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Safe Maternity and Pediatric Nursing Care: Practice Questions and Solutions, Exams of Nursing

University of Cincinnati (UC)Nursing

A series of practice questions and answers related to safe maternity and pediatric nursing care. It covers a range of topics, including fetal heart rate monitoring, pregnancy complications, labor and delivery, and postpartum care. The questions are designed to test knowledge and understanding of key concepts in this field.

Typology: Exams

2024/2025

Available from 02/03/2025

bryanryan
bryanryan 🇺🇸

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test 1 of safe maternity and pediatric nursing care questions
with complete solutions
1.
While reviewing a male client's laboratory results, the nurse
notes that the follicle-stimulating hormone level is low. What
does this put the client at risk for?
1) Impotence
2) Low sperm count
3) Immature sperm
4) Immotile sperm
At 1 minute, the nurse observes that a newborn is pink with blue
extremities, has a pulse of 110 beats per minute, grimaces at
stimulation, and has a weak cry. The infant is lying with his
arms and legs flexed. What is the infant's Apgar score? Record
your answer as a whole number. __________
After reviewing safety teaching with a woman who is beginning
the second trimester of pregnancy and is planning a vacation, the
nurse determines teaching was effective when the patient makes
which statement?
1) "I can't wait to order the swordfish."
2) "I plan on spending as much time water-skiing as possible."
3) "I just love the exotic vegetable salads at this place!"
4) "I will miss being able to soak in the hot tub."
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Partial preview of the text

Download Safe Maternity and Pediatric Nursing Care: Practice Questions and Solutions and more Exams Nursing in PDF only on Docsity!

test 1 of safe maternity and pediatric nursing care questions with complete solutions

While reviewing a male client's laboratory results, the nurse notes that the follicle-stimulating hormone level is low. What does this put the client at risk for?

  1. Impotence
  2. Low sperm count
  3. Immature sperm
  4. Immotile sperm At 1 minute, the nurse observes that a newborn is pink with blue extremities, has a pulse of 110 beats per minute, grimaces at stimulation, and has a weak cry. The infant is lying with his arms and legs flexed. What is the infant's Apgar score? Record your answer as a whole number. __________ After reviewing safety teaching with a woman who is beginning the second trimester of pregnancy and is planning a vacation, the nurse determines teaching was effective when the patient makes which statement?
  5. "I can't wait to order the swordfish."
  6. "I plan on spending as much time water-skiing as possible."
  7. "I just love the exotic vegetable salads at this place!"
  8. "I will miss being able to soak in the hot tub."

A woman who is 8 weeks pregnant asks the nurse when her baby will have a heartbeat. Which is the nurse's best response?

  1. The fourth week
  2. The sixth week
  3. The eighth week
  4. The third month According to the fetal heart rate classification system, the nurse records a sinusoidal fetal heart rate pattern as which category?
  5. Category I
  6. Category IV
  7. Category II
  8. Category III The nurse views the ultrasound report of a pregnant woman and determines the twins she is carrying are monozygotic on the basis of which finding?
  9. Presence of a single placenta
  10. Twins are different genders.
  11. Identification of two separate amniotic sacs
  12. One fetus is larger than the other. The nurse examines a patient and determines that her blood pressure is 132/84 mm Hg, fundal height is 20 cm, and urine is negative for glucose, ketones, protein, and nitrates. Which conclusion can the nurse draw from this information?
  1. That the fetus will turn itself to facilitate delivery because this is an uncommon position Which is the most serious complication of prolonged premature rupture of the membranes?
  2. "Dry" birth
  3. Cord prolapse
  4. Premature delivery
  5. Infection The nurse needs to stay alert for possible future complications if the pregnant client makes which statement about her partner?
  6. "...is building a cradle for the baby and painting the nursery."
  7. "...bought me flowers and a book on babies. Then he took me out to dinner."
  8. "...has started working late every night and comes home so tired."
  9. "...is reading books about childbirth and baby care." When caring for a Chinese woman, which behavior does the nurse accept as common in this culture?
  10. Hesitancy to involve health-care professionals
  11. Remaining active throughout the pregnancy
  12. Depending on others to satisfy her cravings
  13. Eating special soups and chicken broth.

The nurse is reinforcing education for a client with hyperemesis gravidarum. Which statement by the client indicates a need for further instruction?

