Amanda Stevens Baby Grace Breastfeeding
Newborn Unfolding Reasoning Case Study
Actual Exam 2026/2027 – Complete 40-Question
Exam with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
Section A: Patient Profile, Obstetric History, & Immediate Postpartum
Assessment
Q1: Amanda Stevens, a 26-year-old G1P1, delivered a healthy female infant, Grace, at 39
weeks gestation via uncomplicated spontaneous vaginal delivery. The nurse documents
G1P1 as indicating:
A. Two prior pregnancies and one living child
B. One pregnancy and one delivery after 20 weeks gestation [CORRECT]
C. One pregnancy and one preterm delivery
D. One pregnancy and one cesarean birth
Correct Answer: B
Rationale: G1P1 indicates one pregnancy (gravida 1) and one delivery after 20 weeks
gestation (para 1). It does not specify viability, preterm status, or delivery method
without additional notation (TPAL).
,Q2: Immediately after delivery, the nurse places baby Grace skin-to-skin on Amanda's
chest and dries her vigorously. The PRIMARY rationale for immediate skin-to-skin
contact is to:
A. Prevent postpartum hemorrhage in the mother
B. Facilitate thermoregulation, promote breastfeeding initiation, and stabilize glucose
[CORRECT]
C. Allow the nurse to complete the full newborn physical examination
D. Prevent neonatal hypoglycemia through maternal glucose transfer
Correct Answer: B
Rationale: Immediate skin-to-skin contact stabilizes the newborn's temperature through
maternal warmth, triggers innate feeding behaviors (breast crawl), and promotes
cardiorespiratory and glycemic stability. It does not prevent maternal hemorrhage, and
the full exam can be delayed.
Q3: At 1 minute of life, baby Grace has a heart rate of 120 bpm, cries vigorously, has
active motion in all extremities, appears pink with acrocyanosis, and sneezes when a
catheter is placed in her nose. The nurse calculates her 1-minute APGAR score as:
A. 7
B. 8
C. 9 [CORRECT]
D. 10
Correct Answer: C
, Rationale: Heart rate 120 = 2, Respiratory effort (vigorous cry) = 2, Muscle tone (active
motion) = 2, Reflex irritability (sneeze) = 2, Color (pink with acrocyanosis) = 1. Total = 9.
Acrocyanosis is normal at 1 minute and prevents a perfect 10.
Q4: Amanda's perineum is intact with a first-degree tear requiring two sutures. Her
lochia is rubra and moderate. The nurse's PRIORITY assessment in the first hour
postpartum is:
A. Assessing Amanda's pain level using a 0–10 scale
B. Palpating the fundus and monitoring lochia to prevent postpartum hemorrhage
[CORRECT]
C. Teaching Amanda about contraception options
D. Documenting the baby's feeding schedule
Correct Answer: B
Rationale: Postpartum hemorrhage is the leading cause of maternal mortality
worldwide. Fundal tone and lochia assessment are the highest priorities in the
immediate postpartum period. Pain, contraception, and feeding documentation are
important but secondary to maternal safety.
Q5: Amanda's vital signs are stable: BP 118/74, HR 88, RR 16, temp 37.0°C. She reports
mild uterine cramping during breastfeeding. The nurse explains that this cramping is
caused by:
A. Infection of the uterine lining
B. Oxytocin release stimulating uterine involution [CORRECT]
Newborn Unfolding Reasoning Case Study
Actual Exam 2026/2027 – Complete 40-Question
Exam with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
Section A: Patient Profile, Obstetric History, & Immediate Postpartum
Assessment
Q1: Amanda Stevens, a 26-year-old G1P1, delivered a healthy female infant, Grace, at 39
weeks gestation via uncomplicated spontaneous vaginal delivery. The nurse documents
G1P1 as indicating:
A. Two prior pregnancies and one living child
B. One pregnancy and one delivery after 20 weeks gestation [CORRECT]
C. One pregnancy and one preterm delivery
D. One pregnancy and one cesarean birth
Correct Answer: B
Rationale: G1P1 indicates one pregnancy (gravida 1) and one delivery after 20 weeks
gestation (para 1). It does not specify viability, preterm status, or delivery method
without additional notation (TPAL).
,Q2: Immediately after delivery, the nurse places baby Grace skin-to-skin on Amanda's
chest and dries her vigorously. The PRIMARY rationale for immediate skin-to-skin
contact is to:
A. Prevent postpartum hemorrhage in the mother
B. Facilitate thermoregulation, promote breastfeeding initiation, and stabilize glucose
[CORRECT]
C. Allow the nurse to complete the full newborn physical examination
D. Prevent neonatal hypoglycemia through maternal glucose transfer
Correct Answer: B
Rationale: Immediate skin-to-skin contact stabilizes the newborn's temperature through
maternal warmth, triggers innate feeding behaviors (breast crawl), and promotes
cardiorespiratory and glycemic stability. It does not prevent maternal hemorrhage, and
the full exam can be delayed.
Q3: At 1 minute of life, baby Grace has a heart rate of 120 bpm, cries vigorously, has
active motion in all extremities, appears pink with acrocyanosis, and sneezes when a
catheter is placed in her nose. The nurse calculates her 1-minute APGAR score as:
A. 7
B. 8
C. 9 [CORRECT]
D. 10
Correct Answer: C
, Rationale: Heart rate 120 = 2, Respiratory effort (vigorous cry) = 2, Muscle tone (active
motion) = 2, Reflex irritability (sneeze) = 2, Color (pink with acrocyanosis) = 1. Total = 9.
Acrocyanosis is normal at 1 minute and prevents a perfect 10.
Q4: Amanda's perineum is intact with a first-degree tear requiring two sutures. Her
lochia is rubra and moderate. The nurse's PRIORITY assessment in the first hour
postpartum is:
A. Assessing Amanda's pain level using a 0–10 scale
B. Palpating the fundus and monitoring lochia to prevent postpartum hemorrhage
[CORRECT]
C. Teaching Amanda about contraception options
D. Documenting the baby's feeding schedule
Correct Answer: B
Rationale: Postpartum hemorrhage is the leading cause of maternal mortality
worldwide. Fundal tone and lochia assessment are the highest priorities in the
immediate postpartum period. Pain, contraception, and feeding documentation are
important but secondary to maternal safety.
Q5: Amanda's vital signs are stable: BP 118/74, HR 88, RR 16, temp 37.0°C. She reports
mild uterine cramping during breastfeeding. The nurse explains that this cramping is
caused by:
A. Infection of the uterine lining
B. Oxytocin release stimulating uterine involution [CORRECT]
