maternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bankmaternity exam 1 test bank
maternity exam 1 test bank
16. What bacterial infection is definitely decreasing because of effective drug treatment?
a.Escherichia coli infection
b.Tuberculosis
c.Candidiasis
d.Group B streptococci (GBS) infection - ANSWER-d.Group B streptococci (GBS) infection
A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today her husband brings a
large container of brown seaweed soup to the hospital. When the nurse enters the room, the husband
asks for help with warming the soup so that his wife can eat it. What is the nurse's most appropriate
response?
a."Didn't you like your lunch?"
b."Does your physician know that you are planning to eat that?"
c."What is that anyway?"
d."I'll warm the soup in the microwave for you." - ANSWER-d. "I'll warm the soup in the microwave for
you."
A 3.8-kg infant was vaginally delivered at 39 weeks after a 30-minute second stage. A nuchal cord was
found at delivery. After birth, the infant is noted to have petechiae over the face and upper back. Which
information regarding petechiae is most accurate and should be provided to the parents?
a.Are benign if they disappear within 48 hours of birth
b.Result from increased blood volume
c.Should always be further investigated
d.Usually occur with a forceps-assisted delivery - ANSWER-a.Are benign if they disappear within 48
hours of birth
A 3.8-kg infant was vaginally delivered at 39 weeks of gestation after a 30-minute second stage. A nuchal
cord occurred. After the birth, the infant is noted to have petechiae over the face and upper back. Based
on the nurse's knowledge, which information regarding petechiae should be shared with the parents?
a.Petechiae (pinpoint hemorrhagic areas) are benign if they disappear within 48 hours of childbirth.
b.These hemorrhagic areas may result from increased blood volume.
c.Petechiae should always be further investigated.
d.Petechiae usually occur with a forceps delivery. - ANSWER-a.Petechiae (pinpoint hemorrhagic areas)
are benign if they disappear within 48 hours of childbirth.
A client asks the nurse when her ovaries will begin working again. Which explanation by the nurse is
most accurate?
,maternity exam 1 test bank
a.Almost 75% of women who do not breastfeed resume menstruating within 1 month after birth.
b.Ovulation occurs slightly earlier for breastfeeding women.
c.Because of menstruation and ovulation schedules, contraception considerations can be postponed
until after the puerperium.
d.The first menstrual flow after childbirth usually is heavier than normal. - ANSWER-d.The first
menstrual flow after childbirth usually is heavier than normal.
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's explanation
for this physiologic change?
a. Overproduction of colostrum
b. Accumulation of milk in the lactiferous ducts and glands
c. Hyperplasia of mammary tissue
d. Congestion of veins and lymphatic vessels - ANSWER-d.Congestion of veins and lymphatic vessels
A client is warm and asks for a fan in her room for her comfort. The nurse enters the room to assess the
mother and her infant and finds the infant unwrapped in his crib with the fan blowing over him on high.
The nurse instructs the mother that the fan should not be directed toward the newborn and that the
newborn should be wrapped in a blanket. The mother asks why. How would the nurse respond?
a."Your baby may lose heat by convection, which means that he will lose heat from his body to the
cooler ambient air. You should keep him wrapped, and should prevent cool air from blowing on him."
b."Your baby may lose heat by conduction, which means that he will lose heat from his body to the
cooler ambient air. You should keep him wrapped, and should prevent cool air from blowing on him."
c."Your baby may lose heat by evaporation, which means that he will lose heat from his body to the
cooler ambient air. You should keep him - ANSWER-a."Your baby may lose heat by convection, which
means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped, and
should prevent cool air from blowing on him."
A first-time dad is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation
of physiologic jaundice, what fact should be included?
a.Physiologic jaundice occurs during the first 24 hours of life.
b.Physiologic jaundice is caused by blood incompatibilities between the mother and the infant blood
types.
c.Physiologic jaundice becomes visible when serum bilirubin levels peak between the second and fourth
days of life.
d.Physiologic jaundice is also known as breast milk jaundice. - ANSWER-c.Physiologic jaundice becomes
visible when serum bilirubin levels peak between the second and fourth days of life.
