MATERNAL NEWBORN EXAM zm zm
Exam Solution zm
Maternal Newborn Exam 1 Study Terms 2026 A+ GRAD zm zm zm zm zm zm zm zm
E ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
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WERS (754BD) zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
Fourteen days after delivery, a client returns to the outpatient clinic to be checked by
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ma nurse. The nurse determines the client's uterus is located 3 cm. above the symphysi
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s pubis. How should the nurse interpret this finding?
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a. Normal involution
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b. A response to lactation
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c. Subinvolution
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d. A positive sign of infection
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ANSWER
c. Subinvolution By 10 days after delivery, the uterus should no longer be palpable when normal inv
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olution occurs. If it is palpable above the symphysis pubis, it is called subinvolution. Although infecti
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on can be a cause of subinvolution, it is not the only cause. The nurse should not assume the client
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has an infection. Lactation encourages normal involution; it is not related to subinvolution.
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QUESTION 3 zm
At 8 hours postpartum, a new mother has an oral temperature of 100 degrees F. How
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mshould the nurse interpret this finding?
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a. The client has an infection
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b. The client is anemic
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c. The client is dehydrated
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d. The client has breast engorgement
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, ANSWER
c. The client is dehydrated Restriction of fluids during labor and normal postpartum diuresis can ca
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use the woman to have a slightly elevated temperature due to dehydration. Anemia and breast engo
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rgement would not cause an elevation in temperature. It is too early for an infection to cause a rise
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min temperature. A temp of 100.4 or greater after the first 24 hours PP may be an indication of infe
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ction.
QUESTION 4 zm
In the "taking-
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hold" phase of postpartum recovery, what maternal behavior would the nurse expect t
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o see?
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a. The mother expresses concern about her behavior during labor.
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b. The mother states she will assume full care of her baby "tomorrow."
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c. The mother asks to take care of the baby herself.
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d. The mother orders extra helping of food at each meal.
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ANSWER
c. The mother asks to take care of the baby herself.
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QUESTION 5 zm
A nurse notes that a 6-hour-
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old neonate has cyanotic hands and feet. Which of the following actions by the nurse i
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s appropriate?
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a. Administer oxygen.
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b. Swaddle neonate in a blanket.
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c. Place the neonate in a warmer.
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d. Apply a pulse oximeter.
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ANSWER
b. Swaddle neonate in a blanket. The assessment findings indicate acrocyanosis. This is a normal fin
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ding in a newborn. No specific intervention is needed but to maintain normal thermalregulation for
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the newborn. There was nothing noted in the description that indicated the newborn was cold or w
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as not able to maintain its temperature.
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QUESTION 6 zm
The nurse notes that a newborn, who is 5 minutes old, exhibits the following characte
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ristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bl
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uish hands and feet, some flexion. What does the nurse determine the baby's Apgar sc
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ore is? zm
a. 8 zm
b. 9 zm
Exam Solution zm
Maternal Newborn Exam 1 Study Terms 2026 A+ GRAD zm zm zm zm zm zm zm zm
E ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
zm zm zm zm zm zm
WERS (754BD) zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
Fourteen days after delivery, a client returns to the outpatient clinic to be checked by
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ma nurse. The nurse determines the client's uterus is located 3 cm. above the symphysi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s pubis. How should the nurse interpret this finding?
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a. Normal involution
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b. A response to lactation
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c. Subinvolution
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d. A positive sign of infection
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ANSWER
c. Subinvolution By 10 days after delivery, the uterus should no longer be palpable when normal inv
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olution occurs. If it is palpable above the symphysis pubis, it is called subinvolution. Although infecti
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on can be a cause of subinvolution, it is not the only cause. The nurse should not assume the client
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has an infection. Lactation encourages normal involution; it is not related to subinvolution.
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QUESTION 3 zm
At 8 hours postpartum, a new mother has an oral temperature of 100 degrees F. How
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mshould the nurse interpret this finding?
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a. The client has an infection
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b. The client is anemic
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c. The client is dehydrated
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d. The client has breast engorgement
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, ANSWER
c. The client is dehydrated Restriction of fluids during labor and normal postpartum diuresis can ca
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use the woman to have a slightly elevated temperature due to dehydration. Anemia and breast engo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rgement would not cause an elevation in temperature. It is too early for an infection to cause a rise
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min temperature. A temp of 100.4 or greater after the first 24 hours PP may be an indication of infe
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ction.
QUESTION 4 zm
In the "taking-
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hold" phase of postpartum recovery, what maternal behavior would the nurse expect t
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o see?
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a. The mother expresses concern about her behavior during labor.
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b. The mother states she will assume full care of her baby "tomorrow."
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c. The mother asks to take care of the baby herself.
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d. The mother orders extra helping of food at each meal.
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ANSWER
c. The mother asks to take care of the baby herself.
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QUESTION 5 zm
A nurse notes that a 6-hour-
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old neonate has cyanotic hands and feet. Which of the following actions by the nurse i
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s appropriate?
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a. Administer oxygen.
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b. Swaddle neonate in a blanket.
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c. Place the neonate in a warmer.
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d. Apply a pulse oximeter.
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ANSWER
b. Swaddle neonate in a blanket. The assessment findings indicate acrocyanosis. This is a normal fin
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ding in a newborn. No specific intervention is needed but to maintain normal thermalregulation for
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the newborn. There was nothing noted in the description that indicated the newborn was cold or w
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as not able to maintain its temperature.
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QUESTION 6 zm
The nurse notes that a newborn, who is 5 minutes old, exhibits the following characte
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ristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bl
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
uish hands and feet, some flexion. What does the nurse determine the baby's Apgar sc
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ore is? zm
a. 8 zm
b. 9 zm