ESSENTIALS OF MATERNITY NEWBORN AND
WOMENS HEALTH ACTUAL TEST PAPER FULL
QUESTIONS AND CORRECT ANSWERS
◉ Prior to discharge, what instructions should the nurse give to
parents regarding the newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath.
Answer: C.Allow the cord to air-dry as much as possible.
Rationale:Recent studies have indicated that air drying or plain
water application may be equal to or more effective than alcohol in
the cord healing process. Options A, B, and D are incorrect because
they promote moisture and increase the potential for infection.
,◉ A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the
teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4
hours.
B.Wash off the yellow exudate on the glans once every day to
prevent infection.
C.Place petroleum ointment around the glans with each diaper
change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5
minutes if bleeding occurs..
Answer: C.Place petroleum ointment around the glans with each
diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with
warm water to remove any urine or feces, and petroleum ointment
should be applied to prevent the diaper from sticking to the healing
surface. Prepackaged wipes often contain other products that may
irritate the site. The yellow exudate, which covers the glans penis as
the area heals and epithelializes, is not an infective process and
,should not be removed. If bleeding occurs at home, the client should
be instructed to apply gentle pressure to the site of the bleeding
with sterile gauze squares and call the health care provider.
◉ A 26-year-old gravida 2, para 1, client is admitted to the hospital
at 28 weeks of gestation in preterm labor. She is given three doses of
terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her
labor contractions. What are the primary side effects of terbutaline
sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth.
Answer: C.Tachycardia and a feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic
drug, stimulates beta-adrenergic receptors in the uterine muscle to
stop contractions. The beta-adrenergic agonist properties of the
drug may cause tachycardia, increased cardiac output, restlessness,
headache, and a feeling of nervousness. Option A is not a side effect.
Options B and D are side effects of magnesium sulfate.
, ◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective in preventing
nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing..
Answer: C.Ensure that the baby is positioned correctly for latching
on.
Rationale: The most common cause of nipple soreness is incorrect
positioning of the infant on the breast for latching on. The baby's
body is in alignment with the ears, shoulders, and hips in a straight
line, with the nose, cheeks, and chin touching the breast. Option A
helps prevent chafing, and nonbinding support aids in prevention of
discomfort from the stretching of the Cooper ligament. Option B is
important but is not necessary for all women. Option D helps soften
an engorged breast and encourages correct infant latching on but is
not the best answer.
WOMENS HEALTH ACTUAL TEST PAPER FULL
QUESTIONS AND CORRECT ANSWERS
◉ Prior to discharge, what instructions should the nurse give to
parents regarding the newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath.
Answer: C.Allow the cord to air-dry as much as possible.
Rationale:Recent studies have indicated that air drying or plain
water application may be equal to or more effective than alcohol in
the cord healing process. Options A, B, and D are incorrect because
they promote moisture and increase the potential for infection.
,◉ A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the
teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4
hours.
B.Wash off the yellow exudate on the glans once every day to
prevent infection.
C.Place petroleum ointment around the glans with each diaper
change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5
minutes if bleeding occurs..
Answer: C.Place petroleum ointment around the glans with each
diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with
warm water to remove any urine or feces, and petroleum ointment
should be applied to prevent the diaper from sticking to the healing
surface. Prepackaged wipes often contain other products that may
irritate the site. The yellow exudate, which covers the glans penis as
the area heals and epithelializes, is not an infective process and
,should not be removed. If bleeding occurs at home, the client should
be instructed to apply gentle pressure to the site of the bleeding
with sterile gauze squares and call the health care provider.
◉ A 26-year-old gravida 2, para 1, client is admitted to the hospital
at 28 weeks of gestation in preterm labor. She is given three doses of
terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her
labor contractions. What are the primary side effects of terbutaline
sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth.
Answer: C.Tachycardia and a feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic
drug, stimulates beta-adrenergic receptors in the uterine muscle to
stop contractions. The beta-adrenergic agonist properties of the
drug may cause tachycardia, increased cardiac output, restlessness,
headache, and a feeling of nervousness. Option A is not a side effect.
Options B and D are side effects of magnesium sulfate.
, ◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective in preventing
nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing..
Answer: C.Ensure that the baby is positioned correctly for latching
on.
Rationale: The most common cause of nipple soreness is incorrect
positioning of the infant on the breast for latching on. The baby's
body is in alignment with the ears, shoulders, and hips in a straight
line, with the nose, cheeks, and chin touching the breast. Option A
helps prevent chafing, and nonbinding support aids in prevention of
discomfort from the stretching of the Cooper ligament. Option B is
important but is not necessary for all women. Option D helps soften
an engorged breast and encourages correct infant latching on but is
not the best answer.
