Test Prep for Nursing Exam about Obstetric Nursing (26-30)

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26. A baby has been delivered 2 hours ago by a diabetic mother. The baby manifests high-pitched cry. The nurse should assess for which of the following conditions?

a) fetal alcohol syndrome
b) increased intracranial pressure
c) prematurity
d) hypoglycemia

27. Which of the following situations in a newborn necessitates urgent attention by the nurse?

a) irregular respiratory patterns
b) body temperature of 36.5 degree centigrade
c) blood pressure of 65/41 mmHg
d) meconium staining on the infant's body

28. A pregnant woman on 36 weeks gestation experiences sudden gush of fluids from the vagina. Which of the following should be the initial action by the nurse?

a) notify the physician
b) check the fluid pH
c) prepare the client for delivery
d) place the client in knee-to-chest position

29. The client with endometriosis is taking Danazol. Which of the following is the expected effect of the medication?

a) it inhibits ovulation
b) it relieves uterine spasm
c) it reduces menstrual bleeding
d) it prevents pregnancy

30. The nurse is giving health teachings to several pregnant clients. Which of the following statements of the clients should be given highest priority by the nurse?

a) I enjoy working in the garden and keeping my hands dirty. It relaxes me
b) I walk a mile every morning and 3 miles on weekends
c) I watch the recipes on TV shows and cook them
d) I drive myself to work



ANSWERS AND RATIONALE

26) D
- hypoglycemia is common among newborn of diabetic mothers. This is because the fetal pancreas increases insulin secretion in response to high glucose levels passed on by the mother to the fetus. The fetal pancreas hypertrophies. After birth, the glucose from the mother is no longer available, and yet the fetal pancreas continues to secrete high levels of insulin.

27) D
- meconium staining on the infant's body indicates fetal distress. Meconium aspiration may also had occurred. Therefore, this situation necessitates urgent attention by the nurse.

28) B
- check the fluid for pH to ascertain if it is amniotic fluid. Amniotic fluid is alkaline. Yellow Nitrazine turns to blue, if it is amniotic fluid.

29) B
- danazol relieves uterine spasm

30) A
- infection may occur from keeping hands dirty. Cat/dog litters and bird droppings may be found in the soil. Infections like toxoplasmosis, histoplasmosis, etc. are associated with these factors.



Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (31-35) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.