Questions 46

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Maternal Newborn Practice Questions Questions

Question 1 of 5

A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations...Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Recurrent variable decelerations during labor can indicate umbilical cord compression, which can result in fetal hypoxia and distress. Discontinuing the oxytocin infusion is the priority in this situation as oxytocin can cause or exacerbate uteroplacental insufficiency leading to fetal distress. By discontinuing the oxytocin, the nurse can help improve fetal oxygenation and alleviate the variable decelerations. After stopping the oxytocin infusion, the nurse should continue to monitor the fetal heart rate pattern and follow the healthcare provider's orders for further management if needed.

Question 2 of 5

Which newborn is at higher risk for developing hypoglycemia? SATA

Correct Answer: A

Rationale: - Small for gestational age (SG
A) newborns are at higher risk for developing hypoglycemia due to limited glycogen stores and decreased adipose tissue for energy reserve.

Question 3 of 5

A client in labor is receiving an epidural for pain relief. What is the nurse's priority assessment immediately after the procedure?

Correct Answer: A

Rationale: Monitoring maternal blood pressure is essential to detect and manage hypotension, a common side effect of epidurals.

Question 4 of 5

A 30-year-old woman is considering the use of emergency contraception. Which of the following is true about its use?

Correct Answer: A

Rationale: Emergency contraception is most effective when taken within 72 hours of unprotected sex.
Choice B is incorrect as it is not as effective after 5 days.
Choice C is incorrect because emergency contraception works primarily by preventing ovulation, not by preventing implantation.
Choice D is incorrect because most emergency contraception methods are available over the counter.

Question 5 of 5

The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39 weeks of gestation. Which assessment finding indicates the need to contact the health care provider (HCP)?

Correct Answer: B

Rationale: A fetal heart rate of 180 bpm may indicate fetal distress and warrants immediate HCP notification.

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