Maternal/Newborn: Exam 3 Questions with
Accurate Answers
A neonate is from when to when: correct answer from delivery through the first
month of life
A woman delivered a full-term infant vaginally with her feet elevated in stirrups
for 2 hours while pushing, and sustained a fourth degree perineal laceration.
Postpartum, the client is reluctant to get out of bed secondary to pain. This client
is at increased risk for: correct answer thromboembolic disease
A woman with flat nipples will not be able to breastfeed: T/F correct answer False
Assisting the mother to breastfeed: advantages correct answer - promotes
mother-infant bonding
- maintains infant temperature
- sucking stimulates oxytocin release to contract mother's uterus
- cultural use of galactagogues
Birthing room care: correct answer - apgar testing done at 1 min and 5 minutes
- skin to skin for first hour
- proper identification (wristbands, neonate footprints, umbilical alarm)
- vital signs every 30 minutes for 2 hours
Care of the newborn with cardiovascular conditions: correct answer - focus your
care on promoting respiratory effectiveness and reducing workload
- give oxygen as ordered and assess the infants color frequently
,- auscultate lung sounds every hour and report changes
- help keep infant comfortable to decrease crying, which can lead to SOB
- monitor intake and output for fluid overload
Care of the newborn with respiratory conditions: correct answer - establish and
maintain a patent airway is highest priority
- nurse should suction the airway as needed with a bulb syringe or suction
catheter
- oxygen can be administered by nasal catheter or mask
Circumcision correct answer - surgical removal of the foreskin of the penis
- informed consent must be signed by parents
- penis should be washed with warm water with each diaper change
- glans may be kept covered with a petroleum jelly gauze until healing has
occured
- LPN may assist with male circumcision and post procedure care
composition of milk: correct answer - foremilk
- hindmilk
Congenital anomalies: correct answer - most require surgical repair beginning in
the newborn period
- defects of the gastrointestinal system are the most common (they require
surgical correction, but many are not life threatening)
, Define attachment: correct answer affectionate tie occurring over time with
increased interaction
Define bonding: correct answer strong emotional tie that forms soon after birth
between parents and newborn
Define shock: correct answer a condition in which the cardiovascular system fails
provide essential oxygen and nutrients to the cells
Describe a high-risk neonate: correct answer - is born prior to 28 weeks or after
42 weeks
- who has alterations in intrauterine growth
- SGA
- LGA
- CDC growth chart
- who has a medical condition that requires frequent monitoring and treatment
- drug addiction
- being too large or too small for gestational age
Describe postpartum hemorrhage: correct answer - uncontrolled bleeding can
become a life-threatening event and excessive bleeding must be reported
immediately to the RN and primary care provider
- 10 point decrease in hematocrit between admission and post birth, excessive
blood loss has occurred
- saturation of a sanitary pad within 1 hour signals excessive bleeding and must be
reported
Accurate Answers
A neonate is from when to when: correct answer from delivery through the first
month of life
A woman delivered a full-term infant vaginally with her feet elevated in stirrups
for 2 hours while pushing, and sustained a fourth degree perineal laceration.
Postpartum, the client is reluctant to get out of bed secondary to pain. This client
is at increased risk for: correct answer thromboembolic disease
A woman with flat nipples will not be able to breastfeed: T/F correct answer False
Assisting the mother to breastfeed: advantages correct answer - promotes
mother-infant bonding
- maintains infant temperature
- sucking stimulates oxytocin release to contract mother's uterus
- cultural use of galactagogues
Birthing room care: correct answer - apgar testing done at 1 min and 5 minutes
- skin to skin for first hour
- proper identification (wristbands, neonate footprints, umbilical alarm)
- vital signs every 30 minutes for 2 hours
Care of the newborn with cardiovascular conditions: correct answer - focus your
care on promoting respiratory effectiveness and reducing workload
- give oxygen as ordered and assess the infants color frequently
,- auscultate lung sounds every hour and report changes
- help keep infant comfortable to decrease crying, which can lead to SOB
- monitor intake and output for fluid overload
Care of the newborn with respiratory conditions: correct answer - establish and
maintain a patent airway is highest priority
- nurse should suction the airway as needed with a bulb syringe or suction
catheter
- oxygen can be administered by nasal catheter or mask
Circumcision correct answer - surgical removal of the foreskin of the penis
- informed consent must be signed by parents
- penis should be washed with warm water with each diaper change
- glans may be kept covered with a petroleum jelly gauze until healing has
occured
- LPN may assist with male circumcision and post procedure care
composition of milk: correct answer - foremilk
- hindmilk
Congenital anomalies: correct answer - most require surgical repair beginning in
the newborn period
- defects of the gastrointestinal system are the most common (they require
surgical correction, but many are not life threatening)
, Define attachment: correct answer affectionate tie occurring over time with
increased interaction
Define bonding: correct answer strong emotional tie that forms soon after birth
between parents and newborn
Define shock: correct answer a condition in which the cardiovascular system fails
provide essential oxygen and nutrients to the cells
Describe a high-risk neonate: correct answer - is born prior to 28 weeks or after
42 weeks
- who has alterations in intrauterine growth
- SGA
- LGA
- CDC growth chart
- who has a medical condition that requires frequent monitoring and treatment
- drug addiction
- being too large or too small for gestational age
Describe postpartum hemorrhage: correct answer - uncontrolled bleeding can
become a life-threatening event and excessive bleeding must be reported
immediately to the RN and primary care provider
- 10 point decrease in hematocrit between admission and post birth, excessive
blood loss has occurred
- saturation of a sanitary pad within 1 hour signals excessive bleeding and must be
reported
