Maternal and Newborn Exam 2/Final Questions With
Complete Solutions
A 13-year-old immigrant from Asia is admitted to the health
care facility with vaginal bleeding. A genital examination
reveals unhealed circumcision wounds. The client can
understand limited English but cannot speak the language
fluently. The service of an interpreter is employed. What are the
points the nurse should keep in mind when interacting with this
client? Correct Answer Use pictures and diagrams to
supplement the questions and answers of the client's
understanding
A 19-year-old female client has been diagnosed with pelvic
inflammatory disease due to untreated gonorrhea. Which of the
following instructions should the nurse offer when caring for the
client? Correct Answer Avoid douching vaginal area, complete
the antibiotic therapy, limit the number of sexual partners
A 2-day old newborn is crying after being circumcised and the
mother is attempting to comfort the infant but he continues to be
fussy. Which statement by the nurse would best support the
mother's actions? Correct Answer Many mothers find that
offering a nipple dipped in sugar water helps soothe a baby after
a painful procedure
A 2-month-old infant is admitted to a local health care facility
with an axillary temperature of 96.8° F (36° C). Which observed
manifestation would confirm the occurrence of cold stress in this
client? Correct Answer lethargy and hypotonia
,A 29-year-old postpartum client is receiving anticoagulant
therapy for deep venous thrombophlebitis. The nurse should
include which instruction in her discharge teaching? Correct
Answer Avoid over-the-counter (OTC) salicylates
A 30-minute-old newborn starts crying in a high-pitched manner
and cannot be consoled by the mother. Which action should the
nurse prioritize if jitteriness is also noted and the infant is unable
to breastfeed? Correct Answer Check blood glucose
A 30-year-old client tells the nurse that she would like to use a
contraceptive sponge but does not know enough about its use
and whether it will protect her against STIs. Which information
should the nurse provide the client about using a contraceptive
sponge? Correct Answer We the sponge with water before
inserting it, insert the sponge 24 hours before intercourse, leave
the sponge in place for at least 6 hours following intercourse
A 30-year-old client would like to try using basal body
temperature (BBT) as a fertility awareness method. Which
instruction should the nurse provide the client? Correct Answer
Take temperature before rising and record it on a chart
A 33-year-old female client reports yellow nipple discharge and
pain in her breasts a week before menses that dissipates on the
onset of menses. Diagnosis reveals that the client is experiencing
fibrocystic breast changes. Which instructions should the nurse
offer the client to help alleviate the condition? Correct Answer
Avoid caffeine, maintain a low-fat diet, take diuretics as
recommended
,A 36-hour-old newborn is ready for discharge from the hospital
and the nurse notices that the skin looks yellow. What action
will the nurse take? Correct Answer Assess the bilirubin level
A 38-year-old female client has to undergo lymph node surgery
in conjunction with mastectomy. The client is likely to
experience lymphedema due to the surgery. Post-surgery, which
factors will make the client more susceptible to lymphedema?
Correct Answer Using the affected arm for drawing blood or
measuring blood pressure, engaging in activities like gardening
without using gloves, not wearing a well-fitted compression
sleeve
A 40-year-old client arrives at the community health canter
experiencing a strange dragging feeling in the vagina. She stated
that "at times it feels as if there is a lump" there as well. Which
condition may be an indication of these symptoms? Correct
Answer Pelvic organ prolapse
A 40-year-old client reports low back pain after standing for a
long time. The primary care provider has diagnosed the client
with pelvic organ prolapse. The nurse correctly recognizes
which clients are likely not candidates for corrective surgery.
