Maternity Exam 3 Practice
Questions and answer 100%
correct
The nurse conducts a neurological assessment on the newborn. What findings indicate the need
for further evaluation? Select All That Apply
1. Grasping a finger placed in the neonate's palm
2.Diminished muscle tone and flaccidity
3.Fanning and hyperextension of the toes when the sole is stroked toward the heel
4.Tremor noted in the arms and legs
5.Asymmetrical tone and strength in arms - Diminished muscle tone and flaccidity
Tremor noted in the arms and legs
Asymmetrical tone and strength in arms
The patient has been pushing for two hours and is exhausted. The fetal head is visible between
contractions. The physician informs the parents that a vacuum extractor could be used to
facilitate the delivery. The patient agrees to the vacuum delivery. The nurse would be alert for
which of the following in the newborn
1.Clavicular fracture
2.Asphyxia
3.Caput succedeum
4.Central nervous system injury - Caput succedeum
, The nurse observes that when a newborn is supine and the head is turned to one side, the
extremities straighten to that side while the opposite extremities flex. How should the nurse
document this finding?
1.Tonic neck flex
2.Moro reflex
3.Babinski reflex
4.Cremasteric reflex - Tonic neck flex
A goal on the nursing care plan is "to facilitate parent-infant bonding". Which nursing
intervention should take place in order to attain this goal? Select All That Apply
1.Promote skin to skin contact.
2.Provide assistance and encouragement with rooming in.
3.Encourage the parents to join a new parent support group.
4.Keep the newborn in the nursery at night to allow the parents to rest.
5.Teach the parents infant-care skills to increase their confidence. - Promote skin to skin
contact.
Provide assistance and encouragement with rooming in.
A 6-hour-old infant passes an unformed, black, tarlike stool. What conclusion should the nurse
draw from this finding?
1.It is transitional stool that is expected later
2.It is a meconium stool that is expected at this time
3.It is meconium stool expected at the time of birth
4.It is transitional stool expected at this time - It is a meconium stool that is expected at this
time
The nurse is planning initial care for a newborn. Which of the following interventions would best
protect the newborn from the most common form of heat loss?
Questions and answer 100%
correct
The nurse conducts a neurological assessment on the newborn. What findings indicate the need
for further evaluation? Select All That Apply
1. Grasping a finger placed in the neonate's palm
2.Diminished muscle tone and flaccidity
3.Fanning and hyperextension of the toes when the sole is stroked toward the heel
4.Tremor noted in the arms and legs
5.Asymmetrical tone and strength in arms - Diminished muscle tone and flaccidity
Tremor noted in the arms and legs
Asymmetrical tone and strength in arms
The patient has been pushing for two hours and is exhausted. The fetal head is visible between
contractions. The physician informs the parents that a vacuum extractor could be used to
facilitate the delivery. The patient agrees to the vacuum delivery. The nurse would be alert for
which of the following in the newborn
1.Clavicular fracture
2.Asphyxia
3.Caput succedeum
4.Central nervous system injury - Caput succedeum
, The nurse observes that when a newborn is supine and the head is turned to one side, the
extremities straighten to that side while the opposite extremities flex. How should the nurse
document this finding?
1.Tonic neck flex
2.Moro reflex
3.Babinski reflex
4.Cremasteric reflex - Tonic neck flex
A goal on the nursing care plan is "to facilitate parent-infant bonding". Which nursing
intervention should take place in order to attain this goal? Select All That Apply
1.Promote skin to skin contact.
2.Provide assistance and encouragement with rooming in.
3.Encourage the parents to join a new parent support group.
4.Keep the newborn in the nursery at night to allow the parents to rest.
5.Teach the parents infant-care skills to increase their confidence. - Promote skin to skin
contact.
Provide assistance and encouragement with rooming in.
A 6-hour-old infant passes an unformed, black, tarlike stool. What conclusion should the nurse
draw from this finding?
1.It is transitional stool that is expected later
2.It is a meconium stool that is expected at this time
3.It is meconium stool expected at the time of birth
4.It is transitional stool expected at this time - It is a meconium stool that is expected at this
time
The nurse is planning initial care for a newborn. Which of the following interventions would best
protect the newborn from the most common form of heat loss?
