Maternal Newborn
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings
should the nurse identify as an indication that the client has hyperemesis gravidarum?
Ketonuria
The nurse should identify that ketonuria is an indication of hyperemesis gravidarum. Ketonuria occurs due to the breakdown of fat
secondary to malnutrition or starvation.
Bradycardia
The nurse should identify that a client who has hyperemesis gravidarum can exhibit tachycardia due to dehydration.
Bradypnea
The nurse should identify that a client who has hyperemesis gravidarum can exhibit tachypnea due to dehydration.
Proteinuria
The nurse should identify that proteinuria is an indication of preeclampsia, rather than hyperemesis gravidarum.
m
er as
2. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and
co
vomiting. Which of the following instructions should the nurse include?
eH w
Eat foods that are served hot.
o.
The nurse should instruct the client that she will better tolerate foods that are served cold or at room temperature.
rs e
Drink 360 mL (12 oz) of fluids during mealtimes
ou urc
The client should avoid drinking liquid with meals because this increases the risk for nausea. The client should alternate consumption
of fluids and foods every 2 to 3 hr throughout the day.
Consume small meals frequently each day.
o
The nurse should instruct the client to eat five to six small meals throughout the day. The client should avoid an empty stomach, as this
aC s
increases nausea.
v i y re
Eat a high-protein snack before getting out of bed.
The nurse should instruct the client to consume a snack high in carbohydrates, such as crackers, before getting out of bed in the
morning to decrease nausea.
ed d
3. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks if he may take
ar stu
the newborn to his daughter's room. Which of the following responses should the nurse make?
"I'll first need to see your photo ID before I can release the baby to you."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
sh is
newborn unit should transport newborns.
Th
"Let me wash my hands and then I'll take your grandson to his mother."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns.
"Please wash your hands first, then I'll allow you to carry the baby to your daughter's room."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns. In addition, transport of the newborn must be in a designated bassinet.
"Have your daughter call the nursery so that the staf can release the baby to you."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns
This study source was downloaded by 100000828872084 from CourseHero.com on 09-07-2021 01:24:06 GMT -05:00
https://www.coursehero.com/file/94390172/Maternal-newborn-practice-Adocx/
, 4. A nurse is reinforcing teaching about interventions to treat breast engorgement with a client who is breastfeeding. Which of
the following instructions should the nurse include in the teaching?
Avoid using a breast pump during times of engorgement.
The nurse should instruct the client to use a breast pump during engorgement to soften the breasts prior to breastfeeding. The client
can also use a breast pump after feedings to empty the breasts completely.
Apply warm compresses to the breasts after feedings.
The nurse should instruct the client to apply cold compresses to the breasts after feedings to decrease discomfort. The client can take a
warm shower immediately before breastfeeding to soften the breasts.
Decrease daily fluid intake.
The nurse should instruct the client to drink enough fluids each day to satisfy her thirst. Decreased fluid intake can decrease milk
production.
Breastfeed the newborn at least every 2 hr.
The nurse should instruct the client to breastfeed the newborn every 2 hr during engorgement. Frequent feedings soften the breasts
and decrease pain.
m
er as
5. A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal
co
bleeding. Which of the following actions should the nurse take first?
eH w
Provide fundal massage for the client.
o.
The nurse should identify that the greatest risk to this client is postpartum hemorrhage. Therefore, the first action the nurse should
rs e
ou urc
take is to provide fundal massage to increase uterine muscle tone and express blood clots from the uterus, which will decrease
bleeding.
Insert an indwelling urinary catheter for the client.
Inserting an indwelling urinary catheter is important to eliminate bladder distention and monitor urinary output. However, this is not
o
aC s
the first action the nurse should take.
Administer methylergonovine IM to the client.
v i y re
Administering methylergonovine to enhance uterine contractions is an action the nurse should take to manage postpartum
hemorrhage. However, this is not the first action the nurse should take.
Administer oxygen via nonrebreather face mask to the client.
ed d
Administering oxygen via nonrebreather face mask is an action the nurse should take to enhance oxygenation to the cells. However,
ar stu
this is not the first action the nurse should take
6. A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor. Which of the following client
sh is
statements indicates an understanding of the teaching?
"This medication might make me dizzy."
Th
Butorphanol tartrate is an opioid medication that can cause dizziness, sedation, and hallucinations.
"This medication might cause me to breathe very fast."
Butorphanol tartrate is an opioid medication that can cause respiratory depression.
"This medication will last for 10 to 12 hours."
Butorphanol tartrate is an opioid medication that has a duration of action of 3 to 4 hr.
"This medication will cause my stools to be loose and watery."
Butorphanol tartrate is an opioid medication that has adverse efects of constipation, nausea, vomiting, confusion, and sedation.
This study source was downloaded by 100000828872084 from CourseHero.com on 09-07-2021 01:24:06 GMT -05:00
https://www.coursehero.com/file/94390172/Maternal-newborn-practice-Adocx/
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings
should the nurse identify as an indication that the client has hyperemesis gravidarum?
