Exam 1 & Exam 2: PNR 203/ PNR203 (Latest 2024/ 2025
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Maternal-Newborn Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
Diaphragm - ANSWERSpermicide must be applied with each act of sexual intercourse
and should remain in place 6 hrs after. Empty bladder prior to coitus
Transdermal contraceptive patch - ANSWERPatch applied to dry skin overlying subQ
tissue, excluding breast
Depo-Provera - ANSWERIM injection given every 11-13 weeks (start should be during
first 5 days of clients menstrual cycle)
Essure - ANSWERInsertion of agent resulting in development of scar tissue in
Fallopian tubes. Not reversible
Female sterilization - ANSWERBurning or blocking the Fallopian tubes. Not reversible
Vasectomy - ANSWERLigation and severance of vas deferens. Need alternate form of
birth control for 20 ejaculations
RhoGAM - ANSWERAdministered at 28 weeks gestation to a mother who is Rh-
negative and gives birth to an Rh-positive infant. Recommended following an
amniocentesis
Oxytocin (Pitocin) - ANSWERMonitor for water intoxication (lightheaded, n/v,
headache, malaise) which can lead to cerebral edema, seizures, coma, and death.
Contraindicated based on late decelerations
3 hour glucose tolerance test - ANSWERScreens for gestational diabetes and is done
at 28 weeks of gestation
Rubella titer - ANSWERObtained at initial prenatal visit (about 6 weeks gestation)
Betamethasone (Celestone) - ANSWERGlucocorticoid administered IM in 2 injections
24 hr apart, given to stimulate fetal lung maturity if early delivery is anticipated and
to prevent respiratory distress. Can cause pulmonary edema (crackles, chest pain,
SOB)
Leopold Maneuver - ANSWERAbdominal palpation of fetus, lie, attitude, helps nurse
assess the position of the fetus to determine the optimal placement of the fetal
monitoring transducer. Empty bladder beforehand, supine positioning
,Steps of Leopold Maneuver - ANSWERPalpate client's fundus, determine location of
fetal back, palpate fetal part presenting at the inlet, and palpate the cephalic
prominence to identify the attitude of the head
Ferning test - ANSWERIf positive, indicates rupture of membranes
Expected newborn temp - ANSWER36.5-37.2
Expected newborn HR - ANSWER120-160
Expected newborn RR - ANSWER30-60
Expected newborn BP - ANSWER60-80 S, 40-50 D
Expected newborn length - ANSWER45-55 cm
Expected newborn weight - ANSWER2,500-4,000 g
What is effleurage? - ANSWERClient strokes abdomen using circular motion during
contractions
Maternal Serum Alpha-Fetoprotein - ANSWERScreening tool for neural tube defects
that is effective between 15 and 22 weeks. levels above indicate the need for an
ultrasound
Position for transvaginal ultrasound - ANSWERLithotomy position
Biophysical profile assesses? - ANSWERFetal
HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume
What does biophysical profile indicate? - ANSWERThe risk of asphyxia
Nonstress test - ANSWERClient presses a button whenever they feel fetal movement
which allows nurse to assess FHR in relationship to the fetal movement
Reactive stress test - ANSWERFHR has moderate variability, accelerated to 15
beats/min for at least 15 seconds and occurs two or more times during a 20 minute
period
Nonreactive stress test - ANSWERFHR does not accelerate adequately with fetal
movement. Does not meet criteria after 40 minutes. Contraction stress test or
biophysical profile is indicated
Contraction stress test - ANSWERFHR in response to contractions which decreases
placental blood flow
, Amniocentesis - ANSWERPerformed after 14 weeks gestation, empty bladder
beforehand, client in supine position
High levels of AFP - ANSWERAlpha-Fetoprotein is measured between 16 and 18
weeks and is used to detect neural tube defects (anencephaly), spina bifida, and
omphalocele
Low levels AFP - ANSWERChromosomal disorders (Down syndrome)
Fetal lung tests - ANSWERLecithin/sphingomyelin ratio- 2:1 indicating lung maturity
or 3:1 for diabetes mellitus
Percutaneous blood sampling - ANSWERObtains fetal blood from umbilical cord
which evaluates isoimmune fetal hemolytic anemia and assesses need for fetal blood
transfusion
Chorionic Villus sampling - ANSWERAlternative to amniocentesis (10-12 weeks
gestation)
Quad marker screening - ANSWERBlood test that ascertains info about likelihood of
fetal birth defects. Includes AFP, hCG, Estriol, Inhibin-A
Placenta previa - ANSWERPlacenta abnormally implants in the lower segment of the
uterus near or over the cervix. Results in abnormal bleeding during the 3rd trimester
as cervix begins to dilate
Placenta previa- marginal or low lying - ANSWERPlacenta is attached to lower uterine
segment but does not reach cervix
Signs of placenta previa - ANSWERPainless vaginal bleeding
Abruptio placenta - ANSWERPremature separation of placenta from uterus. Can
occur after 20 weeks gestation
Signs of abruptio placenta - ANSWERSudden onset of dark red vaginal bleeding,
sharp abdominal pain, and tender rigid uterus (board like)
Spontaneous abortion - ANSWERPregnancy is terminated before 20 weeks or fetal
weight is less than 500 g. Vaginal bleeding, uterine cramping, and partial or complete
expulsion of products of conception
Ectopic pregnancy - ANSWERAbnormal implantation of a fertilized ovum outside the
uterine cavity usually in fallopian tubes. Abrupt unilateral lower-quadrant abdominal
pain with or without vaginal bleeding, scant dark red vaginal spotting occurring 6-8
weeks after last normal menses
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Maternal-Newborn Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
Diaphragm - ANSWERSpermicide must be applied with each act of sexual intercourse
and should remain in place 6 hrs after. Empty bladder prior to coitus
Transdermal contraceptive patch - ANSWERPatch applied to dry skin overlying subQ
tissue, excluding breast
Depo-Provera - ANSWERIM injection given every 11-13 weeks (start should be during
first 5 days of clients menstrual cycle)
Essure - ANSWERInsertion of agent resulting in development of scar tissue in
Fallopian tubes. Not reversible
Female sterilization - ANSWERBurning or blocking the Fallopian tubes. Not reversible
Vasectomy - ANSWERLigation and severance of vas deferens. Need alternate form of
birth control for 20 ejaculations
RhoGAM - ANSWERAdministered at 28 weeks gestation to a mother who is Rh-
negative and gives birth to an Rh-positive infant. Recommended following an
amniocentesis
Oxytocin (Pitocin) - ANSWERMonitor for water intoxication (lightheaded, n/v,
headache, malaise) which can lead to cerebral edema, seizures, coma, and death.
