MATERNAL NEWBORN EXAM 2024
WITH 100% CORRECT ANSWERS
A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman to induce labor.
Provided are 100 mg tabs. How many tabs are given? - correct answer✔✔ A: 0.25 tabs
Which Leopold Maneuver is used to determine the presenting part of the fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver - correct answer✔✔ C. Third maneuver
A newborn is newly admitted to the nursery. A nursing assessment finds all of the following findings.
Which of these are abnormal? (Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1 - correct answer✔✔ B. visible jaundice
D. Heart rate of 93 bpm
What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency - correct answer✔✔ A. Cord compression
What is a normal range for fetal heart rate?
A. 100-150 bpm
,B. 110-160 bpm
C. 90-150 bpm - correct answer✔✔ B. 110-160 bpm
What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine - correct answer✔✔ A. Vitamin K
The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the
maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the
nurse expect to note if this condition is present?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding - correct answer✔✔ B. Uterine tenderness
The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The
nurse should monitor for which adverse effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes - correct answer✔✔ A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to
the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be
consistent with this syndrome?
, A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age - correct answer✔✔ B. Abnormal palmar creases
A nurse is assessing new parents feeding their newborn. Which of the following assessments requires
more education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding - correct answer✔✔ C. The father is
allowing the bottle to prop on the blanket
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client
reports leaking urine every time she sneezes or coughs. Which of the following interventions should the
nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches - correct answer✔✔ C. Kegel exercises
A Labor and Delivery nurse is caring for a client in labor and has applied an external fetal monitor and
tocotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and lasting 30-40
secs. The nurse performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced, and the
fetus is at -2 station. Which stage and phase of labor is this client experiencing?
A. First stage, active phase
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase - correct answer✔✔ D. First stage, latent phase
WITH 100% CORRECT ANSWERS
A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman to induce labor.
Provided are 100 mg tabs. How many tabs are given? - correct answer✔✔ A: 0.25 tabs
Which Leopold Maneuver is used to determine the presenting part of the fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver - correct answer✔✔ C. Third maneuver
A newborn is newly admitted to the nursery. A nursing assessment finds all of the following findings.
Which of these are abnormal? (Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1 - correct answer✔✔ B. visible jaundice
D. Heart rate of 93 bpm
What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency - correct answer✔✔ A. Cord compression
What is a normal range for fetal heart rate?
A. 100-150 bpm
,B. 110-160 bpm
C. 90-150 bpm - correct answer✔✔ B. 110-160 bpm
What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine - correct answer✔✔ A. Vitamin K
The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the
maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the
nurse expect to note if this condition is present?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding - correct answer✔✔ B. Uterine tenderness
The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The
nurse should monitor for which adverse effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes - correct answer✔✔ A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to
the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be
consistent with this syndrome?
, A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age - correct answer✔✔ B. Abnormal palmar creases
A nurse is assessing new parents feeding their newborn. Which of the following assessments requires
more education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding - correct answer✔✔ C. The father is
allowing the bottle to prop on the blanket
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client
reports leaking urine every time she sneezes or coughs. Which of the following interventions should the
nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches - correct answer✔✔ C. Kegel exercises
A Labor and Delivery nurse is caring for a client in labor and has applied an external fetal monitor and
tocotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and lasting 30-40
secs. The nurse performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced, and the
fetus is at -2 station. Which stage and phase of labor is this client experiencing?
A. First stage, active phase
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase - correct answer✔✔ D. First stage, latent phase
