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Maternity and Women's Health Nursing questions with actual answers
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Maternity and Women's Health Nursingquestions with actual answers.
On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal examination today."
What is the nurse's best response? ANS - "Have you ever had an internal examination done before?"
During prenatal classes the nurse teaches the difference between true labor and false labor. How does
the nurse explain the difference? ANS - Cervix effaces and dilates during true labor.
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7° C), pulse 70
beats/min, respirations 18 breaths/min, and blood pressure 126/76 mm Hg. A vaginal examination
reveals a cervix that is 90% effaced and 7 cm dilated with the vertex presenting at 2+ station. The client
is complaining of pain and asks for medication. Which medication should be avoided because it may
cause respiratory depression in the newborn? ANS - Meperidine (Demerol)
A woman has just received the news that she is pregnant. She is ambivalent about the pregnancy
because she had planned to go back to work when her youngest child started school next year. What
developmental task of pregnancy must the woman accomplish in the first trimester of pregnancy? ANS -
Accept that she is pregnant
A nurse understands the stages of parental adjustment that follow the birth of an at-risk infant who is in
the neonatal intensive care unit. To better plan nursing care, the nurse bases observations and
assessments on the recognition that the: ANS - Mother should be reunited with her infant as soon as
possible to enhance adjustment
A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear.
She has never had a Pap smear before. What should the nurse include in the explanation of this
procedure? ANS - The Pap smear can detect cancer of the cervix.
A nurse caring for a client who gave birth to a healthy neonate evaluates the client's uterine tone 8
hours later. How does the nurse determine that the uterus is demonstrating appropriate involution?
ANS - The amount of lochia rubra is moderate.
,A client at 39 weeks' gestation arrives in the birthing suite reporting that she is having regular
contractions. A vaginal examination reveals that the presentation is a double-footling breech. The
practitioner decides to proceed to a cesarean birth under regional anesthesia. What is an important
intervention to help prevent postoperative maternal complications? ANS - Maintaining adequate
hydration
A nurse is providing nutritional counseling to a low-income pregnant client who has iron-deficiency
anemia. What food should the nurse encourage the client to include in her diet each day to best address
this problem? ANS - ½ cup of red kidney beans
What is the nurse's initial action immediately after assisting with a precipitous birth in the triage area of
the emergency department? ANS - Warming the newborn
After being transported to the hospital by the ambulance, a pregnant woman is brought into the
emergency department on a stretcher. The nurse notes that the fetus' head has emerged. How should
the nurse assist the mother in the birth of the fetus' anterior shoulder? ANS - Gently guiding the head
downward
A woman in active labor arrives at the birthing unit. She tells the nurse that she was found to have a
chlamydial infection the last time she visited the clinic but that she stopped taking the antibiotic after 3
days because she "felt better." What would the nurse anticipate as part of the plan of care, in light of
this history? ANS - Administration of antibiotics before delivery
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse identify as the
cause of this complication? ANS - An injury to the brachial plexus during birth
A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the clinic
and states that she has tenderness, redness, and swelling in her right calf. What should the nurse
instruct the client to do? ANS - Call an ambulance to go to the emergency department.
A client whose membranes have ruptured is admitted to the birthing unit. Her cervix is dilated 3 cm and
50% effaced. The amniotic fluid is clear and the fetal heart rate is stable. What does the nurse
anticipate? ANS - Birth of the fetus within a day
, The mother of a neonate with Down syndrome visits the clinic 1 week after delivery. She explains to the
nurse that she is having problems feeding her baby. What is the probable cause of these feeding
difficulties? ANS - Tongue thrust
A client is admitted to the high-risk prenatal unit with the diagnosis of placenta previa. What should the
nurse instruct the client to do? ANS - Lie on her side to avoid putting pressure on the vena cava
A client has a cesarean birth. What is the most important nursing intervention to prevent
thromboembolism on the client's first postpartum day? ANS - Encouraging frequent ambulation
At a client's first prenatal visit, the healthcare provider performs a pelvic examination, stating that the
client's cervix is bluish purple, which is known as the Chadwick sign. The client becomes concerned and
asks whether something is wrong. The best response is "This is expected; it: ANS - Is caused by
increased blood flow to the uterus during pregnancy"
A nurse is counseling a pregnant woman with type 1 diabetes. What is the most important nursing
consideration in the planning of care for this client? ANS - Requirement of intensive prenatal care
A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. The nurse determines that
the baseline fetal heart rate is 130 to 140 beats/min. It rises to 160 on two occasions and 157 once
during a 20-minute period. Each of the episodes in which the heart rate is increased lasts 20 seconds.
What action should the nurse take? ANS - Discontinuing the test because the pattern is reassuring
A client gives birth vaginally, with a midline episiotomy, to an infant who weighs 8 lb 13 oz (4000 g). An
ice pack is applied to the perineum to ease the swelling and pain. The client complains, "This pain in my
vaginal and rectum is excruciating, and my vagina feels so full and heavy." What does the nurse suspect
as the cause of the pain? ANS - Vaginal hematoma
A primigravida asks when she will be able to hear the fetal heartbeat for the first time. The nurse should
explain that the heartbeat can be heard with: ANS - Doppler ultrasound at 10 to 12 weeks
How does the nurse perform tactile stimulation to initiate respiration in a newborn? Select all that
apply. ANS - Stroke the extremities
Flick the soles of the feet
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