Maternal/Newborn Test 2 NCLEX Questions and Answers 100% pass

Maternal/Newborn Test 2 NCLEX Questions and Answers 100% pass A charge nurse is discussing the potential causes of variable decelerations with a newly licensed nurse. Which of the following should she include in the teaching? (Select all that apply.) A. Short umbilical cord B. Polyhydramnios C. Umbilical cord compression D. Uteroplacental insufficiency E. Nuchal cord - ANS -A, C, E A client at a 6-week postpartum checkup comes in and says, "I'm so sad. I hate taking care of the baby. I am just a terrible mother and I wish it would go away." The LPN's first priority should be to perform: A. an assessment for spiritual support B. a review of her routine blood work that was drawn C. a risk assessment for harm D. a support system assessment - ANS -C. a risk assessment for harm A client is in the transition phase of labor irritably tells the nurse not to touch her. The nurses best action would be to: A. Ask for someone else to support the client B. Tell the client to be cooperative and do as you say C. Remind the client to focus on relaxation and breathing D. Ask the client to push actively with each contraction - ANS -C. Remind the client to focus on relaxation and breathing A client is scheduled for discharge 3 days post-cesarean delivery. The LPN enters to find her crying and with no obvious evidence of a physical problem. The nurse should: A. say, "Can I call your minister for you?" B. say, "You seem upset. Would you like to talk about it?" C. say, "This is just postpartum blues and they will go away in a few days" D. leave her alone and let her collect her emotions - ANS -B. say, "You seem upset. Would you like to talk about it?" A client reports that her contractions started about 1 hr ago and decreased after drinking two glasses of water and walking. She reports that contractions occur every 10 to 15 min and that she hasn't had any fluid leaking or vaginal bleeding. The nurse should recognize that the client is experiencing which of the following? A. Braxton Hicks contractions B. Rupture of membranes C. Fetal descent D. True contractions - ANS -A. Braxton Hicks contractions A client who is breastfeeding has mastitis. Which of the following should the nurse reinforce to the client? A. Use a breast pump until the condition subsides, and stop breastfeeding. B. Nurse the infant only on the unaffected breast until resolved. C. Completely empty each breast at each feeding. D. Wear a breast binder until lactation has ceased. - ANS -C. Completely empty each breast at each feeding. A newly licensed nurse is reviewing a fetal monitor tracing of a client in active labor with the charge nurse. Which of the following should the nurse recognize as being associated with fetal hypoxia? (Select all that apply.) A. Fetal bradycardia B. Fetal tachycardia C. Absence of FHR variability D. Early decelerations E. Variable decelerations - ANS -ABCE A nurse in a provider's office is caring for a client who is breastfeeding and is 4 days postpartum. The client reports breast engorgement. Which of the following recommendations should the nurse make? A. Apply cold cabbage leaves between feedings. B. Place warm compresses right after feedings. C. Apply breast milk to the nipples and allow them to air dry. D. Use the various newborn positions for feedings. - ANS -A. Apply cold cabbage leaves between feedings. A nurse is assisting with the care of a client being induced for labor who is being monitored by an external electronic fetal monitor. The nurse notes that the FHR variability is decreased and resembles a straight line. The client has not received any pain medication. Which of the following should occur first before the nurse can apply an internal scalp electrode? A. Dilation B. Rupture of membranes C. Effacement D. Engagement - ANS -B. Rupture of membranes A nurse is assisting with the care of a client in active labor. Which of the following will Leopold maneuvers assist the nurse in determining? (Select all that apply.) A. Presenting part B. Fetal attitude C. Fetal lie D. Position of the cervix E. Degree of fetal descent into the pelvis - ANS -A, B, C, E A nurse is assisting with the care of a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take? A. Assist the client into the left-lateral position. B. Assist with the application of a fetal scalp electrode. C. Assist with the insertion of an IV catheter. D. Assist the nurse with a vaginal exam. - ANS -A. Assist the client into the left-lateral position. A nurse is assisting with the care of a client who is primipara and active labor who received meperidine (Demerol) 50 mg IV bolus for pain 30 min prior to precipitous delivery. The nurse should know that naloxone (Narcan) is to be administered to the newborn for which of the following? A. Hypoglycemia B. Hyperbilirubinemia C. Respiratory depression D. Maternal substance use disorder - ANS -C. Respiratory depression Naloxone (Narcan) is an opioid antagonist that should be administered to the newborn for respiratory depression. A nurse is assisting with the management of a client who is in active labor. Which of the following findings should the nurse report following epidural placement? A. Blood pressure 89/54 mm Hg B. 2+ pedal edema C. Early decelerations D. Fetal heart rate 160 - ANS -A. Blood pressure 89/54 mm Hg A nurse is caring mother asks him to bring her the newborn. Which of the following is an appropriate nursing intervention to promote father-infant bonding? for a family who has a newborn. The father appears very anxious and nervous when the A. Hand the father the newborn and insist he change the diaper. B. Ask the father why he is so anxious and nervous. C. Tell the father that he will get used to the newborn in time. D. Provide education about newborn care when the father is present. - ANS -D. Provide education about newborn care when the father is present. A nurse is caring for a client in labor who complains of feeling faint. The nurse turns the client onto her side in order to have what effect on contractions? A. Little or no effect B. Increase the frequency C. Increase the intensity D. Stop the contractions - ANS -C. Increase the intensity Also less frequent