INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. The parents of a newborn girl express concern about the infants vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause? a. Premature stimulation of the ovarian hormones by the pituitary system b. Cessation of female sex hormones transferred in utero from mother to infant c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma to the genitalia during the birth process ANS: B Blood-tinged muc...

MULTIPLE CHOICE 1. The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level? a. It prevent osteoporosis. b. It decreases vaginal lubrication. c. It raises the level of low-density lipoproteins. d. It raises the level of high-density lipoproteins. ANS: C Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion. With lowered levels of estrogen, low-densi...

MULTIPLE CHOICE 1. The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anaesthesia? a. Restrict oral fluids. b. Keep legs flexed. c. Walk with assistance as soon as possible. d. Lie flat for several hours. ANS: D The woman would be advised to remain flat for several hours after the block to decrease the chance of post spinal headache...

MULTIPLE CHOICE 1. A new mother states her preference to formula feed her newborn. What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort? a. Wear a well-fitting bra continuously for several days. b. Stand in a warm shower, letting the water spray over the breasts. c. Express small amounts of milk from the breasts several times a day. d. Massage the breasts when they ache. ANS: A When a mother does not wish to breastfeed, a snug b...

MULTIPLE CHOICE 1. Which statement indicates a woman understands activity limitations for the management of preterm labor? a. After my shower in the morning, I do the laundry and straighten up the house; then I rest. b. I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day. c. I have a 2-year-old to care for, but I try to rest as much as I can. d. I get really bored at home, so I go to the shopping mall for just a little while. ANS: B ...

MULTIPLE CHOICE 1. The patient remarks that she has heard some foods will enhance brain development of the fetus. The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development. What food can the nurse recommend? a. Fried fish b. Olive oil c. Red meat d. Leafy green vegetables ANS: C Foods rich in DHA are red meat, flounder, halibut, and soybean and canola oil. Frying fish negatively alters the DHA. DIF: Cognitive Level: Application REF...

MULTIPLE CHOICE 1. The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate? a. A well-oxygenated fetus b. Compression of the umbilical cord c. Compression of the fetal head d. Uteroplacental insufficiency ANS: A Accelerations in the fetal heart rate suggest that the fetus is well oxygenated. DIF: Cognitive Level: Analysis REF: Page 141 TOP: Fetal Accelerations KEY: Nursing Pro...

MULTIPLE CHOICE 1. What will the nurse begin with when asking a patient about drug use during a prenatal history? a. Do you smoke, drink alcohol, or use drugs? b. Do you ever use prescription or street drugs? c. What over-the-counter and prescription drugs have you taken in the past 3 months? d. We need to know if you take drugs so we can help your baby. ANS: C Screening for drug use should begin in a nonthreatening way by asking about prescription and OTC medications and how the in...

MULTIPLE CHOICE 1. How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications? a. 24 b. 48 c. 36 d. 72 ANS: B Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have had a cesarean delivery usually stay 4 days. DIF: Cognitive Level: Knowledge REF: Page 6 TOP: Hospital Terms for Postpartum Patients KEY: Nursing Process Step: Planning MSC: NCLE...

MULTIPLE CHOICE 1. A woman who is 25 weeks pregnant asks the nurse what her fetus looks like. What does the nurse explain is one physical characteristic present in a 25-week-old fetus? a. Lanugo covering the body b. Constant motion c. Skin that is pink and smooth d. Eyes that are closed ANS: A By 25 weeks, the body of the fetus is covered with lanugo, the eyes are open, the skin is wrinkled, and the fetus has definite periods of movement and sleeping. DIF: Cognitive Level: Compr...