Ketonuria
The nurse should identify that ketonuria is an indication of hyperemesis gravidarum. Ketonuria occurs due to the breakdown of fat
secondary to malnutrition or starvation.
Bradycardia
The nurse should identify that a client who has hyperemesis gravidarum can exhibit tachycardia due to dehydration.
Bradypnea
The nurse should identify that a client who has hyperemesis gravidarum can exhibit tachypnea due to dehydration.
Proteinuria
The nurse should identify that proteinuria is an indication of preeclampsia, rather than hyperemesis gravidarum.
m
er as
2. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and
co
vomiting. Which of the following instructions should the nurse include?
eH w
Eat foods that are served hot.
o.
The nurse should instruct the client that she will better tolerate foods that are served cold or at room temperature.
rs e
Drink 360 mL (12 oz) of fluids during mealtimes
ou urc
The client should avoid drinking liquid with meals because this increases the risk for nausea. The client should alternate consumption
of fluids and foods every 2 to 3 hr throughout the day.
Consume small meals frequently each day.
o
The nurse should instruct the client to eat five to six small meals throughout the day. The client should avoid an empty stomach, as this
aC s
increases nausea.
v i y re
Eat a high-protein snack before getting out of bed.
The nurse should instruct the client to consume a snack high in carbohydrates, such as crackers, before getting out of bed in the
morning to decrease nausea.
ed d
3. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks if he may take
ar stu
the newborn to his daughter's room. Which of the following responses should the nurse make?
"I'll first need to see your photo ID before I can release the baby to you."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
sh is
newborn unit should transport newborns.
Th
"Let me wash my hands and then I'll take your grandson to his mother."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns.
"Please wash your hands first, then I'll allow you to carry the baby to your daughter's room."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns. In addition, transport of the newborn must be in a designated bassinet.
"Have your daughter call the nursery so that the staf can release the baby to you."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns
This study source was downloaded by 100000828872084 from CourseHero.com on 09-07-2021 01:24:06 GMT -05:00
https://www.coursehero.com/file/94390172/Maternal-newborn-practice-Adocx/
, 4. A nurse is reinforcing teaching about interventions to treat breast engorgement with a client who is breastfeeding. Which of
the following instructions should the nurse include in the teaching?
Avoid using a breast pump during times of engorgement.
The nurse should instruct the client to use a breast pump during engorgement to soften the breasts prior to breastfeeding. The client
can also use a breast pump after feedings to empty the breasts completely.
Apply warm compresses to the breasts after feedings.
The nurse should instruct the client to apply cold compresses to the breasts after feedings to decrease discomfort. The client can take a
warm shower immediately before breastfeeding to soften the breasts.
Decrease daily fluid intake.
The nurse should instruct the client to drink enough fluids each day to satisfy her thirst. Decreased fluid intake can decrease milk
production.
Breastfeed the newborn at least every 2 hr.
The nurse should instruct the client to breastfeed the newborn every 2 hr during engorgement. Frequent feedings soften the breasts
and decrease pain.
m
er as
5. A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal
co
bleeding. Which of the following actions should the nurse take first?
eH w
Provide fundal massage for the client.
o.
The nurse should identify that the greatest risk to this client is postpartum hemorrhage. Therefore, the first action the nurse should
rs e
ou urc
take is to provide fundal massage to increase uterine muscle tone and express blood clots from the uterus, which will decrease
bleeding.
Insert an indwelling urinary catheter for the client.
Inserting an indwelling urinary catheter is important to eliminate bladder distention and monitor urinary output. However, this is not
o
aC s
the first action the nurse should take.
Administer methylergonovine IM to the client.
v i y re
Administering methylergonovine to enhance uterine contractions is an action the nurse should take to manage postpartum
hemorrhage. However, this is not the first action the nurse should take.
Administer oxygen via nonrebreather face mask to the client.
ed d
Administering oxygen via nonrebreather face mask is an action the nurse should take to enhance oxygenation to the cells. However,
ar stu
this is not the first action the nurse should take
6. A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor. Which of the following client
sh is
statements indicates an understanding of the teaching?
"This medication might make me dizzy."
Th
Butorphanol tartrate is an opioid medication that can cause dizziness, sedation, and hallucinations.
"This medication might cause me to breathe very fast."
Butorphanol tartrate is an opioid medication that can cause respiratory depression.
"This medication will last for 10 to 12 hours."
Butorphanol tartrate is an opioid medication that has a duration of action of 3 to 4 hr.
"This medication will cause my stools to be loose and watery."
Butorphanol tartrate is an opioid medication that has adverse efects of constipation, nausea, vomiting, confusion, and sedation.
This study source was downloaded by 100000828872084 from CourseHero.com on 09-07-2021 01:24:06 GMT -05:00
https://www.coursehero.com/file/94390172/Maternal-newborn-practice-Adocx/
