Maternal Newborn Exam Questions
2023
A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman
to induce labor. Provided
... [Show More] are 100 mg tabs. How many tabs are given? - Answer-A: 0.25
tabs
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 - Answer-C. Third maneuver
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 - Answer-B. visible jaundice
D. Heart rate of 93 bpm
What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency - Answer-A. Cord compression
What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm - Answer-B. 110-160 bpm
What is one of the immunizations given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine - Answer-A. Vitamin K
The nurse is assessing a pregnant client in the second trimester of pregnancy 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 - Answer-B. Uterine tenderness
The nurse is monitoring a client in preterm labor who is receiving intravenous
magnesium sulfate. The nurse should monitor for which adverse 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 - Answer-A. Flushing
D. Depressed respirations
E. Extreme muscle weakness
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 - Answer-B. Abnormal palmar
creases
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 - Answer-C. The father is
allowing the bottle to prop on the blanket
A nurse is providing discharge instructions to a postpartum client following 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 - Answer-C. Kegel exercises
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
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase - Answer-D. First stage, latent phase
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?
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