,maternity exam 1 test bank
A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, "What is this
black, sticky stuff in her diaper?" What is the nurse's best response?
a."That's meconium, which is your baby's first stool. It's normal."
b."That's transitional stool."
c."That means your baby is bleeding internally."
d."Oh, don't worry about that. It's okay." - ANSWER-a."That's meconium, which is your baby's first stool.
It's normal."
A hospital has a number of different perineal pads available for use. A nurse is observed soaking several
of them and writing down what she sees. What goal is the nurse attempting to achieve by performing
this practice?
a.To improve the accuracy of blood loss estimation, which usually is a subjective assessment
b.To determine which pad is best
c.To demonstrate that other nurses usually underestimate blood loss
d.To reveal to the nurse supervisor that one of them needs some time off - ANSWER-a.To improve the
accuracy of blood loss estimation, which usually is a subjective assessment
A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization, the infant is
weighed, and the birth weight is 4550 g (9 lb, 6 oz). What is the nurse's first priority?
a.Leave the infant in the room with the mother.
b.Immediately take the infant to the nursery.
c.Perform a gestational age assessment to determine whether the infant is large for gestational age.
d.Frequently monitor blood glucose levels, and closely observe the infant for signs of hypoglycemia. -
ANSWER-d.Frequently monitor blood glucose levels, and closely observe the infant for signs of
hypoglycemia.
A mother expresses fear about changing her infant's diaper after he is circumcised. What does the client
need to be taught to care for her newborn son?
a.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
b.Apply constant, firm pressure by squeezing the penis with the fingers for at least 5 minutes if bleeding
occurs.
c.Gently cleanse the penis with water and apply petroleum jelly around the glans after each diaper
change.
d.Wash off the yellow exudate that forms on the glans at least once every day to prevent infection. -
ANSWER-c.Gently cleanse the penis with water and apply petroleum jelly around the glans after each
diaper change.
, maternity exam 1 test bank
A mother is changing the diaper of her newborn son and notices that his scrotum appears large and
swollen. The client is concerned. What is the best response from the nurse?
a."A large scrotum and swelling indicate a hydrocele, which is a common finding in male newborns."
b."I don't know, but I'm sure it is nothing."
c."Your baby might have testicular cancer."
d."Your baby's urine is backing up into his scrotum." - ANSWER-a."A large scrotum and swelling indicate
a hydrocele, which is a common finding in male newborns."
A neonate is born with mild clubfeet. When the parents ask the nurse how this will be corrected, how
should the nurse respond?
a.Traction is tried first.
b.Surgical intervention is needed.
c.Frequent, serial casting is tried first.
d.Children outgrow this condition when they learn to walk. - ANSWER-c.Frequent, serial casting is tried
first.
A new father wants to know what medication was put into his infant's eyes and why it is needed. How
does the nurse explain the purpose of the erythromycin (Ilotycin) ophthalmic ointment?
a.Erythromycin (Ilotycin) ophthalmic ointment destroys an infectious exudate caused by Staphylococcus
that could make the infant blind.
b.This ophthalmic ointment prevents gonorrheal and chlamydial infection of the infant's eyes,
potentially acquired from the birth canal.
c.Erythromycin (Ilotycin) prevents potentially harmful exudate from invading the tear ducts of the
infant's eyes, leading to dry eyes.
d.This ointment prevents the infant's eyelids from sticking together and helps the infant see. - ANSWER-
b.This ophthalmic ointment prevents gonorrheal and chlamydial infection of the infant's eyes,
potentially acquired from the birth canal.
A new mother states that her infant must be cold because the baby's hands and feet are blue. This
common and temporary condition is called what?
a.Acrocyanosis
b.Erythema toxicum neonatorum
c.Harlequin sign
d.Vernix caseosa - ANSWER-a.Acrocyanosis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mikedoc. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
