Maternal Newborn
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1. A nurse is assessing a full-term newborn immediately after delivery. Which of the following findings is expected and
requires no intervention?
o A. Heart rate of 90 bpm
o B. Acrocyanosis of hands and feet
o C. Absence of Moro reflex
o D. Respiratory rate of 10 breaths/min
Copyright© 2026 Assessment Technologies Institute®, LLC. All rights reserved.
, Maternal Newborn
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__________
2. A postpartum client who is 2 hours post-vaginal delivery has a fundus that is 2 cm above the umbilicus and
displaced to the right. What is the nurse's priority intervention?
o A. Administer oxytocin IV
o B. Assist the client to empty her bladder
o C. Perform uterine massage
o D. Notify the healthcare provider
Copyright© 2026 Assessment Technologies Institute®, LLC. All rights reserved.
________________________________________________________________________________________________________________________
__________
1. A nurse is assessing a full-term newborn immediately after delivery. Which of the following findings is expected and
requires no intervention?
o A. Heart rate of 90 bpm
o B. Acrocyanosis of hands and feet
o C. Absence of Moro reflex
o D. Respiratory rate of 10 breaths/min
Copyright© 2026 Assessment Technologies Institute®, LLC. All rights reserved.
, Maternal Newborn
________________________________________________________________________________________________________________________
__________
2. A postpartum client who is 2 hours post-vaginal delivery has a fundus that is 2 cm above the umbilicus and
displaced to the right. What is the nurse's priority intervention?
o A. Administer oxytocin IV
o B. Assist the client to empty her bladder
o C. Perform uterine massage
o D. Notify the healthcare provider
Copyright© 2026 Assessment Technologies Institute®, LLC. All rights reserved.