NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
One hour after giving birth to an 8-pound infant, a client’s lochia rubra has increased
from small to large and her fundus is boggy despite massage. The client’s pulse is 84
beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM x 1. What action should the nurse take immediately?
A. Call the healthcare provider to question the prescription.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Give the medication as prescribed and monitor for efficacy.
*A
A full-term infant is admitted to the newborn nursery. After cervical assessment, the nurse
suspects that the infant may have an esophageal atresia. Which symptoms are this newborn
likely to exhibit?
A. Projectile vomiting and cyanosis.
B. Choking, coughing, and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia.
*B
The nurse should explain to a 30-year-old primigravida client that alpha fetoprotein testing
is recommended for which purpose?
, NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
A. Detect cardiovascular disorders.
B. Assess for maternal pre-eclampsia.
C. Screen for neutral tube defects.
D. Monitor the placental functioning.
*C
The nurse is caring for a woman with a previously diagnosed heart disease who is in the
second stage of labor. Which assessment findings are of greatest concern?
A. Increased urinary output and tachycardia.
B. Edema, basilar rates, and an irregular pulse.
C. Regular heart rate and hypertension.
D. Shortness of breath, bradycardia, and hypertension.
*B
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three
weeks. Which assessment finding indicates to the nurse that the drug is effective?
A. Changes in apical heart rate from the 180s to the 140s.
B. Respiratory rate changes from the 40s to the 60s.
C. Change in indirect bilirubin from 12 to 8.
D. Slowly increasing urinary output over the last week.
*A
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client’s
, NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
blood pressure drops from 120/80 to 90/60. What action will the nurse take?
A. Continue to assess the blood pressure q5 minutes.
B. Place the woman in a lateral position.
C. Notify the healthcare provider or anesthesiologist immediately.
D. Turn off the continuous epidural.
*B
A new mother asks the nurse, “How do I know that my daughter is getting enough breast
milk?” which response is best for the nurse to provide?
A. Weigh the baby daily, and if she is gaining weight, she is eating enough.
B. If you’re concerned, you might consider bottle feeding so that you can monitor her
intake.
C. Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times
a day.
D. Offer the baby extra bottle milk after her feeding and see if she is still hungry.
*C
A client who is in the second trimester of pregnancy tells the nurse that she wants to use
herbal therapy. Which response is best for the nurse to provide?
A. Herbs are a cornerstone of good health to include in your treatment.
B. Your healthcare provider should direct treatment options for herbal therapy.
C. Touch is also therapeutic in relieving discomfort and anxiety.
D. Is it important that you want to take part in your care.
, NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
*D
The total bilirubin level of a 36-hour, breastfeeding newborn is 14. Based on this finding,
which intervention should the nurse implement?
A. Provide phototherapy for 30 minutes.
B. Assess the newborn’s blood glucose level.
C. Encourage the mother to breastfeed frequently.
D. Feed the newborn sterile water hourly.
*C
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A. Manually express a small amount of milk before nursing.
B. Correctly place the infant on the breast.
C. Wear a cotton bra.
D. Increase nursing time gradually.
*B
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
One hour after giving birth to an 8-pound infant, a client’s lochia rubra has increased
from small to large and her fundus is boggy despite massage. The client’s pulse is 84
beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM x 1. What action should the nurse take immediately?
A. Call the healthcare provider to question the prescription.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Give the medication as prescribed and monitor for efficacy.
*A
A full-term infant is admitted to the newborn nursery. After cervical assessment, the nurse
suspects that the infant may have an esophageal atresia. Which symptoms are this newborn
likely to exhibit?
A. Projectile vomiting and cyanosis.
B. Choking, coughing, and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia.
*B
The nurse should explain to a 30-year-old primigravida client that alpha fetoprotein testing
is recommended for which purpose?
, NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
A. Detect cardiovascular disorders.
B. Assess for maternal pre-eclampsia.
C. Screen for neutral tube defects.
D. Monitor the placental functioning.
*C
The nurse is caring for a woman with a previously diagnosed heart disease who is in the
second stage of labor. Which assessment findings are of greatest concern?
A. Increased urinary output and tachycardia.
B. Edema, basilar rates, and an irregular pulse.
C. Regular heart rate and hypertension.
D. Shortness of breath, bradycardia, and hypertension.
*B
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three
weeks. Which assessment finding indicates to the nurse that the drug is effective?
A. Changes in apical heart rate from the 180s to the 140s.
B. Respiratory rate changes from the 40s to the 60s.
C. Change in indirect bilirubin from 12 to 8.
D. Slowly increasing urinary output over the last week.
*A
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client’s
, NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
blood pressure drops from 120/80 to 90/60. What action will the nurse take?
A. Continue to assess the blood pressure q5 minutes.
B. Place the woman in a lateral position.
C. Notify the healthcare provider or anesthesiologist immediately.
D. Turn off the continuous epidural.
*B
A new mother asks the nurse, “How do I know that my daughter is getting enough breast
milk?” which response is best for the nurse to provide?
A. Weigh the baby daily, and if she is gaining weight, she is eating enough.
B. If you’re concerned, you might consider bottle feeding so that you can monitor her
intake.
C. Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times
a day.
D. Offer the baby extra bottle milk after her feeding and see if she is still hungry.
*C
A client who is in the second trimester of pregnancy tells the nurse that she wants to use
herbal therapy. Which response is best for the nurse to provide?
A. Herbs are a cornerstone of good health to include in your treatment.
B. Your healthcare provider should direct treatment options for herbal therapy.
C. Touch is also therapeutic in relieving discomfort and anxiety.
D. Is it important that you want to take part in your care.
, NURS C477 MATERNITY EXAM QUESTIONS
WITH CORRECT ANSWERS 100% SOLVED
SUCCESS ASSUARED 2023 A+
*D
The total bilirubin level of a 36-hour, breastfeeding newborn is 14. Based on this finding,
which intervention should the nurse implement?
A. Provide phototherapy for 30 minutes.
B. Assess the newborn’s blood glucose level.
C. Encourage the mother to breastfeed frequently.
D. Feed the newborn sterile water hourly.
*C
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A. Manually express a small amount of milk before nursing.
B. Correctly place the infant on the breast.
C. Wear a cotton bra.
D. Increase nursing time gradually.
*B
