TEST BANK FOR MATERNITY NEWBORN AND
WOMEN'S HEALTH NURSING A
CASE-BASED APPROACH 2nd EDITION O'MEARA
EXAM 2025 LATEST NEWEST UPDATE WITH
ACTUAL QUESTIONS AND DETAILED VERIFIED
ANSWERS WITH RATIONALES (100% CORRECT)
//BRAND NEW!! /ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER DOWNLOAD (ALL
YOU NEED TO PASS YOUR EXAMS
MULTIPLE CHOICE
What is the nurse's initial action immediately after assisting with a precipitous birth in the triage area of the emergency
department?
1. Warming the newborn
2. Clamping the umbilical cord
, 3. Assessing maternal bleeding
4. Monitoring expulsion of the placenta
1. Warming the newborn
A woman who had a home birth brings the infant to the well-baby clinic on the third day after the birth, and the infant
weighs 5% less than at birth. What does the nurse suspect as the cause of this weight loss?
1. Viral or bacterial infection
2. Obstructive gastrointestinal anomaly
3. Generalized muscle response to stimulation
4. Imbalance between nutrient intake and fluid loss
4. Imbalance between nutrient intake and fluid loss
A nurse assesses a healthy 8-lb 8-oz (3860-gm) newborn who was given Apgar scores of 9 at 1 minute and 10 at 5 minutes.
Which category of the Apgar score received a 1 rating at one minute?
1. Color
2. Heart rate
3. Respirations
4. Reflex irritability
1. Color
**Because of inadequate peripheral circulation at birth there is acrocyanosis (body pink, hands and feet blue), which merits
1 point for color . This is a common occurrence in a healthy newborn. The fetal heart rate ranges from 110 to 160 beats/min;
a newborn heart rate of more than 100 beats/min is expected in a healthy newborn and merits 2 points. An adequate
respiratory rate is evidenced by crying, which is expected in a healthy newborn and merits 2 points. Reflex irritability is
represented by crying, which is expected in a healthy newborn and merits 2 points.
A mother asks the neonatal nurse why her infant must be monitored for hypoglycemia when her type 1 diabetes was in
excellent control during her pregnancy. How should the nurse respond?
1. "A newborn's glucose level drops after birth, so we're being especially cautious with your baby because of your diabetes."
2. "A newborn's pancreas produces an increased amount of insulin during the first day of birth, so we're checking to see
whether hypoglycemia has occurred."
3. "Babies of mothers with diabetes do not have large stores of glucose at birth, so it's difficult for them to maintain the
blood glucose level within an acceptable range."
4. "Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the
mothers during pregnancy, so the glucose level may drop."
,4. "Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the
mothers during pregnancy, so the glucose level may drop."
A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has requested a circumcision. What is the nurse's
priority?
1. Getting a physician's prescription for a lidocaine injection
2. Educating the new mother about the circumcision procedure
3. Getting an informed consent signed by the mother of the baby
4. Getting an informed consent signed by the grandmother of the baby
3. Getting an informed consent signed by the mother of the baby
**As an emancipated minor , the mother of the baby has the right to make the decision regarding the circumcision and is
responsible for signing the informed consent.
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate begins to choke on mucus. How
should the nurse suction him with a bulb syringe?
1. By suctioning the mouth before the nostrils
2. By starting the oxygen and then suctioning the pharynx
3. By positioning the bulb far into the throat before beginning suctioning
4. By placing the bulb in the mouth, compressing the bulb, and starting suctioning
1. By suctioning the mouth before the nostrils
After the birth of her daughter, a mother tells the nurse, "I was told that my baby has to have an injection of vitamin K. She's
so small to be getting a shot. Why does she have to have it?" How should the nurse respond?
1. "Your baby needs the injection to help her develop red blood cells."
2. "An injection of vitamin K will help keep your baby from becoming jaundiced."
3. "Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding."
4. "A newborn's blood clots extremely rapidly. This injection will help decrease the clotting time."
3. "Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding."
An infant has surgery for repair of a myelomeningocele. For which early sign of impending hydrocephalus should the nurse
monitor the infant?
1. Frequent crying
2. Bulging fontanels
3. Change in vital signs
, 4. Difficulty with feeding
2. Bulging fontanels
The nurse observes several dark round areas on a newborn's buttocks on a dark-skinned neonate. How should this
observation be documented?
1. Stork bites
2. Forceps marks
3. Mongolian spots
4. Ecchymotic areas
3. Mongolian spots
The mother of a newborn son tells the nurse that she is concerned about circumcision because of the pain involved. What is
the nurse's best response?
1. "A newborn's nerves are not mature enough for him to feel pain."
2. "It's such a short procedure that the pain won't last long."
3. "Your baby should have no memory of it, even if there is pain."
4. "The health care provider will tell you how your baby's pain will be controlled."
4. "The health care provider will tell you how your baby's pain will be controlled."
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological jaundice). What clinical finding confirms this
complication?
1. Muscle irritability within 1 hour of birth
2. Neurological signs during the first 24 hours
3. Jaundice that develops in the first 12 to 24 hours
4. Jaundice that develops between 48 and 72 hours after birth
3. Jaundice that develops in the first 12 to 24 hours
A client consents to have her newborn son circumcised. Which statement indicates to the nurse that the mother needs
additional discharge instructions?
1. "I'll put an ice bag on his penis so it won't swell."
2. "I need to change the dressing four times each day."
3. "I'll call my doctor if I notice any bleeding from the penis."
4. "I need to keep the diaper loose so it won't rub on the penis."
