Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 4 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice rather
than the food on her breakfast tray. The client states that she has a craving for ice and then feels too
full to eat anything else. Which is the best response by the nurse?
A.Remove all ice from the client's room.
B.Ask the client what foods she might consider eating.
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
C.Remind the client that what she eats affects her baby.
D.Notify the health care provider. –
Correct Answer :D.Notify the health care provider.
Rationale:
The health care provider should be notified when a client practices pica (craving for and consumption
of nonfood substances). The practice of pica may displace more nutritious foods from the diet, and
the client should be evaluated for anemia. Option A is overreacting and may be perceived as
punishment by the client. Option B allows the dietary department to customize the client's tray but
fails to address physiologic problems associated with not consuming nutritious foods in pregnancy.
Option C is judgmental and blocks further communication.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for
administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type
of disease causes infections in babies that can be prevented by using this ointment?" Which response
by the nurse is accurate?
A.Herpes
B.Trichomonas
P a g e 2 | 120
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
C.Gonorrhea
D.Syphilis –
Correct Answer :C.Gonorrhea
Rationale:
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after birth to
prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an
infection caused by Chlamydia. The infant may be exposed to these bacteria when passing through
the birth canal. Ophthalmic ointment is not effective against option A, B, or D.
Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications –
Correct Answer :a. Lying prone with a pillow on the abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas, who commonly
experience afterpains due to lack of uterine tone.
P a g e 3 | 120
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
A multigravida client arrives at the labor and delivery unit and tells the nurse that her bag of water has
broken. The nurse identifies the presence of meconium fluid on the perineum and determines the fetal
heart rate is between 140 to 150 beats/minute. What action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment –
Correct Answer :a. Complete a sterile vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes to determine the presence
of a prolapsed cord.
When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the
nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant –
Correct Answer :a. Mood swings
c. Tearfulness
P a g e 4 | 120
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 4 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice rather
than the food on her breakfast tray. The client states that she has a craving for ice and then feels too
full to eat anything else. Which is the best response by the nurse?
A.Remove all ice from the client's room.
B.Ask the client what foods she might consider eating.
P a g e 1 | 120
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
C.Remind the client that what she eats affects her baby.
D.Notify the health care provider. –
Correct Answer :D.Notify the health care provider.
Rationale:
The health care provider should be notified when a client practices pica (craving for and consumption
of nonfood substances). The practice of pica may displace more nutritious foods from the diet, and
the client should be evaluated for anemia. Option A is overreacting and may be perceived as
punishment by the client. Option B allows the dietary department to customize the client's tray but
fails to address physiologic problems associated with not consuming nutritious foods in pregnancy.
Option C is judgmental and blocks further communication.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for
administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type
of disease causes infections in babies that can be prevented by using this ointment?" Which response
by the nurse is accurate?
A.Herpes
B.Trichomonas
P a g e 2 | 120
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
C.Gonorrhea
D.Syphilis –
Correct Answer :C.Gonorrhea
Rationale:
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after birth to
prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an
infection caused by Chlamydia. The infant may be exposed to these bacteria when passing through
the birth canal. Ophthalmic ointment is not effective against option A, B, or D.
Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications –
Correct Answer :a. Lying prone with a pillow on the abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas, who commonly
experience afterpains due to lack of uterine tone.
P a g e 3 | 120
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
A multigravida client arrives at the labor and delivery unit and tells the nurse that her bag of water has
broken. The nurse identifies the presence of meconium fluid on the perineum and determines the fetal
heart rate is between 140 to 150 beats/minute. What action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment –
Correct Answer :a. Complete a sterile vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes to determine the presence
of a prolapsed cord.
When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the
nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant –
Correct Answer :a. Mood swings
c. Tearfulness
P a g e 4 | 120
