MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM 2 LATEST 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
When discussing birth in a home setting with a group of pregnant women, which situation
should the nurse include about the safety of a home birth?
Only the woman and her midwife should be present during the delivery.
The woman should live no more than 15 minutes from the hospital.
The woman's extended family should be allowed to attend the home birth.
Medical backup should be available quickly in case of complications.
A+ TEST BANK 1
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
Medical backup should be available quickly in case of complications.
Rationale
Access to quick emergency care should be available in the event that an unforeseen
complication arises (D) during a home birth. Although the nurse-midwife should be a
competent healthcare provider during a home birth (A), access to emergency, surgical, and
resuscitation assistance should be readily available. A 15-minute drive to the hospital is
ideal, but (B) does not ensure the safest situation. The presence and support of family
during the home birth (C) does not necessarily ensure a safe home birth.
The nurse on the postpartum unit receives report for 4 clients during change of shift.
Which client should the nurse assess for risk of postpartum hemorrhage (PPH)?
A primigravida who had a spontaneous birth of preterm twins.
A multigravida who delivered a 8 pound 2 ounce infant after an 8-hour labor.
A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.
A primiparous client who had an emergency cesarean birth due to fetal distress.
A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.
Rationale
Magnesium sulfate administration during labor acts as a smooth muscle relaxant and
contributes to uterine relaxation and atony, which poses a risk for early PPH (C). Although
there are many causes and risk factors associated with postpartum hemorrhage (PPH), (A,
B, and D) are not at higher risk for PPH.
A preterm infant with an apnea monitor experiences an apneic episode. Which action
should the nurse implement first?
A+ TEST BANK 2
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back.
Gently rub the infant's feet or back.
Rationale
Gentle stimulation of the infant's feet and back (D) can cause an infant to resume
spontaneous respirations. If the infant does not respond to manual stimulation,
resuscitative measures should be implemented using Ambu bag ventilation (A), suctioning
(B), and the administration of oxygen (C).
A macrosomic infant is in stable condition after a difficult forceps-assisted delivery. After
obtaining the infant's weight at 4550 grams (9 pounds, 6 ounces), what is the priority
nursing action?
Assess newborn reflexes for signs of neurological impairment.
Leave the infant in the room with the mother to foster attachment.
Obtain serum glucose levels frequently while observing closely for signs of hypoglycemia.
Perform a gestational age assessment to determine if the infant is large-for-gestational-age.
Obtain serum glucose levels frequently while observing closely for signs of hypoglycemia.
Rationale
The infant's birth weight falls within the parameter (4000 grams or greater) for a large-for-
gestational-age (LGA) infant and should be assessed for hypoglycemia (C) and trauma.
Early recognition of hypoglycemia requires immediate intervention and takes precedence
A+ TEST BANK 3
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
over assessing newborn reflexes (A). Although the infant may remain in the room with the
mother (B), frequent assessments of the newborn should be performed. Additional
assessment tools (D) can be used after serum glucose levels are determined (C).
Which finding for a client in labor at 41-weeks gestation requires additional assessment by
the nurse?
Cervix dilated 2 cm and 50% effaced.
Score of 8 on the biophysical profile.
Fetal heart rate of 116 beats per minute.
One fetal movement noted in an hour.
One fetal movement noted in an hour.
Rationale
A count of less than three fetal movements within 1 hour (D) warrants further evaluation
using nonstress or contraction stress testing, biophysical profile, or a combination of these
tests. A cervical exam of 2 cm and 50% effacement (A) and a fetal heart rate of 116 (C) are
normal findings. A score of 8 on a biophysical profile (B) indicates a normal infant with low
risk for chronic asphyxia.
Which prescription should the nurse administer to a newborn to reduce complications
related to birth trauma?
Silver nitrate.
Erythromycin (Ilotycin ointment).
Ceftriaxone (Rocephin).
Vitamin K (AquaMEPHYTON).
Vitamin K (AquaMEPHYTON).
