1
Maternal Newborn Final Exam Study
Questions
R
1. A nurse is assessing a post-term infant. A characteristic that the nurse should
E
expect to see during assessment is
H
A. Pale, translucent skin
G
B. Nails extending over fingers
I
C. Large deposits of subcutaneous fat
D. Thin covering of fine hair on shoulders and back - ANS B
GH
1. A nurse is caring for a client who is pregnant and states that their last
N
menstrual period was April 1st. Which of the following is the client's estimated
I
date of delivery?
A. January 8th
Y
B. January 15th
L
C. February 8th
F
D. December 8th - ANS A
1. A patient in labor undergoing external fetal heart monitoring experiences
several variable decelerations. The nurse understands this is caused by
A. Head compress
B. Cord compress
, 2
C. Placental insufficiency
D.Neural tube defects - ANS B
2. A nurse at a prenatal clinic is caring for a client who is pregnant and
R
experiencing episodes of maternal hypotension. The client asks the nurse what
E
causes these episodes. Which of the following responses should the nurse
H
make?
A. "This is due to an increase in blood volume."
G
B. "This is due to pressure from the uterus on the diaphragm."
I
C. "This is due to the weight of the uterus on the vena cava."
H
D. "This is due to increased cardiac output." - ANS C
G
2. A nurse is caring for an infant who presents with Mongolian spots. What
N
assessment findings should the nurse expect? (select all that apply)
I
A. Bluish/purple spots
Y
B. Port wine stain
L
C. Found on buttocks
F
D. Frequently form on dark skin
E. Sudden forming pink rash - ANS A,C,D
2. A nurse is teaching a group of caregivers regarding intrauterine fetal
development. The nurse should identify a teratogen as
A. A birth defect
, 3
B. the genetic makeup of a fetus
C. A maternal illness that indirectly affects the fetus
D. A substance that adversely affects normal fetal growth and development -
ANS D
ER
3. A nurse in a clinic receives a phone call from a client who would like to be
H
tested in the clinic to confirm a pregnancy. Which of the following information
should the nurse provide to the client?
G
A. "You should wait until 4 weeks after conception to be tested."
I
B. "You should be off medications 24 hours prior to the test."
H
C. "You should be NPO for at least 8 hours before the test."
G
D. "You should collect urine from the first morning void." - ANS D
N
3. A nurse is caring for a client who is intrapartum and has vaginal bleeding. The
I
nurse should understand the assessment that differentiates abruptio placentae
Y
from placenta previa is
L
A. Pain
F
B. Fetal distress
C. Hypotension
D. Nausea - ANS A
3. Which risk factors pose a greater risk for the development of dystocia in a
laboring mother? (select all that apply)
Maternal Newborn Final Exam Study
Questions
R
1. A nurse is assessing a post-term infant. A characteristic that the nurse should
E
expect to see during assessment is
H
A. Pale, translucent skin
G
B. Nails extending over fingers
I
C. Large deposits of subcutaneous fat
D. Thin covering of fine hair on shoulders and back - ANS B
GH
1. A nurse is caring for a client who is pregnant and states that their last
N
menstrual period was April 1st. Which of the following is the client's estimated
I
date of delivery?
A. January 8th
Y
B. January 15th
L
C. February 8th
F
D. December 8th - ANS A
1. A patient in labor undergoing external fetal heart monitoring experiences
several variable decelerations. The nurse understands this is caused by
A. Head compress
B. Cord compress
, 2
C. Placental insufficiency
D.Neural tube defects - ANS B
2. A nurse at a prenatal clinic is caring for a client who is pregnant and
R
experiencing episodes of maternal hypotension. The client asks the nurse what
E
causes these episodes. Which of the following responses should the nurse
H
make?
A. "This is due to an increase in blood volume."
G
B. "This is due to pressure from the uterus on the diaphragm."
I
C. "This is due to the weight of the uterus on the vena cava."
H
D. "This is due to increased cardiac output." - ANS C
G
2. A nurse is caring for an infant who presents with Mongolian spots. What
N
assessment findings should the nurse expect? (select all that apply)
I
A. Bluish/purple spots
Y
B. Port wine stain
L
C. Found on buttocks
F
D. Frequently form on dark skin
E. Sudden forming pink rash - ANS A,C,D
2. A nurse is teaching a group of caregivers regarding intrauterine fetal
development. The nurse should identify a teratogen as
A. A birth defect
, 3
B. the genetic makeup of a fetus
C. A maternal illness that indirectly affects the fetus
D. A substance that adversely affects normal fetal growth and development -
ANS D
ER
3. A nurse in a clinic receives a phone call from a client who would like to be
H
tested in the clinic to confirm a pregnancy. Which of the following information
should the nurse provide to the client?
G
A. "You should wait until 4 weeks after conception to be tested."
I
B. "You should be off medications 24 hours prior to the test."
H
C. "You should be NPO for at least 8 hours before the test."
G
D. "You should collect urine from the first morning void." - ANS D
N
3. A nurse is caring for a client who is intrapartum and has vaginal bleeding. The
I
nurse should understand the assessment that differentiates abruptio placentae
Y
from placenta previa is
L
A. Pain
F
B. Fetal distress
C. Hypotension
D. Nausea - ANS A
3. Which risk factors pose a greater risk for the development of dystocia in a
laboring mother? (select all that apply)
