NURS 306: OB WK 1 Practice Questions |\ |\ |\ |\ |\ |\ |\
with answers |\
A nurse is teaching about preventing engorgement to a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who is planning to use a formula to feed her newborn. Which of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the following instruction should the nurse include?
|\ |\ |\ |\ |\ |\
A) Apply ice packs to your breasts
|\ |\ |\ |\ |\ |\
B) Hand express milk from your breasts 3 times each day
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C) Try to avoid wearing a bra as much as possible throughout the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
day
|\
D) Request a prescription for medication to suppress lactation.
|\ |\ |\ |\ |\ |\ |\ |\
A) Apply ice packs to your breasts
|\ |\ |\ |\ |\ |\
Explanation: Applying ice packs to the breasts can assist in |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reducing the discomforts of engoregment. |\ |\ |\ |\
A nurse is teaching the guardian of a newborn about caring for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the newborn's umbilical cord. For which of the following reasons
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse instruct the guardian to avoid using
|\ |\ |\ |\ |\ |\ |\ |\ |\
antimicrobial agents on the cord? |\ |\ |\ |\
A) They can cause increased pain from the cord
|\ |\ |\ |\ |\ |\ |\ |\
B) They can cause delayed cord separation
|\ |\ |\ |\ |\ |\
C) They can cause swelling of the surrounding tissue
|\ |\ |\ |\ |\ |\ |\ |\
,D) They can cause skin discoloration
|\ |\ |\ |\ |\
B) They can cause delayed cord separation.
|\ |\ |\ |\ |\ |\
Explanation: There is no evidence that antimicrobial preparations
|\ |\ |\ |\ |\ |\ |\ |\
are of any benefit in the process of drying and detachment of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
umbilical cord stump. Keeping the cord moist with any kind of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
preparation prevents drying and separation of the cord, as well
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as increases the risk for infection.
|\ |\ |\ |\ |\
A nurse is caring for 4 newborns. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborns is at the greatest risk of hypoglycemia?
|\ |\ |\ |\ |\ |\ |\
A) A newborn who is large for gestational age
|\ |\ |\ |\ |\ |\ |\ |\
B) A newborn who has an Rh incompatibility
|\ |\ |\ |\ |\ |\ |\
C) A newborn who has pathologic jaundice
|\ |\ |\ |\ |\ |\
D) A newborn who has fetal alcohol syndrome
|\ |\ |\ |\ |\ |\ |\
A) a newborn who is large for gestational age
|\ |\ |\ |\ |\ |\ |\ |\
Explanation: Large for gestational age (LGA) newborns have a |\ |\ |\ |\ |\ |\ |\ |\ |\
weight at or above the 90th percentile. One of the most common
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
etiologies of LGA newborns is a mother who is diabetic. LGA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborns, especially those born to mothers who have diabetes,
|\ |\ |\ |\ |\ |\ |\ |\ |\
are at an increased risk of hypoglycemia.
|\ |\ |\ |\ |\ |\
, A nurse enters a postpartum client's room and notices many
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
visitors in the room, conversing loudly and taking turns holding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the newborn. The newborn intermittently cries attempts to suck
|\ |\ |\ |\ |\ |\ |\ |\ |\
on her hands. After a few minutes, the newborn quiets, stares,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and turns her head away when someone talks to her. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
teaching should the nurse provide for this family? |\ |\ |\ |\ |\ |\ |\
A) The newborn would benefit from skin-to-skin contact in a quiet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
environment
|\
B) The newborn's blanket should be removed so her movements
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
will not be restricted
|\ |\ |\
C) The newborn's hat should be removed to avoid overheating
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) The newborn should be discouraged from sucking on her hand
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
since this habit can interfere with feeding.
|\ |\ |\ |\ |\ |\ |\
A) The newborn would benefit from skin-to-skin contact in a quiet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
environment.
|\
Explanation:
Staring and gaze eversion indicate the newborn is overstimulated
|\ |\ |\ |\ |\ |\ |\ |\
and is "switching off" in an attempt to cope with excess stimuli.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
When this is observed, stimulation should be decreased and
|\ |\ |\ |\ |\ |\ |\ |\ |\
supportive measures such as skin-to-skin contact should be |\ |\ |\ |\ |\ |\ |\ |\
increased
A nurse is teaching about mastitis to a client who is postpartum
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and breastfeeding her newborn. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\
statements by the client indicates an understanding of the |\ |\ |\ |\ |\ |\ |\ |\ |\
teaching?
