Maternal Newborn Exam Questions
Study online at https://quizlet.com/_fyxxzz
1. A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg
to a woman to induce labor. Provided are 100 mg tabs. How many tabs are
given?: A: 0.25 tabs
2. Which Leopold Maneuver is used to determine the presenting part of the
fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver: C. Third maneuver
3. A newborn is newly admitted to the nursery. A nursing assessment finds all
of the following findings. Which of these are abnormal? (Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1: B. visible jaundice
D. Heart rate of 93 bpm
4. What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency: A. Cord compression
5. What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm: B. 110-160 bpm
6. What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine: A. Vitamin K
7. The nurse is assessing a pregnant client in the second trimester of preg-
nancy who was admitted to the maternity unit with a suspected diagnosis of
abruptio placentae. Which assessment finding should the nurse expect to note
if this condition is present?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding: B. Uterine tenderness
8. The nurse is monitoring a client in preterm labor who is receiving in-
travenous magnesium sulfate. The nurse should monitor for which adverse
, Maternal Newborn Exam Questions
Study online at https://quizlet.com/_fyxxzz
effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes: A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
9. The nurse notes hypotonia, irritability, and a poor sucking reflex in a
full-term newborn on admission to the nursery. The nurse suspects fetal
alcohol syndrome and is aware that which additional sign would be consistent
with this syndrome?
A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age: B. Abnormal palmar
creases
10. A nurse is assessing new parents feeding their newborn. Which of the
following assessments requires more education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding: C. The father is
allowing the bottle to prop on the blanket
11. A nurse is providing discharge instructions to a postpartum client follow-
ing a cesarean birth. The client reports leaking urine every time she sneezes
or coughs. Which of the following interventions should the nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches: C. Kegel exercises
12. A Labor and Delivery nurse is caring for a client in labor and has applied
an external fetal monitor and tocotransducer. The FHR is around 140/min.
Contractions are occurring every 8 min and lasting 30-40 secs. The nurse
performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced,
and the fetus is at -2 station. Which stage and phase of labor is this client
experiencing?
A. First stage, active phase
, Maternal Newborn Exam Questions
Study online at https://quizlet.com/_fyxxzz
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase: D. First stage, latent phase
13. A woman is admitted to the hospital in labor that has had a miscarriage at
10 weeks gestation five years ago. She has a three year old who was born at
39 weeks, and a five year old born at 40 weeks. What is her GTPAL?
A. G=3 T=2 P=0, A=1, L=2
B. G=4 T=2 P=0, A=1, L=2
C. G=4 T=1 P=1, A=1, L=2
D. G=3 T=2 P=0, A=1, L=3: B. G=4 T=2 P=0, A=1, L=2
14. How many mL of blood would you expect after a mother delivers via
C-section?
A. 500 mL
B. 2000 mL
C. 1000 mL
D. 1500 mL: C. 1000 mL
15. What method of contraception offers protections against STIs?
A. Condoms
B. Intrauterine device
C. Combined oral contraceptives
D. Bilateral tubal ligation: A. Condoms
16. What condition would be indicated if the fetal heart strip showed a late
deceleration?
A. nothing is wrong
B. cord compression
C. head compression
D. placental insufficiency: D. Placental insufficiency
17. Which type of laceration goes through the skin, muscle, perineum and anal
sphincter muscle?
A. 1st degree
B. 2nd degree
C. 3rd degree
D. 4th degree: C. 3rd degree
18. When can intrauterine fetal demise occur?
A. before 20 weeks
B. 20 weeks - delivery
C. after delivery
D. between 10-15 weeks: B. 20 weeks - delivery
Study online at https://quizlet.com/_fyxxzz
1. A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg
to a woman to induce labor. Provided are 100 mg tabs. How many tabs are
given?: A: 0.25 tabs
2. Which Leopold Maneuver is used to determine the presenting part of the
fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver: C. Third maneuver
3. A newborn is newly admitted to the nursery. A nursing assessment finds all
of the following findings. Which of these are abnormal? (Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1: B. visible jaundice
D. Heart rate of 93 bpm
4. What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency: A. Cord compression
5. What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm: B. 110-160 bpm
6. What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine: A. Vitamin K
7. The nurse is assessing a pregnant client in the second trimester of preg-
nancy who was admitted to the maternity unit with a suspected diagnosis of
abruptio placentae. Which assessment finding should the nurse expect to note
if this condition is present?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding: B. Uterine tenderness
8. The nurse is monitoring a client in preterm labor who is receiving in-
travenous magnesium sulfate. The nurse should monitor for which adverse
, Maternal Newborn Exam Questions
Study online at https://quizlet.com/_fyxxzz
effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes: A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
9. The nurse notes hypotonia, irritability, and a poor sucking reflex in a
full-term newborn on admission to the nursery. The nurse suspects fetal
alcohol syndrome and is aware that which additional sign would be consistent
with this syndrome?
A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age: B. Abnormal palmar
creases
10. A nurse is assessing new parents feeding their newborn. Which of the
following assessments requires more education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding: C. The father is
allowing the bottle to prop on the blanket
11. A nurse is providing discharge instructions to a postpartum client follow-
ing a cesarean birth. The client reports leaking urine every time she sneezes
or coughs. Which of the following interventions should the nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches: C. Kegel exercises
12. A Labor and Delivery nurse is caring for a client in labor and has applied
an external fetal monitor and tocotransducer. The FHR is around 140/min.
Contractions are occurring every 8 min and lasting 30-40 secs. The nurse
performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced,
and the fetus is at -2 station. Which stage and phase of labor is this client
experiencing?
A. First stage, active phase
, Maternal Newborn Exam Questions
Study online at https://quizlet.com/_fyxxzz
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase: D. First stage, latent phase
13. A woman is admitted to the hospital in labor that has had a miscarriage at
10 weeks gestation five years ago. She has a three year old who was born at
39 weeks, and a five year old born at 40 weeks. What is her GTPAL?
A. G=3 T=2 P=0, A=1, L=2
B. G=4 T=2 P=0, A=1, L=2
C. G=4 T=1 P=1, A=1, L=2
D. G=3 T=2 P=0, A=1, L=3: B. G=4 T=2 P=0, A=1, L=2
14. How many mL of blood would you expect after a mother delivers via
C-section?
A. 500 mL
B. 2000 mL
C. 1000 mL
D. 1500 mL: C. 1000 mL
15. What method of contraception offers protections against STIs?
A. Condoms
B. Intrauterine device
C. Combined oral contraceptives
D. Bilateral tubal ligation: A. Condoms
16. What condition would be indicated if the fetal heart strip showed a late
deceleration?
A. nothing is wrong
B. cord compression
C. head compression
D. placental insufficiency: D. Placental insufficiency
17. Which type of laceration goes through the skin, muscle, perineum and anal
sphincter muscle?
A. 1st degree
B. 2nd degree
C. 3rd degree
D. 4th degree: C. 3rd degree
18. When can intrauterine fetal demise occur?
A. before 20 weeks
B. 20 weeks - delivery
C. after delivery
D. between 10-15 weeks: B. 20 weeks - delivery
