TEST 2 (Chapters 8, 9, 10, 12, 13, 14)
maternity QUESTIONS AND ANSWERS
1. ___________ refers to adjustments that the reproductive organs, especially the uterus,
undergo after birth to return to their prepregnancy length and condition. -
ANSWER-Involution
Involution refers to adjustments that the reproductive organs, especially the
uterus, undergo after start to go back to their prepregnancy size and situation.
2. ____________________________ is a decrease-than-regular quantity of amniotic fluid.
- ANSWER-oligohydramnios
Oligohydramnios is a decrease amount than normal of amniotic fluid.
3. A three-month-old toddler is recognized with developmental hip dysplasia. The nurse
knows that what is the usual treatment for an toddler with this analysis?
A. A Pavlik harness
b. A frame spica forged
c. Traction
d. Triple-diapering - ANSWER-A
4. In infants who're greater than 2 months of age, longer-time period immobilization with a
Pavlik harness is needed.
A four-week postpartum patient with mastitis asks the nurse if she can continue to
breastfeed. What is the nurses most beneficial reaction?
A. Stop breastfeeding until the contamination clears.
B. Pump the breasts to keep milk production, but do not supply breast milk to the toddler.
C. Begin all feedings with the affected breast till the mastitis is resolved. D.
Breastfeeding can preserve until there is abscess formation. - ANSWER-D
The lady with mastitis can hold to breastfeed except an abscess forms.
5. A first-time mom reports that she is experiencing difficulty breastfeeding her newborn.
Which neonatal reflex might the nurse train the mom to elicit to facilitate breastfeeding?
A. Sucking
b. Rooting
c. Grasping
d. Tonic neck - ANSWER-B
The rooting reflex causes the babies head to show within the route of some thing
that touches the cheek in anticipation of food.
6. A frustrated patient in hard work has been affected by decreased uterine muscle tone
and reports, My doctor wont result in my labor because of a few stupid score. He said I
was a 4. What form of magic quantity do I need? What is the bottom Bishop rating the
affected person have to have prior to induction?
A. 6
b. Eight
c. 10
, d. 12 - ANSWER-A
The Bishop score evaluates the suitability of the affected person for a vaginal
delivery. A minimum rating of 6 is recommended by way of the American
Congress of Obstetricians and Gynecologists (ACOG).
7. A complete-time period new child weighs 3600 grams at birth. What could the nurse
assume the newborn to weigh in grams three days later?
A. 2900
b. 3100
c. 3300
d. 3800 - ANSWER-C
In the first three to four days of existence, a newborn commonly loses five% to
10% of his or her beginning weight.
8. A labor dysfunction because of decreased uterine muscle tone occurs in a patient who is
dilated to 5 cm with membranes intact. What movement by means of the health
practitioner will the nurse expect?
A. Perform an amniotomy.
B. Initiate tocolytic tablets.
C. Order a sedative for the patient.
D. Plan to do an emergency cesarean phase. - ANSWER-A
Medical remedy for hypotonic hard work dysfunction consists of an amniotomy as
the first remedy if the membranes are intact.
9. A new mom has determined now not to breastfeed her new child. What facts will the
nurse include whilst making plans to teach the mom about formula feeding?
A. Positioning the bottle so that the nipple is full of system throughout the entire feeding
b. Heating the little one formula in a microwave
c. Burping the toddler after four oz. And once more whilst the bottle is empty d. Propping
a bottle for a feeding - ANSWER-A
The nipple of the bottle ought to be saved full of formulation to lessen the quantity
of air the infant swallows.
10.A new mom is distressed and tearful about the extended dome over her infants posterior
fontanelle. The nurse responds, This situation will remedy itself in a few days. What is
the purpose?
A. Prolonged strain in opposition to the partly dilated cervix
b. Small leak of fluid thru the posterior fontanelle
c. Pressure of the forceps in the course of shipping d. The effect of the vacuum extractor
- ANSWER-D
The chignon is because of the impact of the vacuum extractor and could
disappear in some days.
11.A new mom states her preference to system feed her new child. What will the nurse
making plans discharge commands tell her to help suppress lactation and promote
consolation?
A. Wear a properly-fitting bra continuously for numerous days.
B. Stand in a heat bathe, letting the water spray over the breasts.
, C. Express small quantities of milk from the breasts numerous instances a day. D.
Massage the breasts when they pain. - ANSWER-A
When a mom does now not wish to breastfeed, a comfortable bra worn around the
clock can help alleviate pain from engorgement.
