NURSING 201: MATERNITY TEST 1 QUESTIONS WITH
ACCURATE ANSWERS
Acrocyanosis correct answer - Bluish tint to hands and feet while the rest of the
body is pink
- Normal during the first 24 hours due to venous stress
May last for a few hours and disappear with warming.
Additional Skin Issues correct answer - Petechia (Round Spots that are a result of
bleeding)
- Forceps Marks
- Telangiectic Nevi (Stork Bites)
- Hemangiomas
- Port Wine Stain
- Mottling
- Meconium Staining
AGA correct answer Appropriate for gestational age
AWHONN correct answer Association of Women's Health, Obstetric and Neonatal
Nurses
B: Bladder correct answer Check that the pt is voiding every 2 hours to prevent
uterine shift
,Cesarean Consideration: Foley will be placed until pt is ambulating
B: Bladder Nursing Intervention correct answer - Empty Bladder Q2H while Awake
B: Bowel correct answer Educate pt to increase fluid, fiber, and movement
Cesarean Consideration: Assess for bowel sounds and passing of gas due to
abdominal surgery
B: Bowel Nursing Interventions correct answer - Scheduled Stool Softener
- Increase Fluids
- Increase Fiber
Cesarean Consideration: Data Collect Bowel Sounds and Flatus
B: Breasts correct answer Check nipples for cracking and soreness (if breast
feeding)
B: Breasts Nursing Interventions correct answer - Use Breast Milk to Clean
- Air Dry
- Do not use Soap when Bathing (Get Lanolin Prescribed)
Babinski Reflex correct answer Reflex in which a newborn fans out the toes when
the sole of the foot is touched
,Breast Feeding vs. Formula correct answer - The body tends to absorb breast milk
more completely (sometimes there's so little left that the baby may not poop for
days)
- Many breastfed babies pass a mustardy, "seedy" yellow stool with each feeding
(at least for a short while)
- Formula-fed babies tend to have darker, tan-colored stools that happen less
often
Every baby is different; there is a very wide range of normal
Caput Succedaneum correct answer - Edema on soft tissue of scalp
- Crosses suture lines,
- Disappears on own
Car Seat and Safety correct answer - Rear facing until 2 years old or reach limit for
car seat
- Car seat < 4 years of age or 40 lbs
- Booster seat < 8 years of age or until 4'9"
- Seat at 45°
Cephalhematoma correct answer - Bleeding with periosteum of cranial bone
- Does NOT cross suture lines
- Appears 1 - 2 Days after delivery
- Resolves on own
, E: Emotion correct answer Check for signs of postpartum blues/depression or pre-
existing psychological condition
Cesarean Consideration: Evaluate pt's feelings/reasons for this form of delivery
E: Emotion Nursing Interventions correct answer 1. Taking In:
- 1st 24 Hours
- Sleeps
- Eats
2. Taking Hold:
- Concerned with Learning and Caring for Neonate
3. Letting Go:
- Reestablishes Relationships with Others
E: Episiotomy correct answer A surgical cut made at the opening of the vagina
during childbirth, to aid a difficult delivery and prevent rupture of tissues
Check for condition, perineum for edema, and hemorrhoids
Cesarean Consideration: Check incision site for REEDA
(redness, edema, ecchymosis, discharge, approximation)
E: Episiotomy Nursing Interventions correct answer - Assess Area
ACCURATE ANSWERS
Acrocyanosis correct answer - Bluish tint to hands and feet while the rest of the
body is pink
- Normal during the first 24 hours due to venous stress
May last for a few hours and disappear with warming.
Additional Skin Issues correct answer - Petechia (Round Spots that are a result of
bleeding)
- Forceps Marks
- Telangiectic Nevi (Stork Bites)
- Hemangiomas
- Port Wine Stain
- Mottling
- Meconium Staining
AGA correct answer Appropriate for gestational age
AWHONN correct answer Association of Women's Health, Obstetric and Neonatal
Nurses
B: Bladder correct answer Check that the pt is voiding every 2 hours to prevent
uterine shift
,Cesarean Consideration: Foley will be placed until pt is ambulating
B: Bladder Nursing Intervention correct answer - Empty Bladder Q2H while Awake
B: Bowel correct answer Educate pt to increase fluid, fiber, and movement
Cesarean Consideration: Assess for bowel sounds and passing of gas due to
abdominal surgery
B: Bowel Nursing Interventions correct answer - Scheduled Stool Softener
- Increase Fluids
- Increase Fiber
Cesarean Consideration: Data Collect Bowel Sounds and Flatus
B: Breasts correct answer Check nipples for cracking and soreness (if breast
feeding)
B: Breasts Nursing Interventions correct answer - Use Breast Milk to Clean
- Air Dry
- Do not use Soap when Bathing (Get Lanolin Prescribed)
Babinski Reflex correct answer Reflex in which a newborn fans out the toes when
the sole of the foot is touched
,Breast Feeding vs. Formula correct answer - The body tends to absorb breast milk
more completely (sometimes there's so little left that the baby may not poop for
days)
- Many breastfed babies pass a mustardy, "seedy" yellow stool with each feeding
(at least for a short while)
- Formula-fed babies tend to have darker, tan-colored stools that happen less
often
Every baby is different; there is a very wide range of normal
Caput Succedaneum correct answer - Edema on soft tissue of scalp
- Crosses suture lines,
- Disappears on own
Car Seat and Safety correct answer - Rear facing until 2 years old or reach limit for
car seat
- Car seat < 4 years of age or 40 lbs
- Booster seat < 8 years of age or until 4'9"
- Seat at 45°
Cephalhematoma correct answer - Bleeding with periosteum of cranial bone
- Does NOT cross suture lines
- Appears 1 - 2 Days after delivery
- Resolves on own
, E: Emotion correct answer Check for signs of postpartum blues/depression or pre-
existing psychological condition
Cesarean Consideration: Evaluate pt's feelings/reasons for this form of delivery
E: Emotion Nursing Interventions correct answer 1. Taking In:
- 1st 24 Hours
- Sleeps
- Eats
2. Taking Hold:
- Concerned with Learning and Caring for Neonate
3. Letting Go:
- Reestablishes Relationships with Others
E: Episiotomy correct answer A surgical cut made at the opening of the vagina
during childbirth, to aid a difficult delivery and prevent rupture of tissues
Check for condition, perineum for edema, and hemorrhoids
Cesarean Consideration: Check incision site for REEDA
(redness, edema, ecchymosis, discharge, approximation)
E: Episiotomy Nursing Interventions correct answer - Assess Area