  1. "I'm really going to miss eating cheeseburgers."
  2. "My partner is probably going to have to do the cooking."
  3. "I'll drink all my water in the evening."
  4. "I'll call you if my urine gets dark." A client who has just delivered her first baby asks the nurse, "What will I feed my baby until I get my milk?" Which is the nurse's BEST response?
  5. "You will feed the baby colostrum, which you produce until your milk comes in."
  6. "You will feed the baby glucose water to keep the baby hydrated."
  7. "You can feed the baby formula until your milk comes in."
  8. "Your milk is already in. You can see it leaking out of the nipples." A 16-year-old pregnant client states, "I don't like how my body is getting all fat and ugly." How should the nurse respond?
  9. "It is not fat; it is your baby growing."
  10. "All pregnant women get fat."
  11. "Tell me more about this."
  12. "Don't worry. It will go away when you deliver."
  1. Preterm labor
  2. Cervical congestion A client presents at 37 weeks' gestation and states, "I had a tiny bit of bright bleeding this morning." Which is the nurse's first priority of care?
  3. Preparing the patient for immediate cesarean section
  4. Obtaining vital signs and fetal heart tones
  5. Preparing the patient for a vaginal examination
  6. Obtaining a complete blood count (CBC) to determine blood loss Which patient statement does the nurse interpret as a good understanding of instructions regarding true labor?
  7. "I'll know I'm in labor if the contractions ease up when I walk around."
  8. "True labor usually starts at the back and moves forward."
  9. "A nice warm bath will help ease my labor pains."
  10. "A friend told me that if you start labor easy, it won't get any worse." When caring for a pregnant Japanese client, which behavior does the nurse need to address?
  11. The client has stopped working as an accountant.
  12. The client is depending on others to do everything for her.
  13. The client has refused to discuss morning sickness.
  1. The client has packed a suitcase for an imminent move to her parents' home. While caring for a laboring client, the nurse notes increasing uterine irritability and poor resting tone on the fetal monitor. Which is the nurse's priority assessment?
  2. CBC, pain level, and vital signs
  3. Abdominal tone, blood sugar, CBC
  4. Abdominal tone, bleeding, pain level
  5. Pain level, vital signs, blood sugar A client presents after delivery of her infant in the car on the way to the hospital. Which are some of the potential maternal and fetal complications the nurse must assess for? (Select all that apply.)
  6. Fetal aspiration of amniotic fluid
  7. Uterine atony
  8. Cervical laceration
  9. Cord prolapse
  10. Maternal hemorrhage The nurse knows that her client who is pregnant with twins is at increased risk for which pregnancy complication?
  11. Placenta previa
  12. Fetuses who are large for gestational age
  13. Placenta accreta
  14. Placental abruption

In which circumstance does the nurse expect to administer Rho(D) immune globulin injection?

  1. Motor vehicle accident with abdominal insult to an Rh- negative client
  2. Contraction stress test
  3. 26 weeks' gestation
  4. Delivery of an Rh-negative infant A patient plans a vaginal birth after cesarean (VBAC). Which is the most serious potential complication the nurse should be aware of?
  5. Uterine rupture
  6. Placental abruption
  7. Fetal macrosomia
  8. Breech position Which does the nurse identify as a risk factor for gestational diabetes?
  9. Being Caucasian.
  10. Age less than 25 years
  11. Previous unexplained stillbirth
  12. Previous delivery of infant weighing 8 lb According to Reva Rubin, which statement by a pregnant client should concern the nurse?
  13. "I'm worried about being a good mother."
  14. "I'm reading a book about babies."
  1. "My family can't wait for the baby to come."
  2. "All this kicking is really annoying." A client who is 34 weeks pregnant calls the nurse, stating, "Whenever I get up from my nap, I'm dizzy, a little nauseous, and sweaty." Which is the nurse's best response?
  3. "You should see the health-care provider. I'll make an appointment for you."
  4. "I know these symptoms are concerning, but they are normal at this point in your pregnancy."
  5. "Which position were you in when you were napping?"
  6. "When is the last time you felt the baby kick, and how active has he been?" A patient who is 37 weeks pregnant comes to a regular prenatal appointment. She states, "I'm so tired. I've been cleaning my whole house. I am also leaking a little urine now; I guess the baby is pressing on my bladder." What should the nurse do?
  7. Routine care; these are normal findings toward the end of pregnancy
  8. Assess the patient for signs of infection
  9. Assess the patient's leakage for amniotic fluid
  10. Advise the patient to stop cleaning because she needs her rest. The nurse assisting with an amnioinfusion notices bright red vaginal bleeding from the patient. Which is the nurse's priority action?

1) HIV

  1. Clostridium difficile
  2. Group B streptococcus
  3. Positive varicella titre The nurse incorporates nonpharmacological techniques for pain management including which?
  4. Applying a warm washcloth to the patient's forehead
  5. Assisting the patient in rolling on a birth ball
  6. Aromatherapy with eucalyptus
  7. Playing rock music to provide distraction After placement of an epidural catheter, the patient states, "I'm kind of dizzy, my ears are ringing, and I have a funny taste in my mouth." Her vital signs are T - 98.5° F, P - 54 beats per minute, R - 16 breaths per minute, and BP 148/96 mmHg (baseline 108/78). What does the nurse suspect?
  8. Infusion of anesthetic into the intravascular space
  9. Infusion of the anesthetic too rapidly
  10. Allergic reaction to the anesthetic
  11. Early vena cava syndrome The nurse explains the greatest risk of home delivery is which?
  12. Infant complications
  13. Less bonding time
  14. Lack of privacy
  15. More expensive

The nurse helps a laboring patient cope with pain by remembering which information about labor pain? (Select all that apply.)

