MATERNITY FINAL EXAM
A - ANS-75 year old female calls the clinic and reports a new onset of vaginal bleeding. The
nurse should recognize that this symptom is most concerning for which of the following?
a. Endometrial cancer
b. PCOS
c. Uterine prolapse
d. PID
\A - ANS-A 26 year old woman presents to her OB because she missed her last menstrual
period. She reports fatigue, nausea, and urinary frequency. The provider interprets these
findings as which indication of pregnancy?
Probable
Presumptive
Positive
Negative
\A, B, C
The natural family planning method combines basal body temperature, cervical mucus and
the calendar method. Right before ovulation the basal body temperature will rise 0.4-0.8
degrees so the patient will need to monitor her temperature and take it every morning before
getting out of bed. The patient needs to start keeping track of her cervical mucus, right
before and for 2-3 days after ovulation the mucus will be thin, clear, slippery, and will stretch
more than 2.3 cm. Also, by using the calendar method she will need to keep track of her
cycle, usually ovulation takes place approximately 14 days before menstruation begins. -
ANS-A nurse is educating a young woman who wants to use the natural family method to try
to conceive, the nurse explains to the patient that she would need to start keeping track of
what?
Select all that apply:
A. Her basal body temperature
B. Her cervical mucus
C. Her menstrual cycle each month using the calendar
D. Her blood pressure
\A, B, C - ANS-A client who is 26 weeks pregnant comes in complaining of headaches and
drowsiness. After obtaining her vital signs her blood pressure is . You suspect she
has gestational hypertension. Which of the following are standard questions you should ask?
(select all that apply)
A. Do you have visual disturbances, such as double vision or spots?
B. do you have epigastric pain?
C. Do you have a headache?
D. Does it feel like your heart is racing?
what
E. Are you having any lower back pain?
\A, B, C, D
, RationaleA- Asthma may affect fetal oxygenation levels due to inadequate gas exchange in
the mom B- Gestational diabetes may lead to placental insufficiency which affects fetal
oxygenationC- Hypertension may reduce blood flow to placenta due to vasospasmD-
Epidural side effects include hypotension, which will reduce blood flow to placenta and
therefore affect fetal oxygenation - ANS-1. Which of the following maternal factors may
decrease fetal oxygenation? Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural
\A, B, C, E - ANS-Which of the following are risk factors for hyperbilirubinemia in a newborn?
Select all that apply.
Delayed feeding
Birth to a diabetic mother
Lack of albumin binding sites
Axillary temperature of 97.8
Short RBC life
\A, B, D - ANS-A nurse is preparing to administer routine medications to a healthy infant who
was born vaginally 1 hour ago. The mother is negative for all bacterial and viral diseases and
has consented to her child receiving the medications. Which medications should she expect
to administer? Select all that apply.
A) Vitamin K injection
B) Erythromycin eye drops
C) Hepatitis B immunoglobulin injection
D) Hepatitis B vaccine
\A, B, D - ANS-After delivering her baby, a postpartum mother decides that she would like to
bottle feed rather than breast feed. What information would you provide to the mother. Select
all that apply:
A) You can take NSAIDS to assist with a low grade fever/discomfort
B) Ice is most appropriate for discomfort
C) 3-4 ounces of formula initially, then increase as stomach capacity grows
D) You must face backward during warm showers
E) Feed every 2 hours
\A, B, D, E - ANS-How do you assess for hip dysplasia in the newborn? Select all that apply.
Symmetry of gluteal & thigh creases
Ortolani sign
Babinski reflex
Barlow sign
Symmetrical bilateral leg length
\A, C, D
Rationale: Preventative seizure interventions include placing the patient in a private and
quiet room, restricting visitors, avoiding startling disruptions, minimizing light and noise, and
grouping care and assessments. The amount of visitors should be restricted, and care and
assessment should be grouped rather than broken up throughout the day. All of these
measures minimize the amount of stimulation in the environment that could possibly trigger
seizure activity. - ANS-You are caring for a 30-year-old high risk patient with a history of
A - ANS-75 year old female calls the clinic and reports a new onset of vaginal bleeding. The
nurse should recognize that this symptom is most concerning for which of the following?
a. Endometrial cancer
b. PCOS
c. Uterine prolapse
d. PID
\A - ANS-A 26 year old woman presents to her OB because she missed her last menstrual
period. She reports fatigue, nausea, and urinary frequency. The provider interprets these
findings as which indication of pregnancy?
