Maternity Exam 1 Practice Questions
__________ exercises help to strengthen the pelvic floor muscles. - ANS-Kegel
\__________ refers to the enduring nature of the attachment relationship. -
ANS-commitment
\____________ centers offer a "home-like" setting but with close proximity to a hospital
facility in case of complications. - ANS-Birthing
\____________ is the study of the causes, distribution, and control of disease in populations.
- ANS-epidemiology
\____________ refers to a condition in which functioning endometrial tissue is found outside
the uterine cavity. - ANS-Endometriosis
\_____________ care is a comprehensive process in which any problems associated with
pregnancy are identified and treated. - ANS-Prenatal
\_____________ involves the transfer of heat from one object to another when the two are in
direct contact with each other. - ANS-conduction
\______________ prevention is designed to reduce or limit the progression of a disease or
disability. - ANS-Tertiary
\_______________ is the normal, predictable physiologic process in which the endometrial
lining is expelled. - ANS-Menstruation
\______________prevention involves the early detection and treatment of adverse health
problems. - ANS-Secondary
\___________or swelling of the breast tissue occurs usually 2 to 4 days after birth. -
ANS-engorgement
\3 hours after a vaginal delivery, the client complains of increased perineal pain. What should
the nurse do first?
A) Administer analgesia as ordered
B) Assess the perineum
C) Perform perineal care
D) Apply ice to perineum - ANS-B
\A 3-week-old baby is being breast-fed, appears healthy, and is gaining weight. The mother
calls the pediatrician's office to report that the baby is not gaining weight as rapidly as her
friend's formula-fed baby (who is 2 days older). Which of the following would be the best
response by the office nurse?
a."All babies gain weight at a different rate. You shouldn't be making comparisons."
b."You need to bring your baby into the office so we can do a full nutritional assessment.
c."Bottle-fed babies do gain weight faster than breast-fed babies. Your baby's weight gain is
just right for her age."
d."Your friend is probably overfeeding her baby. She may have problems controlling the
child's weight in the future." - ANS-A
\A 6 hour infant passes an unformed, black, tar like stool. The nurse should conclude this is
a:
A) Meconium stool expected at the time of birth
B) Transitional stool expected at this time
C) Meconium stool expected at this time
,D) Transitional stool expected later - ANS-C
\A breastfeeding mother asks if her baby will need to have vitamin supplements. After
determining that the mother is taking multivitamins and eating an adequate diet, the nurse
should tell her that for the first 6 months her baby will need:
a.Only a vitamin D supplement.
b.No vitamin supplements at all.
c.Supplements of vitamins C and D.
d.Iron, but no vitamin supplements. - ANS-B
\A client asks if it will be all right to switch her baby to whole cow's milk if she decides to stop
breast-feeding within the next month. The nurse's response should be based upon the
knowledge that whole cow's milk:
a.Lacks adequate protein.
b.Is an acceptable immediate alternative.
c.Should not be used with infants younger than 12 months.
d.May be substituted if the baby receives multivitamins. - ANS-C
\A finger-stick blood sample is used to assess a newborn's blood glucose level.
Select one:
True
False - ANS-False
\A healthy, full-term baby is scheduled for a circumcision. Nursing actions prior to the
procedure include which of the following? Select all that apply.
A) Obtain written consent from mother
B) Administer acetaminophen P.O. 1 hour before procedure per MD order
C) Feed neonate glucose water 30 minutes before procedure
D) Obtain neonates protime - ANS-B, C
Reasoning: We verify consent, the physician gets the consent
\A mother asks, "Is it true that breast milk will prevent my baby from catching colds and other
infections?" The nurse should reply, "Current research indicates that:
a.Your baby will have increased resistance to illness caused by bacteria and viruses, but she
may still contract infections."
b.You shouldn't have to worry about your baby's exposure to contagious diseases until she
stops breast-feeding."
c.Breast milk offers no greater protection to your baby than formula feedings."
d.Breast milk will give your baby protection from all illnesses to which you are immune." -
ANS-A
\A mother choosing to breast-feed requires an additional ____________ calories per day. -
ANS-500
\A mother is bottle-feeding her 12-hour-old infant, who tends to fall asleep before taking
enough of the feedings. The mother should be taught to:
a.Use tactile stimulation to arouse sucking.
b.Force-feed until the bottle is empty.
c.Skip several feedings to increase hunger.
d.Increase the size of the nipple opening. - ANS-A
, \A mother refused to allow her son to receive the vitamin K injection at birth. Which of the
following s/s might the nurse observe in the baby as a result?
