NGN MATERNITY GYNECOLOGY FORM A,B,C
The nurse performs a home care visit on a mother who delivered a baby three days
ago. The client expresses alarm whenshe hears that her baby has lost 8oz. Which of
the following responses by the nurse is MOSTappropriate?
1. Perhaps you don't have enough milk for the baby and need tosupplementthe
diet with formula
2. That is normal weight loss. Sometimes babies lose as much as10% of thebirth
weight.
3. Babies usually lose some weight, but that's more than usual. Hemay needan
intravenous infusion.
4. Most babies immediately lose their intrauterine water depositsand 20% oftheir
birth weight.
Answer: That is normal weight loss. Sometimes babies lose asmuchas 10% of
the birth weight.
The parents of a preterm infant visit the infant in the newborn nursery. They see their
infant resting comfortably in the isolette andexpress concernabout disturbing the baby.
Which of the following responses by the nurse isBEST?
1. Preterm infants have an immature immune system and handlingthemincreases the
risk of an infection
2. Preterm infants need to conserve their strength, so it is best if youdo notpick the
infant up
3. Preterm infants need to develop a sense of trust and security andholdingthe infant
promotes this
4. Preterm infants can become irritable if handled while sleeping,so first wake the
infant up.
Answer: Preterm infants need to develop a sense of trust andsecurityand
holding the infant promotes this
The home care nurse visits a 17 y/o who delivered a full terminfant 2 wksago.
Although the client appears mature, the nurse knows the client's age may
interfere with positive mothering because of which of the following ?
1. The client is not in a stable relationship with the father
2. The client has yet to finish school
3. The client's parents want her to place the baby in foster care
4. The client is still experiencing the dependency of childhoodAnswer: The
client isstill experiencing the dependency of childhood
,The nurse cares for a client diagnosed with cervical cancer. The nurse notes that the
client appears to have a poor appetite. Which of the followinginterventions by the
nurse is BEST?
1. provide high fat snacks
2. provide small, frequent feedings
3. provide additional fluid at meals
4. provide food when the client requests it.
Answer: provide small, frequent feedings
The 20 y/o woman arrives at the hospital in active labor. The client asksthe nurse
what is the purpose of fetal monitoring. Whichresponse by the nurse is BEST?
1. The purpose of the fetal monitor is to evaluate the progress oflabor
2. the purpose is to assess the strength and duration of contractions
3. The purpose is to determine if the fetus is receiving adequateamounts
ofoxygen
4. The purpose is to allow the health care provider to decide if anoxytocindrip
should be started.
Answer: The purpose is to determine if the fetus is receivingadequate
amounts of oxygen
Which of the following measures is MOST effective in protecting the nursing
staff from harmful exposure to radiationwhen caring for a patientwith a radiation
implant?
1. rotate the staff members assigned to the patient
2. wear a gown and mask when in contact with the patient
3. leave the patients room at least every 10 mins
4. place the patient in a room with private bathroom
Answer: rotate the staff membersassigned to the patient
The nurse instructs a group of expectant mothers about the advantages of
breastfeeding. The nurse should intervene if an expectant mother makeswhich of the
following statements?
1. My baby will grow faster and sleep more with breast milk
2. My baby will receive protective immune factors from the breastmilk
3. My baby will not need any other foods or milk until he is fourmonths old
, 4. At first, I may feed my baby about 10x/day
Answer: My baby will grow faster and sleepmore with breast milk
The nurse observes a staff member palpate uterine contractions.The nurse determines
the staff member is using the correct technique if whichof the following is observed?
1. place the palm of one hand on the fundus and move the palm ofthe otherhand
around the abdomen during contractions.
2. Place the heels of both hands on the lower abdomen and presslightly
3. Place one hand on the abdomen over the fundus and with thefingertipspress
gently
4. Place the palms of the hands on either side of the abdomen andpress firmly.
Answer: Place one hand on the abdomen over the fundus and withthe fingertipspress
gently
Meconium stained amniotic fluid should alert the nurse to thepossibilityof which?
1. fetal distress and perinatal asphyxia
2. fetal distress and hyperbilirubinemia
3. abruptio placenta and asphyxia
4. placenta previa and perinatal sepsis
Answer: fetal distress and perinatal asphyxia
A 28 y/o woman delivers a baby boy. In order to monitor complications,the
nurse should be MOST alert to which of thefollowing findings?
1. complaints of pain
2. changes in blood pressure and pulse
3. ambivalent feelings about being a mother
4. the number of previous delivers
Answer: changes in blood pressure and pulse
A woman asks the nurse if she can safely drink wine while nursing herbaby. Which
of the following is the BEST response bythe nurse?
