NUR201 EXAM -
MATERNAL/INFANT LATEST
QUESTIONS AND VERIFED
ANSWERS 100%
GUARANTEED PASS
Fundus displacement commonly occurs in the early hours of the postpartum period due to
urinary retention, so assisting the client to the bathroom
An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a nuchal cord after
a 30-minute second stage. The nurse identifies petechiae over the face and upper back of the
newborn. What information should the nurse provide the parents about this finding?
The pinpoint spots are benign and disappear within 48 hours.
Further assessment is indicated.
Petechiae occurs with forceps delivery.
An increased blood volume causes broken blood vessels. - correct answer The pinpoint spots
are benign and disappear within 48 hours.
,What action should the nurse implement to prevent conductive heat loss in a newborn? -
correct answer Placing a blanket on the scale provides a barrier to prevent conductive heat loss
While monitoring a client in active labor, the nurse observes on the fetal monitor a pattern of a
15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. Which information should
the nurse report during a shift change? - correct answer This is a sign of fetal accelerations;
indicating fetal well being with labor progression
What action should the nurse implement when caring for a newborn receiving phototherapy?
a. Reposition every 6 hours.
b. limit the intake of formula.
c. apply an oil-based lotion to the skin.
d. place an eyeshield over the eyes. - correct answer d. place an eyeshield over the eyes.
A 31-year old woman uses an OTC pregnancy test. She is taking phenytoin (Dilantin) for epilepsy,
under stress, and not sleeping well. What could cause a false-positive result? - correct answer
anticonvulsants
A client who is breast feeding develops engorged breasts...what does nurse recommend to
relieve? - correct answer Continue to breast feed every two hours --> pump
Non-pharmacologic interventions for procedural pain in a newborn? - correct answer Oral
sucrose and non-nutritive sucking
The nurse is preparing to gavage feed a preterm infant who is receiving IV antibiotics. The infant
expels a bloody stool. What nursing action should the nurse implement?
A. Decrease the amount of the feeding.
B. Obtain a rectal temperature.
,C. Assess for abdominal distention.
D. Institute contact precautions - correct answer C. Assess for abdominal distention.
Purpose of folic acid? - correct answer reduces risk for neural tube defects
A client comes into clinic and complains that her left breast is erythamatous and painful. The
client asks "Can I still breastfeed?" What is the best response? - correct answer Continue breast
feeding
permanent skin changes from pregnancy? - correct answer striae gravidarum
A client in labor receives an epidural block. What intervention should the nurse implement first?
- correct answer monitor bp
pregnant client reports urinary frequency. What is the cause? - correct answer Growing uterus
is putting pressure on the bladder.
an infant with hyperbilirubinemia is receiving phototherapy. What intervention should be
implemented? - correct answer monitor temp
A client is bearing down with contractions crying out "the baby is coming!" What immediate
action? - correct answer visualize perineum for bulging
A woman asks nurse what the function of the placenta is in early pregnancy - correct answer
secretes estrogen & progesterone
A newborn infant is jaundiced due to Rh incompatibility. Which is important to report to HCP? -
correct answer bilirubin
, A client with no prenatal care arrives on the labour unit screaming, "The baby is coming!" A
nurse performs a vaginal examination that reveals the cervix is 3 cm dilated and 75% effaced.
What additional information is most important for the nurse to obtain?
a. Frequency and intensity of contractions.
b. Date of last normal menstrual period.
c. Time and amount of last oral intake.
d. Previous obstetrical history. - correct answer b. Date of last normal menstrual period.
the nurse is coaching a client during labor. When should the nurse encourage the mother to
push during the second stage of labor?
a. During contractions
b. After the contraction.
c. Before the contraction.
d. In- between contractions. - correct answer a. During contractions
The nurse should be aware that which condition is a contraindication to inducing labor?
a. Placenta previa.
b. Diabetes mellitus.
c. Chorioamnionitis.
d. Intrauterine growth restriction. - correct answer a. Placenta previa.
The nurse is preparing to administer dinoprostone (Cervidil) under the direction of the health
care provider. Which assessment finding should the nurse relay to the health care provider?
a. Temperature of 101 F (38.3 C).
b. Irregular uterine contractions every 5-8 minutes.
c. Heart rate of 100 bpm.
d. Early decelerations lasting 20 seconds. - correct answer a. Temperature of 101 F (38.3 C).
