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Maternal Newborn Exam Questions
A nurse working in Labor and Delivery is ordered to give Misoprostol
25mg to a woman to induce labor. Provided are 100 mg tabs. How
many tabs are given? - -Correct answer-A: 0.25 tabs
Which Leopold Maneuver is used to determine the presenting part of
the fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver - -Correct answer-C. Third maneuver
A newborn is newly admitted to the nursery. A nursing assessment
finds all of the following findings. Which of these are abnormal?
(Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1 - -Correct answer-B. visible
jaundice
D. Heart rate of 93 bpm
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, 2
What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency - -Correct answer-A. Cord compression
What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm - -Correct answer-B. 110-160 bpm
What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine - -Correct answer-A. Vitamin K
The nurse is assessing a pregnant client in the second trimester of
pregnancy who was admitted to the maternity unit with a suspected
diagnosis of abruptio placentae. Which assessment finding should
the nurse expect to note if this condition is present?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding - -Correct answer-B. Uterine
tenderness
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, 3
The nurse is monitoring a client in preterm labor who is receiving
intravenous magnesium sulfate. The nurse should monitor for which
adverse effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes - -Correct answer-A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
The nurse notes hypotonia, irritability, and a poor sucking reflex in a
full-term newborn on admission to the nursery. The nurse suspects
fetal alcohol syndrome and is aware that which additional sign would
be consistent with this syndrome?
A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age - -Correct
answer-B. Abnormal palmar creases
A nurse is assessing new parents feeding their newborn. Which of
the following assessments requires more education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
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C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding - -
Correct answer-C. The father is allowing the bottle to prop on the
blanket
A nurse is providing discharge instructions to a postpartum client
following a cesarean birth. The client reports leaking urine every time
she sneezes or coughs. Which of the following interventions should
the nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches - -Correct answer-C. Kegel exercises
A Labor and Delivery nurse is caring for a client in labor and has
applied an external fetal monitor and tocotransducer. The FHR is
around 140/min. Contractions are occurring every 8 min and lasting
30-40 secs. The nurse performs a vaginal exam and finds the cervix is
dilated to 2 cm, 50% effaced, and the fetus is at -2 station. Which
stage and phase of labor is this client experiencing?
A. First stage, active phase
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase - -Correct answer-D. First stage, latent
phase
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Maternal Newborn Exam Questions
A nurse working in Labor and Delivery is ordered to give Misoprostol
25mg to a woman to induce labor. Provided are 100 mg tabs. How
many tabs are given? - -Correct answer-A: 0.25 tabs
Which Leopold Maneuver is used to determine the presenting part of
the fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver - -Correct answer-C. Third maneuver
A newborn is newly admitted to the nursery. A nursing assessment
finds all of the following findings. Which of these are abnormal?
(Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1 - -Correct answer-B. visible
jaundice
D. Heart rate of 93 bpm
1
, 2
What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency - -Correct answer-A. Cord compression
What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm - -Correct answer-B. 110-160 bpm
What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine - -Correct answer-A. Vitamin K
The nurse is assessing a pregnant client in the second trimester of
pregnancy who was admitted to the maternity unit with a suspected
diagnosis of abruptio placentae. Which assessment finding should
the nurse expect to note if this condition is present?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding - -Correct answer-B. Uterine
tenderness
2
, 3
The nurse is monitoring a client in preterm labor who is receiving
intravenous magnesium sulfate. The nurse should monitor for which
adverse effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes - -Correct answer-A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
The nurse notes hypotonia, irritability, and a poor sucking reflex in a
full-term newborn on admission to the nursery. The nurse suspects
fetal alcohol syndrome and is aware that which additional sign would
be consistent with this syndrome?
A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age - -Correct
answer-B. Abnormal palmar creases
A nurse is assessing new parents feeding their newborn. Which of
the following assessments requires more education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
3
, 4
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding - -
Correct answer-C. The father is allowing the bottle to prop on the
blanket
A nurse is providing discharge instructions to a postpartum client
following a cesarean birth. The client reports leaking urine every time
she sneezes or coughs. Which of the following interventions should
the nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches - -Correct answer-C. Kegel exercises
A Labor and Delivery nurse is caring for a client in labor and has
applied an external fetal monitor and tocotransducer. The FHR is
around 140/min. Contractions are occurring every 8 min and lasting
30-40 secs. The nurse performs a vaginal exam and finds the cervix is
dilated to 2 cm, 50% effaced, and the fetus is at -2 station. Which
stage and phase of labor is this client experiencing?
A. First stage, active phase
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase - -Correct answer-D. First stage, latent
phase
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