maternal newborn proctored exam 2025
patient bleeding with placenta previa - CORRECT ANSWER - avoid vaginal exam
during nonstress test, FHR is 130 w/o accelerations - CORRECT ANSWER - when to
use an acoustic stim on abdomen for 3 seconds
mom is rubella non-immune
positive for beta hemolytic strep
blood is type O negative - CORRECT ANSWER - give client rubella immunization after
delivery
client with polyhydramnios - CORRECT ANSWER - baby might have GI anomalies
adverse effect of mag sulfate - CORRECT ANSWER - feeling of warmth throughout the
body
low back pain during latent phase of labor - CORRECT ANSWER - apply counter
pressure to lower back during contractions
first trimester sign/symptom to report to provider - CORRECT ANSWER - swelling of the
face
first trimester sono teaching - CORRECT ANSWER - will need a full bladder for exam
mag sulfate clients to report to provider - CORRECT ANSWER - client that has absent
deep tendon reflexes
medication for herpes simplex virus type two - CORRECT ANSWER - Acyclovir
possible complications following amniocentesis - CORRECT ANSWER - hemorrhage
how often to increase oxytocin IV during a normal labor - CORRECT ANSWER -
Increase rate every 30-60 minutes
client on oxytocin and late decelerations start - CORRECT ANSWER - move client to
lateral position
care for HIV client for baby - CORRECT ANSWER - bathe baby before skin to skin
contact
, client had boggy uterus and BP of 142/92, what nursing actions? - CORRECT
ANSWER - withhold methylergnovine 0.2 mg orally (can raise BP)
what labs increase during pregnancy - CORRECT ANSWER - RBC counts
a client that should be able to auscultate FHR - CORRECT ANSWER - client that has
felt quickening for first time
placenta previa s/s - CORRECT ANSWER - painless vaginal bleeding
jaundice phototherapy actions before you begin - CORRECT ANSWER - close
newborns eyes under eye shields
adverse effect of combined oral contraceptives - CORRECT ANSWER - depression
cytotec/misoprostol uses - CORRECT ANSWER - ripening/softening/opening cervix
how to minimize pain during heel stick on newborns - CORRECT ANSWER - place
baby skin to skin on mother
Kleihauer-Betke test - CORRECT ANSWER - used to detect fetal blood in maternal
circulation (may indicate placenta abruption)
a cause of abruptio placenta - CORRECT ANSWER - recent cocaine use
s/s of severe pre-eclampsia - CORRECT ANSWER - blurred vision
causes for increase urinary output - CORRECT ANSWER - gestational diabetes with
hyperglycemia
amniocentesis complications - CORRECT ANSWER - leakage of amniotic fluid /
preterm labor
newborn signs of hypoglycemia - CORRECT ANSWER - weak high-pitched cry
lethargic
tremors/jitteriness
BG of 40 or less
irregular respiratory effort
seizures
patient bleeding with placenta previa - CORRECT ANSWER - avoid vaginal exam
during nonstress test, FHR is 130 w/o accelerations - CORRECT ANSWER - when to
use an acoustic stim on abdomen for 3 seconds
mom is rubella non-immune
positive for beta hemolytic strep
blood is type O negative - CORRECT ANSWER - give client rubella immunization after
delivery
client with polyhydramnios - CORRECT ANSWER - baby might have GI anomalies
adverse effect of mag sulfate - CORRECT ANSWER - feeling of warmth throughout the
body
low back pain during latent phase of labor - CORRECT ANSWER - apply counter
pressure to lower back during contractions
first trimester sign/symptom to report to provider - CORRECT ANSWER - swelling of the
face
first trimester sono teaching - CORRECT ANSWER - will need a full bladder for exam
mag sulfate clients to report to provider - CORRECT ANSWER - client that has absent
deep tendon reflexes
medication for herpes simplex virus type two - CORRECT ANSWER - Acyclovir
possible complications following amniocentesis - CORRECT ANSWER - hemorrhage
how often to increase oxytocin IV during a normal labor - CORRECT ANSWER -
Increase rate every 30-60 minutes
client on oxytocin and late decelerations start - CORRECT ANSWER - move client to
lateral position
care for HIV client for baby - CORRECT ANSWER - bathe baby before skin to skin
contact
, client had boggy uterus and BP of 142/92, what nursing actions? - CORRECT
ANSWER - withhold methylergnovine 0.2 mg orally (can raise BP)
what labs increase during pregnancy - CORRECT ANSWER - RBC counts
a client that should be able to auscultate FHR - CORRECT ANSWER - client that has
felt quickening for first time
placenta previa s/s - CORRECT ANSWER - painless vaginal bleeding
jaundice phototherapy actions before you begin - CORRECT ANSWER - close
newborns eyes under eye shields
adverse effect of combined oral contraceptives - CORRECT ANSWER - depression
cytotec/misoprostol uses - CORRECT ANSWER - ripening/softening/opening cervix
how to minimize pain during heel stick on newborns - CORRECT ANSWER - place
baby skin to skin on mother
Kleihauer-Betke test - CORRECT ANSWER - used to detect fetal blood in maternal
circulation (may indicate placenta abruption)
a cause of abruptio placenta - CORRECT ANSWER - recent cocaine use
s/s of severe pre-eclampsia - CORRECT ANSWER - blurred vision
causes for increase urinary output - CORRECT ANSWER - gestational diabetes with
hyperglycemia
amniocentesis complications - CORRECT ANSWER - leakage of amniotic fluid /
preterm labor
newborn signs of hypoglycemia - CORRECT ANSWER - weak high-pitched cry
lethargic
tremors/jitteriness
BG of 40 or less
irregular respiratory effort
seizures