12.A new child became simply admitted to the neonatal in depth care unit with a
meningomyelocele. What is the concern preoperative nursing care of this new child?
A. Keep the sac dry.
B. Diaper snugly.
C. Position susceptible in an incubator.
D. Move backward and forward every hour. - ANSWER-C
The infant is positioned inclined in a humidified incubator, and the sac is
protected with dressings of sterile saline. The infants hips are kept lower than the
lesion, and the toddler is normally now not in diapers.
13.A nurse is discussing hazard factors for postpartum surprise with a childbirth practise
magnificence. What will the nurse encompass on this training consultation? (Select all
that apply.)
a. Hypertension
b. Blood clotting issues
c. Anemia
d. Infection
e. Postpartum hemorrhage - ANSWER-B, C, D, E
Hypertension is not a motive for postpartum shock; all the other options can
reason surprise.
14.A postpartum patient reviews anaphylactic surprise. What is the maximum probably
purpose?
A. Pulmonary embolism
b. Hypertension
c. Allergy
d. Blood clotting ailment - ANSWER-C
Anaphylactic surprise is caused by allergic responses to tablets administered.
Cardiogenic surprise can be due to pulmonary embolism or hypertension.
Hypovolemic surprise could be resulting from blood clotting issues.
15.A postpartum affected person is experiencing hypovolemic shock. What interventions
can the nurse anticipate? (Select all that follow.)
a. Provision of IV fluids
b. Placement of an indwelling Foley catheter
c. Assessment of oxygen saturation
d. Administration of anticoagulants
e. Blood transfusion - ANSWER-A, B, C, E
Medical control for the patient experiencing hypovolemic shock consists of
stopping blood loss, giving IV fluids to preserve circulating volume and update
fluids, giving blood transfusions to top off erythrocytes, and evaluation of oxygen
saturation. Anticoagulants could not receive.
16.A postpartum female isn't immune to rubella. What will the nurse anticipate?
, A. The rubella virus vaccine have to be administered earlier than discharge.
B. The lady must acquire the rubella virus vaccine at her 6-week postpartum checkup. C.
The lady have to be instructed not to get pregnant till she receives the rubella vaccine.
D. No intervention is indicated right now because the lady isn't always at threat for
rubella. - ANSWER-A
The woman who isn't resistant to rubella is immunized inside the instantaneous
postpartum length because there's no danger of her pregnancy.
17.A pregnant womans membranes ruptured in advance at 34 weeks. She can be
discharged to her home for the following couple of weeks. What might the nurse
planning discharge education educate the woman to do?
A. Report any increase in fetal activity.
B. Notify her obstetrician if she has a temperature above 37.Eight C (one hundred F).
C. Massage her breasts to sell uterine relaxation.
D. Rest in a aspect-lying Trendelenburg position with hips extended. - ANSWER-B
18.For the woman with untimely rupture of membranes (PROM) who is not having labor
triggered proper away, teaching combines statistics about infection and preterm
exertions. The lady should reveal her temperature and report a temperature more than
37.8 C (100 F).
19.A preterm infant has a yellow pores and skin color and a rising bilirubin degree. The
nurse knows that this infant is at danger for what?
20.A. Skin breakdown
21.b. Renal failure
22.c. Brain damage
23.d. Heart failure - ANSWER-C
24.The better the bilirubin level and the deeper the jaundice, the extra is the danger for
neurological damage.
25.A primipara tells the nurse, My afterpains worsen after I am breastfeeding. What is the
most suitable nursing response?
26.A. Ill get you a few aspirin to alleviate the cramping that you feel.
27.B. Afterpains are extra extreme with your first baby.
28.C. Breastfeeding releases a hormone that causes your uterus to settlement. D. A trade
of function while youre breastfeeding may assist. - ANSWER-C
29.Breastfeeding moms may additionally have more afterpains because infant suckling
causes the posterior pituitary to launch oxytocin, that's a hormone that contracts the
uterus.
30.A pulsating structure is felt all through a vaginal exam of a woman in hard work. How
might the nurse role the woman to prevent compression of a prolapsed cord?
