** **Maternal-Newborn Nursing:
Intrapartum, Postpartum, and Newborn
Care**
---
### Question 1 of 94
A nurse assesses a client at 38 weeks gestation reporting a gush of fluid. Which finding indicates rupture
of membranes?
A) Nitrazine paper turns yellow
B) Fern-like pattern on microscope slide
C) Fluid is dark amber
D) Negative pool test
💫RATIONALE✔️✔️: Amniotic fluid shows ferning (B) and turns nitrazine blue. Dark amber = meconium.
💫ANSWER✔️✔️: B) Fern-like pattern on microscope slide
---
### Question 2 of 94
A client on oxytocin (Pitocin) has contractions q1.5min x 90 sec with late decelerations. First action?
A) Decrease oxytocin
,B) Left lateral position
C) Give oxygen
D) Stop oxytocin
💫RATIONALE✔️✔️: Late decels with tachysystole require immediate stopping of oxytocin (D).
💫ANSWER✔️✔️: D) Stop oxytocin
---
### Question 3 of 94
**Select-All-That-Apply (SATA):** A nurse assesses a newborn at 5 minutes. Which are Apgar
components? (Select all that apply.)
A) Heart rate
B) Respiratory effort
C) Muscle tone
D) Reflex irritability
E) Bilirubin
💫RATIONALE✔️✔️: Apgar: HR (A), respiratory effort (B), muscle tone (C), reflex irritability (D), color.
Bilirubin not included.
💫ANSWER✔️✔️: A, B, C, D
---
### Question 4 of 94
A client at 10 weeks asks about folic acid. Which statement indicates understanding?
,A) "Prevents anemia."
B) "Reduces risk of neural tube defects."
C) "Prevents high blood pressure."
D) "Makes baby's bones strong."
💫RATIONALE✔️✔️: Folic acid (400-800 mcg) prevents neural tube defects (B).
💫ANSWER✔️✔️: B) "Reduces risk of neural tube defects."
---
### Question 5 of 94
A client 6 hours postpartum has firm fundus at umbilicus but saturating pad q15min with bright red
blood. First action?
A) Massage fundus
B) Assess perineum for lacerations
C) Give methylergonovine
D) Notify provider
💫RATIONALE✔️✔️: Heavy bright red bleeding with firm fundus suggests lacerations. First assess
perineum (B).
💫ANSWER✔️✔️: B) Assess perineum for lacerations
---
### Question 6 of 94
, A newborn 2 hours old has RR 70, nasal flaring, grunting. First action?
A) Place on pulse oximetry
B) Notify provider
C) Suction
D) Check oxygen saturation
💫RATIONALE✔️✔️: Respiratory distress requires oxygenation assessment first: place on pulse oximetry
(A).
💫ANSWER✔️✔️: A) Place on pulse oximetry
---
### Question 7 of 94
**Select-All-That-Apply (SATA):** A nurse teaches breastfeeding. Which statements indicate
understanding? (Select all that apply.)
A) "Feed q2-3h."
B) "6-8 wet diapers by day 4."
C) "Wash nipples with antibacterial soap."
D) "Ibuprofen safe for postpartum pain."
E) "Falling asleep after 5 min means full."
💫RATIONALE✔️✔️: Feed q2-3h (A), 6-8 wet diapers (B), ibuprofen safe (D). Soap drying. Early sleep
suggests poor latch.
💫ANSWER✔️✔️: A, B, D
---
Intrapartum, Postpartum, and Newborn
Care**
---
### Question 1 of 94
A nurse assesses a client at 38 weeks gestation reporting a gush of fluid. Which finding indicates rupture
of membranes?
A) Nitrazine paper turns yellow
B) Fern-like pattern on microscope slide
C) Fluid is dark amber
D) Negative pool test
💫RATIONALE✔️✔️: Amniotic fluid shows ferning (B) and turns nitrazine blue. Dark amber = meconium.
💫ANSWER✔️✔️: B) Fern-like pattern on microscope slide
---
### Question 2 of 94
A client on oxytocin (Pitocin) has contractions q1.5min x 90 sec with late decelerations. First action?
A) Decrease oxytocin
,B) Left lateral position
C) Give oxygen
D) Stop oxytocin
💫RATIONALE✔️✔️: Late decels with tachysystole require immediate stopping of oxytocin (D).
💫ANSWER✔️✔️: D) Stop oxytocin
---
### Question 3 of 94
**Select-All-That-Apply (SATA):** A nurse assesses a newborn at 5 minutes. Which are Apgar
components? (Select all that apply.)
A) Heart rate
B) Respiratory effort
C) Muscle tone
D) Reflex irritability
E) Bilirubin
💫RATIONALE✔️✔️: Apgar: HR (A), respiratory effort (B), muscle tone (C), reflex irritability (D), color.
Bilirubin not included.
💫ANSWER✔️✔️: A, B, C, D
---
### Question 4 of 94
A client at 10 weeks asks about folic acid. Which statement indicates understanding?
,A) "Prevents anemia."
B) "Reduces risk of neural tube defects."
C) "Prevents high blood pressure."
D) "Makes baby's bones strong."
💫RATIONALE✔️✔️: Folic acid (400-800 mcg) prevents neural tube defects (B).
💫ANSWER✔️✔️: B) "Reduces risk of neural tube defects."
---
### Question 5 of 94
A client 6 hours postpartum has firm fundus at umbilicus but saturating pad q15min with bright red
blood. First action?
A) Massage fundus
B) Assess perineum for lacerations
C) Give methylergonovine
D) Notify provider
💫RATIONALE✔️✔️: Heavy bright red bleeding with firm fundus suggests lacerations. First assess
perineum (B).
💫ANSWER✔️✔️: B) Assess perineum for lacerations
---
### Question 6 of 94
, A newborn 2 hours old has RR 70, nasal flaring, grunting. First action?
A) Place on pulse oximetry
B) Notify provider
C) Suction
D) Check oxygen saturation
💫RATIONALE✔️✔️: Respiratory distress requires oxygenation assessment first: place on pulse oximetry
(A).
💫ANSWER✔️✔️: A) Place on pulse oximetry
---
### Question 7 of 94
**Select-All-That-Apply (SATA):** A nurse teaches breastfeeding. Which statements indicate
understanding? (Select all that apply.)
A) "Feed q2-3h."
B) "6-8 wet diapers by day 4."
C) "Wash nipples with antibacterial soap."
D) "Ibuprofen safe for postpartum pain."
E) "Falling asleep after 5 min means full."
💫RATIONALE✔️✔️: Feed q2-3h (A), 6-8 wet diapers (B), ibuprofen safe (D). Soap drying. Early sleep
suggests poor latch.
💫ANSWER✔️✔️: A, B, D
---