A) Skin color is dusky
B) Vitals signs are labile
C) Glucose levels are subnormal
D) Circumcision site oozes blood - ANS-D
Reasoning
The circumcision site may ooze blood due to lack of Vitamin K, which is required for the
hepatic synthesis of blood coagulation factors II, VII, and X
\A Navajo mother has just given birth to a healthy baby. Her chart indicates that she intends
to breastfeed her baby. However, she did not want to put the baby to breast immediately
after the birth. Later, when the nurse asks if she would like to feed the baby, the mother
says, "No. Not until my real milk comes in. That's how we do it in my family." What should
the nurse say?
a."The colostrum you have now is good for your baby. I know it must be strange for you, but
you really should start now."
b."You need to let your baby begin sucking now. Otherwise you will have a hard time
establishing your milk supply."
c."Fine. I'll bring you a bottle of formula so you can feed your baby in the meantime."
d."Your milk may not come in for a few days. How would you like to feed your baby until
then?" - ANS-D
\A newborn experiencing heat loss can develop cold stress.
Select one:
True
False - ANS-True
\A newborn's chest circumference is usually 1 to 2 cm larger than the head circumference.
Select one:
True
False - ANS-False
\A newborn's five minute APGAR score is 5. Which of the following nursing interventions will
you provide to this newborn? - ANS-Some resuscitation assistance
- O2
- rubbing baby's back
- reassess APGAR score
\A newborn's one minute APGAR score is 8. Which of the following nursing interventions will
you provide to this newborn? - ANS-Routine post delivery care
\A nurse is assigning care of postpartum patients to a licensed vocational nurse (LVN).
Which postpartum patient is at the greatest risk for postpartum bleeding from uterine atony,
and should not be delegated to an LVN's care?
A) A breastfeeding postpartum patient
B) A patient who delivered vaginally after a prolonged labor
C) A primiparous patient
D) A postpartum patient who began early ambulation - ANS-B
\A nurse is going to teach her postpartum patient about newborn bathing, diapering, and
swaddling. Which of the following indicates that the nurse incorporated teaching/learning
principles in her teaching plans? Select all that apply.
__________ exercises help to strengthen the pelvic floor muscles. - ANS-Kegel
\__________ refers to the enduring nature of the attachment relationship. -
ANS-commitment
\____________ centers offer a "home-like" setting but with close proximity to a hospital
facility in case of complications. - ANS-Birthing
\____________ is the study of the causes, distribution, and control of disease in populations.
- ANS-epidemiology
\____________ refers to a condition in which functioning endometrial tissue is found outside
the uterine cavity. - ANS-Endometriosis
\_____________ care is a comprehensive process in which any problems associated with
pregnancy are identified and treated. - ANS-Prenatal
\_____________ involves the transfer of heat from one object to another when the two are in
direct contact with each other. - ANS-conduction
\______________ prevention is designed to reduce or limit the progression of a disease or
disability. - ANS-Tertiary
\_______________ is the normal, predictable physiologic process in which the endometrial
lining is expelled. - ANS-Menstruation
\______________prevention involves the early detection and treatment of adverse health
problems. - ANS-Secondary
\___________or swelling of the breast tissue occurs usually 2 to 4 days after birth. -
ANS-engorgement
\3 hours after a vaginal delivery, the client complains of increased perineal pain. What should
the nurse do first?
A) Administer analgesia as ordered
B) Assess the perineum
C) Perform perineal care
D) Apply ice to perineum - ANS-B
\A 3-week-old baby is being breast-fed, appears healthy, and is gaining weight. The mother
calls the pediatrician's office to report that the baby is not gaining weight as rapidly as her
friend's formula-fed baby (who is 2 days older). Which of the following would be the best
response by the office nurse?
a."All babies gain weight at a different rate. You shouldn't be making comparisons."
b."You need to bring your baby into the office so we can do a full nutritional assessment.
c."Bottle-fed babies do gain weight faster than breast-fed babies. Your baby's weight gain is
just right for her age."
d."Your friend is probably overfeeding her baby. She may have problems controlling the
child's weight in the future." - ANS-A
\A 6 hour infant passes an unformed, black, tar like stool. The nurse should conclude this is
a:
A) Meconium stool expected at the time of birth
B) Transitional stool expected at this time
C) Meconium stool expected at this time
,D) Transitional stool expected later - ANS-C
\A breastfeeding mother asks if her baby will need to have vitamin supplements. After
determining that the mother is taking multivitamins and eating an adequate diet, the nurse
should tell her that for the first 6 months her baby will need:
a.Only a vitamin D supplement.