with answers |\
A nurse is teaching about preventing engorgement to a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who is planning to use a formula to feed her newborn. Which of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the following instruction should the nurse include?
|\ |\ |\ |\ |\ |\
A) Apply ice packs to your breasts
|\ |\ |\ |\ |\ |\
B) Hand express milk from your breasts 3 times each day
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C) Try to avoid wearing a bra as much as possible throughout the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
day
|\
D) Request a prescription for medication to suppress lactation.
|\ |\ |\ |\ |\ |\ |\ |\
A) Apply ice packs to your breasts
|\ |\ |\ |\ |\ |\
Explanation: Applying ice packs to the breasts can assist in |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reducing the discomforts of engoregment. |\ |\ |\ |\
A nurse is teaching the guardian of a newborn about caring for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the newborn's umbilical cord. For which of the following reasons
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse instruct the guardian to avoid using
|\ |\ |\ |\ |\ |\ |\ |\ |\
antimicrobial agents on the cord? |\ |\ |\ |\
A) They can cause increased pain from the cord
|\ |\ |\ |\ |\ |\ |\ |\
B) They can cause delayed cord separation
|\ |\ |\ |\ |\ |\
C) They can cause swelling of the surrounding tissue
|\ |\ |\ |\ |\ |\ |\ |\
,D) They can cause skin discoloration
|\ |\ |\ |\ |\
B) They can cause delayed cord separation.
|\ |\ |\ |\ |\ |\
Explanation: There is no evidence that antimicrobial preparations
|\ |\ |\ |\ |\ |\ |\ |\
are of any benefit in the process of drying and detachment of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
umbilical cord stump. Keeping the cord moist with any kind of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
preparation prevents drying and separation of the cord, as well
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as increases the risk for infection.
|\ |\ |\ |\ |\
A nurse is caring for 4 newborns. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborns is at the greatest risk of hypoglycemia?
|\ |\ |\ |\ |\ |\ |\
A) A newborn who is large for gestational age
|\ |\ |\ |\ |\ |\ |\ |\
B) A newborn who has an Rh incompatibility
|\ |\ |\ |\ |\ |\ |\
C) A newborn who has pathologic jaundice
|\ |\ |\ |\ |\ |\
D) A newborn who has fetal alcohol syndrome
|\ |\ |\ |\ |\ |\ |\
A) a newborn who is large for gestational age
|\ |\ |\ |\ |\ |\ |\ |\
Explanation: Large for gestational age (LGA) newborns have a |\ |\ |\ |\ |\ |\ |\ |\ |\
weight at or above the 90th percentile. One of the most common
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
etiologies of LGA newborns is a mother who is diabetic. LGA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborns, especially those born to mothers who have diabetes,
|\ |\ |\ |\ |\ |\ |\ |\ |\
are at an increased risk of hypoglycemia.
|\ |\ |\ |\ |\ |\
, A nurse enters a postpartum client's room and notices many
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
visitors in the room, conversing loudly and taking turns holding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the newborn. The newborn intermittently cries attempts to suck
|\ |\ |\ |\ |\ |\ |\ |\ |\
on her hands. After a few minutes, the newborn quiets, stares,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and turns her head away when someone talks to her. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
teaching should the nurse provide for this family? |\ |\ |\ |\ |\ |\ |\
A) The newborn would benefit from skin-to-skin contact in a quiet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
environment
|\
B) The newborn's blanket should be removed so her movements
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
will not be restricted
|\ |\ |\
C) The newborn's hat should be removed to avoid overheating
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) The newborn should be discouraged from sucking on her hand
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
since this habit can interfere with feeding.
|\ |\ |\ |\ |\ |\ |\
A) The newborn would benefit from skin-to-skin contact in a quiet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
environment.
|\
Explanation:
Staring and gaze eversion indicate the newborn is overstimulated
|\ |\ |\ |\ |\ |\ |\ |\
and is "switching off" in an attempt to cope with excess stimuli.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
When this is observed, stimulation should be decreased and
|\ |\ |\ |\ |\ |\ |\ |\ |\
supportive measures such as skin-to-skin contact should be |\ |\ |\ |\ |\ |\ |\ |\
increased
A nurse is teaching about mastitis to a client who is postpartum
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and breastfeeding her newborn. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\
statements by the client indicates an understanding of the |\ |\ |\ |\ |\ |\ |\ |\ |\
teaching?
