Maternal Newborn Comprehensive Final
Review Questions With Accurate Answers
A 4-day-old newborn is receiving phototherapy at home for a bilirubin level of 14
mg/dL. The nurse should plan to include which instruction in the teaching plan of
care during the home visit to the mother of the newborn?
A) Applying lotions to exposed newborn skin
B) Assessing skin integrity and fluid status of the newborn
C) Having minimal contact with the newborn to prevent stimulation
D) Advising the mother to limit the newborn's oral intake during phototherapy
correct answer B) Assessing skin integrity and fluid status of the newborn
A client who is positive for human immunodeficiency virus (HIV) delivers a
newborn infant. The nurse provides instructions to help the client regarding care
of her infant. Which client statement indicates the need for further instruction?
A) "I will be sure to wash my hands before and after bathroom use."
B) "I need to breast-feed, especially for the first 6 weeks postpartum."
C) "Support groups are available to assist me with understanding my diagnosis of
HIV."
D) "My newborn infant should be on antiviral medications for the first 6 weeks
after delivery." correct answer B) "I need to breast-feed, especially for the first 6
weeks postpartum."
A female client is coming to her first OB appointment and reveals to the nurse
that she is a current every day smoker which of the following are NOT
complications of smoking during pregnancy?
A) Psychiatric disorders in the fetus
B) Effects the eggs of the female fetus
,C) pre term birth
D) Over average birth weight for the fetus. correct answer D) Over average birth
weight for the fetus.
A laboring patient's obstetrician has suggested amniotomy as a method for
inducing labor. Which assessment(s) must be made just before the amniotomy is
performed?
1. Maternal temperature, BP, and pulse
2. Estimation of fetal birth weight
3. Fetal presentation, position, and station
4. Biparietal diameter correct answer 3. Fetal presentation, position, and station
A maternal nurse is observing that a fetus has increases in FHR that are above the
baseline and greater than or equal to 15 bpm and lasting longer than or equal to
15 seconds in relation to mom's uterine contractions. The nurses' priority action
would be to:
a. Report this as a normal finding, known as accelerations that indicate the fetus is
doing well.
b. Report this immediately to the doctor because this indicates that the fetus is
compromised.
c. Administer mom oxygen from 8-10 l/min immediately and then notify doctor.
correct answer a. Report this as a normal finding, known as accelerations that
indicate the fetus is doing well
A newborn infant is diagnosed with gastroesophageal reflux (GER), and the
infant's mother asks the nurse to explain the diagnosis. On what description
should the nurse plan to base the response?
A) Gastric contents regurgitate back into the esophagus.
,B) The esophagus terminates before it reaches the stomach.
C) Abdominal contents herniate through an opening of the diaphragm.
D) A portion of the stomach protrudes through the esophageal hiatus of the
diaphragm. correct answer A) Gastric contents regurgitate back into the
esophagus.
A newborn infant of a mother who has human immunodeficiency virus (HIV)
infection is tested for the presence of HIV antibodies. An enzyme-linked
immunosorbent assay (ELISA) is performed, and the results are positive. Which is
the correct interpretation of these results?
A) Positive for HIV
B) Indicates the presence of maternal infection
C) Indicates that the newborn will develop AIDS later in life
D) Positive for acquired immunodeficiency syndrome (AIDS) correct answer B)
Indicates the presence of maternal infection
A newborn is delivered via spontaneous vaginal delivery. On reception of the
crying newborn, the nurse's priority is to perform which action?
A) Determine Apgar score.
B) Auscultate the heart rate.
C) Thoroughly dry the newborn.
D) Take the newborn's rectal temperature. correct answer C) Thoroughly dry the
newborn
A nurse determines that term baby's baseline fetal heart rate is 140 beats per
minute. A nurse explains to her patient that this fetal heart rate is:
, a. abnormal because it is not in the normal range of 90-100 bears perm minute
for a term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a term or
post term fetus correct answer b. normal because it is in the range of 110-160
bpm for a term or post term fetus
A nurse employed in a neonatal intensive care nursery receives a telephone call
from the delivery room and is told that a newborn with spina bifida
(myelomeningocele type) will be transported to the nursery. The maternity nurse
prepares for the arrival of the newborn and places which priority item at the
newborn's bedside?
A) A rectal thermometer
B) A blood pressure cuff
C) A specific gravity urinometer
D) A bottle of sterile normal saline correct answer D) A bottle of sterile normal
saline
A nurse informs a nursing student that if late deceleration are persistent and
repetitive, it indicates:
a. fetal hypoxemia stemming from insufficient placental perfusion
b. considered a normal finding and should not cause alarm
c. fetal hypoxemia stemming from cord compression correct answer a. fetal
hypoxemia stemming from insufficient placental perfusion
A nurse is assessing the relaxation or intrauterine pressures between contractions
on a EFM strip. The nurse is assessing which of the following components of the
uterine contractions?
