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Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, Roberta Durham, Linda Chapman.........@Recommended GUARANTEED A+ WITH RATIONALES$17.99
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Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, Roberta Durham, Linda Chapman.........@Recommended GUARANTEED A+ WITH RATIONALES
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Course
Maternal-Newborn Nursing
Institution
Maternal-Newborn Nursing
Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 4th Edition, Roberta
Durham, Linda Chapman.........@Recommended
GUARANTEED A+ WITH RATIONALES
1. What is the primary hormone responsible for stimulating uterine contractions
during labor?
o A) Progesterone
o B) ...
,Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 4th Edition, Roberta
Durham, Linda Chapman.........@Recommended
GUARANTEED A+ WITH RATIONALES
1. What is the primary hormone responsible for stimulating uterine contractions
during labor?
o A) Progesterone
o B) Estrogen
o C) Oxytocin
o D) Prolactin
Answer: C) Oxytocin
Rationale: Oxytocin stimulates uterine contractions, facilitating labor.
2. Which of the following is a common sign of postpartum infection?
o A) Decreased appetite
o B) Foul-smelling lochia
o C) Elevated blood pressure
o D) Normal temperature
Answer: B) Foul-smelling lochia
Rationale: A foul odor can indicate infection in the uterine cavity.
3. A newborn is classified as small for gestational age (SGA) if they weigh less than
which percentile for their gestational age?
o A) 10th
o B) 25th
o C) 50th
o D) 75th
Answer: A) 10th
Rationale: SGA is defined as a weight below the 10th percentile.
4. What is the priority nursing action for a newborn exhibiting signs of respiratory
distress?
o A) Administer supplemental oxygen
o B) Assess the newborn’s heart rate
o C) Call for a pediatrician
o D) Perform suctioning
Answer: A) Administer supplemental oxygen
Rationale: Ensuring adequate oxygenation is crucial in respiratory distress.
5. During the third stage of labor, what is the most important nursing intervention?
o A) Monitoring fetal heart rate
, o B) Assessing maternal vital signs
o C) Assisting with breastfeeding
o D) Preventing hemorrhage
Answer: D) Preventing hemorrhage
Rationale: Monitoring for excessive bleeding is critical in this stage.
6. What is the recommended position for a woman in labor to promote optimal fetal
positioning?
o A) Supine
o B) Sitting upright
o C) Lateral
o D) Prone
Answer: C) Lateral
Rationale: The lateral position improves circulation and fetal positioning.
7. Which of the following vaccines is contraindicated during pregnancy?
o A) Influenza (inactivated)
o B) Tdap
o C) MMR
o D) Hepatitis B
Answer: C) MMR
Rationale: MMR is a live vaccine, posing risks to the fetus.
8. What is a potential complication of gestational diabetes for the newborn?
o A) Low birth weight
o B) Hyperglycemia
o C) Birth trauma
o D) Respiratory distress syndrome
Answer: C) Birth trauma
Rationale: Macrosomia from gestational diabetes can lead to delivery-related
injuries.
9. The APGAR score is assessed at what time intervals after birth?
o A) 1 and 5 minutes
o B) 5 and 10 minutes
o C) 1, 5, and 10 minutes
o D) 5, 10, and 15 minutes
Answer: A) 1 and 5 minutes
Rationale: APGAR is assessed at 1 and 5 minutes to evaluate the newborn's
condition.
10. What is the best method for assessing the degree of neonatal jaundice?
o A) Serum bilirubin levels
o B) Visual assessment under fluorescent light
o C) Clinical observation
o D) Liver function tests
Answer: A) Serum bilirubin levels
Rationale: Serum bilirubin provides quantitative data for jaundice assessment.
11. What is the normal range for a newborn’s heart rate?
o A) 60-100 bpm
o B) 100-160 bpm
, o C) 160-180 bpm
o D) 80-120 bpm
Answer: B) 100-160 bpm
Rationale: A normal newborn heart rate typically ranges from 100 to 160 beats
per minute.
12. Which maternal factor is most likely to contribute to a higher risk of preterm birth?
o A) Age over 35
o B) Well-controlled diabetes
o C) High socioeconomic status
o D) Regular prenatal care
Answer: A) Age over 35
Rationale: Advanced maternal age is associated with increased risks of
complications, including preterm birth.
13. The nurse is assessing a pregnant woman for signs of preeclampsia. Which finding
is most concerning?
o A) Headache
o B) Swelling of hands and feet
o C) Elevated blood pressure
o D) Nausea
Answer: C) Elevated blood pressure
Rationale: Elevated blood pressure is a hallmark sign of preeclampsia and
requires immediate attention.
14. What is the first step in the newborn assessment?
o A) Apgar scoring
o B) Temperature measurement
o C) Heart rate assessment
o D) Respiratory rate assessment
Answer: A) Apgar scoring
Rationale: The Apgar score is the initial assessment to evaluate the newborn’s
immediate condition.
15. What is the most appropriate nursing intervention for a newborn with a fever?
o A) Administer antipyretics immediately
o B) Assess for signs of infection
o C) Monitor vital signs only
o D) Encourage oral feeding
Answer: B) Assess for signs of infection
Rationale: Fever in a newborn can indicate infection, necessitating further
evaluation.
16. Which of the following is a contraindication for breastfeeding?
o A) Maternal diabetes
o B) Maternal medication use
o C) Maternal HIV infection
o D) Maternal hypertension
Answer: C) Maternal HIV infection
Rationale: HIV can be transmitted through breast milk, making breastfeeding
contraindicated.
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