MATERNAL NEWBORN FINAL EXAM STUDY QUESTIONS WITH COMPLETE SOLUTIONS

MATERNAL NEWBORN FINAL EXAM
STUDY QUESTIONS WITH COMPLETE
SOLUTIONS
Aanurseaisacaringaforaaaclientawhoaisa8ahoursapostpartumaandaisaexperiencingahemorrhage.a
Whichaofatheafollowingaactionsashouldatheanurseaimplementaafteranotifyingatheaprovider?a(S
electaallathataapply)
A.aMassageatheafundus.
B.aGiveaoxygenaata2L/minaviaanasalacannula.
C.aAdministeraoxytocin.
D.aInsertaanaindwellingacatheter.
E.aPlaceatheaclientainaaalateralapositionawithaheralegsaelevateda30adegrees.a-aans-A,aC,aD,aE

Whileaassessingaaaclientainatheafourthastageaofalabor,atheanurseasuspectsabladderadistentio
n.aWhichaofatheafollowingafindingsawouldatheanurseaexpectatoasee?
A.aTheafundusaisadisplacedafromatheamidline.
B.aTheauterusaisafirm.
C.aTheafundusaisabelowatheaumbilicus.
D.aTheabladderaisaresonantawithapercussion.a-aans-A

Aanurseaisatestingatheareflexesaofaaanewbornatoaassessaneurologicalamaturity.aWhichaofathea
followingareflexesaisatheanurseaassessingabyaholdingatheanewbornauprightawithafeetatouchin
gaaaflatasurface?
A.aBabinskiaReflex
B.aMoroaReflex
C.aSteppingaReflex
D.aPlantaraGraspaReflexa-aans-C

Theanurseainatheanewbornanurseryahasajustareceivedareport.aWhichaofatheafollowingainfantsa
shouldatheanurseaseeaFIRST?
A.aAa2adayaoldainfantawhoaisalyingaquietlyaalertawithaaaheartarateaofa185
B.aAa1adayaoldainfantawhoaisacryingaandahasaaabulgingaanteriorafontanel
C.aAa12ahouraoldainfantawhoaisabeingaheld,awitharespirationsathataarea45abreathsaperaminutea
andaregular
D.Aa5ahouraoldainfantawhoaisasleepingaandawhoseahandsaandafeetaareablueabilaterallya-aans-
A

Theanurseaonaaapostpartumaunitaisapreparinga4aclientsaforadischarge.aItawouldabeaMOSTaim
portantaforatheanurseatoareferawhichaofatheafollowingaclientsaforahomeacare?
A.aAa15ayearaoldaprimiparaawhoadeliveredaaa7albamalea2adaysaago
B.aAna18ayearaoldamultiparaawhoadeliveredaaa9albafemaleabyac-sectiona2adaysaago
C.aAa20ayearaoldamultiparaawhoadelivereda1adayaagoaandaisacomplainingaofacramping

, D.aAa22ayearaoldawhoadeliveredabyac-sectionaandaisacomplainingaofaburningaonaurinationa-
aans-D




Theanurseateachesaaaprimigravidawomanahowatoameasureatheafrequencyaofauterineacontrac
tions.aTheanurseashouldaexplainatoatheaclientathatatheafrequencyaofauterineacontractionsaisad
eterminedabyawhichaofatheafollowing?
A.aByatimingafromatheabeginningaofaoneacontractionatoatheaendaofatheanextacontraction
B.aByatimingafromatheabeginningaofaoneacontractionatoatheaendaofatheasameacontraction
C.aByatheanumberaofacontractionsathataoccurawithinaaagivenaperiodaofatime
D.aByatheastrengthaofatheacontractionaataitsapeaka-aans-C

Whichaofatheafollowingaareapresumptiveasignsaofapregnancy?a(Selectaallathataapply)
A.aPositiveapregnancyatest
B.aEnlargedabreasts
C.aUrinaryafrequency
d.aBraxtonaHicksacontractions
E.aFetalaheartatonesaheardabyatheaprovider
F.aAmenorrheaa-aans-B,aC,aF

Whichaofatheafollowingaisatheapriorityaduringatheathirdastageaofalaboraforatheamother?
A.aEducatingatheamother
B.aPainamanagement
C.aSkinatoaskinacontact
D.aAdequateatissueaperfusiona-aans-D

Whichafetalapresentationaisaoptimalaforavaginaladelivery?
A.aMilitary
B.aBrow
C.aVertex
D.aFacea-aans-C

AawomanainalaborastartsatoaexhibitalateadecelsaonatheaEFM,awhataactionsashouldatheanurseat
ake?aSelectaallathataapply
A.aGivea02
B.aTurnapatientaonaleftaside
C.aPutapatientainaTrendelenburgaposition
D.aDecreaseaIVafluids
E.aRaiseatheapt.safeetaaboveathealevelaofaherahearta-aans-A,aB

Aawomanacomesainaforahera18aweekaultrasound.aTheaprovideranotesaanaabnormalityawithath
eaumbilicalacordawhereatheabloodavesselsatravelaunprotectedafromatheaplacentaatoatheaumbi
licalacord.aTheanurseaknowsathisadisorderaisaknownaas:
A.aPlacentaaAccreta
B.aVelamentousaCordaInsertion
C.aUbruptioaPlacentae
D.aUterineaRupturea-aans-B