Maternity final exam, Detailed and Verified Questions
and Answers
1. Describe the Babinski reflex in the newborn. - Correct Answers - The Babinski reflex is when
the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan
out. This is a normal reflex up to about 2 years of age.
2. Describe station as a fetal factor in assessing progress of labor. - Correct Answers -Station is a
measurement of fetal descent in labor and is measured using vaginal exams.
-Examining your cervix and locating where the lowest part of your baby is in relation to your
pelvis. Your doctor will then assign a number from -5(above umbilicus) to +5 to describe where
your baby's presenting part (usually the head) is located.
3. Recognize an early deceleration in a fetal heart rate tracing and know the appropriate nursing
action. - Correct Answers Early decelerations are nothing to worry about. They are typically
caused by the compression of the head in the birth canal. When observing early decelerations, no
interventions are needed, and the nurse should continue to monitor the patient.
4. Describe cervical effacement during labor. - Correct Answers Thinning of the cervix during
labor, at 100% effaced for delivery.
5. Know the normal condition/ function of the uterine fundus in the 4th stage of labor. - Correct
Answers Midway at the umbilicus or between the symphysis pubis and umbilicus.
Uterus will contract again, expelling any remaining contents. Uterus reestablishes tone.
, 6. Name the 3 vessels in the umbilical cord. - Correct Answers The umbilical cord has one vein
and two arteries. The vein carries oxygenated blood to the fetus and the arteries deoxygenated
blood from the fetus.
7. Know that an __________ ________ gene is expressed in the fetus/newborn when both
parents are carriers. - Correct Answers autosomal recessive
8. Know and name the 3 stages of fetal development. - Correct Answers Fetal development is
divided and described as pre-embryonic, embryonic and fetal stages.
9. Know the potential consequences of human papillomavirus infection. - Correct Answers
Human Papillomavirus (HPV) is the leading cause of cervical cancer.
10. Know the parameters of measuring/describing the frequency of uterine contractions during
labor. - Correct Answers Frequency of uterine contractions is defined as the period from the
beginning of one contraction to the beginning of the next contraction.
11. Know what fetal/newborn abnormality the nutritional supplement, folic acid, prevents. -
Correct Answers Folic acid supplements during pregnancy reduce the risk of neural tube defects
(NTD), such as spina bifida.
12. Know that immediate assessment of ____ ____ ____ is essential at the time of rupture of
membranes. - Correct Answers Fetal Heart Rate
13. Know the strategies a pregnant woman can use to manage nausea in the 1st trimester of
pregnancy. - Correct Answers A patient in the first trimester of pregnancy with nausea can be
instructed to eat small, frequent
meals to relieve the nausea
15. Know at what weeks in pregnancy can the fetal heartbeat be first heard/detected. - Correct
Answers 10-12 weeks
and Answers
1. Describe the Babinski reflex in the newborn. - Correct Answers - The Babinski reflex is when
the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan
out. This is a normal reflex up to about 2 years of age.
2. Describe station as a fetal factor in assessing progress of labor. - Correct Answers -Station is a
measurement of fetal descent in labor and is measured using vaginal exams.
-Examining your cervix and locating where the lowest part of your baby is in relation to your
pelvis. Your doctor will then assign a number from -5(above umbilicus) to +5 to describe where
your baby's presenting part (usually the head) is located.
3. Recognize an early deceleration in a fetal heart rate tracing and know the appropriate nursing
action. - Correct Answers Early decelerations are nothing to worry about. They are typically
caused by the compression of the head in the birth canal. When observing early decelerations, no
interventions are needed, and the nurse should continue to monitor the patient.
4. Describe cervical effacement during labor. - Correct Answers Thinning of the cervix during
labor, at 100% effaced for delivery.
5. Know the normal condition/ function of the uterine fundus in the 4th stage of labor. - Correct
Answers Midway at the umbilicus or between the symphysis pubis and umbilicus.
Uterus will contract again, expelling any remaining contents. Uterus reestablishes tone.
, 6. Name the 3 vessels in the umbilical cord. - Correct Answers The umbilical cord has one vein
and two arteries. The vein carries oxygenated blood to the fetus and the arteries deoxygenated
blood from the fetus.
7. Know that an __________ ________ gene is expressed in the fetus/newborn when both
parents are carriers. - Correct Answers autosomal recessive
8. Know and name the 3 stages of fetal development. - Correct Answers Fetal development is
divided and described as pre-embryonic, embryonic and fetal stages.
9. Know the potential consequences of human papillomavirus infection. - Correct Answers
Human Papillomavirus (HPV) is the leading cause of cervical cancer.
10. Know the parameters of measuring/describing the frequency of uterine contractions during
labor. - Correct Answers Frequency of uterine contractions is defined as the period from the
beginning of one contraction to the beginning of the next contraction.
11. Know what fetal/newborn abnormality the nutritional supplement, folic acid, prevents. -
Correct Answers Folic acid supplements during pregnancy reduce the risk of neural tube defects
(NTD), such as spina bifida.
12. Know that immediate assessment of ____ ____ ____ is essential at the time of rupture of
membranes. - Correct Answers Fetal Heart Rate
13. Know the strategies a pregnant woman can use to manage nausea in the 1st trimester of
pregnancy. - Correct Answers A patient in the first trimester of pregnancy with nausea can be
instructed to eat small, frequent
meals to relieve the nausea
15. Know at what weeks in pregnancy can the fetal heartbeat be first heard/detected. - Correct
Answers 10-12 weeks