MATERNITY & NEWBORN PN| ACTUAL QUESTIONS, ANSWERS WITH
VERIFIED SOLUTIONS| LATEST VERSION 2026.
Barriers to prenatal care - CORRECT ANSWERS-Financial barriers
- One of the most important factors in limiting care
Systemic barrier
- Limited appointments
-Scheduling difficulties
Attitudinal Barriers
-staff overworked or judgmental
May not realize she is pregnant
respiratory distress syndrome (RDS) - CORRECT ANSWERS-A respiratory disorder
that affects premature infants born without enough surfactant in the lungs. It is treated
with respiratory support and surfactant administrationr
s/s respiratory distress syndrome - CORRECT ANSWERS-Tachypnea (respiratory rate
greater than 60/min)
Nasal flaring
Expiratory grunting
Retractions
Labored breathing with prolonged expiration
Fine crackles on auscultation
Cyanosis
Unresponsiveness, flaccidity, and apnea with decreased breath sounds (manifestations
of worsened RDS)
Kernicterus (bilirubin encephalopathy) - CORRECT ANSWERS-Results from untreated
hyperbilirubinemia w/bilirubin levels 25 or higher;
*SIGNS*: lethargy, tonic motions such as backward arching of the neck and trunk,
hypotonia
Carboprost tromethamine - CORRECT ANSWERS-✓Trade Name: Hemabate
✓Classification: oxytocics
Uses:
Abortion: Carboprost is used to induce abortion, typically in the second trimester (13-
24 weeks) of pregnancy.
Postpartum Hemorrhage: It's also used to control bleeding after childbirth (postpartum
hemorrhage), especially when other methods haven't been effective.
newborn hypothermia can cause what? - CORRECT ANSWERS-hypoglycemia
Gravid uterus - CORRECT ANSWERS-a uterus containing a developing fetus
Ambvialent - CORRECT ANSWERS-having mixed feelings about a situation
common in the beginning of pregnancy
neonatal abstinence syndrome - CORRECT ANSWERS-drug withdrawal that occurs in
newborn infants whose mothers were frequent drug users during pregnancy
Maternal Phenylketonuria - CORRECT ANSWERS-A maternal genetic disease in which
high levels of phenylalanine pose a danger to the fetus
,What should a breastfeeding mother do if they have inverted nipples? - CORRECT
ANSWERS-breast shield, breast shells
seat belt safety in pregnancy - CORRECT ANSWERS-Adjust seat and steering wheel: If
your growing belly makes it uncomfortable to wear your seatbelt properly, you may
need to adjust your seat as far back as possible from the steering wheel and tilt the
steering wheel up and away from your belly.
Airbag positioning:
It's generally recommended to keep airbags on, as they are designed to work with
seatbelts to protect both the mother and the child.
Avoid seat belt positioning devices
Shoulder belt placement:
The shoulder belt should be positioned across the chest, between the breasts, and
should rest on the collarbone, away from the neck
neonatal abstinence syndrome symptoms - CORRECT ANSWERS-W-wakefulness
I-irritability
T-tremors
H-hyperactive, hypertonia, high pitched cry, hypersensitive to stimulation
D-diarrhea, diaphoresis, disorganized
R-runny nose, rub marks
A-apnea, abdominal dysfunction
W-weight loss, failure to gain weight
A-anxious appearance, altered sleep
L-lacrimation, or discharge from eyes
cervical cap - CORRECT ANSWERS-a rubber cap that fits over the cervix, used with
spermicide to prevent conception.
contraindications for cervical cap - CORRECT ANSWERS-Postpartum: Cap use is
generally not recommended within 6 weeks after childbirth or miscarriage.
Oral contraceptive use: Some studies suggest potential interactions between oral
contraceptives and cervical cap use.
Toxic shock syndrome: Opens in new tab. While rare, there is a risk of toxic shock
syndrome, especially if the cap is left in for too long or not used properly.
Adverse effects of an epidural - CORRECT ANSWERS-maternal hypotension
decreased perfusion of the fetus
increased labor time
spinal headache
respiratory distress
decreased sensation
Rare but Serious Complications:
Bleeding: Bleeding can occur around the injection site, potentially forming a blood clot
(epidural hematoma).
Paralysis: In extremely rare cases, nerve damage can lead to paralysis.
Breathing Problems: In rare cases, the medication can affect chest muscles and impair
breathing.
Fever: Epidurals can cause fever in some individuals.
, Seizures: In extremely rare cases, seizures can occur.
Dinoprostone - CORRECT ANSWERS-Cervical Ripening: Dinoprostone is primarily used
to soften and dilate the cervix (cervical ripening) in pregnant women at or near term
when there is a need to induce labor.