  1. Visceral pain is caused by activation of receptors in the chest, abdomen, or pelvic area.
  2. Somatic pain occurs throughout the first stage of labor.
  3. Somatic pain is caused by activation of pain receptors in the body surface.
  4. Pain sensation and transmission are illustrated by the gate control theory of pain.
  5. When the thick pain fibers are greater than the thin fibers, pain is not felt. The nurse has just finished presenting a sex education class. Which statement by an attendee tells the nurse that further teaching is needed?
  6. "Implantation occurs in the uterus."
  7. "The placenta is attached to the uterus."
  8. "The fetus usually grows inside the fallopian tubes."
  9. "Conception usually occurs in the fallopian tubes." A client who is at 42 weeks' gestation is admitted for delivery. Which is one possible complication of delivery that the nurse should anticipate?
  10. Microsomia
  11. Need for a small episiotomy
  1. Collect a sample to be sent to the laboratory for analysis
  2. Notify the health-care provider
  3. Obtain a full set of vital signs
  4. Perform a vaginal examination The nurse recognizes the need for further assessment related to which finding when assessing a client who is 8 weeks pregnant?
  5. Lack of fetal movement
  6. Lack of fetal startle
  7. Lack of fetal heartbeat
  8. Lack of fetal hiccups Which statement by a pregnant client indicates that the nurse needs to reinforce instructions?
  9. "I always keep my seat belt on and placed low when I'm in the car."
  10. "I'm flying to Phoenix next week. I'll be sure to drink lots of water and coffee on the plane."
  11. "I need to ambulate at least every 2 hours when I travel."
  12. "I had to move the seat of the car back so I'm not sitting too close to the air bag." The nurse knows that the cause of fetal demise is unknown in what percentage of cases? (Record your answer as a whole number.) _____

The nurse sees the client's abdominal ultrasound indicates a fetal renal anomaly resulting in no urine production. Which does the nurse expect the health-care provider to prescribe for this client?

  1. Close monitoring for amniotic fluid embolism during labor
  2. Drink at least 2 L of fluid per day
  3. Indomethacin 25 mg orally every 6 hours
  4. Amniocentesis to remove excess fluid Which is the correct order of fetal rotation?
  5. Extension, restitution, external rotation, expulsion
  6. Restitution, extension, expulsion, external rotation
  7. External rotation, restitution, extension, expulsion
  8. Extension, expulsion, external rotation, restitution A laboring patient asks, "Is epidural anesthesia safe?" Which is the nurse's best response?
  9. "There are some possible side effects. I'll ask the health-care provider to come and talk to you about it."
  10. "It is perfectly safe. Almost all our patients use it, and I've never seen anyone have any problems."
  11. "Yes, and it has the added benefit of speeding up your labor!"
  12. "There are rare problems. You will have to lie flat for 8 hours after it is finished." When assessing patient teaching after placement of a cerclage, what should the nurse expect the client to know? (Select all that apply.)
  1. Notifying the health-care provider
  2. Opening the IV to free flow
  3. Reassessing BP in 15 minutes to determine the trend
  4. Turning the client onto her side Which are possible complications arising from the use of forceps to assist a delivery? (Select all that apply.)
  5. Bruising of the fetal head
  6. Vaginal and/or perineal lacerations
  7. Brachial plexus injury
  8. Fetal scalp injury such as cephalohematoma
  9. Pelvic floor injury When reinforcing client teaching, which does the nurse instruct a pregnant client to avoid?
  10. Weeding gardens
  11. Well-done meats
  12. Condom use
  13. Exposure to all young children The nurse is caring for a laboring patient who is 2 cm dilated, 20% effaced, -1 station, with a medium-firm cervix in an anterior position. This patient's Bishop score is what? (Record your answer as a whole number.) _____ The nurse admits a 33-year-old client, pregnant for the third time, at 27 weeks' gestation with twins. She has a history of

varicella with a previous pregnancy. Which is this client's risk factor for preterm labor (PTL)?

  1. Her age
  2. Third pregnancy
  3. Twin gestation
  4. History of varicella A client is admitted with a diagnosis of preterm labor. Her 14- year-old daughter refuses to enter her mother's room. Which statement by the daughter should concern the nurse?
  5. "I hate it when my dad drags me here to the hospital."
  6. "She's so old to be having a baby. I mean, she's like 34 or something."
  7. "I'm scared my mom is going to lose the baby."
  8. "It's so embarrassing; I mean, they had to have sex to get this baby!" The nurse is reviewing laboratory values of a pregnant client and notes the following data: RBC 5.20 g/dL WBC 19.3 g/dL Hemoglobin 11.1 g/dL Hematocrit 33.0% Which value indicates the need for further assessment?