Maternal & Newborn Health - Archer Review (2/2) questions and correct answers| Updated 2026/2027

Maternal & Newborn Health - Archer Review (2/2) questions and correct answers| Updated 2026/2027 nonreactive Positive 125 mg/dL The nurse is reviewing the medical record of a client who is pregnant at 35 gestational weeks Click to highlight the findings in the medical record that require follow-up Choices B and C are correct. A positive Babinski sign is when the toes splay outward after stroking the plantar surface of the foot. It is normal in the newborn but pathologic in the adult population (choice B). When a baby is startled and responds by suddenly stretching out his arms, this is the Moro reflex(choice C). During a newborn assessment, the nurse performs a variety of reflex assessments to evaluate the newborn's nervous system and overall health. Which of the following statements about reflexes in the newborn is true? Select all that apply. -The Babinski reflex is also known as the startle reflex. -A positive Babinski sign is normal in the newborn. -The Moro reflex is demonstrated when the infant is startled and stretches out their arms in response. -The Moro reflex is pathologic in the newborn. -The tonic neck reflex is present at birth and is essential for sucking Choice D is correct. A prolapsed umbilical cord is a serious finding that may lead to fetal hypoxia. The nurse must act quickly if this is suspected. Common fetal heart rate patterns observed during a prolapsed umbilical cord include variable decelerations, sustained bradycardia, or prolonged decelerations. All of these patterns are non-reassuring. The nurse observes the fetal heart monitor (FHR) tracing showing variable decelerations. Which of the following could cause this FHR pattern? A. Fetal movement B. Fetal head compression C. Compression of the maternal vena cava D. Prolapsed umbilical cord Choice D is correct. Photographing all visitors and requiring visitors to sign in is fundamental to preventing infant abduction. This creates a record of the visitor, and the photograph is helpful if an abduction should occur. The nurse participates in a committee reviewing the hospital security plan regarding infant abduction. Which of the following recommendations should the nurse make to the committee? A. Rearrange rooms so that the crib is near the door. B. Carry infants in the hallway instead of using the bassinet. C. Issue staff identification badges without a photo. D. Take photographs of all visitors. Choice C is correct. The fetus is experiencing variable decelerations of heart rate in the setting of ruptured membranes. Amnioinfusion refers to the infusion of a warmed isotonic solution into the uterine cavity through the IUPC. It is mostly used as a treatment to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on cardiotocography. It can help cushion the cord and relieve pressure when the membranes have ruptured. A woman was admitted to the obstetric unit in active labor and has had a frank rupture of membranes. A fetal scalp electrode and intrauterine pressure catheter were inserted promptly. The woman had progressed to 8-cm dilation when the nurse noticed abrupt decreases in the fetal heart rate of 15-20 bpm that quickly returned to baseline. The changes in fetal heart rate occurred with and without contractions. At this point, the nurse should prepare to initiate a client teaching about the possibility of which procedure? A. High forceps delivery B. Oxytocin induction C. Amnioinfusion D. Cesarean birth Choices A and C are correct. Any non-reassuring fetal heart rate will require intervention. The nurse has noted fetal tachycardia. Fetal tachycardia is any increase in fetal heart rate above 160 beats per minute for longer than 10 minutes. Common causes of fetal tachycardia are fetal hypoxia, maternal infection, maternal stimulant use (cocaine use), and fetal acidemia. While awaiting the identification of the cause, the nurse can undertake quick interventions to improve fetal oxygenation. One could remember these interventions with the mnemonic: LION: Lie the mother on her left side Increase IV fluids Oxygen Notify the healthcare provider. In this case, the non-reassuring sign of fetal tachycardia necessitates intervention. Repositioning the client on her left side, administering oxygen, and increasing the rate of IV fluids are all appropriate interventions. The idea is to improve fetal oxygenation. The nurse is assessing a client in labor and observes a fetal heart rate of 190 beats per minute. The nurse should take which appropriate action? Select all that apply. Place the client in a left side lying positon Decrease the rate of intravenous fluids Administer oxygen Obtain a prescription for intravenous oxytocin Place the client in the Trendelenburg position Choices B, C, E, and F are correct. B is correct. Dystocia, which is prolonged and painful labor, is a risk factor for postpartum hemorrhage. Prolonged labor, specifically, can dramatically increase the risk of postpartum hemorrhage. C is correct. Placenta previa is a risk factor for postpartum hemorrhage. In placenta previa, the placenta is covering the cervix of the mother rather than sitting in the fundus of the uterus as it should be. This puts the mother at risk for postpartum hemorrhage. E is correct. Maternal obesity is a risk factor for postpartum hemorrhage. Obese women are at increased risk for many pregnancy complications, including gestational diabetes, thromboembolic disorders, preeclampsia, spontaneous abortion, and postpartum hemorrhage