31.A. On her right side with knees flexed
32.b. On her left aspect with a pillow located between her legs
33.c. On her lower back along with her head lower than the rest of her frame d. Supine
along with her legs accelerated and bent on the knee - ANSWER-C
34.The Trendelenburg (head down) position displaces the fetus upward to prevent
compression of the prolapsed cord.
maternity QUESTIONS AND ANSWERS
1. ___________ refers to adjustments that the reproductive organs, especially the uterus,
undergo after birth to return to their prepregnancy length and condition. -
ANSWER-Involution
Involution refers to adjustments that the reproductive organs, especially the
uterus, undergo after start to go back to their prepregnancy size and situation.
2. ____________________________ is a decrease-than-regular quantity of amniotic fluid.
- ANSWER-oligohydramnios
Oligohydramnios is a decrease amount than normal of amniotic fluid.
3. A three-month-old toddler is recognized with developmental hip dysplasia. The nurse
knows that what is the usual treatment for an toddler with this analysis?
A. A Pavlik harness
b. A frame spica forged
c. Traction
d. Triple-diapering - ANSWER-A
4. In infants who're greater than 2 months of age, longer-time period immobilization with a
Pavlik harness is needed.
A four-week postpartum patient with mastitis asks the nurse if she can continue to
breastfeed. What is the nurses most beneficial reaction?
A. Stop breastfeeding until the contamination clears.
B. Pump the breasts to keep milk production, but do not supply breast milk to the toddler.
C. Begin all feedings with the affected breast till the mastitis is resolved. D.
Breastfeeding can preserve until there is abscess formation. - ANSWER-D
The lady with mastitis can hold to breastfeed except an abscess forms.
5. A first-time mom reports that she is experiencing difficulty breastfeeding her newborn.
Which neonatal reflex might the nurse train the mom to elicit to facilitate breastfeeding?
A. Sucking
b. Rooting
c. Grasping
d. Tonic neck - ANSWER-B
The rooting reflex causes the babies head to show within the route of some thing
that touches the cheek in anticipation of food.
6. A frustrated patient in hard work has been affected by decreased uterine muscle tone
and reports, My doctor wont result in my labor because of a few stupid score. He said I
was a 4. What form of magic quantity do I need? What is the bottom Bishop rating the
affected person have to have prior to induction?
A. 6
b. Eight
c. 10
, d. 12 - ANSWER-A
The Bishop score evaluates the suitability of the affected person for a vaginal
delivery. A minimum rating of 6 is recommended by way of the American
Congress of Obstetricians and Gynecologists (ACOG).
7. A complete-time period new child weighs 3600 grams at birth. What could the nurse
assume the newborn to weigh in grams three days later?
A. 2900
b. 3100
c. 3300
d. 3800 - ANSWER-C
In the first three to four days of existence, a newborn commonly loses five% to
10% of his or her beginning weight.
8. A labor dysfunction because of decreased uterine muscle tone occurs in a patient who is
dilated to 5 cm with membranes intact. What movement by means of the health
practitioner will the nurse expect?
A. Perform an amniotomy.
B. Initiate tocolytic tablets.
C. Order a sedative for the patient.
D. Plan to do an emergency cesarean phase. - ANSWER-A
Medical remedy for hypotonic hard work dysfunction consists of an amniotomy as
the first remedy if the membranes are intact.
9. A new mom has determined now not to breastfeed her new child. What facts will the
nurse include whilst making plans to teach the mom about formula feeding?
A. Positioning the bottle so that the nipple is full of system throughout the entire feeding
b. Heating the little one formula in a microwave
c. Burping the toddler after four oz. And once more whilst the bottle is empty d. Propping
a bottle for a feeding - ANSWER-A
The nipple of the bottle ought to be saved full of formulation to lessen the quantity
of air the infant swallows.
10.A new mom is distressed and tearful about the extended dome over her infants posterior
fontanelle. The nurse responds, This situation will remedy itself in a few days. What is
the purpose?
A. Prolonged strain in opposition to the partly dilated cervix
b. Small leak of fluid thru the posterior fontanelle
c. Pressure of the forceps in the course of shipping d. The effect of the vacuum extractor
- ANSWER-D
The chignon is because of the impact of the vacuum extractor and could
disappear in some days.
11.A new mom states her preference to system feed her new child. What will the nurse
making plans discharge commands tell her to help suppress lactation and promote
consolation?
A. Wear a properly-fitting bra continuously for numerous days.
B. Stand in a heat bathe, letting the water spray over the breasts.
, C. Express small quantities of milk from the breasts numerous instances a day. D.
Massage the breasts when they pain. - ANSWER-A
When a mom does now not wish to breastfeed, a comfortable bra worn around the
clock can help alleviate pain from engorgement.
