MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM 1 LATEST 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery.
What intervention should the nurse perform first?
o Bathe the infant with an antimicrobial soap.
o Measure the head and chest circumference.
o Obtain the infant's footprints.
o Administer vitamin K (AquaMEPHYTON).
A+ TEST BANK 1
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
o Bathe the infant with an antimicrobial soap.
· To reduce direct contact with the human immuno-virus in blood and body fluids on the
newborn's skin, a bath with an antimicrobial soap should be administered first.
A new mother asks the nurse, "How do I know that my daughter is getting enough breast
milk?" Which response is best for the nurse provide?
o "Weigh the baby daily, and if she is gaining weight, she is eating enough."
o "Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day."
o "Offer the baby extra bottle milk after her feeding, and see if she is still hungry."
o "If you're concerned, you might consider bottle feeding so that you can monitor her
intake."
o "Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day."
· An infant is hydrated when the urine is dilute (straw-colored) and frequency of voiding is >6 to
10 times/day. Infants feed 8-12 times in a 24 hour period.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously
to stop her labor contractions. Which assessment finding would provide the nurse the
earliest indication that the client is experiencing primary side effects of terbutaline sulfate?
o Drowsiness and bradycardia.
o Depressed reflexes and increased respirations.
o Tachycardia and a feeling of nervousness.
o A flushed, warm feeling and a dry mouth.
o Tachycardia and a feeling of nervousness.
· Terbutaline sulfate (Brethine), a beta-sympathomimetic drug which stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist
properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of "nervousness".
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A+ TEST BANK 2
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
o Wear a cotton bra.
o Increase nursing time gradually.
o Correctly place the infant on the breast.
o Manually express a small amount of milk before nursing.
o Correctly place the infant on the breast.
The most common cause of nipple soreness is incorrect positioning of the infant on the breast,
e. g., grasping too little of the areola or grasping only the nipple.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the
nurse determines that both breasts are swollen, warm, and tender upon palpation. What
action should the nurse take?
o Apply cold compresses to both breasts for comfort.
o Instruct the client run warm water on her breasts.
o Wear a loose-fitting bra to prevent nipple irritation.
o Express small amounts of milk to relieve pressure.
o Apply cold compresses to both breasts for comfort.
· The client is experiencing engorgement even though she is bottle-feeding her infant, and
applying cold compresses may help reduce discomfort.
A client who is in the second trimester of pregnancy tells the nurse that she wants to use
herbal therapy. Which response is best for the nurse to provide?
o "Herbs are a cornerstone of good health to include in your treatment."
o "Touch is also therapeutic in relieving discomfort and anxiety."
o "Your healthcare provider should direct treatment options for herbal therapy."
o "It is important that you want to take part in your care."
o "It is important that you want to take part in your care."
Clients need to be viewed holistically. By acknowledging the emphasis the client made to
alternative and complementary therapies, such as herbal therapy, the client is empowered as
an integral member of the healthcare team.
A+ TEST BANK 3
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
A 23-year-old client who is receiving Medicaid benefits is pregnant with her first child. Based
on knowledge of the statistics related to infant mortality, which plan should the nurse
implement with this client?
o Refer the client to a social worker to arrange for home care.
o Recommend perinatal care from an obstetrician, not a nurse-midwife.
o Teach the client why keeping prenatal care appointments is important.
o Advise the client that neonatal intensive care may be needed.
o Teach the client why keeping prenatal care appointments is important.
Regular prenatal visits should begin early in pregnancy to monitor health of the mother and
development of the fetus.
During labor, the nurse determines that a full-term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing actions? (Place
the first action on top and last action on the bottom.)
o Reposition the client.
o Call the healthcare provider.
o Increase IV fluid.
o Provide oxygen via face mask.
o Reposition the client.
o Increase IV fluid.
o Provide oxygen via face mask.
o Call the healthcare provider.
· To stabilize the fetus, intrauterine resuscitation becomes the first priority. In order to enhance
the fetal blood supply, the laboring client should be repositioned to displace the gravid uterus
and improve fetal perfusion. Secondly, the IV fluids should be increased to expand the maternal
circulating blood volume. The next step to optimize oxygenation of the circulatory blood
volume is to apply oxygen via face to the mother. Finally, the last step is to notify the primary
healthcare provider for additional interventions to resolve the fetal stress.
