Maternity Exam 1 NCLEX Qs & As

Maternity Exam 1 NCLEX Qs A laboring woman is lying in the supine position. The most appropriate nursing action is to: a. Ask her to turn to one side. b. Elevate her feet and legs. c. Take her blood pressure. d. Determine whether there is fetal tachycardia. - correct answer a. may cause heavy uterus to put pressure on the vena cava. reducing blood to her heart. relieved by having her turn to one side. Which action best explains the main role of surfactant in the neonate? A) Assists with ciliary body maturation in the upper airways B) Helps maintain a rhythmic breathing pattern C) Promotes clearing mucus from the respiratory tract D) Helps the lungs remain expanded after the initiation of breathing - correct answer D) Helps the lungs remain expanded after the initiation of breathing Surfactant works by reducing surface tension in the lung. Surfactant allows the lung to remain slightly expanded, decreasing the amount of work required for inspiration. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should: 1.Tell the woman she can rest after she feeds her baby 2.Recognize this as a behavior of the taking-hold stage 3.Record the behavior as ineffective maternal-newborn attachment 4.Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time - correct answer 4. Response 1 does not take into consideration the need for the new mother to be nurtured and have her needs met during the taking-in stage. The behavior