Rationale
A+ TEST BANK 4
NEONATE EXAM
MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM 2 LATEST 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
When discussing birth in a home setting with a group of pregnant women, which situation
should the nurse include about the safety of a home birth?
Only the woman and her midwife should be present during the delivery.
The woman should live no more than 15 minutes from the hospital.
The woman's extended family should be allowed to attend the home birth.
Medical backup should be available quickly in case of complications.
A+ TEST BANK 1
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
Medical backup should be available quickly in case of complications.
Rationale
Access to quick emergency care should be available in the event that an unforeseen
complication arises (D) during a home birth. Although the nurse-midwife should be a
competent healthcare provider during a home birth (A), access to emergency, surgical, and
resuscitation assistance should be readily available. A 15-minute drive to the hospital is
ideal, but (B) does not ensure the safest situation. The presence and support of family
during the home birth (C) does not necessarily ensure a safe home birth.
The nurse on the postpartum unit receives report for 4 clients during change of shift.
Which client should the nurse assess for risk of postpartum hemorrhage (PPH)?
A primigravida who had a spontaneous birth of preterm twins.
A multigravida who delivered a 8 pound 2 ounce infant after an 8-hour labor.
A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.
A primiparous client who had an emergency cesarean birth due to fetal distress.
A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.
Rationale
Magnesium sulfate administration during labor acts as a smooth muscle relaxant and
contributes to uterine relaxation and atony, which poses a risk for early PPH (C). Although
there are many causes and risk factors associated with postpartum hemorrhage (PPH), (A,
B, and D) are not at higher risk for PPH.
A preterm infant with an apnea monitor experiences an apneic episode. Which action
should the nurse implement first?
A+ TEST BANK 2
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back.
Gently rub the infant's feet or back.
Rationale
Gentle stimulation of the infant's feet and back (D) can cause an infant to resume
spontaneous respirations. If the infant does not respond to manual stimulation,
resuscitative measures should be implemented using Ambu bag ventilation (A), suctioning
(B), and the administration of oxygen (C).
A macrosomic infant is in stable condition after a difficult forceps-assisted delivery. After
obtaining the infant's weight at 4550 grams (9 pounds, 6 ounces), what is the priority
nursing action?
Assess newborn reflexes for signs of neurological impairment.
Leave the infant in the room with the mother to foster attachment.
Obtain serum glucose levels frequently while observing closely for signs of hypoglycemia.
Perform a gestational age assessment to determine if the infant is large-for-gestational-age.
Obtain serum glucose levels frequently while observing closely for signs of hypoglycemia.
Rationale
The infant's birth weight falls within the parameter (4000 grams or greater) for a large-for-
gestational-age (LGA) infant and should be assessed for hypoglycemia (C) and trauma.
Early recognition of hypoglycemia requires immediate intervention and takes precedence
A+ TEST BANK 3
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
over assessing newborn reflexes (A). Although the infant may remain in the room with the
mother (B), frequent assessments of the newborn should be performed. Additional
assessment tools (D) can be used after serum glucose levels are determined (C).
Which finding for a client in labor at 41-weeks gestation requires additional assessment by
the nurse?
Cervix dilated 2 cm and 50% effaced.
Score of 8 on the biophysical profile.
Fetal heart rate of 116 beats per minute.
One fetal movement noted in an hour.
One fetal movement noted in an hour.
Rationale
A count of less than three fetal movements within 1 hour (D) warrants further evaluation
using nonstress or contraction stress testing, biophysical profile, or a combination of these
tests. A cervical exam of 2 cm and 50% effacement (A) and a fetal heart rate of 116 (C) are
normal findings. A score of 8 on a biophysical profile (B) indicates a normal infant with low
risk for chronic asphyxia.
Which prescription should the nurse administer to a newborn to reduce complications
related to birth trauma?
Silver nitrate.
Erythromycin (Ilotycin ointment).
Ceftriaxone (Rocephin).
Vitamin K (AquaMEPHYTON).
Vitamin K (AquaMEPHYTON).
Rationale
A+ TEST BANK 4