A+ TEST BANK 4
NEONATE EXAM
MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM 1 LATEST 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery.
What intervention should the nurse perform first?
o Bathe the infant with an antimicrobial soap.
o Measure the head and chest circumference.
o Obtain the infant's footprints.
o Administer vitamin K (AquaMEPHYTON).
A+ TEST BANK 1
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
o Bathe the infant with an antimicrobial soap.
· To reduce direct contact with the human immuno-virus in blood and body fluids on the
newborn's skin, a bath with an antimicrobial soap should be administered first.
A new mother asks the nurse, "How do I know that my daughter is getting enough breast
milk?" Which response is best for the nurse provide?
o "Weigh the baby daily, and if she is gaining weight, she is eating enough."
o "Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day."
o "Offer the baby extra bottle milk after her feeding, and see if she is still hungry."
o "If you're concerned, you might consider bottle feeding so that you can monitor her
intake."
o "Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day."
· An infant is hydrated when the urine is dilute (straw-colored) and frequency of voiding is >6 to
10 times/day. Infants feed 8-12 times in a 24 hour period.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously
to stop her labor contractions. Which assessment finding would provide the nurse the
earliest indication that the client is experiencing primary side effects of terbutaline sulfate?
o Drowsiness and bradycardia.
o Depressed reflexes and increased respirations.
o Tachycardia and a feeling of nervousness.
o A flushed, warm feeling and a dry mouth.
o Tachycardia and a feeling of nervousness.
· Terbutaline sulfate (Brethine), a beta-sympathomimetic drug which stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist
properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of "nervousness".
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A+ TEST BANK 2
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
o Wear a cotton bra.
o Increase nursing time gradually.
o Correctly place the infant on the breast.
o Manually express a small amount of milk before nursing.
o Correctly place the infant on the breast.
The most common cause of nipple soreness is incorrect positioning of the infant on the breast,
e. g., grasping too little of the areola or grasping only the nipple.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the
nurse determines that both breasts are swollen, warm, and tender upon palpation. What
action should the nurse take?
o Apply cold compresses to both breasts for comfort.
o Instruct the client run warm water on her breasts.
o Wear a loose-fitting bra to prevent nipple irritation.
o Express small amounts of milk to relieve pressure.
o Apply cold compresses to both breasts for comfort.
· The client is experiencing engorgement even though she is bottle-feeding her infant, and
applying cold compresses may help reduce discomfort.
A client who is in the second trimester of pregnancy tells the nurse that she wants to use
herbal therapy. Which response is best for the nurse to provide?
o "Herbs are a cornerstone of good health to include in your treatment."
o "Touch is also therapeutic in relieving discomfort and anxiety."
o "Your healthcare provider should direct treatment options for herbal therapy."
o "It is important that you want to take part in your care."
o "It is important that you want to take part in your care."
Clients need to be viewed holistically. By acknowledging the emphasis the client made to
alternative and complementary therapies, such as herbal therapy, the client is empowered as
an integral member of the healthcare team.
A+ TEST BANK 3
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
A 23-year-old client who is receiving Medicaid benefits is pregnant with her first child. Based
on knowledge of the statistics related to infant mortality, which plan should the nurse
implement with this client?
o Refer the client to a social worker to arrange for home care.
o Recommend perinatal care from an obstetrician, not a nurse-midwife.
o Teach the client why keeping prenatal care appointments is important.
o Advise the client that neonatal intensive care may be needed.
o Teach the client why keeping prenatal care appointments is important.
Regular prenatal visits should begin early in pregnancy to monitor health of the mother and
development of the fetus.
During labor, the nurse determines that a full-term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing actions? (Place
the first action on top and last action on the bottom.)
o Reposition the client.
o Call the healthcare provider.
o Increase IV fluid.
o Provide oxygen via face mask.
o Reposition the client.
o Increase IV fluid.
o Provide oxygen via face mask.
o Call the healthcare provider.
· To stabilize the fetus, intrauterine resuscitation becomes the first priority. In order to enhance
the fetal blood supply, the laboring client should be repositioned to displace the gravid uterus
and improve fetal perfusion. Secondly, the IV fluids should be increased to expand the maternal
circulating blood volume. The next step to optimize oxygenation of the circulatory blood
volume is to apply oxygen via face to the mother. Finally, the last step is to notify the primary
healthcare provider for additional interventions to resolve the fetal stress.
A+ TEST BANK 4
