Maternal Newborn Final Exam Study Questions And Correct
Detailed Answers
A,C,D,E
A nurse is caring for a client who is 8 hours postpartum and is
experiencing hemorrhage.Which of the following
actions should the nurse implement afte notifying the
provider? (Select all that apply)
A.Massage the fundus.
B. Give oxygen at 2L/min via nasal cannula.
C.Administer oxytocin.
D.Insert an indwelling catheter.
E.Place the client in a lateral position with her legs
elevated 30 degrees.
While assessing a client in the fourth stage of labor, the nurse suspects A
bladder distention.Which of the following findings would the nurse expect
to see?
A.The fundus is displaced from the midline.
B.The uterus is firm.
C.The fundus is below the umbilicus.
D.The bladder is resonant with percussion.
A nurse is testing the reflexes of a newborn to assess
neurological maturity. Which of the following reflexes is the nurse
assessing by holding the newborn upright with
feet touching a flat surface?
A. Babinski Reflex
B. Moro Reflex
C.Stepping Reflex
D. Plantar Grasp Reflex
, The nurse in the newborn nursery has just received A
report.Which of the following infants should the nurse
see FIRST?
A.A 2 day old infant who is lying quietly alert with a heart rate of 185
B.A 1 day old infant who is crying and has a bulging anterior
fontanel
C.A 12 hour old infant who is being held, with respirations that are 45
breaths per minute and regular
D.A 5 hour old infant who is sleeping and whose hands and feet are
blue bilaterally
The nurse on a postpartum unit is preparing 4 clients for discharge. It D
would be MOST important for the nurse to refer which of the following
clients for home care?
A.A 15 year old primipara who delivered a 7 lb male 2days ago
B.An 18 year old multipara who delivered a 9 lb female by c-section
2 days ago
C.A 20 year old multipara who delivered 1 day ago and is complaining of
cramping
D.A 22 year old who delivered by c-section and is
complaining of burning on urination
The nurse teaches a primigravid woman how to measure the frequency C
of uterine contractions. The nurse should explain to the client that the
frequency of uterine
contractions is determined by which of the following?
A. By timing from the beginning of one contraction to the end of the next
contraction
B. By timing from the beginning of one contraction to the end of the
same contraction
C.By the number of contractions that occur within a given period
of time
D. By the strength of the contraction at its peak
Which of the following are presumptive signs of pregnancy? B,C,F
(Select all that apply)
A.Positive pregnancy test
B.Enlarged breasts
C.Urinary frequency
d. Braxton Hicks contractions
E.Fetal heart tones heard by the provider
F.Amenorrhea
Which of the following is the priority during the third stage of labor D
for the mother?
A.Educating the mother
B.Pain management
C.Skin to skin contact
D.Adequate tissue perfusion
Detailed Answers
A,C,D,E
A nurse is caring for a client who is 8 hours postpartum and is
experiencing hemorrhage.Which of the following
actions should the nurse implement afte notifying the
provider? (Select all that apply)
A.Massage the fundus.
B. Give oxygen at 2L/min via nasal cannula.
C.Administer oxytocin.
D.Insert an indwelling catheter.
E.Place the client in a lateral position with her legs
elevated 30 degrees.
While assessing a client in the fourth stage of labor, the nurse suspects A
bladder distention.Which of the following findings would the nurse expect
to see?
A.The fundus is displaced from the midline.
B.The uterus is firm.
C.The fundus is below the umbilicus.
D.The bladder is resonant with percussion.
A nurse is testing the reflexes of a newborn to assess
neurological maturity. Which of the following reflexes is the nurse
assessing by holding the newborn upright with
feet touching a flat surface?
A. Babinski Reflex
B. Moro Reflex
C.Stepping Reflex
D. Plantar Grasp Reflex
, The nurse in the newborn nursery has just received A
report.Which of the following infants should the nurse
see FIRST?
A.A 2 day old infant who is lying quietly alert with a heart rate of 185
B.A 1 day old infant who is crying and has a bulging anterior
fontanel
C.A 12 hour old infant who is being held, with respirations that are 45
breaths per minute and regular
D.A 5 hour old infant who is sleeping and whose hands and feet are
blue bilaterally
The nurse on a postpartum unit is preparing 4 clients for discharge. It D
would be MOST important for the nurse to refer which of the following
clients for home care?
A.A 15 year old primipara who delivered a 7 lb male 2days ago
B.An 18 year old multipara who delivered a 9 lb female by c-section
2 days ago
C.A 20 year old multipara who delivered 1 day ago and is complaining of
cramping
D.A 22 year old who delivered by c-section and is
complaining of burning on urination
The nurse teaches a primigravid woman how to measure the frequency C
of uterine contractions. The nurse should explain to the client that the
frequency of uterine
contractions is determined by which of the following?
A. By timing from the beginning of one contraction to the end of the next
contraction
B. By timing from the beginning of one contraction to the end of the
same contraction
C.By the number of contractions that occur within a given period
of time
D. By the strength of the contraction at its peak
Which of the following are presumptive signs of pregnancy? B,C,F
(Select all that apply)
A.Positive pregnancy test
B.Enlarged breasts
C.Urinary frequency
d. Braxton Hicks contractions
E.Fetal heart tones heard by the provider
F.Amenorrhea
Which of the following is the priority during the third stage of labor D
for the mother?
A.Educating the mother
B.Pain management
C.Skin to skin contact
D.Adequate tissue perfusion
