UWORLD MATERNAL AND NEWBORN
UPDATED FINAL PAPER 2026 COMPLETE
QUESTIONS WITH VERIFIED AND DETAILED
ANSWERS GRADED A+
PRIORITY: - answer--Signs of UTI during pregnancy (eg. urinary urgency, DYSURIA)
-Signs of Pre-Term Labor (eg. intermittent lower back pain)
-Signs of Pre-Eclampsia (eg. headaches)
-Signs of Subinvolution (d/t UTERINE INFECTION & Retained Placental Fragment from
Delivery) = risk of POST PARTUM HEMORRHAGE
-Signs of FETAL TACHYCARDIA (110-160 normal range)
Normal Frequency of Uterine Contractions - answer-Every 2-4 minutes; duration of 60
seconds
*IF THERE IS NO PAUSE BETWEEN CONTRACTIONS OR CONTRACTIONS LAST PAST 60
SECONDS = STOP OXYTOCIN!
*ASSESS FOR:
*Hypertonic Uterine Contractions* = painful, frequent, uncoordinated contractions.
Main Intervention: Resolution of underlying cause & provide *RELIEF OF PAIN & REST*
*Stages of Labor* - answer-1 - Latent (1-3cm)
1 - Active (4-8 cm)
*^BEST TIME TO ADMINISTER IV OPIOIDS; clients who will give birth 2-4 hours after
administration so that the opioid effect has time to wear off before the birth. *
1 - Transition (8-10cm) = *VOMITING* & IRRITABLE d/t Severe Pain
2 - 10cm complete cervical dilation to birth; desire to PUSH during contraction & can feel
*BACKACHE* (Apply Strong Sacral Pressure during contractions as needed)
,^BACK PAIN - increased d/t positioning of fetus (eg. OCCIPUT POSTERIOR)
3 - Expulsion of the Placenta
"Back Labor" - answer-Lower back pain with contractions d/t fetus being in the RIGHT
OCCIPUT POSTERIOR (ROP) position *(or Occiput Posterior position in general)*
Intervention:
*-POSITION: HANDS AND KNEES = FACILITATES FETAL ROTATION TO AN OCCIPUT ANTERIOR
POSITION = more optimal for vaginal birth*
-APPLY SACRAL PRESSURE
POSITION/PRESENTATION OF INFANT: - answer-OA = facing the back; OPTIMAL POSITION
FOR BIRTH
OP = facing the front; *"BACK LABOR"* & prolonged labor = place on hands and knees
OT = facing the side = MANUAL ROTATION; risk of Shoulder Dystocia & prolonged labor
BREECH = FEET/BUTT FIRST; risk of CORD PROLAPSE & prolonged labor
Nagele's Rule - answer-- 3 months, + 7 days & 1 year from FIRST DAY of LMP
Fundal Height - answer-not palpable until 12-13 weeks & rises out of the symphysis;
+/- 2 cm from current gestation
****After 20 weeks gestation, the fundal height, measured in centimeters from the
symphysis pubis to the top of the fundus, correlates closely to the weeks of gestation.
, *AT 20 WEEKS - at LEVEL OF THE UMBILICUS*
Ovulation - answer-Occurs 14 + 2 days BEFORE next menses.
ASSESS for: high LUTEINIZING HORMONE (triggers ovulation)
***To figure out date of ovulation: SUBTRACT 14 from length (total amount of days) of
normal menstrual cycle.
*Uterine Atony* - answer-Soft, "boggy," and poorly contracted uterus = early PPH (occurring
≤24 hours after birth).
*Delayed PPH (>24 hours after birth) usually results from retained placental fragments
associated with a long third stage of labor (ie, time from birth of baby to expulsion of
placenta, lasting >30 minutes).
