
B) Take the patient's vital signs.
C) Start an IV with lactated Ringer's at 75 mL/hr.
D) Ask support persons to leave the birthing room.
Q2) Which finding in the exam of a client with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion?
A) Presence of backache
B) Rise in hCG level
C) Clear fluid from vagina
D) Pelvic pressure
Q3) A blood-soaked peripad weighs 900g. The nurse would document a blood loss of _____ mL.
A) 1800
B) 450
C) 900
D) 90
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Chapter 26: Concurrent Disorders During Pregnancy
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Sample Questions
Q1) For which of the following infectious diseases can a woman be immunized?
A) Rubella
B) Toxoplasmosis
C) Cytomegalovirus
D) Herpesvirus type 2
Q2) Which instructions should the nurse include when teaching a pregnant client with Class II heart disease?
A) Advise her to gain at least 30 pounds.
B) Instruct her to avoid strenuous activity.
C) Inform her of the need to limit fluid intake.
D) Explain the importance of a diet high in calcium.
Q3) Which postpartum client requires further assessment?
A) G4 P4 who has had four saturated pads during the last 12 hours
B) G1 P1 with Class II heart disease who complains of frequent coughing
C) G2 P2 with gestational diabetes whose fasting blood sugar level is 100 mg/dL
D) G3 P2 postcesarean client who has active herpes lesions on the labia
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Chapter 27: Intrapartum Complications
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/2138
Sample Questions
Q1) Which assessment finding indicates uterine rupture?
A) Fetal tachycardia occurs.
B) The client becomes dyspneic.
C) Labor progresses unusually quickly.
D) Contractions abruptly stop during labor.
Q2) Which nursing action should be initiated first when there is evidence of prolapsed cord?
A) Notify the health care provider.
B) Apply a scalp electrode.
C) Prepare the mother for an emergency cesarean birth.
D) Reposition the mother with her hips higher than her head.
Q3) Which intervention would be most effective if the fetal heart rate drops following a spontaneous rupture of the membranes?
A) Apply oxygen at 8 to 10 L/min.
B) Stop the Pitocin infusion.
C) Position the client in the knee-chest position.
D) Increase the main line infusion to 150 mL/hr.
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29
Chapter 28: Postpartum Maternal Complications
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2139
Sample Questions
Q1) If the nurse suspects a complication of a low forceps birth labor, she should immediately:
A) administer a strong oral analgesic.
B) assess the perineal and vaginal areas.
C) assess the position of the uterine fundus.
D) review the labor record for duration of second stage.
Q2) The nurse knows that late postpartum hemorrhage can be prevented by:
A) manually removing the placenta.
B) inspecting the placenta after birth.
C) administering broad-spectrum antibiotics.
D) pulling on the umbilical cord to hasten the birth of the placenta.
Q3) Which temperature indicates the presence of postpartum infection?
A) 99.6° F in the first 48 hours
B) 100° F for 2 days postpartum
C) 100.4° F in the first 24 hours
D) 100.8° F on the second and third postpartum days
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Chapter 29: High-Risk Newborn: Complications Associated with Gestational Age and Development
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23 Flashcards
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Sample Questions
Q1) In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n):
A) Hematocrit level of 58%.
B) RBC count of 5 million/mL.
C) WBC count of 15,000 cells/mmS1U1P13S1S1P0.
D) Blood glucose level of 25 mg/dL.
Q2) Which is most helpful in preventing premature birth?
A) High socioeconomic status
B) Adequate prenatal care
C) Aid to Families with Dependent Children
D) Women, Infants, and Children (WIC) nutritional program
Q3) In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen level?
A) Necrotizing enterocolitis (NEC)
B) Retinopathy of prematurity (ROP)
C) Intraventricular hemorrhage (IVH)
D) Bronchopulmonary dysplasia (BPD)
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Page 31
Chapter 30: High-Risk Newborn: Acquired and Congenital Conditions
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24 Flashcards
Source URL: https://quizplus.com/quiz/2141
Sample Questions
Q1) Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?
A) Direct Coombs test based on maternal blood sample
B) Indirect Coombs test based on infant cord blood sample
C) Infant bilirubin level
D) Maternal blood type
Q2) Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry.
Which nursing action has top priority?
A) Notify the clinician stat.
B) Test for the blood glucose level.
C) Start an intravenous line with D5W.
D) Document the event in the nurses' notes.
Q3) In an infant with cyanotic cardiac anomaly, the nurse should expect to see:
A) feedings taken eagerly.
B) a consistent and rapid weight gain.
C) a decrease in the heart rate with activity.
D) little to no improvement in color with oxygen administration.
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Page 32
Chapter 31: Family Planning
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Sample Questions
Q1) The role of the nurse in family planning is to:
A) refer the couple to a reliable physician.
B) decide on the best method for the couple.
C) advise couples on which contraceptive to use.
D) educate couples on the various methods of contraception.
Q2) Which of the following is a potential disadvantage for a client who wishes to use an intrauterine device (IUD) as a method of birth control?
A) Insertion of the device prior to coitus resulting in decreased spontaneity
B) Ectopic pregnancy
C) Protection against STDs
D) Decrease in dysmenorrhea
Q3) Informed consent concerning contraceptive use is important because some of the methods:
A) may not be reliable.
B) require a surgical procedure to insert.
C) have potentially dangerous side effects.
D) are invasive procedures that require hospitalization.
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33
Chapter 32: Infertility
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12 Flashcards
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Sample Questions
Q1) Which situation best describes secondary infertility in a couple?
A) Never conceived
B) Had repeated spontaneous abortions
C) Not conceived after 1 year of unprotected intercourse
D) Has one child but cannot conceive a second time
Q2) The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is:
A) in vitro fertilization.
B) tubal embryo transfer.
C) therapeutic insemination.
D) gamete intrafallopian transfer.
Q3) Which factors would contribute to abnormalities of the fallopian tube associated with the development of infertility? (Select all that apply.)
A) History of conization of the cervix
B) History of pelvic surgical procedures
C) Incompetent cervix
D) Past treatments of STD with follow-up test of cure
E) Endometriosis
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Chapter 33: Preventive Care for Women
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Source URL: https://quizplus.com/quiz/2144
Sample Questions
Q1) While interviewing a 48-year-old client during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40. Before the nurse encourages this client to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? (Select all that apply.)
A) Fear of x-ray exposure
B) Expense of the procedure
C) Reluctance to hear bad news
D) Having heard that the test is painful
E) Belief that lack of family history makes this test unnecessary
Q2) Which administration concern is included in the plan of care for the HPV (human papillomavirus) vaccine?
A) It is available in liquid form.
B) It involves a series of two injections.
C) Injections should be given over a 3-month period.
D) The individual should sit down for 15 minutes following the injection.
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Page 35
Chapter 34: Women's Health Problems
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A client with a history of a cystocele should contact the physician if she experiences:
A) backache.
B) constipation.
C) urinary frequency and burning.
D) involuntary loss of urine when she coughs.
Q2) The drug of choice to treat gonorrhea is:
A) penicillin G (Pfizerpen).
B) tetracycline (Achromycin).
C) ceftriaxone (Rocephin).
D) acyclovir (Zovirax).
Q3) You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?
A) Documentation of a pessary in the operative procedure notes by the physician
B) Removal of vaginal packing as ordered by the physician
C) Use of a cell saver for transfusion therapy in the postoperative period
D) Order for removal of staples 2 to 3 days post-procedure
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