Free Maternity Nursing (OB Maternal & Newborn) Questions and Answers — Questions and Answers
Question 1: A postpartum patient had ruptured membranes for 24 hours and spent 30 hours in labor. The nurse would be on the lookout for which of the following?
- Endometriosis
- Salpingitis
- Pelvic thrombophlebitis
- Endometritis (Correct answer)
Correct answer: Endometritis
Endometritis, an infection of the uterine lining, can develop after a protracted membrane rupture. Abdominal swelling, unusual vaginal bleeding or discharge, fever, bowel movement discomfort, and pain in the lower abdomen or pelvis are among the symptoms.
Question 2: Prior to the amniocentesis, a normal ultrasound is planned for a client who is 36 weeks pregnant. Which of the following client statements, after the client has been informed of the ultrasound's purpose, would alert the nurse in charge that the client requires additional instruction?
- The ultrasound locates a pool of amniotic fluid.
- The ultrasound will help to locate the placenta.
- The ultrasound identifies blood flow through the umbilical cord. (Correct answer)
- The test will determine where to insert the needle.
Correct answer: The ultrasound identifies blood flow through the umbilical cord.
The ultrasound shows the umbilical cord's blood flow.
A routine ultrasound before amniocentesis is useful in locating the placenta, locating a pool of amniotic fluid, and demonstrating to the doctor where to insert the needle, but it does not detect blood flow through the umbilical cord using color Doppler imaging.
Question 3: Which of the following medications would the nurse anticipate giving to the postpartum patient while they are on heparin for thrombophlebitis if they experience difficulties from the medication?
- Protamine sulfate (Correct answer)
- Methylergonovine (Methergine)
- Nitrofurantoin (Macrodantin)
- Calcium gluconate
Correct answer: Protamine sulfate
Heparin antagonist protamine sulfate is administered intravenously to prevent bleeding issues brought on by heparin overload.
Question 4: Which of the following would the charge nurse anticipate doing when taking care of a 3-day-old neonate who is receiving phototherapy to treat jaundice?
- Notify the physician if the skin becomes bronze in color.
- Check the vital signs every 2 to 4 hours. (Correct answer)
- Turn the neonate every 6 hours
- Encourage the mother to discontinue breastfeeding
Correct answer: Check the vital signs every 2 to 4 hours.
Vital signs should be monitored every 2 to 4 hours when caring for an infant who is receiving phototherapy for the treatment of jaundice since the phototherapy lamps can cause overheating.
Question 5: Approximately 9 days after term, a primigravida in active labor. Before delivery, the customer wants a bilateral pudendal block anesthetic. Which of the following regions identified by the client as the area of alleviation would suggest to the nurse that the teaching was effective after the nurse discusses this sort of anesthetic to the client?
- Perineum (Correct answer)
- Back
- Abdomen
- Fundus
Correct answer: Perineum
For vaginal deliveries, a bilateral pudendal block is utilized to reduce pain, mainly in the perineum and vagina. For an episiotomy and subsequent repair, a pudendal block anesthetic is appropriate.
Question 6: About 2 months and 1 week into her pregnancy, the primigravida is being cared for by the nurse. The nurse determines that the client has understood the instructions after describing self-care techniques for typical pregnant discomforts when she says:
- “Leg cramps can be alleviated if I put an ice pack on the area.”
- “Nausea and vomiting can be decreased if I eat a few crackers before rising.” (Correct answer)
- “If I start to leak colostrum, I should cleanse my nipples with soap and water.”
- “If I have a vaginal discharge, I should wear nylon underwear.”
Correct answer: “Nausea and vomiting can be decreased if I eat a few crackers before rising.”
Before awakening, munching on dry crackers can help lessen the normal unpleasantness of nausea and vomiting. A high-protein snack right before night and avoiding foods with strong flavors can also be beneficial.
Question 7: The charge nurse arranges for the client to receive discharge instruction regarding infant care 48 hours following delivery. Which of the following best describes the client's current stage of postpartum psychological adaption, according to the nurse?
- Resolution
- Taking in
- Letting go
- Taking hold (Correct answer)
Correct answer: Taking hold
The taking-hold phase starts after the taking-in phase is over and lasts for approximately 10 days. The client is worried about the necessity to regain competent control over every aspect of her life at this phase. She is now prepared to learn how to take care of herself and her child.