Labor Induction: It can also be used to induce labor by stimulating uterine contractions.
Abortion: Dinoprostone vaginal suppositories can be used to induce abortion in the
second trimester of pregnancy.
Other Uses: It may be used to evacuate the uterus in cases of intrauterine fetal death,
missed abortion, or benign hydatidiform mole
If baby in womb is no longer viable what will we do? - CORRECT ANSWERS-Give mom
methotrexate to expell baby
Salpingectomy is the removal of the ___. - CORRECT ANSWERS-fallopian tube
cerclage - CORRECT ANSWERS-suturing of the cervix to prevent it from dilating
prematurely during pregnancy, thus decreasing the chance of a spontaneous abortion
Incompetent cervix - CORRECT ANSWERS-spontaneous, premature dilation of the
cervix during the second trimester of pregnancy
Risks for ectopic pregnancies - CORRECT ANSWERS-STD
Malformation of tubes
Endometriosis
Past surgery
Complications of having gestational diabetes. - CORRECT ANSWERS-Shoulder dystocia
Polyhydraminos
Fetal macrosomia (big baby)
Pre-eclampsia
Epstein pearls - CORRECT ANSWERS-multiple small, white-yellowish, epithelial
inclusion cysts found in the midline of the palate in newborn infants
Meds to avoid while pregnant - CORRECT ANSWERS-NSAIDS
Chloasma - CORRECT ANSWERS-pigmentary skin discoloration usually occurring in
yellowish brown patches or spots
Linea negra - CORRECT ANSWERS-The line of darker pigmentation extending from the
umbilicus to the pubis noted in some women during the later months of pregnancy.
Mag sulfate toxicity - CORRECT ANSWERS-Decreased urinary output, decreased
respirations, loss of deep tendon reflexes, cardiac dysrhythmia. Tx with calcium
gluconate
Magnesium sulfate antidote - CORRECT ANSWERS-calcium gluconate
What do we give magnesium sulfate for? - CORRECT ANSWERS-It's administered to
clients with pre-eclampsia to raise the seizure threshold
congenital dermal melanocytosis - CORRECT ANSWERS-bluish-black areas of
hyperpigmentation often found on the lower back or buttocks of darker-skinned
neonates
Previously known as Mongolian spots
placenta previa - CORRECT ANSWERS-implantation of the placenta over the cervical
opening or in the lower region of the uterus
VERIFIED SOLUTIONS| LATEST VERSION 2026.
Barriers to prenatal care - CORRECT ANSWERS-Financial barriers
- One of the most important factors in limiting care
Systemic barrier
- Limited appointments
-Scheduling difficulties
Attitudinal Barriers
-staff overworked or judgmental
May not realize she is pregnant
respiratory distress syndrome (RDS) - CORRECT ANSWERS-A respiratory disorder
that affects premature infants born without enough surfactant in the lungs. It is treated
with respiratory support and surfactant administrationr
s/s respiratory distress syndrome - CORRECT ANSWERS-Tachypnea (respiratory rate
greater than 60/min)
Nasal flaring
Expiratory grunting
Retractions
Labored breathing with prolonged expiration
Fine crackles on auscultation
Cyanosis
Unresponsiveness, flaccidity, and apnea with decreased breath sounds (manifestations
of worsened RDS)
Kernicterus (bilirubin encephalopathy) - CORRECT ANSWERS-Results from untreated
hyperbilirubinemia w/bilirubin levels 25 or higher;
*SIGNS*: lethargy, tonic motions such as backward arching of the neck and trunk,
hypotonia
Carboprost tromethamine - CORRECT ANSWERS-✓Trade Name: Hemabate
✓Classification: oxytocics
Uses:
Abortion: Carboprost is used to induce abortion, typically in the second trimester (13-
24 weeks) of pregnancy.
Postpartum Hemorrhage: It's also used to control bleeding after childbirth (postpartum
hemorrhage), especially when other methods haven't been effective.
newborn hypothermia can cause what? - CORRECT ANSWERS-hypoglycemia
Gravid uterus - CORRECT ANSWERS-a uterus containing a developing fetus
Ambvialent - CORRECT ANSWERS-having mixed feelings about a situation
common in the beginning of pregnancy
neonatal abstinence syndrome - CORRECT ANSWERS-drug withdrawal that occurs in
newborn infants whose mothers were frequent drug users during pregnancy
Maternal Phenylketonuria - CORRECT ANSWERS-A maternal genetic disease in which
high levels of phenylalanine pose a danger to the fetus
,What should a breastfeeding mother do if they have inverted nipples? - CORRECT
ANSWERS-breast shield, breast shells
seat belt safety in pregnancy - CORRECT ANSWERS-Adjust seat and steering wheel: If
your growing belly makes it uncomfortable to wear your seatbelt properly, you may
need to adjust your seat as far back as possible from the steering wheel and tilt the
steering wheel up and away from your belly.