MATERNAL/INFANT LATEST
QUESTIONS AND VERIFED
ANSWERS 100%
GUARANTEED PASS
Fundus displacement commonly occurs in the early hours of the postpartum period due to
urinary retention, so assisting the client to the bathroom
An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a nuchal cord after
a 30-minute second stage. The nurse identifies petechiae over the face and upper back of the
newborn. What information should the nurse provide the parents about this finding?
The pinpoint spots are benign and disappear within 48 hours.
Further assessment is indicated.
Petechiae occurs with forceps delivery.
An increased blood volume causes broken blood vessels. - correct answer The pinpoint spots
are benign and disappear within 48 hours.
,What action should the nurse implement to prevent conductive heat loss in a newborn? -
correct answer Placing a blanket on the scale provides a barrier to prevent conductive heat loss
While monitoring a client in active labor, the nurse observes on the fetal monitor a pattern of a
15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. Which information should
the nurse report during a shift change? - correct answer This is a sign of fetal accelerations;
indicating fetal well being with labor progression
What action should the nurse implement when caring for a newborn receiving phototherapy?
a. Reposition every 6 hours.
b. limit the intake of formula.
c. apply an oil-based lotion to the skin.
d. place an eyeshield over the eyes. - correct answer d. place an eyeshield over the eyes.
A 31-year old woman uses an OTC pregnancy test. She is taking phenytoin (Dilantin) for epilepsy,
under stress, and not sleeping well. What could cause a false-positive result? - correct answer
anticonvulsants
A client who is breast feeding develops engorged breasts...what does nurse recommend to
relieve? - correct answer Continue to breast feed every two hours --> pump
Non-pharmacologic interventions for procedural pain in a newborn? - correct answer Oral
sucrose and non-nutritive sucking
The nurse is preparing to gavage feed a preterm infant who is receiving IV antibiotics. The infant
expels a bloody stool. What nursing action should the nurse implement?
A. Decrease the amount of the feeding.
B. Obtain a rectal temperature.
,C. Assess for abdominal distention.
D. Institute contact precautions - correct answer C. Assess for abdominal distention.
Purpose of folic acid? - correct answer reduces risk for neural tube defects
A client comes into clinic and complains that her left breast is erythamatous and painful. The
client asks "Can I still breastfeed?" What is the best response? - correct answer Continue breast
feeding
permanent skin changes from pregnancy? - correct answer striae gravidarum
A client in labor receives an epidural block. What intervention should the nurse implement first?
- correct answer monitor bp
pregnant client reports urinary frequency. What is the cause? - correct answer Growing uterus
is putting pressure on the bladder.
an infant with hyperbilirubinemia is receiving phototherapy. What intervention should be
implemented? - correct answer monitor temp
A client is bearing down with contractions crying out "the baby is coming!" What immediate
action? - correct answer visualize perineum for bulging
A woman asks nurse what the function of the placenta is in early pregnancy - correct answer
secretes estrogen & progesterone
A newborn infant is jaundiced due to Rh incompatibility. Which is important to report to HCP? -
correct answer bilirubin
, A client with no prenatal care arrives on the labour unit screaming, "The baby is coming!" A
nurse performs a vaginal examination that reveals the cervix is 3 cm dilated and 75% effaced.
What additional information is most important for the nurse to obtain?
a. Frequency and intensity of contractions.
b. Date of last normal menstrual period.
c. Time and amount of last oral intake.
d. Previous obstetrical history. - correct answer b. Date of last normal menstrual period.
the nurse is coaching a client during labor. When should the nurse encourage the mother to
push during the second stage of labor?
a. During contractions
b. After the contraction.
c. Before the contraction.
d. In- between contractions. - correct answer a. During contractions
The nurse should be aware that which condition is a contraindication to inducing labor?
a. Placenta previa.
b. Diabetes mellitus.
c. Chorioamnionitis.
d. Intrauterine growth restriction. - correct answer a. Placenta previa.
The nurse is preparing to administer dinoprostone (Cervidil) under the direction of the health
care provider. Which assessment finding should the nurse relay to the health care provider?
a. Temperature of 101 F (38.3 C).
b. Irregular uterine contractions every 5-8 minutes.
c. Heart rate of 100 bpm.
d. Early decelerations lasting 20 seconds. - correct answer a. Temperature of 101 F (38.3 C).