Probable
Presumptive
Positive
Negative
\A, B, C
The natural family planning method combines basal body temperature, cervical mucus and
the calendar method. Right before ovulation the basal body temperature will rise 0.4-0.8
degrees so the patient will need to monitor her temperature and take it every morning before
getting out of bed. The patient needs to start keeping track of her cervical mucus, right
before and for 2-3 days after ovulation the mucus will be thin, clear, slippery, and will stretch
more than 2.3 cm. Also, by using the calendar method she will need to keep track of her
cycle, usually ovulation takes place approximately 14 days before menstruation begins. -
ANS-A nurse is educating a young woman who wants to use the natural family method to try
to conceive, the nurse explains to the patient that she would need to start keeping track of
what?
Select all that apply:
A. Her basal body temperature
B. Her cervical mucus
C. Her menstrual cycle each month using the calendar
D. Her blood pressure
\A, B, C - ANS-A client who is 26 weeks pregnant comes in complaining of headaches and
drowsiness. After obtaining her vital signs her blood pressure is . You suspect she
has gestational hypertension. Which of the following are standard questions you should ask?
(select all that apply)
A. Do you have visual disturbances, such as double vision or spots?
B. do you have epigastric pain?
C. Do you have a headache?
D. Does it feel like your heart is racing?
what
E. Are you having any lower back pain?
\A, B, C, D
, RationaleA- Asthma may affect fetal oxygenation levels due to inadequate gas exchange in
the mom B- Gestational diabetes may lead to placental insufficiency which affects fetal
oxygenationC- Hypertension may reduce blood flow to placenta due to vasospasmD-
Epidural side effects include hypotension, which will reduce blood flow to placenta and
therefore affect fetal oxygenation - ANS-1. Which of the following maternal factors may
decrease fetal oxygenation? Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural
\A, B, C, E - ANS-Which of the following are risk factors for hyperbilirubinemia in a newborn?
Select all that apply.
Delayed feeding
Birth to a diabetic mother
Lack of albumin binding sites
Axillary temperature of 97.8
Short RBC life
\A, B, D - ANS-A nurse is preparing to administer routine medications to a healthy infant who
was born vaginally 1 hour ago. The mother is negative for all bacterial and viral diseases and
has consented to her child receiving the medications. Which medications should she expect
to administer? Select all that apply.
A) Vitamin K injection
B) Erythromycin eye drops
C) Hepatitis B immunoglobulin injection
D) Hepatitis B vaccine
\A, B, D - ANS-After delivering her baby, a postpartum mother decides that she would like to
bottle feed rather than breast feed. What information would you provide to the mother. Select
all that apply:
A) You can take NSAIDS to assist with a low grade fever/discomfort
B) Ice is most appropriate for discomfort
C) 3-4 ounces of formula initially, then increase as stomach capacity grows
D) You must face backward during warm showers
E) Feed every 2 hours
\A, B, D, E - ANS-How do you assess for hip dysplasia in the newborn? Select all that apply.
Symmetry of gluteal & thigh creases
Ortolani sign
Babinski reflex
Barlow sign
Symmetrical bilateral leg length
\A, C, D
Rationale: Preventative seizure interventions include placing the patient in a private and
quiet room, restricting visitors, avoiding startling disruptions, minimizing light and noise, and
grouping care and assessments. The amount of visitors should be restricted, and care and
assessment should be grouped rather than broken up throughout the day. All of these
measures minimize the amount of stimulation in the environment that could possibly trigger
seizure activity. - ANS-You are caring for a 30-year-old high risk patient with a history of
