MATERNAL NEWBORN NURSING QUESTIONS AND
ANSWERS WITH LATEST SOLUTIONS
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? Correct Answers: "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.
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? Correct Answers: 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? Correct
Answers: 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.
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? Correct Answers: Supine position with foam wedge positioned
under one hip.
∙The supine position is appropriate for abdominal surgery (cesarean birth), and a wedge under one
hip laterally tilts the client and reduces uterine weight on the vena cava and descending aorta. This
helps maintain optimal perfusion of oxygenated blood to the fetus during the procedure.
A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates clinical
manifestations of the condition. Which assessment finding is associate with this condition? Correct
Answers: Hypothermia
∙Thermal regulation issues are noted with this condition, such as hypothermia or hyperthermia.
∙The neonate will demonstrate increase wakefulness, sleep pattern disturbances and shrilled high-
pitched cries.
Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a weak, high
pitched cry. Which of the following would be the nurse's priority action? Correct Answers: Perform a
heel stick to check serum glucose.
∙The priority action is to confirm the serum glucose before proceeding.
∙A blood glucose level less than 40-45 mg/dL by heel stick is an urgent situation requiring therapy
with glucose - generally orally.
A nurse is assessing a client during her first prenatal visit. The client reports that her last normal
period began on April 22. Use Nagele's rule to calculate this client's expected date of birth (EDB).
ANSWERS WITH LATEST SOLUTIONS
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? Correct Answers: "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.
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? Correct Answers: 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? Correct
Answers: 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.
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? Correct Answers: Supine position with foam wedge positioned
under one hip.
∙The supine position is appropriate for abdominal surgery (cesarean birth), and a wedge under one
hip laterally tilts the client and reduces uterine weight on the vena cava and descending aorta. This
helps maintain optimal perfusion of oxygenated blood to the fetus during the procedure.
A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates clinical
manifestations of the condition. Which assessment finding is associate with this condition? Correct
Answers: Hypothermia
∙Thermal regulation issues are noted with this condition, such as hypothermia or hyperthermia.
∙The neonate will demonstrate increase wakefulness, sleep pattern disturbances and shrilled high-
pitched cries.
Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a weak, high
pitched cry. Which of the following would be the nurse's priority action? Correct Answers: Perform a
heel stick to check serum glucose.
∙The priority action is to confirm the serum glucose before proceeding.
∙A blood glucose level less than 40-45 mg/dL by heel stick is an urgent situation requiring therapy
with glucose - generally orally.
A nurse is assessing a client during her first prenatal visit. The client reports that her last normal
period began on April 22. Use Nagele's rule to calculate this client's expected date of birth (EDB).
