Maternal Newborn Winter 2025 Exam Questions and Answers

Maternal Newborn Winter 2025 After a missed abortion and then subsequent delivery of a fetus at 19wks gestation, the family remain in the room holding the infant. Which statement by the nurse would further assist the family in their initial period of grief? 1. "We need to take the baby now so that you can get some rest." 2. "Have you named your baby?" 3. "Don't worry, this was not your fault." 4. "We will see that you have an early discharge so you don't have to be reminded of this experience." - Answer- 2. "Have you named your baby?" A 26 y/o Primigravida who appears to be at or close to term arrives at the emergency department stating that she is in labor and complaining of severe pain continuing between contractions. The nurse palpates the abdomen, which is firm with no signs of relaxation. What problem does the nurse conclude the patient is experiencing? 1. placenta previa 2. precipitous birth 3. abruptio placentae 4. breech presentations - Answer- 3. abruptio placentae A patient with frank vaginal bleeding is admitted to the birthing unit at 30wks gestation. The admission data includes: BP 115/70, Pulse 90, RR 20, FHR 140, uterus non-tender and no contractions. Based on this information, what problem does the nurse suspect the patient has? 1. preterm labor 2. ectopic pregnancy 3. placenta previa 4. abruptio placentae - Answer- 3. placenta previa A patient arrives in the birthing unit from the emergency department with blood running down both legs. What action does the nurse perform first? 1. assess fetal heart tones 2. start an infusion of IV fluids 3. insert a uterine pressure catheter 4. observe for a prolapsed cord. - Answer- 1. assess fetal heart tones. Laboratory studies reveal that a pregnant patient's blood type is O and she is Rh(-). Problems related to incompatibility may develop in her infant if the infant is: 1. Rh negative 2. type A, B or Rh(+) 3. born preterm 4. type O and Rh(-) - Answer- 2. type A, B, or Rh(+) A patient in the emergency department has a diagnosis of an UN-ruptured tubal pregnancy. Which assessment finding best correlates with this diagnosis? 1. firm, rigid abdomen 2. referred shoulder pain 3. unilateral abdominal pain 4. ecchymotic blueness around the umbilicus. - Answer- 3. unilateral abdominal pain. A patient at her first prenatal visit, states that she has missed three menstrual periods and thinks she is carrying twins because her abdomen is large. On the exam, the nurse notices brown vaginal discharge and high blood pressure (140/95), which is not the patient's baseline. Considering these findings, what condition does the nurse suspect the patient may have? 1. Renal failure 2. Placenta previa 3. Hydatidiform mole