MOTHER BABY FINAL EXAM QUESTIONS AND
ANSWERS
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia
purport (ITP). Which of the following findings should the nurse expect?
Decreased platelet count
Increased erythrocyte sedimentation rate (ESR)
Decreased megakaryocytes
Increased WBC - Answers - Decreased platelet count
A client who has ITP has an autoimmune response that results in a decreased platelet
count.
A nurse is assessing a newborn for manifestations of hypoglycemia which of the
following findings should the nurse expect - Answers - Jitteriness
Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea,
abnormal cry, poor feeding, and seizures are expected findings of hypoglycemia.
Newborns who are small or large for gestational age and late preterm newborns are at
an increased risk for hypoglycemia.
A nurse in a women's health clinic is providing teaching about nutritional intake to a
client who is it eight weeks of gestation the nurse should instruct the client to increase
her daily intake of which of the following nutrients.
Calcium
Vitamin E
Iron
Vitamin D - Answers - Iron
The recommendation for iron intake during pregnancy is higher than that for women
who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who
are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day
for women between the ages of 19 and 50 years old.
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as
that for women who are not pregnant.
True
False - Answers - True
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as
that for women who are not pregnant.
,True
False - Answers - True
The recommendation for calcium intake during pregnancy is the same as that for
women who are not pregnant: 1,300 mg/day for women younger than 19 years old and
1,000 mg/day for women between the ages of 19 and 50 years old.
True
False - Answers - True
A nurse is teaching a new mother about newborn safety. Which of the following
instructions should the nurse include in the teaching?
"You can share your room with your baby for the next few weeks."
"Cover your baby with a light blanket while sleeping."
"Check the temperature of your baby's bath water with your hand."
"Your baby can nap in the car seat during the daytime." - Answers - "You can share your
room with your baby for the next few weeks."
Room-sharing is recommended during the first few weeks. This allows the parents to be
readily available to the newborn and learn the newborn's cues. However, the nurse
should instruct the parents to avoid placing the newborn in their bed as it increases the
risk for sudden infant death syndrome.
A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse
include in the teaching?
"You should replace the diaphragm every 5 years."
"You should leave the diaphragm in place for at least 6 hours after intercourse.
""You should use an oil-based product as a lubricant when inserting the diaphragm."
"You should insert the diaphragm when your bladder is full." - Answers - "You should
leave the diaphragm in place for at least 6 hours after intercourse.
The client should keep the diaphragm in place for at least 6 hr after intercourse to
provide protection against pregnancy.
A nurse is reviewing the medical record of a client who is postpartum and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
Hct 39%
Serum albumin 4.5 g/dL
WBC 9,000/mm3
Platelets 50,000/mm3 - Answers - Platelets 50,000/mm3
, A platelet count of 50,000/mm3 is below the expected reference range, which can
indicate disseminated intravascular coagulation. The nurse should report this result to
the provider.
A nurse is providing dietary teaching to a client who has hyper emesis gravidarum which
of the following statements by the client indicates understanding of the teaching?
"I will eat foods that taste good instead of balancing my meals."
"I will avoid having a snack before I go to bed each night."
"I will have a cup of hot tea with each meal."
"I will eliminate products that contain dairy from my diet." - Answers - "I will eat foods
that taste good instead of balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like in order to avoid
nausea, rather than trying to consume a well-balanced diet.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The
client states that she is, "happy one minute and crying the next." The nurse should
interpret the client's statement as an indication of which of the following?
Emotional lability
Focusing phase
Cognitive restructuring
Couvade syndrome - Answers - Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many women experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes
that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
A nurse is caring for a client who is in labor and reports increasing rectal pressure she's
experiencing contractions 2 to 3 minutes apart each lasting 80 to 90 seconds in a
vaginal examination reveals in her cervix is dilated to 9 cm the nurse should identify that
the client is in which of the following phases of labor?
Passive descent
Active
Early
Descent - Answers - Active
The nurse should identify that the client is in the active phase of labor. This phase is
characterized by a cervical dilatation of 6 to 10 cm and contractions every 1.5 to 5 min,
each lasting 40 to 90 seconds.
