Maternal Newborn Comprehensive Study
Guide SLCC
1. A nurse is teaching the parent of a newborn about car seat use. Which of the following
information should the nurse include?
A. Position the newborn at a 45-degree angle in the car seat
B. Place the retainer clip across the newborn's abdomen
C. Keep the car seat rear-facing until the newborn can sit unsupported
D. Place the shoulder harness straps below the level of the newborn's armpits
2. A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The
client asks the nurse why the provider does not do an internal examination. Which of the
following explanations of the primary reason should the nurse provide?
A. There is an increased risk of introducing infection
B. This could initiate preterm labor
C. This could result in profound bleeding
D. There is an increased risk of rupture of membranes
3. A nurse caring for an antepartum client whose laboratory findings indicate a negative rubella
titer. Which of the following is the correct interpretation of this data?
A. The client is not experiencing a rubella infection at this time
B. The client is immune to the rubella virus
C. The client requires a rubella vaccination at this time
D. The client requires a rubella vaccination following delivery
4. A nurse on the labor and delivery unit is caring for a patient who is having induction of labor
with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min,
lasting 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/min, with a
uniform deceleration beginning at the peak of the contraction and a return to baseline after the
contractions is over. Which of the following actions should the nurse take?
A. Decrease the rate of infusion of the maintenance IV solution
B. Discontinue the infusion of the IV oxytocin
C. Increase the rate of infusion of the IV oxytocin
D. Slow the client's rate of breathing
5. A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of
observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with
minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart
rate during a period of fetal movement, each lasting 20 seconds. Which of the following
interpretations of these findings should the nurse make?
A. A negative test
B. A nonreactive test
C A positive test
D. A reactive test
, 6. A nurse is caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority nursing action?
A. Administer vitamin K
B. Dry the skin
C. Administer eye prophylaxis
D. Place an identification bracelet
7. A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed
extremities after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in
response to suctioning. The nurse should document what APGAR score for this infant?
A. 6
B. 7
C. 8
D. 9
8. A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a
circumcision with the Plastibell technique. Which of the following client statements indicates
understanding of circumcision care (Select all that apply)
A. I'll expect the plastic ring to fall off by itself within a week
B. I'll apply petroleum jelly to his penis with diaper changes
C. I'll wash his penis with warm water and mild soap each day
D. I'll call the doctor if I see any bleeding
E. I'll make sure his diaper is loose in the front
9. A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.
Which of the following should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6
months
B. Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface
antigen
C. Hepatitis B immune globulin and hepatitis B vaccine within 12 hrs of birth
D. Hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days
10. A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates
hyperbilirubinemia due to Rh incompatibility. The nurse should understand that
hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
A. The client's blood contains the Rh factor and the newborn's does not, and antibodies that
destroy red blood cells are formed in the fetus.
B. The client's anti-A and anti-B antibodies cross the placenta and cause the destruction of fetal
red blood cells.
C. The client's blood does not contain the Rh factor, so she produces anti-Rh antibodies that
cross the placental barrier and cause hemolysis of red blood cells in the newborn.
D. The client has a history of receiving a transfusion with Rh-negative blood.
Guide SLCC
1. A nurse is teaching the parent of a newborn about car seat use. Which of the following
information should the nurse include?
A. Position the newborn at a 45-degree angle in the car seat
B. Place the retainer clip across the newborn's abdomen
C. Keep the car seat rear-facing until the newborn can sit unsupported
D. Place the shoulder harness straps below the level of the newborn's armpits
2. A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The
client asks the nurse why the provider does not do an internal examination. Which of the
following explanations of the primary reason should the nurse provide?
A. There is an increased risk of introducing infection
B. This could initiate preterm labor
C. This could result in profound bleeding
D. There is an increased risk of rupture of membranes
3. A nurse caring for an antepartum client whose laboratory findings indicate a negative rubella
titer. Which of the following is the correct interpretation of this data?
A. The client is not experiencing a rubella infection at this time
B. The client is immune to the rubella virus
C. The client requires a rubella vaccination at this time
D. The client requires a rubella vaccination following delivery
4. A nurse on the labor and delivery unit is caring for a patient who is having induction of labor
with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min,
lasting 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/min, with a
uniform deceleration beginning at the peak of the contraction and a return to baseline after the
contractions is over. Which of the following actions should the nurse take?
A. Decrease the rate of infusion of the maintenance IV solution
B. Discontinue the infusion of the IV oxytocin
C. Increase the rate of infusion of the IV oxytocin
D. Slow the client's rate of breathing
5. A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of
observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with
minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart
rate during a period of fetal movement, each lasting 20 seconds. Which of the following
interpretations of these findings should the nurse make?
A. A negative test
B. A nonreactive test
C A positive test
D. A reactive test
, 6. A nurse is caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority nursing action?
A. Administer vitamin K
B. Dry the skin
C. Administer eye prophylaxis
D. Place an identification bracelet
7. A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed
extremities after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in
response to suctioning. The nurse should document what APGAR score for this infant?
A. 6
B. 7
C. 8
D. 9
8. A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a
circumcision with the Plastibell technique. Which of the following client statements indicates
understanding of circumcision care (Select all that apply)
A. I'll expect the plastic ring to fall off by itself within a week
B. I'll apply petroleum jelly to his penis with diaper changes
C. I'll wash his penis with warm water and mild soap each day
D. I'll call the doctor if I see any bleeding
E. I'll make sure his diaper is loose in the front
9. A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.
Which of the following should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6
months
B. Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface
antigen
C. Hepatitis B immune globulin and hepatitis B vaccine within 12 hrs of birth
D. Hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days
10. A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates
hyperbilirubinemia due to Rh incompatibility. The nurse should understand that
hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
A. The client's blood contains the Rh factor and the newborn's does not, and antibodies that
destroy red blood cells are formed in the fetus.
B. The client's anti-A and anti-B antibodies cross the placenta and cause the destruction of fetal
red blood cells.
C. The client's blood does not contain the Rh factor, so she produces anti-Rh antibodies that
cross the placental barrier and cause hemolysis of red blood cells in the newborn.
D. The client has a history of receiving a transfusion with Rh-negative blood.
