Maternal Newborn Health Promotion and Maintenance Quiz DUE 24 OCTOBER 2023

Maternal Newborn Health Promotion and Maintenance Quiz DUE 24 OCTOBER 2023 1. A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: a. "The circumcision will heal completely within a couple of weeks." b. "I should not remove the yellow exudate on the end of the penis." c. "I can give him a tub bath in two days." d. "I will clean his penis with each diaper change." - CORRECT ANSWER-Answer: C. The newborn should not be immersed in water until the circumcision has healed and the umbilical cord has detached. The circumcision should heal within two weeks. 2. A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching? Select one: a. "My partner should leave an empty space at the tip." b. "I can use spermicidal gels or creams to increase effectiveness." c. "My partner will put the condom on while his penis is erect." d. "I will remove the condom 30 minutes after intercourse." - CORRECT ANSWERAnswer: D. To avoid any semen spillage onto the vulva or the vaginal area, the condom must be removed the same time as the penis. To do that the condom rim should be held in place while the penis is withdrawn from the vagina. 3. A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor? Select one: a. "Have you noticed any bloody show or fluid coming from your vagina?" b. "Have you felt fetal movement over the last 24 hours?" c. "What happens to your contractions when you move about?" d. "When did your contractions begin?" - CORRECT ANSWER-Answer: A. Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture of membranes. False labor is characterized by painless, irregular, and intermittent contractions that decrease in frequency, duration, and intensity with walking or position changes. Contractions are felt in the lower back or above the umbilicus and often stop with comfort measures (like oral hydration). There is usually no vaginal discharge with false labor. 4. The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the test. Which of the following is the correct response? Select one: a. The purpose of the NST is to determine fetal breathing. b. The purpose of the NST is to assess the fetal CNS. c. The purpose of the NST is to determine fetal lie. d. The purpose of the NST helps to determine gestational age. - CORRECT ANSWERAnswer: B. This is the primary purpose of a NST. The test monitors the response of the FHR to fetal movement. This allows the nurse to assess the FHR in relationship to the fetal movement 5. A client in the early postpartum period is talkative and enjoys recounting the details of her labor and birth. The nurse recognizes that the behaviors must likely indicate which of the following? Select one: a. The taking-hold phase of maternal psychosocial adaptation. b. Postpartum role transition. c. The taking-in phase of maternal postpartum adjustment. d. Positive mother-infant bonding. - CORRECT ANSWER-Answer: C. The taking-in phase begins immediately following birth and lasts a few hours to a couple of days. It is characterized by the mother being excited and talkative, reliving her birthing experience, and focusing on her own needs and the overall health of her newborn. 6. A nurse is positioning a client on the operating room table in preparation for a cesarean birth. Which of the following is the correct position? Select one: a. Modified Trendelenburg position with a foam wedge under the legs. b. Lithotomy position with a foam wedge behind the shoulders. c. Supine position with foam wedge positioned under one hip. d. Left lateral position with a foam wedge between the legs. - CORRECT ANSWERAnswer: C. The supine position is appropriate for abdominal surgery (cesarean birth), and a wedge under one hip laterally tilts the client and reduces uterine weight on the vena cava and descending aorta. This helps maintain optimal perfusion of oxygenated blood to the fetus during the procedure. 7. A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates clinical manifestations of the condition. Which assessment finding is associate with this condition? Select one: a. Negative Startle reflex b. Hypothermia c. Increased drowiness d. Diminished tendon reflexes - CORRECT ANSWER-Answer: B. Thermal regulation issues are noted with this condition, such as hypothermia or hyperthermia. 8. Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a weak, high pitched cry. Which of the following would be the nurse's priority action? Select one: a. Hold and comfort the infant to stop the crying. b. Obtain an order for a drug screening blood test. c. Feed the infant oral feeding. d. Perform a heel stick to check serum glucose. - CORRECT ANSWER-Answer: D. The priority action is to confirm the serum glucose before proceeding. A blood glucose level less than 40-45 mg/dL by heel stick is an urgent situation requiring therapy with glucose - generally orally. 9. A nurse is assessing a client during her first prenatal visit. The client reports that her last normal period began on April 22. Use Nagele's rule to calculate this client's expected date of birth (EDB). Use the MMDD format to enter exactly four numerals, with no spaces or punctuation between the numbers. Select one: a. 0722 b. 0122 c. 0129 d. 0729 - CORRECT ANSWER-Answer: C. To use Nagele's rule subtract 3 months and add 7 days to the first day of the client's last normal menstrual period. 10. A nurse is performing a fundal assessment on the client's second postpartum day. Which of the following should the nurse expect if the client is experiencing normal involution? Select one: a. The fundus will be one centimeter below the umbilicus. b. The fundus will be one centimeter above the umbilicus. c. The fundus will be at the level of the umbilicus. d. The fundus will be two centimeters below the umbilicus. - CORRECT ANSWERAnswer: A. The fundus descends 1-2 cms per day, so from the highest point of 1 cm above the umbilicus at 12 hours, it should be 0 to 1 cms below the umbilicus on day two