ANSWERS
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia
purport (ITP). Which of the following findings should the nurse expect?
Decreased platelet count
Increased erythrocyte sedimentation rate (ESR)
Decreased megakaryocytes
Increased WBC - Answers - Decreased platelet count
A client who has ITP has an autoimmune response that results in a decreased platelet
count.
A nurse is assessing a newborn for manifestations of hypoglycemia which of the
following findings should the nurse expect - Answers - Jitteriness
Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea,
abnormal cry, poor feeding, and seizures are expected findings of hypoglycemia.
Newborns who are small or large for gestational age and late preterm newborns are at
an increased risk for hypoglycemia.
A nurse in a women's health clinic is providing teaching about nutritional intake to a
client who is it eight weeks of gestation the nurse should instruct the client to increase
her daily intake of which of the following nutrients.
Calcium
Vitamin E
Iron
Vitamin D - Answers - Iron
The recommendation for iron intake during pregnancy is higher than that for women
who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who
are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day
for women between the ages of 19 and 50 years old.
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as
that for women who are not pregnant.
True
False - Answers - True
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as
that for women who are not pregnant.
,True
False - Answers - True
The recommendation for calcium intake during pregnancy is the same as that for
women who are not pregnant: 1,300 mg/day for women younger than 19 years old and
1,000 mg/day for women between the ages of 19 and 50 years old.
True
False - Answers - True
A nurse is teaching a new mother about newborn safety. Which of the following
instructions should the nurse include in the teaching?
"You can share your room with your baby for the next few weeks."
"Cover your baby with a light blanket while sleeping."
"Check the temperature of your baby's bath water with your hand."
"Your baby can nap in the car seat during the daytime." - Answers - "You can share your
room with your baby for the next few weeks."
Room-sharing is recommended during the first few weeks. This allows the parents to be
readily available to the newborn and learn the newborn's cues. However, the nurse
should instruct the parents to avoid placing the newborn in their bed as it increases the
risk for sudden infant death syndrome.
A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse
include in the teaching?
"You should replace the diaphragm every 5 years."
"You should leave the diaphragm in place for at least 6 hours after intercourse.
""You should use an oil-based product as a lubricant when inserting the diaphragm."
"You should insert the diaphragm when your bladder is full." - Answers - "You should
leave the diaphragm in place for at least 6 hours after intercourse.
The client should keep the diaphragm in place for at least 6 hr after intercourse to
provide protection against pregnancy.
A nurse is reviewing the medical record of a client who is postpartum and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
Hct 39%
Serum albumin 4.5 g/dL
WBC 9,000/mm3
Platelets 50,000/mm3 - Answers - Platelets 50,000/mm3
, A platelet count of 50,000/mm3 is below the expected reference range, which can
indicate disseminated intravascular coagulation. The nurse should report this result to
the provider.
A nurse is providing dietary teaching to a client who has hyper emesis gravidarum which
of the following statements by the client indicates understanding of the teaching?
"I will eat foods that taste good instead of balancing my meals."
"I will avoid having a snack before I go to bed each night."
"I will have a cup of hot tea with each meal."
"I will eliminate products that contain dairy from my diet." - Answers - "I will eat foods
that taste good instead of balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like in order to avoid
nausea, rather than trying to consume a well-balanced diet.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The
client states that she is, "happy one minute and crying the next." The nurse should
interpret the client's statement as an indication of which of the following?
Emotional lability
Focusing phase
Cognitive restructuring
Couvade syndrome - Answers - Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many women experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes
that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
A nurse is caring for a client who is in labor and reports increasing rectal pressure she's
experiencing contractions 2 to 3 minutes apart each lasting 80 to 90 seconds in a
vaginal examination reveals in her cervix is dilated to 9 cm the nurse should identify that
the client is in which of the following phases of labor?
Passive descent
Active
Early
Descent - Answers - Active
The nurse should identify that the client is in the active phase of labor. This phase is
characterized by a cervical dilatation of 6 to 10 cm and contractions every 1.5 to 5 min,
each lasting 40 to 90 seconds.
