Maternal Newborn Health Promotion and
Maintenance Quiz
A nurse provided discharge teaching to new parents on how to care for their newborn following
circumcision. Which of the following statements by the parents indicates the need for further
clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "The circumcision will heal completely within a couple of weeks."
d. "I can give him a tub bath in two days." Correct Answers: d. "I can give him a tub bath in two days."
The newborn should not be immersed in water until the circumcision has healed and the umbilical
cord has detached. The circumcision should heal within two weeks.
A nurse is discussing the use of condoms with a female client. Which of the following statements by
client represents a need for further teaching?
Select one:
a. "My partner will put the condom on while his penis is erect."
b. "I will remove the condom 30 minutes after intercourse."
c. "My partner should leave an empty space at the tip."
d. "I can use spermicidal gels or creams to increase effectiveness." Correct Answers: b. "I will remove
the condom 30 minutes after intercourse."
To avoid any semen spillage onto the vulva or the vaginal area, the condom must be removed the
same time as the penis. To do that the condom rim should be held in place while the penis is
withdrawn from the vagina.
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting
30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus
false labor?
Select one:
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?"
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?" Correct Answers: b. "Have you noticed any
bloody show or fluid coming from your vagina?"
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture of
membranes. False labor is characterized by painless, irregular, and intermittent contractions that
decrease in frequency, duration, and intensity with walking or position changes. Contractions are felt
, in the lower back or above the umbilicus and often stop with comfort measures (like oral hydration).
There is usually no vaginal discharge with false labor.
False labor is characterized by painless, irregular, and intermittent contractions that decrease in
frequency, duration, and intensity with walking or position changes.
Telling the client to walk is not a correct response because it is an intervention rather than an
assessment question.
The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the
test. Which of the following is the correct response?
Select one:
a. The purpose of the NST is to assess the fetal CNS.
b. The purpose of the NST helps to determine gestational age.
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST is to determine fetal breathing. Correct Answers: a. The purpose of the
NST is to assess the fetal CNS.
This is the primary purpose of a NST. The test monitors the response of the FHR to fetal movement.
This allows the nurse to assess the FHR in relationship to the fetal movement
A client in the early postpartum period is talkative and enjoys recounting the details of her labor and
birth. The nurse recognizes that the behaviors must likely indicate which of the following?
Select one:
a. The taking-hold phase of maternal psychosocial adaptation.
b. The taking-in phase of maternal postpartum adjustment.
c. Postpartum role transition.
d. Positive mother-infant bonding. Correct Answers: b. The taking-in phase of maternal postpartum
adjustment.
The taking-in phase begins immediately following birth and lasts a few hours to a couple of days. It is
characterized by the mother being excited and talkative, reliving her birthing experience, and focusing
on her own needs and the overall health of her newborn.
The taking-hold phase of maternal postpartum adjustment begins on the second to third post-partum
day and lasts 10 days to several weeks. The woman's focus is on exerting her independence in
competently caring for her newborn. She may verbalize fears of incompetence or anxiety about
exhaustion, and needs acceptance and encouragement. Postpartum depression may occur during
this time.
A nurse is positioning a client on the operating room table in preparation for a cesarean birth. Which
of the following is the correct position?
Select one:
a. Lithotomy position with a foam wedge behind the shoulders.
b. Supine position with foam wedge positioned under one hip. C
c. Modified Trendelenburg position with a foam wedge under the legs.
Maintenance Quiz
A nurse provided discharge teaching to new parents on how to care for their newborn following
circumcision. Which of the following statements by the parents indicates the need for further
clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "The circumcision will heal completely within a couple of weeks."
d. "I can give him a tub bath in two days." Correct Answers: d. "I can give him a tub bath in two days."
The newborn should not be immersed in water until the circumcision has healed and the umbilical
cord has detached. The circumcision should heal within two weeks.
A nurse is discussing the use of condoms with a female client. Which of the following statements by
client represents a need for further teaching?
Select one:
a. "My partner will put the condom on while his penis is erect."
b. "I will remove the condom 30 minutes after intercourse."
c. "My partner should leave an empty space at the tip."
d. "I can use spermicidal gels or creams to increase effectiveness." Correct Answers: b. "I will remove
the condom 30 minutes after intercourse."
To avoid any semen spillage onto the vulva or the vaginal area, the condom must be removed the
same time as the penis. To do that the condom rim should be held in place while the penis is
withdrawn from the vagina.
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting
30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus
false labor?
Select one:
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?"
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?" Correct Answers: b. "Have you noticed any
bloody show or fluid coming from your vagina?"
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture of
membranes. False labor is characterized by painless, irregular, and intermittent contractions that
decrease in frequency, duration, and intensity with walking or position changes. Contractions are felt
, in the lower back or above the umbilicus and often stop with comfort measures (like oral hydration).
There is usually no vaginal discharge with false labor.
False labor is characterized by painless, irregular, and intermittent contractions that decrease in
frequency, duration, and intensity with walking or position changes.
Telling the client to walk is not a correct response because it is an intervention rather than an
assessment question.
The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the
test. Which of the following is the correct response?
Select one:
a. The purpose of the NST is to assess the fetal CNS.
b. The purpose of the NST helps to determine gestational age.
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST is to determine fetal breathing. Correct Answers: a. The purpose of the
NST is to assess the fetal CNS.
This is the primary purpose of a NST. The test monitors the response of the FHR to fetal movement.
This allows the nurse to assess the FHR in relationship to the fetal movement
A client in the early postpartum period is talkative and enjoys recounting the details of her labor and
birth. The nurse recognizes that the behaviors must likely indicate which of the following?
Select one:
a. The taking-hold phase of maternal psychosocial adaptation.
b. The taking-in phase of maternal postpartum adjustment.
c. Postpartum role transition.
d. Positive mother-infant bonding. Correct Answers: b. The taking-in phase of maternal postpartum
adjustment.
The taking-in phase begins immediately following birth and lasts a few hours to a couple of days. It is
characterized by the mother being excited and talkative, reliving her birthing experience, and focusing
on her own needs and the overall health of her newborn.
The taking-hold phase of maternal postpartum adjustment begins on the second to third post-partum
day and lasts 10 days to several weeks. The woman's focus is on exerting her independence in
competently caring for her newborn. She may verbalize fears of incompetence or anxiety about
exhaustion, and needs acceptance and encouragement. Postpartum depression may occur during
this time.
A nurse is positioning a client on the operating room table in preparation for a cesarean birth. Which
of the following is the correct position?
Select one:
a. Lithotomy position with a foam wedge behind the shoulders.
b. Supine position with foam wedge positioned under one hip. C
c. Modified Trendelenburg position with a foam wedge under the legs.
