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Maternity Exam 1 NCLEX Questions and Answers
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Maternity Exam 1 NCLEX Questions and Answers
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Maternity Exam 1 NCLEX Questions and AnswersAvailable resources within the community can assist the parents in role transition. Some
parents may not be able to afford babysitters. Also, this removes them from the parenthood
role. Each adult sees parenthood in a different light. They cannot be compared. Searching out
resources for the parents is an important task. However, the nurse should not give her
personal number to clients.
A client with group AB blood whose husband has group O has just given birth. The major sign
of ABO blood incompatibility in the neonate is which complication or test result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
D) Jaundice within the first 24 hours of life Correct Ans-D
The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic)
within the first 24 hours of life. The neonate would have a positive Coombs test result
, Maternity Exam 1 NCLEX Questions and Answers
To promote bonding and attachment immediately after birth, which action should the nurse
take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her newborn. Correct Ans-D
Assisting the mother in assuming an en face position with her newborn will support the
bonding process. After birth is a good time to initiate breastfeeding, but first the mother
needs time to explore the new infant and begin the bonding process. The mother should be
given as much privacy as possible; however, nursing assessments must still be continued
during this critical time. The mother has just delivered and is more focused on the infant; she
will not be receptive to teaching at this time.
The term reciprocal attachment behavior refers to which of the following?
a. Behavior during the sensitive period when the infant is in the quiet alert stage
b. Positive feedback an infant exhibits toward parents during the attachment process
, Maternity Exam 1 NCLEX Questions and Answers
c. Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
d. Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from
the parents Correct Ans-B
In this definition, reciprocal refers to the feedback from the infant during the attachment
process. The quiet alert state is a good time for bonding but does not define reciprocal
attachment. Reciprocal attachment deals with feedback behavior and is not unidirectional.
Which nursing action is most appropriate to correct a boggy uterus that is displaced above
and to the right of the umbilicus?
a. Notify the physician of an impending hemorrhage.
b. Assess the blood pressure and pulse.
c. Evaluate the lochia.
d. Assist the client in emptying her bladder. Correct Ans-d. urinary retention can cause
distention of the bladder. which will lift and displace uterus it will go up and right. this
intervention needs to be done before we notify doc. if we do the intervention and she still is
distended then we need to call doc. and then do fundal massage.
, Maternity Exam 1 NCLEX Questions and Answers
Before giving a PP client the rubella vaccine, which of the following facts should the nurse
include in client teaching?
1. The vaccine is safe in clients with egg allergies
2. Breast-feeding isn't compatible with the vaccine
3. Transient arthralgia and rash are common adverse effects
4. The client should avoid getting pregnant for 3 months after the vaccine because the vaccine
has teratogenic effects Correct Ans-4. The client must understand that she must not
become pregnant for 3 months after the vaccination because of its potential teratogenic
effects. The rubella vaccine is made from duck eggs so an allergic reaction may occur in clients
with egg allergies. The virus is not transmitted into the breast milk, so clients may continue to
breastfeed after the vaccination. Transient arthralgia and rash are common adverse effects of
the vaccine.
The best way for the nurse to promote and support the maternal-infant bonding process is to:
a. Help the mother identify her positive feelings toward the newborn.
b. Encourage the mother to provide all newborn care.
c. Assist the family with rooming-in.
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