Airbag positioning:
It's generally recommended to keep airbags on, as they are designed to work with
seatbelts to protect both the mother and the child.
Avoid seat belt positioning devices
Shoulder belt placement:
The shoulder belt should be positioned across the chest, between the breasts, and
should rest on the collarbone, away from the neck
neonatal abstinence syndrome symptoms - CORRECT ANSWERS-W-wakefulness
I-irritability
T-tremors
H-hyperactive, hypertonia, high pitched cry, hypersensitive to stimulation
D-diarrhea, diaphoresis, disorganized
R-runny nose, rub marks
A-apnea, abdominal dysfunction
W-weight loss, failure to gain weight
A-anxious appearance, altered sleep
L-lacrimation, or discharge from eyes
cervical cap - CORRECT ANSWERS-a rubber cap that fits over the cervix, used with
spermicide to prevent conception.
contraindications for cervical cap - CORRECT ANSWERS-Postpartum: Cap use is
generally not recommended within 6 weeks after childbirth or miscarriage.
Oral contraceptive use: Some studies suggest potential interactions between oral
contraceptives and cervical cap use.
Toxic shock syndrome: Opens in new tab. While rare, there is a risk of toxic shock
syndrome, especially if the cap is left in for too long or not used properly.
Adverse effects of an epidural - CORRECT ANSWERS-maternal hypotension
decreased perfusion of the fetus
increased labor time
spinal headache
respiratory distress
decreased sensation
Rare but Serious Complications:
Bleeding: Bleeding can occur around the injection site, potentially forming a blood clot
(epidural hematoma).
Paralysis: In extremely rare cases, nerve damage can lead to paralysis.
Breathing Problems: In rare cases, the medication can affect chest muscles and impair
breathing.
Fever: Epidurals can cause fever in some individuals.
, Seizures: In extremely rare cases, seizures can occur.
Dinoprostone - CORRECT ANSWERS-Cervical Ripening: Dinoprostone is primarily used
to soften and dilate the cervix (cervical ripening) in pregnant women at or near term
when there is a need to induce labor.
Labor Induction: It can also be used to induce labor by stimulating uterine contractions.
Abortion: Dinoprostone vaginal suppositories can be used to induce abortion in the
second trimester of pregnancy.
Other Uses: It may be used to evacuate the uterus in cases of intrauterine fetal death,
missed abortion, or benign hydatidiform mole
If baby in womb is no longer viable what will we do? - CORRECT ANSWERS-Give mom
methotrexate to expell baby
Salpingectomy is the removal of the ___. - CORRECT ANSWERS-fallopian tube
cerclage - CORRECT ANSWERS-suturing of the cervix to prevent it from dilating
prematurely during pregnancy, thus decreasing the chance of a spontaneous abortion
Incompetent cervix - CORRECT ANSWERS-spontaneous, premature dilation of the
cervix during the second trimester of pregnancy
Risks for ectopic pregnancies - CORRECT ANSWERS-STD
Malformation of tubes
Endometriosis
Past surgery
Complications of having gestational diabetes. - CORRECT ANSWERS-Shoulder dystocia
Polyhydraminos
Fetal macrosomia (big baby)
Pre-eclampsia
Epstein pearls - CORRECT ANSWERS-multiple small, white-yellowish, epithelial
inclusion cysts found in the midline of the palate in newborn infants
Meds to avoid while pregnant - CORRECT ANSWERS-NSAIDS
Chloasma - CORRECT ANSWERS-pigmentary skin discoloration usually occurring in
yellowish brown patches or spots
Linea negra - CORRECT ANSWERS-The line of darker pigmentation extending from the
umbilicus to the pubis noted in some women during the later months of pregnancy.
Mag sulfate toxicity - CORRECT ANSWERS-Decreased urinary output, decreased
respirations, loss of deep tendon reflexes, cardiac dysrhythmia. Tx with calcium
gluconate
Magnesium sulfate antidote - CORRECT ANSWERS-calcium gluconate
What do we give magnesium sulfate for? - CORRECT ANSWERS-It's administered to
clients with pre-eclampsia to raise the seizure threshold
congenital dermal melanocytosis - CORRECT ANSWERS-bluish-black areas of
hyperpigmentation often found on the lower back or buttocks of darker-skinned
neonates
Previously known as Mongolian spots
placenta previa - CORRECT ANSWERS-implantation of the placenta over the cervical
opening or in the lower region of the uterus