Contraindicated based on late decelerations
3 hour glucose tolerance test - ANSWERScreens for gestational diabetes and is done
at 28 weeks of gestation
Rubella titer - ANSWERObtained at initial prenatal visit (about 6 weeks gestation)
Betamethasone (Celestone) - ANSWERGlucocorticoid administered IM in 2 injections
24 hr apart, given to stimulate fetal lung maturity if early delivery is anticipated and
to prevent respiratory distress. Can cause pulmonary edema (crackles, chest pain,
SOB)
Leopold Maneuver - ANSWERAbdominal palpation of fetus, lie, attitude, helps nurse
assess the position of the fetus to determine the optimal placement of the fetal
monitoring transducer. Empty bladder beforehand, supine positioning
,Steps of Leopold Maneuver - ANSWERPalpate client's fundus, determine location of
fetal back, palpate fetal part presenting at the inlet, and palpate the cephalic
prominence to identify the attitude of the head
Ferning test - ANSWERIf positive, indicates rupture of membranes
Expected newborn temp - ANSWER36.5-37.2
Expected newborn HR - ANSWER120-160
Expected newborn RR - ANSWER30-60
Expected newborn BP - ANSWER60-80 S, 40-50 D
Expected newborn length - ANSWER45-55 cm
Expected newborn weight - ANSWER2,500-4,000 g
What is effleurage? - ANSWERClient strokes abdomen using circular motion during
contractions
Maternal Serum Alpha-Fetoprotein - ANSWERScreening tool for neural tube defects
that is effective between 15 and 22 weeks. levels above indicate the need for an
ultrasound
Position for transvaginal ultrasound - ANSWERLithotomy position
Biophysical profile assesses? - ANSWERFetal
HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume
What does biophysical profile indicate? - ANSWERThe risk of asphyxia
Nonstress test - ANSWERClient presses a button whenever they feel fetal movement
which allows nurse to assess FHR in relationship to the fetal movement
Reactive stress test - ANSWERFHR has moderate variability, accelerated to 15
beats/min for at least 15 seconds and occurs two or more times during a 20 minute
period
Nonreactive stress test - ANSWERFHR does not accelerate adequately with fetal
movement. Does not meet criteria after 40 minutes. Contraction stress test or
biophysical profile is indicated
Contraction stress test - ANSWERFHR in response to contractions which decreases
placental blood flow
, Amniocentesis - ANSWERPerformed after 14 weeks gestation, empty bladder
beforehand, client in supine position
High levels of AFP - ANSWERAlpha-Fetoprotein is measured between 16 and 18
weeks and is used to detect neural tube defects (anencephaly), spina bifida, and
omphalocele
Low levels AFP - ANSWERChromosomal disorders (Down syndrome)
Fetal lung tests - ANSWERLecithin/sphingomyelin ratio- 2:1 indicating lung maturity
or 3:1 for diabetes mellitus
Percutaneous blood sampling - ANSWERObtains fetal blood from umbilical cord
which evaluates isoimmune fetal hemolytic anemia and assesses need for fetal blood
transfusion
Chorionic Villus sampling - ANSWERAlternative to amniocentesis (10-12 weeks
gestation)
Quad marker screening - ANSWERBlood test that ascertains info about likelihood of
fetal birth defects. Includes AFP, hCG, Estriol, Inhibin-A
Placenta previa - ANSWERPlacenta abnormally implants in the lower segment of the
uterus near or over the cervix. Results in abnormal bleeding during the 3rd trimester
as cervix begins to dilate
Placenta previa- marginal or low lying - ANSWERPlacenta is attached to lower uterine
segment but does not reach cervix
Signs of placenta previa - ANSWERPainless vaginal bleeding
Abruptio placenta - ANSWERPremature separation of placenta from uterus. Can
occur after 20 weeks gestation
Signs of abruptio placenta - ANSWERSudden onset of dark red vaginal bleeding,
sharp abdominal pain, and tender rigid uterus (board like)
Spontaneous abortion - ANSWERPregnancy is terminated before 20 weeks or fetal
weight is less than 500 g. Vaginal bleeding, uterine cramping, and partial or complete
expulsion of products of conception
Ectopic pregnancy - ANSWERAbnormal implantation of a fertilized ovum outside the
uterine cavity usually in fallopian tubes. Abrupt unilateral lower-quadrant abdominal
pain with or without vaginal bleeding, scant dark red vaginal spotting occurring 6-8
weeks after last normal menses
