CMS Maternal Newborn Exam With Questions And Correct Answers 2024- 2025, Exams of Nursing

Download CMS Maternal Newborn Exam With Questions And Correct Answers 2024- 2025 and more Exams Nursing in PDF only on Docsity!

CMS Maternal Newborn Exam With

Questions And Correct Answers 2024-

A nurse is a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following demonstrates understanding? - ANSWER>>Condoms are used with water-soluble lubricants Nurse is instructing a client who is taking an oral contraceptive about manifestations to report to her provider. Which of the following manifestations should the nurse include? - ANSWER>>Shortness of breath A nurse in an OB clinic is reinforcing teaching with a client using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER>>"I will check to be sure the strings of the IUD are still present after my periods" A nurse is reinforcing teaching with a client about the potential adverse effects of implantable progestins. which of the following adverse effects should the nurse include? (SATA-3) - ANSWER>>1. irregular vaginal bleeding

2. weight gain
3. nausea Reinforcing d/c teaching with parents of a newborn about how to care for their child's uncircumsised penis - ANSWER>>"Clean the penis once per day with soap and water" Collecting data from a client who has hyperemesis gravidarum. What to expect? - ANSWER>>Presence of ketones in urine R: expect ketonuria due to inadequate dietary intake, resulting in breakdown of protein and stored fat

POC of a client at 34 weeks gestation and has preeclampsia w/ severe features. Which of the following interventions should the nurse include as the priority action following a seizure? - ANSWER>>Administer oxygen to the client at 10L/min via face mask R: priority is ABC Caring for a client postpartum. Client appears suddenly restless and reports an inability to catch her breath. Which of the following actions should the nurse take? - ANSWER>>Notify the unit charge nurse and rapid response team R: A sudden onset of air hunger can be related to hemorrhage or PE, which are emergencies r/t cardiopulmonary arrest Caring for a postpartum client, after bringing the newborn back to the parent following an assessment, the parent immediately gives the infant to the grandparent. Which of the following actions should the nurse take? - ANSWER>>Ask the client about the family's cultural beliefs R: in some cultures, extended family members show respect to the client by caring for the newborn Collecting data from a newborn who has congenital diaphragmatic hernia. Which of the following findings should the nurse expect? - ANSWER>>Barrel-shaped chest R: Expect newborn w congenital diaphragmatic hernia to exhibit barrel shaped chest as the abdominal organs have shifted to chest cavity Reinforcing teaching about formula feeding w/ guardian of a newborn. Which of the following pieces of info should the nurse include? - ANSWER>>Mix 1 scoop of powdered formula w/ 2oz water R: use sterile water or water boiled for 2 mins when mixing powdered formula Reinforcing teaching w a client who is pregnant - ANSWER>>"You should use fluoride-based toothpaste to prevent dental carries"

R: Nausea during pregnancy can lead to poor oral hygiene and inflammation of the gingival tissue, which can lead to dental carries. Collecting data from a newborn. Which of the following findings should the nurse report to the provider? - ANSWER>>Central cyanosis R: Indication of compromised cardiorespiratory status. Other manifestations include tachypnea, nasal flaring, retractions & grunting Caring for several clients. Which of the following is a candidate for oral contraceptives? - ANSWER>>A client who is breastfeeding a 7 month old infant R: Client can begin using oral contraceptives 4 weeks after childbirth Assisting w a client who is in labor. Cervix dilated 9cm and has strong contractions every 2 min that last 75 sec. The nurse should recognize which stage of labor? - ANSWER>>Transition phase of first stage R: First stage ends w the transition phase, with cervix dilating 8-10 cm. Uterine contractions are strong, every 2-3 mins and lasts 45-90 seconds Caring for a client who is in active labor and notes late decelerations on fetal monitor. Which of the following actions should the nurse take? - ANSWER>>Apply oxygen at 10 L/min via nonrebreather face mask R: late decelerations caused by uteroplacental insufficiency and require increased oxygen flow to fetus Assisting w/ planning an educational sessions for clients in a childbirth class. which of the following findings should the nurse plan to instruct to report immediately - ANSWER>>Swelling of face and fingers R: Swelling of face, fingers or area over sacrum indicates hypertensive disorders. Nurse should report to provider immediately The guardian of a 3 day old female newborn tells the nurse that he noticed a small amount of blood-tinged mucus discharge on the newborn's labia. Which of the following responses should the nurse make? - ANSWER>>"The blood-tinged mucus is a result of pseudomenstruation"

R: result of loss of maternal hormones at birth, resulting in vaginal discharge with withdrawal bleeding. expected finding in newborn females Collecting data from a client who is 37 weeks gestation and is HIV positive. Which of the following orders should the nurse clarify with the provider? - ANSWER>>fetal scalp electrode R: invasive procedure that requires ruptured membranes. electrode is inserted into the fetal scalp, which will increase the fetus's exposure to HIV and is contraindicated Reinforcing teaching with a parent of a newborn. Which of the following indicates an understanding of the teaching? - ANSWER>>" I will place a hat on my baby's head prior to going outside" R: Protect the scalp, minimize heat loss, and protect against sunburn Nurse is collecting data from a newborn. Which should you report to the provider? A. HR 136/min B. Acrocyanosis C. Mottling D. RR 60/min - ANSWER>>Mottling R: indication of hypothermia or respiratory distress Collecting data from a client who is in labor and has received epidural anesthesia for pain control. Which of the following manifestations should the nurse identify as an adverse effect of epidural anesthesia - ANSWER>>Pruritus (severe itching of the skin) R: Adverse effect of epidural anesthesia associated w opioid. Can be controlled by use of antipruritic meds Reinforcing teaching about hormonal changes during pregnancy. Which hormone plays a key role in preventing miscarriage - ANSWER>>Progesterone R: Maintains endometrium and has a relaxant effect on the uterus so the pregnancy is not expelled