Correct Answer Client at high risk of recurrent prolapse after
surgery, client who is morbidly obese before surgery, client who
has chronic obstructive pulmonary disease
A 41-year-old female client arrives at a health care setting
reporting dull nipple pain with a burning sensation,
accompanied by pruritus around the nipple. The physician
, suspects mammary duct ectasia. Which order should the nurse
question? Correct Answer Cool compresses to the affected area
A 49-year-old client who is in the perimenopausal phase of life
reports to the nurse a loss of lubrication during intercourse,
which she feels is hampering her sex life. Which response by the
nurse is appropriate? Correct Answer You can manage the
condition by using OTC moisturizers or lubricants
A 52-year-old client is seeking treatment for menopause. She is
not very active and has a history of cardiac problems. Which
therapy option should the nurse recognize as contraindicated for
this client? Correct Answer Long-term hormone replacement
therapy
A 52-year-old female client with an estrogen receptors positive
(ER+) breast cancer is undergoing hormonal therapy. While
taking a selective estrogen receptor modulator (SERM), the
client begins to experience hot flashes. What should the nurse do
next? Correct Answer Document the hot flash in the client's
chart
A 55-year-old client presents to the clinic with persistent vulvar
pruritus, burning, and a lump. She states she has had the
symptoms for 5 months and has been trying to treat them with
over-the-counter creams. She has a history of multiple sexual
partners and HPV and is a smoker. What should the nurse do
next? Correct Answer Prepare the client for a biopsy of the
lesion
Complete Solutions
A 13-year-old immigrant from Asia is admitted to the health
care facility with vaginal bleeding. A genital examination
reveals unhealed circumcision wounds. The client can
understand limited English but cannot speak the language
fluently. The service of an interpreter is employed. What are the
points the nurse should keep in mind when interacting with this
client? Correct Answer Use pictures and diagrams to
supplement the questions and answers of the client's
understanding
A 19-year-old female client has been diagnosed with pelvic
inflammatory disease due to untreated gonorrhea. Which of the
following instructions should the nurse offer when caring for the
client? Correct Answer Avoid douching vaginal area, complete
the antibiotic therapy, limit the number of sexual partners
A 2-day old newborn is crying after being circumcised and the
mother is attempting to comfort the infant but he continues to be
fussy. Which statement by the nurse would best support the
mother's actions? Correct Answer Many mothers find that
offering a nipple dipped in sugar water helps soothe a baby after
a painful procedure
A 2-month-old infant is admitted to a local health care facility
with an axillary temperature of 96.8° F (36° C). Which observed
manifestation would confirm the occurrence of cold stress in this
client? Correct Answer lethargy and hypotonia
,A 29-year-old postpartum client is receiving anticoagulant
therapy for deep venous thrombophlebitis. The nurse should
include which instruction in her discharge teaching? Correct
Answer Avoid over-the-counter (OTC) salicylates
A 30-minute-old newborn starts crying in a high-pitched manner
and cannot be consoled by the mother. Which action should the
nurse prioritize if jitteriness is also noted and the infant is unable
to breastfeed? Correct Answer Check blood glucose
A 30-year-old client tells the nurse that she would like to use a
contraceptive sponge but does not know enough about its use
and whether it will protect her against STIs. Which information
should the nurse provide the client about using a contraceptive
sponge? Correct Answer We the sponge with water before
inserting it, insert the sponge 24 hours before intercourse, leave
the sponge in place for at least 6 hours following intercourse
A 30-year-old client would like to try using basal body
temperature (BBT) as a fertility awareness method. Which
instruction should the nurse provide the client? Correct Answer
Take temperature before rising and record it on a chart
A 33-year-old female client reports yellow nipple discharge and
pain in her breasts a week before menses that dissipates on the
onset of menses. Diagnosis reveals that the client is experiencing
fibrocystic breast changes. Which instructions should the nurse
offer the client to help alleviate the condition? Correct Answer
Avoid caffeine, maintain a low-fat diet, take diuretics as
recommended
,A 36-hour-old newborn is ready for discharge from the hospital
and the nurse notices that the skin looks yellow. What action
will the nurse take? Correct Answer Assess the bilirubin level
A 38-year-old female client has to undergo lymph node surgery
in conjunction with mastectomy. The client is likely to
experience lymphedema due to the surgery. Post-surgery, which
factors will make the client more susceptible to lymphedema?
Correct Answer Using the affected arm for drawing blood or
measuring blood pressure, engaging in activities like gardening
without using gloves, not wearing a well-fitted compression
sleeve
A 40-year-old client arrives at the community health canter
experiencing a strange dragging feeling in the vagina. She stated
that "at times it feels as if there is a lump" there as well. Which
condition may be an indication of these symptoms? Correct
Answer Pelvic organ prolapse
A 40-year-old client reports low back pain after standing for a
long time. The primary care provider has diagnosed the client
with pelvic organ prolapse. The nurse correctly recognizes
which clients are likely not candidates for corrective surgery.
Correct Answer Client at high risk of recurrent prolapse after
surgery, client who is morbidly obese before surgery, client who
has chronic obstructive pulmonary disease
A 41-year-old female client arrives at a health care setting
reporting dull nipple pain with a burning sensation,
accompanied by pruritus around the nipple. The physician
, suspects mammary duct ectasia. Which order should the nurse
question? Correct Answer Cool compresses to the affected area
A 49-year-old client who is in the perimenopausal phase of life
reports to the nurse a loss of lubrication during intercourse,
which she feels is hampering her sex life. Which response by the
nurse is appropriate? Correct Answer You can manage the
condition by using OTC moisturizers or lubricants
A 52-year-old client is seeking treatment for menopause. She is
not very active and has a history of cardiac problems. Which
therapy option should the nurse recognize as contraindicated for
this client? Correct Answer Long-term hormone replacement
therapy
A 52-year-old female client with an estrogen receptors positive
(ER+) breast cancer is undergoing hormonal therapy. While
taking a selective estrogen receptor modulator (SERM), the
client begins to experience hot flashes. What should the nurse do
next? Correct Answer Document the hot flash in the client's
chart
A 55-year-old client presents to the clinic with persistent vulvar
pruritus, burning, and a lump. She states she has had the
symptoms for 5 months and has been trying to treat them with
over-the-counter creams. She has a history of multiple sexual
partners and HPV and is a smoker. What should the nurse do
next? Correct Answer Prepare the client for a biopsy of the
lesion