1. "I'll put an ice bag on his penis so it won't swell."
WOMEN'S HEALTH NURSING A
CASE-BASED APPROACH 2nd EDITION O'MEARA
EXAM 2025 LATEST NEWEST UPDATE WITH
ACTUAL QUESTIONS AND DETAILED VERIFIED
ANSWERS WITH RATIONALES (100% CORRECT)
//BRAND NEW!! /ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER DOWNLOAD (ALL
YOU NEED TO PASS YOUR EXAMS
MULTIPLE CHOICE
What is the nurse's initial action immediately after assisting with a precipitous birth in the triage area of the emergency
department?
1. Warming the newborn
2. Clamping the umbilical cord
, 3. Assessing maternal bleeding
4. Monitoring expulsion of the placenta
1. Warming the newborn
A woman who had a home birth brings the infant to the well-baby clinic on the third day after the birth, and the infant
weighs 5% less than at birth. What does the nurse suspect as the cause of this weight loss?
1. Viral or bacterial infection
2. Obstructive gastrointestinal anomaly
3. Generalized muscle response to stimulation
4. Imbalance between nutrient intake and fluid loss
4. Imbalance between nutrient intake and fluid loss
A nurse assesses a healthy 8-lb 8-oz (3860-gm) newborn who was given Apgar scores of 9 at 1 minute and 10 at 5 minutes.
Which category of the Apgar score received a 1 rating at one minute?
1. Color
2. Heart rate
3. Respirations
4. Reflex irritability
1. Color
**Because of inadequate peripheral circulation at birth there is acrocyanosis (body pink, hands and feet blue), which merits
1 point for color . This is a common occurrence in a healthy newborn. The fetal heart rate ranges from 110 to 160 beats/min;
a newborn heart rate of more than 100 beats/min is expected in a healthy newborn and merits 2 points. An adequate
respiratory rate is evidenced by crying, which is expected in a healthy newborn and merits 2 points. Reflex irritability is
represented by crying, which is expected in a healthy newborn and merits 2 points.
A mother asks the neonatal nurse why her infant must be monitored for hypoglycemia when her type 1 diabetes was in
excellent control during her pregnancy. How should the nurse respond?
1. "A newborn's glucose level drops after birth, so we're being especially cautious with your baby because of your diabetes."
2. "A newborn's pancreas produces an increased amount of insulin during the first day of birth, so we're checking to see
whether hypoglycemia has occurred."
3. "Babies of mothers with diabetes do not have large stores of glucose at birth, so it's difficult for them to maintain the
blood glucose level within an acceptable range."
4. "Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the
mothers during pregnancy, so the glucose level may drop."
,4. "Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the
mothers during pregnancy, so the glucose level may drop."
A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has requested a circumcision. What is the nurse's
priority?
1. Getting a physician's prescription for a lidocaine injection
2. Educating the new mother about the circumcision procedure
3. Getting an informed consent signed by the mother of the baby
4. Getting an informed consent signed by the grandmother of the baby
3. Getting an informed consent signed by the mother of the baby
**As an emancipated minor , the mother of the baby has the right to make the decision regarding the circumcision and is
responsible for signing the informed consent.
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate begins to choke on mucus. How
should the nurse suction him with a bulb syringe?
1. By suctioning the mouth before the nostrils
2. By starting the oxygen and then suctioning the pharynx
3. By positioning the bulb far into the throat before beginning suctioning
4. By placing the bulb in the mouth, compressing the bulb, and starting suctioning
1. By suctioning the mouth before the nostrils
After the birth of her daughter, a mother tells the nurse, "I was told that my baby has to have an injection of vitamin K. She's
so small to be getting a shot. Why does she have to have it?" How should the nurse respond?
1. "Your baby needs the injection to help her develop red blood cells."
2. "An injection of vitamin K will help keep your baby from becoming jaundiced."
3. "Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding."
4. "A newborn's blood clots extremely rapidly. This injection will help decrease the clotting time."
3. "Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding."
An infant has surgery for repair of a myelomeningocele. For which early sign of impending hydrocephalus should the nurse
monitor the infant?
1. Frequent crying
2. Bulging fontanels
3. Change in vital signs
, 4. Difficulty with feeding
2. Bulging fontanels
The nurse observes several dark round areas on a newborn's buttocks on a dark-skinned neonate. How should this
observation be documented?
1. Stork bites
2. Forceps marks
3. Mongolian spots
4. Ecchymotic areas
3. Mongolian spots
The mother of a newborn son tells the nurse that she is concerned about circumcision because of the pain involved. What is
the nurse's best response?
1. "A newborn's nerves are not mature enough for him to feel pain."
2. "It's such a short procedure that the pain won't last long."
3. "Your baby should have no memory of it, even if there is pain."
4. "The health care provider will tell you how your baby's pain will be controlled."
4. "The health care provider will tell you how your baby's pain will be controlled."
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological jaundice). What clinical finding confirms this
complication?
1. Muscle irritability within 1 hour of birth
2. Neurological signs during the first 24 hours
3. Jaundice that develops in the first 12 to 24 hours
4. Jaundice that develops between 48 and 72 hours after birth
3. Jaundice that develops in the first 12 to 24 hours
A client consents to have her newborn son circumcised. Which statement indicates to the nurse that the mother needs
additional discharge instructions?
1. "I'll put an ice bag on his penis so it won't swell."
2. "I need to change the dressing four times each day."
3. "I'll call my doctor if I notice any bleeding from the penis."
4. "I need to keep the diaper loose so it won't rub on the penis."
1. "I'll put an ice bag on his penis so it won't swell."