b.No vitamin supplements at all.
c.Supplements of vitamins C and D.
d.Iron, but no vitamin supplements. - ANS-B
\A client asks if it will be all right to switch her baby to whole cow's milk if she decides to stop
breast-feeding within the next month. The nurse's response should be based upon the
knowledge that whole cow's milk:
a.Lacks adequate protein.
b.Is an acceptable immediate alternative.
c.Should not be used with infants younger than 12 months.
d.May be substituted if the baby receives multivitamins. - ANS-C
\A finger-stick blood sample is used to assess a newborn's blood glucose level.
Select one:
True
False - ANS-False
\A healthy, full-term baby is scheduled for a circumcision. Nursing actions prior to the
procedure include which of the following? Select all that apply.
A) Obtain written consent from mother
B) Administer acetaminophen P.O. 1 hour before procedure per MD order
C) Feed neonate glucose water 30 minutes before procedure
D) Obtain neonates protime - ANS-B, C
Reasoning: We verify consent, the physician gets the consent
\A mother asks, "Is it true that breast milk will prevent my baby from catching colds and other
infections?" The nurse should reply, "Current research indicates that:
a.Your baby will have increased resistance to illness caused by bacteria and viruses, but she
may still contract infections."
b.You shouldn't have to worry about your baby's exposure to contagious diseases until she
stops breast-feeding."
c.Breast milk offers no greater protection to your baby than formula feedings."
d.Breast milk will give your baby protection from all illnesses to which you are immune." -
ANS-A
\A mother choosing to breast-feed requires an additional ____________ calories per day. -
ANS-500
\A mother is bottle-feeding her 12-hour-old infant, who tends to fall asleep before taking
enough of the feedings. The mother should be taught to:
a.Use tactile stimulation to arouse sucking.
b.Force-feed until the bottle is empty.
c.Skip several feedings to increase hunger.
d.Increase the size of the nipple opening. - ANS-A
, \A mother refused to allow her son to receive the vitamin K injection at birth. Which of the
following s/s might the nurse observe in the baby as a result?
A) Skin color is dusky
B) Vitals signs are labile
C) Glucose levels are subnormal
D) Circumcision site oozes blood - ANS-D
Reasoning
The circumcision site may ooze blood due to lack of Vitamin K, which is required for the
hepatic synthesis of blood coagulation factors II, VII, and X
\A Navajo mother has just given birth to a healthy baby. Her chart indicates that she intends
to breastfeed her baby. However, she did not want to put the baby to breast immediately
after the birth. Later, when the nurse asks if she would like to feed the baby, the mother
says, "No. Not until my real milk comes in. That's how we do it in my family." What should
the nurse say?
a."The colostrum you have now is good for your baby. I know it must be strange for you, but
you really should start now."
b."You need to let your baby begin sucking now. Otherwise you will have a hard time
establishing your milk supply."
c."Fine. I'll bring you a bottle of formula so you can feed your baby in the meantime."
d."Your milk may not come in for a few days. How would you like to feed your baby until
then?" - ANS-D
\A newborn experiencing heat loss can develop cold stress.
Select one:
True
False - ANS-True
\A newborn's chest circumference is usually 1 to 2 cm larger than the head circumference.
Select one:
True
False - ANS-False
\A newborn's five minute APGAR score is 5. Which of the following nursing interventions will
you provide to this newborn? - ANS-Some resuscitation assistance
- O2
- rubbing baby's back
- reassess APGAR score
\A newborn's one minute APGAR score is 8. Which of the following nursing interventions will
you provide to this newborn? - ANS-Routine post delivery care
\A nurse is assigning care of postpartum patients to a licensed vocational nurse (LVN).
Which postpartum patient is at the greatest risk for postpartum bleeding from uterine atony,
and should not be delegated to an LVN's care?
A) A breastfeeding postpartum patient
B) A patient who delivered vaginally after a prolonged labor
C) A primiparous patient
D) A postpartum patient who began early ambulation - ANS-B
\A nurse is going to teach her postpartum patient about newborn bathing, diapering, and
swaddling. Which of the following indicates that the nurse incorporated teaching/learning
principles in her teaching plans? Select all that apply.