Teaching a parent of a newborn how to take care for the newborn's umbilical cord stump. Which of the following instructions should the nurse include? - ANSWER>>"Clean the cord stump with tap water" R: Instruct parent to cleanse around the cord stump with tap water to promote healing and prevent infection Reinforcing teaching about postpartum blues - ANSWER>>"Plan opportunities to get out of the house frequently" R: Encourage client to continue to do things for herself to reduce the risk of potential postpartum blues Caring for a client at 16 weeks gestation and has severe iron-deficiency anemia. Provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication? - ANSWER>>Use a 20-gauge needle and administer the med using Z-track method R: Z-track method to prevent staining Reinforcing d/c teaching about bathing with the parent of a newborn. Which of the following should the nurse include? - ANSWER>>Clean the newborn's face first using water R: Bathe from the cleanest part to the most soiled parts. Face should be washed first before the eyes, ears, and nose. Genital areas last Assisting with the care of a client who is in labor and is receiving an infusion of oxytocin. The nurse should monitor the client for which of the following potential adverse effects? - ANSWER>>Fetal asphyxia R: Oxytocin can cause tachysystole, which can lead to uteroplacental insufficiency. Inadequate oxygen transfer to the placenta will result Nurse is providing umbilical cord care for a newborn 12 hours after delivery. Upon inspection, nurse notes moderate bleeding from blood vessel. Which of the following actions should the nurse take? - ANSWER>>Check integrity of the cord clamp

R: Nurse should apply cord clamp to umbilical cord while detaching it from the placenta to stop blood flow from the cord to the placenta Caring for a client following forceps-assisted birth. The nurse should identify which of the following findings as a complication of this procedure?

• ANSWER>>Pelvic hematoma R: collection of blood in the connective tissue. Clients experience pain and pressure in the vaginal area. Hematoma is associated w/ forceps-assisted births, episiotomy, primigravidity Reinforcing teaching about how to care for a newborn's circumcision site. Which of the following client statements indicates an understanding of the teaching? - ANSWER>>"I should apply the diaper loosely until the circumcision site is healed" R:Loosley apply to minimize pressure and decrease pain in surgical area Client who is receiving morphine via PCA pump following a cesarean birth. Which of the following findings should the nurse report to the provider? - ANSWER>>Urine output 20 mL/hr R: Opioid analgesics (morphine) can cause urinary retention. Client should have a urinary output (30 mL/hr) Collecting data from a newborn who was circumcised 24 hours ago. Which of the following findings should the nurse report to the provider - ANSWER>>The newborn has urinated once since the circumcision R: Newborn should void 2 - 6 times a day the first 24-48 hours after birth and 6 - 8 times per day starting on the 3rd day Caring for a client who is 3 days postpartum and has chosen to bottle feed the newborn. During examination of the client's breasts, the nurse notes that they are warm and firm. Which of the following actions should the nurse plan to take? - ANSWER>>Instruct the client to apply cold compresses

R: To relieve breast engorgement, client should apply cold compresses for about 15 mins every hour. Client can also try applying fresh, cold cabbage leaves Reinforcing teaching about physiological changes that can occur w/menopause - ANSWER>>Stress incontinence R: Occurs due to shrinking of uterus, vulva, and distal portion of the urethra. Urinary incontinence and uterine displacement can occur due to common age-related changes but are not necessarily a result of menopause-related changes Which of the following client reports is an expected physiological adaptation to pregnancy? - ANSWER>>Breast tenderness R: common during 1st & 3rd trimester. Nurse should recommend to wear a well fitting supportive bra Reinforcing discharge teaching with a postpartum client regarding elimination. Which of the following statements should the nurse include - ANSWER>>"Increase fluids to help prevent constipation" R: increase fluids and fiber intake to help prevent constipation Reinforcing teaching with the parent of a breastfed newborn about bowel elimination. Which of the following statements should the nurse make? - ANSWER>>"You can expect the stools to be yellow and seedy" R: Nurse should inform the parents to expect the newborn's stools to be yellow in color and seedy in texture Antepartum unit caring for a client who is at 28 weeks gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assist the client in? - ANSWER>>Lateral R: AKA side lying position promotes uteroplacental blood flow and helps relieve symptoms of supine hypotension, faintness, dizziness and breathlessness.

Caring for a client who is at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is a priority? - ANSWER>>"My heart feels as if it is racing" R: Nurse should assess client's heart rate. If pulse is >130/min, terbutaline needs to be held until the provider is notified. Client reports cramping while trying to breastfeed her newborn. Which of the following instructions should the nurse provide to the client" - ANSWER>>"Breastfeeding can cause uterine contractions" R: Nurse should explain that oxytocin is released during breastfeeding, which can cause uterine contractions"