MATERNAL NEWBORN - PRACTICE QUESTIONS AND ANSWERS 2022/2023 (DRAFT)

MATERNAL NEWBORN - PRACTICE QUESTIONS AND ANSWERS 2022/2023 (DRAFT) A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take? - ANS-*check for blood under the client's buttocks* The nurse should check for blood under the client's buttock to evaluate the amount of lochia flow and to check for pooling of blood that would otherwise be missed. A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times? - ANS-*prior to discharge from the hospital AFTER giving birth* The nurse should recommend the client receive the MMR vaccine following delivery, so she is protected from contracting rubella then and during any subsequent pregnancies. A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client? - ANS-*a large amount of bright red vaginal bleeding without pain* With placenta previa, the placenta implants in the lower part of the uterus, partly or completely obstructing the cervical os, or outlet to the vagina. Clients who have placenta previa have sudden, painless vaginal bleeding, typically in the third trimester. A nurse is teaching a new mother about signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching? - ANS- *your baby can lose 5% of body weight during the first few days of life* The nurse should instruct the mother that the baby can have a weight loss between 5% and 10% of their birth weight during the first 3 days of life. Breastfed infants usually regain birth weight by their second or third week of life. A nurse in a provider's office is reinforcing teaching about home care with a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? - ANS-*perform daily fetal movements/kick counts* The client should count the number of fetal movements felt in one hour, preferably after a meal. Fetal movements are a reassuring sign of fetal oxygenation. The client should... CONTINUES...