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Maternity Exam 1 Practice Questions WITH Verified answers
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Maternity Exam 1 Practice Questions WITH Verified answers
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Maternity Exam 1 Practice QuestionsWITH Verified answers
A woman who have birth 2 hours ago has a temperature of 37.9 *C. Select all
of the immediate nursing actions
A) Have pt drink 2 glasses of fluid over the next hour
B) Explain to the patient that she needs to rest and assist her into a
comfortable position
C) Medicate pt with 500 mg of acetaminophen as per orders
D) Call the patient's physician or midwife to report the elevated temp - -A &
B
Reasoning:
A mild temperature elevation within a few hours of birth can be related to
dehydration and exhaustion. Acetaminophen is given if temperature remains
elevated after the woman has been hydrated and rested. The physician or
midwife is notified if temperature remains elevated after initial interventions.
- 3 hours after a vaginal delivery, the client complains of increased perineal
pain. What should the nurse do first?
A) Administer analgesia as ordered
B) Assess the perineum
C) Perform perineal care
D) Apply ice to perineum - -B
- A woman gave birth to a 3200 g baby girl with an estimated gestational
age of 40 weeks. The baby is 1 hour of age. In preparation of giving the baby
an injection of Vitamin K, the nurse will:
A) Explain to the parents the action of the medication and answer their
questions
B) Remove neonate from the room so parents will not be distressed by
seeing the injection
C) Completely undress the neonate to identify the injection site
D) Replace needle with a 21 gauge ⅝ needle - -A
Reasoning: It is important to always explain to parents wHat and why a
procedure is being done on the newborn
- When assessing a placenta and umbilical cord at delivery, the nurse must
know that the normal cord has:
A) 1 vein and 2 arteries
,B) 2 veins and 1 artery
C) 1 vein and 1 artery
D) 2 veins and 2 arteries - -A
(AVA)
- When reviewing a potential cause for postpartum hemorrhage with the
student nurse, the nurse is sure to include the finding of a(n) ____________
bladder - -FULL/OVERDISTENDED
Reasoning:
An overdistended bladder, which displaces the uterus above and to the right
of the umbilicus, can cause uterine atony and lead to hemorrhage
- Maddy, a G3 P1 woman, gave birth 12 hrs ago to a 9lb 13 oz daughter. She
experiences severe cramps with breastfeeding. The perinatal nurse best
describes this condition as:
A) Afterpains
B) Uterine hypertonia
C) Bladder hypertonia
D) Rectus abdominis diastasis - -A
Reasoning
Afterpains are intermittent uterine contractions that occur during the process
of involution. Afterpains are more pronounced in patients w/ decreased
uterine tone due to overdistension, which is associated w/ multiparity and
macrosomia. Patients often describe the sensation as a discomfort similar to
menstrual cramps
- What does GTPAL mean? - -G: Gravida → # of times a woman has
conceived including current pregnancy
T: Term Births → # of times a woman has carried a pregnancy to at least 37
weeks and delivered
P: Preterm Births → # of births a woman has delivered before 37 weeks
gestation but after 20 weeks
A: Abortions → # of times a woman has lost a pregnancy, whether it was
elective or spontaneous (miscarriage), before 20 weeks gestation
L: living children → live births
- The best way for the nurse to enhance parental confidence is to
A) Have the parents watch a video tape of infant care, then discuss it with
them
,B) Demonstrate skills on the newborn while providing care
C) Encourage new parents to ask their friends about infant care
D) Provide encouragement and positive feedback - -D
- The nurse is teaching the parents of a female baby how to change a baby's
diapers. Which of the following should be included in the teaching?
A) Always wipe the perineum from front to back
B) Remove any vernix caseosa from labia folds
C) Put powder on buttocks every time the baby stools
D) Weigh every diaper in order to assess for hydration - -A
Reasoning
To decrease risk of infection from bacteria from the rectum, the perineum of
female babies should always be cleansed from front to back
- After birth, the perinatal nurse explains to the new mom that Progesterone
is the hormone responsible for stimulating milk production
A) True
B) False - -FALSE
- A 6 hour infant passes an unformed, black, tar like stool. The nurse should
conclude this is a:
A) Meconium stool expected at the time of birth
B) Transitional stool expected at this time
C) Meconium stool expected at this time
D) Transitional stool expected later - -C
- A woman's postpartum vaginal discharge is dark red and contains shreds
of decidua and epithelial cells. The nurse should describe the discharge in
the nurse's notes as:
A) Rubra
B) Serosa
C) Alba
D) Erythra - -A
- Which of the following statements indicates that a new mom needs
additional teaching?
A) I will need to supervise my cat when she is in the same room as my baby
B) I will place by baby on her back when she is sleeping
C) I will not leave my baby on an elevated flat surface after she is able to
turn over on her own
D) I have asked my husband to install safety latches on the lower cabinets -
-C
Reasoning:
, Newborns/infants should never be left on an elevated flat surface because
they may roll or wiggle & fall off
- The perinatal nurse explains to the student nurse that the growing embryo
is called a ___________ at the end of 8 weeks of gestational age
A) Neonate
B) Fetus
C) Zygote
D) Gamete - -B
Reasoning
- Zygote = fertilization - 2nd week
- Embryo = end of 2nd week - 8th week
- Fetus = end of 8th week - birth
- A mother refused to allow her son to receive the vitamin K injection at
birth. Which of the following s/s might the nurse observe in the baby as a
result?
A) Skin color is dusky
B) Vitals signs are labile
C) Glucose levels are subnormal
D) Circumcision site oozes blood - -D
Reasoning
The circumcision site may ooze blood due to lack of Vitamin K, which is
required for the hepatic synthesis of blood coagulation factors II, VII, and X
- The nurse is assessing a client 24 hrs after delivery and finds the fundus to
be slightly boggy and 2 centimeters above the umbilicus. What should the
nursing priority intervention be?
A) Document this expected finding
B) Notify the physician
C) Gently massage the fundus until firm
D) Assess mom's vital signs - -C
- During a postpartum assessment, the nurse notes that the uterus is
midline and boggy. The immediate nursing action is:
A) To notify the patient's midwife or physician
B) Massage the fundus until firm and reevaluate within 30 minutes
C) Give syntocinon as per orders
D) Assist the patient to the bathroom and ask her to void - -B
Reasoning
The first nursing action for a boggy uterus = massage the fundus
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