Maternity Nursing (OB Maternal &
Newborn) NCLEX Practice Quiz #5 |
80 Questions
1. Question
Mechanism of labor, also known as the cardinal movements,
refers to the sequencing of events involved in posturing and
positioning that allows the baby to find the easiest to come out of
the birth canal. Arrange the following mechanisms of labor
in the order during the course of labor and fetal delivery.
View Answers:
o Engagement
o Internal rotation
o Extension
o External rotation
o Expulsion
o Descent
o Flexion
The correct order is shown above.
The mechanism of fetal delivery begins with descent into the
pelvic inlet which may occur several days before true labor sets
in the primigravida. Flexion, internal rotation, and extension are
mechanisms that the fetus must perform as it accommodates
through the passageway/birth canal. Eternal rotation is done after
the head is delivered so that the shoulders will be easily
delivered through the vaginal introitus.
2. 2. Question
The first thing that a nurse must ensure when the baby’s head
comes out is
o A. The cord is intact
, o B. No part of the cord is encircling the baby’s
neck
o C. The cord is still attached to the placenta
o D. The cord is still pulsating
Correct Answer: B. No part of the cord is encircling the
baby’s neck
The nurse should check right away for possible cord coil around
the neck because if it is present, the baby can be strangled by it
and the fetal head will have difficulty being delivered.
Option A: In a newborn who was born a few hours
ago, the cord may look plump and pale yellow. One of
the umbilical arteries may be visible and protruding
from the cut edge. A normal cord has two arteries and
one vein.
Option C: The cord is expelled from the mother within
a half-hour after birth. It is still attached to the
placenta, which is commonly called “the afterbirth.”
With its function completed, it is no longer needed and
so is discarded by the mother’s body.
Option D: Some cords may pulsate (the pulsation
assists the transfer of your baby’s blood back into
their body) for as long as 30 minutes or more, where
others may stop pulsating at 5 minutes or less after
the baby is born.
3. 3. Question
To ensure that the baby will breathe as soon as the head is
delivered, the nurse’s priority action is to
A. Slap the baby’s buttocks to make the baby cry.
B. Suction the nose and mouth to remove mucous
secretions.
C. Clamp the cord about 6 inches from the base.
, D. Check the baby’s color to make sure it is not
cyanotic.
Incorrect
Correct Answer: B. Suction the nose and mouth to remove
mucous secretions.
Suctioning the nose and mouth of the fetus as soon as the head
is delivered will remove any obstruction that may be present
allowing for better breathing. Also, if mucus is in the nose and
mouth, aspiration of the mucus is possible which can lead to
aspiration pneumonia. (Remember that only the baby’s head has
come out as given in the situation.)
Option A: Earlier, many doctors would hold the baby
upside down firmly around his legs and then slap the
butt gently. This not only causes slight pain to the
child, but the motion also helps loosen any residues
that might be obstructing the airways. Constantly
doing so can irritate the child enough to begin crying.
Option C: Late cord clamping (performed
approximately 1–3 min after birth) is recommended for
all births while initiating simultaneous essential
neonatal care. Early umbilical cord clamping (less than
1 min after birth) is not recommended unless the
neonate is asphyxiated and needs to be moved
immediately for resuscitation.
Option D: When a baby is first born, the skin is a dark
red to purple color. As the baby starts to breathe air,
the color changes to red. This redness normally starts
to fade on the first day. A baby’s hands and feet may
stay bluish in color for several days. This is a normal
response to a baby’s underdeveloped blood
circulation. But blue coloring of other parts of the body
isn’t normal.
4. 4. Question
When doing perineal care in preparation for delivery, the nurse
should observe the following, except?
A. Use up-down technique with one stroke.
B. Clean from the mons veneris to the anus.
, C. Use mild soap and warm water.
D. Paint the inner thighs going towards the
perineal area.
Correct Answer: D. Paint the inner thighs going towards
the perineal area
Painting of the perineal area in preparation for delivery of the
baby must always be done but the stroke should be from the
perineum going outwards to the thighs. The perineal area is the
one being prepared for the delivery and must be kept clean
Option A: Wipe the perineum in one stroke to prevent
the transfer of infectious microorganisms from the
anal area to the perineum.
Option B: Always wash from front to back to prevent
spreading fecal matter from the anal area to the
vagina or urethra.
Option C: Use mild soap and warm water. Mild soap
would avoid killing the normal flora that lives in and
around the perineum.
5. 5. Question
What are the important considerations that the nurse must
remember after the placenta is delivered? Select all that
apply.
A. Check if the placenta is complete including the
membranes
B. Check if the cord is long enough for the baby
C. Check if the umbilical cord has 3 blood vessels
D. Check if the cord has a meaty portion and a shiny
portion
Correct Answer: A & C
The nurse after delivering the placenta must ensure that all the
cotyledons and the membranes of the placenta are complete.
Also, the nurse must check if the umbilical cord is normal which
means it contains the 3 blood vessels: 1 vein and 2 arteries.