1. The wine you drink will not be present in the breast milk
2. A moderate amount of wine will help you relax
The nurse performs a home care visit on a mother who delivered a baby three days
ago. The client expresses alarm whenshe hears that her baby has lost 8oz. Which of
the following responses by the nurse is MOSTappropriate?
1. Perhaps you don't have enough milk for the baby and need tosupplementthe
diet with formula
2. That is normal weight loss. Sometimes babies lose as much as10% of thebirth
weight.
3. Babies usually lose some weight, but that's more than usual. Hemay needan
intravenous infusion.
4. Most babies immediately lose their intrauterine water depositsand 20% oftheir
birth weight.
Answer: That is normal weight loss. Sometimes babies lose asmuchas 10% of
the birth weight.
The parents of a preterm infant visit the infant in the newborn nursery. They see their
infant resting comfortably in the isolette andexpress concernabout disturbing the baby.
Which of the following responses by the nurse isBEST?
1. Preterm infants have an immature immune system and handlingthemincreases the
risk of an infection
2. Preterm infants need to conserve their strength, so it is best if youdo notpick the
infant up
3. Preterm infants need to develop a sense of trust and security andholdingthe infant
promotes this
4. Preterm infants can become irritable if handled while sleeping,so first wake the
infant up.
Answer: Preterm infants need to develop a sense of trust andsecurityand
holding the infant promotes this
The home care nurse visits a 17 y/o who delivered a full terminfant 2 wksago.
Although the client appears mature, the nurse knows the client's age may
interfere with positive mothering because of which of the following ?
1. The client is not in a stable relationship with the father
2. The client has yet to finish school
3. The client's parents want her to place the baby in foster care
4. The client is still experiencing the dependency of childhoodAnswer: The
client isstill experiencing the dependency of childhood
,The nurse cares for a client diagnosed with cervical cancer. The nurse notes that the
client appears to have a poor appetite. Which of the followinginterventions by the
nurse is BEST?
1. provide high fat snacks
2. provide small, frequent feedings
3. provide additional fluid at meals
4. provide food when the client requests it.
Answer: provide small, frequent feedings
The 20 y/o woman arrives at the hospital in active labor. The client asksthe nurse
what is the purpose of fetal monitoring. Whichresponse by the nurse is BEST?
1. The purpose of the fetal monitor is to evaluate the progress oflabor
2. the purpose is to assess the strength and duration of contractions
3. The purpose is to determine if the fetus is receiving adequateamounts
ofoxygen
4. The purpose is to allow the health care provider to decide if anoxytocindrip
should be started.
Answer: The purpose is to determine if the fetus is receivingadequate
amounts of oxygen
Which of the following measures is MOST effective in protecting the nursing
staff from harmful exposure to radiationwhen caring for a patientwith a radiation
implant?
1. rotate the staff members assigned to the patient
2. wear a gown and mask when in contact with the patient
3. leave the patients room at least every 10 mins
4. place the patient in a room with private bathroom
Answer: rotate the staff membersassigned to the patient
The nurse instructs a group of expectant mothers about the advantages of
breastfeeding. The nurse should intervene if an expectant mother makeswhich of the
following statements?
1. My baby will grow faster and sleep more with breast milk
2. My baby will receive protective immune factors from the breastmilk
3. My baby will not need any other foods or milk until he is fourmonths old
, 4. At first, I may feed my baby about 10x/day
Answer: My baby will grow faster and sleepmore with breast milk
The nurse observes a staff member palpate uterine contractions.The nurse determines
the staff member is using the correct technique if whichof the following is observed?
1. place the palm of one hand on the fundus and move the palm ofthe otherhand
around the abdomen during contractions.
2. Place the heels of both hands on the lower abdomen and presslightly
3. Place one hand on the abdomen over the fundus and with thefingertipspress
gently
4. Place the palms of the hands on either side of the abdomen andpress firmly.
Answer: Place one hand on the abdomen over the fundus and withthe fingertipspress
gently
Meconium stained amniotic fluid should alert the nurse to thepossibilityof which?
1. fetal distress and perinatal asphyxia
2. fetal distress and hyperbilirubinemia
3. abruptio placenta and asphyxia
4. placenta previa and perinatal sepsis
Answer: fetal distress and perinatal asphyxia
A 28 y/o woman delivers a baby boy. In order to monitor complications,the
nurse should be MOST alert to which of thefollowing findings?
1. complaints of pain
2. changes in blood pressure and pulse
3. ambivalent feelings about being a mother
4. the number of previous delivers
Answer: changes in blood pressure and pulse
A woman asks the nurse if she can safely drink wine while nursing herbaby. Which
of the following is the BEST response bythe nurse?
1. The wine you drink will not be present in the breast milk
2. A moderate amount of wine will help you relax