12.A new child became simply admitted to the neonatal in depth care unit with a
meningomyelocele. What is the concern preoperative nursing care of this new child?
A. Keep the sac dry.
B. Diaper snugly.
C. Position susceptible in an incubator.
D. Move backward and forward every hour. - ANSWER-C
The infant is positioned inclined in a humidified incubator, and the sac is
protected with dressings of sterile saline. The infants hips are kept lower than the
lesion, and the toddler is normally now not in diapers.
13.A nurse is discussing hazard factors for postpartum surprise with a childbirth practise
magnificence. What will the nurse encompass on this training consultation? (Select all
that apply.)
a. Hypertension
b. Blood clotting issues
c. Anemia
d. Infection
e. Postpartum hemorrhage - ANSWER-B, C, D, E
Hypertension is not a motive for postpartum shock; all the other options can
reason surprise.
14.A postpartum patient reviews anaphylactic surprise. What is the maximum probably
purpose?
A. Pulmonary embolism
b. Hypertension
c. Allergy
d. Blood clotting ailment - ANSWER-C
Anaphylactic surprise is caused by allergic responses to tablets administered.
Cardiogenic surprise can be due to pulmonary embolism or hypertension.
Hypovolemic surprise could be resulting from blood clotting issues.
15.A postpartum affected person is experiencing hypovolemic shock. What interventions
can the nurse anticipate? (Select all that follow.)
a. Provision of IV fluids
b. Placement of an indwelling Foley catheter
c. Assessment of oxygen saturation
d. Administration of anticoagulants
e. Blood transfusion - ANSWER-A, B, C, E
Medical control for the patient experiencing hypovolemic shock consists of
stopping blood loss, giving IV fluids to preserve circulating volume and update
fluids, giving blood transfusions to top off erythrocytes, and evaluation of oxygen
saturation. Anticoagulants could not receive.
16.A postpartum female isn't immune to rubella. What will the nurse anticipate?
, A. The rubella virus vaccine have to be administered earlier than discharge.
B. The lady must acquire the rubella virus vaccine at her 6-week postpartum checkup. C.
The lady have to be instructed not to get pregnant till she receives the rubella vaccine.
D. No intervention is indicated right now because the lady isn't always at threat for
rubella. - ANSWER-A
The woman who isn't resistant to rubella is immunized inside the instantaneous
postpartum length because there's no danger of her pregnancy.
17.A pregnant womans membranes ruptured in advance at 34 weeks. She can be
discharged to her home for the following couple of weeks. What might the nurse
planning discharge education educate the woman to do?
A. Report any increase in fetal activity.
B. Notify her obstetrician if she has a temperature above 37.Eight C (one hundred F).
C. Massage her breasts to sell uterine relaxation.
D. Rest in a aspect-lying Trendelenburg position with hips extended. - ANSWER-B
18.For the woman with untimely rupture of membranes (PROM) who is not having labor
triggered proper away, teaching combines statistics about infection and preterm
exertions. The lady should reveal her temperature and report a temperature more than
37.8 C (100 F).
19.A preterm infant has a yellow pores and skin color and a rising bilirubin degree. The
nurse knows that this infant is at danger for what?
20.A. Skin breakdown
21.b. Renal failure
22.c. Brain damage
23.d. Heart failure - ANSWER-C
24.The better the bilirubin level and the deeper the jaundice, the extra is the danger for
neurological damage.
25.A primipara tells the nurse, My afterpains worsen after I am breastfeeding. What is the
most suitable nursing response?
26.A. Ill get you a few aspirin to alleviate the cramping that you feel.
27.B. Afterpains are extra extreme with your first baby.
28.C. Breastfeeding releases a hormone that causes your uterus to settlement. D. A trade
of function while youre breastfeeding may assist. - ANSWER-C
29.Breastfeeding moms may additionally have more afterpains because infant suckling
causes the posterior pituitary to launch oxytocin, that's a hormone that contracts the
uterus.
30.A pulsating structure is felt all through a vaginal exam of a woman in hard work. How
might the nurse role the woman to prevent compression of a prolapsed cord?
31.A. On her right side with knees flexed
32.b. On her left aspect with a pillow located between her legs
33.c. On her lower back along with her head lower than the rest of her frame d. Supine
along with her legs accelerated and bent on the knee - ANSWER-C
34.The Trendelenburg (head down) position displaces the fetus upward to prevent
compression of the prolapsed cord.