Review Questions With Accurate Answers
A 4-day-old newborn is receiving phototherapy at home for a bilirubin level of 14
mg/dL. The nurse should plan to include which instruction in the teaching plan of
care during the home visit to the mother of the newborn?
A) Applying lotions to exposed newborn skin
B) Assessing skin integrity and fluid status of the newborn
C) Having minimal contact with the newborn to prevent stimulation
D) Advising the mother to limit the newborn's oral intake during phototherapy
correct answer B) Assessing skin integrity and fluid status of the newborn
A client who is positive for human immunodeficiency virus (HIV) delivers a
newborn infant. The nurse provides instructions to help the client regarding care
of her infant. Which client statement indicates the need for further instruction?
A) "I will be sure to wash my hands before and after bathroom use."
B) "I need to breast-feed, especially for the first 6 weeks postpartum."
C) "Support groups are available to assist me with understanding my diagnosis of
HIV."
D) "My newborn infant should be on antiviral medications for the first 6 weeks
after delivery." correct answer B) "I need to breast-feed, especially for the first 6
weeks postpartum."
A female client is coming to her first OB appointment and reveals to the nurse
that she is a current every day smoker which of the following are NOT
complications of smoking during pregnancy?
A) Psychiatric disorders in the fetus
B) Effects the eggs of the female fetus
,C) pre term birth
D) Over average birth weight for the fetus. correct answer D) Over average birth
weight for the fetus.
A laboring patient's obstetrician has suggested amniotomy as a method for
inducing labor. Which assessment(s) must be made just before the amniotomy is
performed?
1. Maternal temperature, BP, and pulse
2. Estimation of fetal birth weight
3. Fetal presentation, position, and station
4. Biparietal diameter correct answer 3. Fetal presentation, position, and station
A maternal nurse is observing that a fetus has increases in FHR that are above the
baseline and greater than or equal to 15 bpm and lasting longer than or equal to
15 seconds in relation to mom's uterine contractions. The nurses' priority action
would be to:
a. Report this as a normal finding, known as accelerations that indicate the fetus is
doing well.
b. Report this immediately to the doctor because this indicates that the fetus is
compromised.
c. Administer mom oxygen from 8-10 l/min immediately and then notify doctor.
correct answer a. Report this as a normal finding, known as accelerations that
indicate the fetus is doing well
A newborn infant is diagnosed with gastroesophageal reflux (GER), and the
infant's mother asks the nurse to explain the diagnosis. On what description
should the nurse plan to base the response?
A) Gastric contents regurgitate back into the esophagus.
,B) The esophagus terminates before it reaches the stomach.
C) Abdominal contents herniate through an opening of the diaphragm.
D) A portion of the stomach protrudes through the esophageal hiatus of the
diaphragm. correct answer A) Gastric contents regurgitate back into the
esophagus.
A newborn infant of a mother who has human immunodeficiency virus (HIV)
infection is tested for the presence of HIV antibodies. An enzyme-linked
immunosorbent assay (ELISA) is performed, and the results are positive. Which is
the correct interpretation of these results?
A) Positive for HIV
B) Indicates the presence of maternal infection
C) Indicates that the newborn will develop AIDS later in life
D) Positive for acquired immunodeficiency syndrome (AIDS) correct answer B)
Indicates the presence of maternal infection
A newborn is delivered via spontaneous vaginal delivery. On reception of the
crying newborn, the nurse's priority is to perform which action?
A) Determine Apgar score.
B) Auscultate the heart rate.
C) Thoroughly dry the newborn.
D) Take the newborn's rectal temperature. correct answer C) Thoroughly dry the
newborn
A nurse determines that term baby's baseline fetal heart rate is 140 beats per
minute. A nurse explains to her patient that this fetal heart rate is:
, a. abnormal because it is not in the normal range of 90-100 bears perm minute
for a term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a term or
post term fetus correct answer b. normal because it is in the range of 110-160
bpm for a term or post term fetus
A nurse employed in a neonatal intensive care nursery receives a telephone call
from the delivery room and is told that a newborn with spina bifida
(myelomeningocele type) will be transported to the nursery. The maternity nurse
prepares for the arrival of the newborn and places which priority item at the
newborn's bedside?
A) A rectal thermometer
B) A blood pressure cuff
C) A specific gravity urinometer
D) A bottle of sterile normal saline correct answer D) A bottle of sterile normal
saline
A nurse informs a nursing student that if late deceleration are persistent and
repetitive, it indicates:
a. fetal hypoxemia stemming from insufficient placental perfusion
b. considered a normal finding and should not cause alarm
c. fetal hypoxemia stemming from cord compression correct answer a. fetal
hypoxemia stemming from insufficient placental perfusion
A nurse is assessing the relaxation or intrauterine pressures between contractions
on a EFM strip. The nurse is assessing which of the following components of the
uterine contractions?
