The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

"Transmission can occur via the saliva and urine of the newborn."

"This infection requires that airborne precautions be initiated for the newborn."

"Mothers will receive prophylactic treatment with acyclovir prior to delivery."

“Lesions are visible on the mother's genitalia."

Answer and Explanation

The Correct Answer is A

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

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Correct Answer is D

Explanation

The nonstress test is a screening tool that assesses fetal well-being. It is performed by monitoring the fetal heart rate (FHR) and uterine contractions (UC) while the client is at rest. The test is considered reactive if there are two or more accelerations of the FHR that reach a certain level above the baseline and last for at least 15 seconds over a 20-min period.

The presence of irregular contractions that are not felt by the client is a finding that is concerning because it could be a sign of uterine hyperstimulation, which can lead to fetal distress. Further diagnostic testing may be needed to assess fetal well-being in this situation.

Option A indicates that the client felt fetal movements during the testing period. This is a reassuring finding because fetal movements are a sign of fetal well-being.

Option B indicates that there were no late decelerations in the FHR with uterine contractions. This is a reassuring finding because late decelerations are a sign of fetal compromise.

Option C indicates that there was an acceleration of the FHR in response to fetal movement. This is a reassuring finding because it indicates that the fetus is capable of responding to stimuli.

A. "I will need to return to the clinic in 8 weeks for my next injection." B. "I will get two shots each time I receive this medication." C. "I should increase my calcium intake while taking this medication." D. "I should discontinue this medication if I experience spotting."

Correct Answer is A

Explanation

Medroxyprogesterone is an injectable form of contraception that is given every 12 to 13 weeks. Therefore, the correct statement is that the client will need to return to the clinic in 8 weeks for her next injection.

Option B is incorrect because the client receives only one shot each time she receives this medication.

Option C is incorrect because medroxyprogesterone can decrease bone density, so the client should increase calcium intake.

Option D is incorrect because spotting is a common side effect of medroxyprogesterone, and the client should not discontinue the medication unless advised to do so by her healthcare provider.

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The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?

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A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?