Newborn) NCLEX Practice Quiz #5 |
80 Questions
1. Question
Mechanism of labor, also known as the cardinal movements,
refers to the sequencing of events involved in posturing and
positioning that allows the baby to find the easiest to come out of
the birth canal. Arrange the following mechanisms of labor
in the order during the course of labor and fetal delivery.
View Answers:
o Engagement
o Internal rotation
o Extension
o External rotation
o Expulsion
o Descent
o Flexion
The correct order is shown above.
The mechanism of fetal delivery begins with descent into the
pelvic inlet which may occur several days before true labor sets
in the primigravida. Flexion, internal rotation, and extension are
mechanisms that the fetus must perform as it accommodates
through the passageway/birth canal. Eternal rotation is done after
the head is delivered so that the shoulders will be easily
delivered through the vaginal introitus.
2. 2. Question
The first thing that a nurse must ensure when the baby’s head
comes out is
o A. The cord is intact
, o B. No part of the cord is encircling the baby’s
neck
o C. The cord is still attached to the placenta
o D. The cord is still pulsating
Correct Answer: B. No part of the cord is encircling the
baby’s neck
The nurse should check right away for possible cord coil around
the neck because if it is present, the baby can be strangled by it
and the fetal head will have difficulty being delivered.
Option A: In a newborn who was born a few hours
ago, the cord may look plump and pale yellow. One of
the umbilical arteries may be visible and protruding
from the cut edge. A normal cord has two arteries and
one vein.
Option C: The cord is expelled from the mother within
a half-hour after birth. It is still attached to the
placenta, which is commonly called “the afterbirth.”
With its function completed, it is no longer needed and
so is discarded by the mother’s body.
Option D: Some cords may pulsate (the pulsation
assists the transfer of your baby’s blood back into
their body) for as long as 30 minutes or more, where
others may stop pulsating at 5 minutes or less after
the baby is born.
3. 3. Question
To ensure that the baby will breathe as soon as the head is
delivered, the nurse’s priority action is to
A. Slap the baby’s buttocks to make the baby cry.
B. Suction the nose and mouth to remove mucous
secretions.
C. Clamp the cord about 6 inches from the base.
, D. Check the baby’s color to make sure it is not
cyanotic.
Incorrect
Correct Answer: B. Suction the nose and mouth to remove
mucous secretions.
Suctioning the nose and mouth of the fetus as soon as the head
is delivered will remove any obstruction that may be present
allowing for better breathing. Also, if mucus is in the nose and
mouth, aspiration of the mucus is possible which can lead to
aspiration pneumonia. (Remember that only the baby’s head has
come out as given in the situation.)
Option A: Earlier, many doctors would hold the baby
upside down firmly around his legs and then slap the
butt gently. This not only causes slight pain to the
child, but the motion also helps loosen any residues
that might be obstructing the airways. Constantly
doing so can irritate the child enough to begin crying.
Option C: Late cord clamping (performed
approximately 1–3 min after birth) is recommended for
all births while initiating simultaneous essential
neonatal care. Early umbilical cord clamping (less than
1 min after birth) is not recommended unless the
neonate is asphyxiated and needs to be moved
immediately for resuscitation.
Option D: When a baby is first born, the skin is a dark
red to purple color. As the baby starts to breathe air,
the color changes to red. This redness normally starts
to fade on the first day. A baby’s hands and feet may
stay bluish in color for several days. This is a normal
response to a baby’s underdeveloped blood
circulation. But blue coloring of other parts of the body
isn’t normal.
4. 4. Question
When doing perineal care in preparation for delivery, the nurse
should observe the following, except?
A. Use up-down technique with one stroke.
B. Clean from the mons veneris to the anus.
, C. Use mild soap and warm water.
D. Paint the inner thighs going towards the
perineal area.
Correct Answer: D. Paint the inner thighs going towards
the perineal area
Painting of the perineal area in preparation for delivery of the
baby must always be done but the stroke should be from the
perineum going outwards to the thighs. The perineal area is the
one being prepared for the delivery and must be kept clean
Option A: Wipe the perineum in one stroke to prevent
the transfer of infectious microorganisms from the
anal area to the perineum.
Option B: Always wash from front to back to prevent
spreading fecal matter from the anal area to the
vagina or urethra.
Option C: Use mild soap and warm water. Mild soap
would avoid killing the normal flora that lives in and
around the perineum.
5. 5. Question
What are the important considerations that the nurse must
remember after the placenta is delivered? Select all that
apply.
A. Check if the placenta is complete including the
membranes
B. Check if the cord is long enough for the baby
C. Check if the umbilical cord has 3 blood vessels
D. Check if the cord has a meaty portion and a shiny
portion
Correct Answer: A & C
The nurse after delivering the placenta must ensure that all the
cotyledons and the membranes of the placenta are complete.
Also, the nurse must check if the umbilical cord is normal which
means it contains the 3 blood vessels: 1 vein and 2 arteries.