**ONLY ONE PERINEAL PAD SHOULD BE SATURATED FOR ONE HOUR
D/T:
-Overdistension of the Uterus
-Macrosomia
-Multiple Gestation
-Multiparity
*PPH Intervention:*
-FIRM Fundal Massage
-Have the client URINATE; may require foley catheter
-OXYTOCIN BOLUS
-Administer Misoprostol
-Start a second IV-line (preferably 18-gauge) for blood trasnfusions
UPDATED FINAL PAPER 2026 COMPLETE
QUESTIONS WITH VERIFIED AND DETAILED
ANSWERS GRADED A+
PRIORITY: - answer--Signs of UTI during pregnancy (eg. urinary urgency, DYSURIA)
-Signs of Pre-Term Labor (eg. intermittent lower back pain)
-Signs of Pre-Eclampsia (eg. headaches)
-Signs of Subinvolution (d/t UTERINE INFECTION & Retained Placental Fragment from
Delivery) = risk of POST PARTUM HEMORRHAGE
-Signs of FETAL TACHYCARDIA (110-160 normal range)
Normal Frequency of Uterine Contractions - answer-Every 2-4 minutes; duration of 60
seconds
*IF THERE IS NO PAUSE BETWEEN CONTRACTIONS OR CONTRACTIONS LAST PAST 60
SECONDS = STOP OXYTOCIN!
*ASSESS FOR:
*Hypertonic Uterine Contractions* = painful, frequent, uncoordinated contractions.
Main Intervention: Resolution of underlying cause & provide *RELIEF OF PAIN & REST*
*Stages of Labor* - answer-1 - Latent (1-3cm)
1 - Active (4-8 cm)
*^BEST TIME TO ADMINISTER IV OPIOIDS; clients who will give birth 2-4 hours after
administration so that the opioid effect has time to wear off before the birth. *
1 - Transition (8-10cm) = *VOMITING* & IRRITABLE d/t Severe Pain
2 - 10cm complete cervical dilation to birth; desire to PUSH during contraction & can feel
*BACKACHE* (Apply Strong Sacral Pressure during contractions as needed)
,^BACK PAIN - increased d/t positioning of fetus (eg. OCCIPUT POSTERIOR)
3 - Expulsion of the Placenta
"Back Labor" - answer-Lower back pain with contractions d/t fetus being in the RIGHT
OCCIPUT POSTERIOR (ROP) position *(or Occiput Posterior position in general)*
Intervention:
*-POSITION: HANDS AND KNEES = FACILITATES FETAL ROTATION TO AN OCCIPUT ANTERIOR
POSITION = more optimal for vaginal birth*
-APPLY SACRAL PRESSURE
POSITION/PRESENTATION OF INFANT: - answer-OA = facing the back; OPTIMAL POSITION
FOR BIRTH
OP = facing the front; *"BACK LABOR"* & prolonged labor = place on hands and knees
OT = facing the side = MANUAL ROTATION; risk of Shoulder Dystocia & prolonged labor
BREECH = FEET/BUTT FIRST; risk of CORD PROLAPSE & prolonged labor
Nagele's Rule - answer-- 3 months, + 7 days & 1 year from FIRST DAY of LMP
Fundal Height - answer-not palpable until 12-13 weeks & rises out of the symphysis;
+/- 2 cm from current gestation
****After 20 weeks gestation, the fundal height, measured in centimeters from the
symphysis pubis to the top of the fundus, correlates closely to the weeks of gestation.
, *AT 20 WEEKS - at LEVEL OF THE UMBILICUS*
Ovulation - answer-Occurs 14 + 2 days BEFORE next menses.
ASSESS for: high LUTEINIZING HORMONE (triggers ovulation)
***To figure out date of ovulation: SUBTRACT 14 from length (total amount of days) of
normal menstrual cycle.
*Uterine Atony* - answer-Soft, "boggy," and poorly contracted uterus = early PPH (occurring
≤24 hours after birth).
*Delayed PPH (>24 hours after birth) usually results from retained placental fragments
associated with a long third stage of labor (ie, time from birth of baby to expulsion of
placenta, lasting >30 minutes).
**ONLY ONE PERINEAL PAD SHOULD BE SATURATED FOR ONE HOUR
D/T:
-Overdistension of the Uterus
-Macrosomia
-Multiple Gestation
-Multiparity
*PPH Intervention:*
-FIRM Fundal Massage
-Have the client URINATE; may require foley catheter
-OXYTOCIN BOLUS
-Administer Misoprostol
-Start a second IV-line (preferably 18-gauge) for blood trasnfusions
