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Maternity Final Exam practice questions With 100% DETAILED CORRECT ANSWERS
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Terms in this set (240)
A woman gave birth to a healthy 7-pound, 13- ANS: B
ounce infant girl. The nurse suggests that the
client place the infant to her breast within 15 The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth.
minutes after birth. The nurse is aware that the The infant is highly alert during this phase. The transition period is the phase between intrauterine
initiation of breastfeeding is most effective during and extrauterine existence. An organizational stage is not a valid stage. The second period of
the first 30 minutes after birth. What is the correct reactivity occurs approximately between 4 and 8 hours after birth, after a period of sleep.
term for this phase of alertness?
a.Transition period
b. First period of reactivity
c. Organizational stage
d. Second period of reactivity
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Maternity Final Exam practice questions
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,Part of the health assessment of a newborn is ANS: A
observing the infant's breathing pattern. What is
the predominate pattern of newborn's breathing? In a normal infant respiration, the chest and abdomen synchronously rise and infant breaths are
shallow and irregular. Breathing with nasal flaring is a sign of respiratory distress. Diaphragmatic
breathing with chest retraction is also a sign of respiratory distress.
a.Abdominal with synchronous chest movements
b.Chest breathing with nasal flaring
c.Diaphragmatic with chest retraction
d.Deep with a regular rhythm
The nurse is assessing a full term, quiet, and alert ANS: C
newborn. What is the average expected apical
pulse range (in beats per minute)? The average infant heart rate while awake is 120 to 160 beats per minute. The newborn's heart rate
may be approximately 85 to 100 beats per minute while sleeping and typically a little higher than
100 to 120 beats per minute when alert but quiet. A heart rate of 150 to 180 beats per minute is
a.80 to 100 typical when the infant cries.
b.100 to 120
c.120 to 160
d.150 to 180
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,A newborn is placed under a radiant heat warmer. ANS: C
The nurse understands that thermoregulation
presents a problem for the newborn. What is the The newborn has little thermal insulation. Furthermore, the blood vessels are closer to the
rationale for this difficulty? surface of the skin. Changes in environmental temperature alter the temperature of the blood,
thereby influencing temperature regulation centers in the hypothalamus. Heat loss does not
a.The renal function of a newborn is not fully occur through urination. Newborns have a higher body surface-to-weight ratio than adults. The
developed, and heat is lost in the urine. flexed position of the newborn helps guard against heat loss, because it diminishes the amount of
body surface exposed to the environment.
b.The small body surface area of a newborn favors
more rapid heat loss than does an adult's body
surface area.
c.Newborns have a relatively thin layer of
subcutaneous fat that provides poor insulation.
d.Their normal flexed posture favors heat loss
through perspiration.
An African-American woman noticed some ANS: D
bruises on her newborn daughter's buttocks. The
client asks the nurse what causes these. How A Mongolian spot is a bluish-black area of pigmentation that may appear over any part of the
would the nurse best explain this integumentary exterior surface of the infant's body and is more commonly noted on the back and buttocks and
finding to the client? most frequently observed on infants whose ethnic origins are Mediterranean, Latin American,
Asian, or African. Lanugo is the fine, downy hair observed on a term newborn. A vascular nevus,
a.Lanugo commonly called a strawberry mark, is a type of capillary hemangioma. A nevus flammeus,
commonly called a port wine stain, is most frequently found on the face.
b.Vascular nevus
c.Nevus flammeus
d.Mongolian spot
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, While examining a newborn, the nurse notes ANS: C
uneven skinfolds on the buttocks and a clunk
when performing the Ortolani maneuver. These The Ortolani maneuver is used to detect the presence of hip dysplasia. Polydactyly is the
findings are likely indicative of what? presence of extra digits. Clubfoot (talipes equinovarus) is a deformity in which the foot turns
inward and is fixed in a plantar-flexion position. Webbing, or syndactyly, is a fusing of the fingers
a.Polydactyly or toes.
b. Clubfoot
c. Hip dysplasia
d. Webbing
A new mother states that her infant must be cold ANS: A
because the baby's hands and feet are blue. This
common and temporary condition is called what? Acrocyanosis, or the appearance of slightly cyanotic hands and feet, is caused by vasomotor
instability, capillary stasis, and a high hemoglobin level. Acrocyanosis is normal and intermittently
a.Acrocyanosis appears over the first 7 to 10 days after childbirth. Erythema toxicum neonatorum (also called
erythema neonatorum) is a transient newborn rash that resembles flea bites. The harlequin sign is
b.Erythema toxicum neonatorum a benign, transient color change in newborns. One half of the body is pale, and the other one half
is ruddy or bluish-red with a line of demarcation. Vernix caseosa is a cheeselike, whitish substance
that serves as a protective covering for the newborn.
c.Harlequin sign
d.Vernix caseosa
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