OB ATI: RN Maternal Newborn Prac 2019
-Updated 2025
A mom is at 36 weeks gestation. Are visual disturbances normal? - CORRECT
ANSWERS-No this is a potential prenatal complication associated with HTN. Report to
provider so additional fetal and maternal evaluation can be done
Tingling or numbness of the fingers is called ______ ______ ______ syndrome
resulting from shoulder drooping. When does this common discomfort occur? -
CORRECT ANSWERS-Brachial plexus traction syndrome
occurs during 2nd trimester
Reports of urinary frequency is common during the ____ trimester. Why? - CORRECT
ANSWERS-3rd because enlarged uterus causes decrease in bladder capacity
Are leg cramps normal in the 3rd trimester? - CORRECT ANSWERS-Yes because the
nerves that supply lower extremities are compressed due to the enlarging uterus
Fasting blood glucose expected reference range - CORRECT ANSWERS-60-105
mg/dL
Hemoglobin expected reference range for pregnant women - CORRECT ANSWERS-
greater than 11
adverse effects of combined oral contraceptives - CORRECT ANSWERS-depression,
amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness
_______ _______ can occur due to an excess of estrogen. (Polyuria) - CORRECT
ANSWERS-Fluid retention
(hypertension/hypotension) is a common adverse effect of combined oral contraceptives
- CORRECT ANSWERS-Hypertension
A nurse is performing a vaginal exam on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take? - CORRECT ANSWERS-Insert two gloved
fingers into the vagina and apply upward pressure to the presenting part
Also...
- wrap the visible cord with loose sterile towel saturated with 0.9% NaCl
- Apply oxygen at 8-10 L/min via non breather mask
,- place the client into modified Sims position (knee-chest) or extreme Trendelenburg
(relieves compression)
What range indicates a positive test result for a 1-hr glucose tolerance test and should
be reported to the provider? - CORRECT ANSWERS-130-140 or greater
Oliguria is a manifestation of magnesium sulfate toxicity. The nurse should report a
urinary output of less than what to the provider?? - CORRECT ANSWERS-less than 25-
30mL/hr
What is the antidote of magnesium sulfate - CORRECT ANSWERS-calcium gluconate
(should be readily available)
_______ is a bluish discoloration of the hands and feet.
- also an expected finding in a newborn 24-48 hours after birth - CORRECT
ANSWERS-Acrocyanosis
What is transient strabismus?
When can this persist till (what age)? - CORRECT ANSWERS-a normal variation in the
newborns eyes that can persist until the 3rd or 4th month of age
Is jaundice occurring within the first 24 hours of birth normal? - CORRECT ANSWERS-
No, this is associated with ABO incompatibility, hemolysis, or Rh- isoimmunization
*Report to provider*
________ _________ is a benign, edematous area of the scalp, commonly found in the
occiput.
- occiput = back part of head/skull - CORRECT ANSWERS-Caput succadaneum
What does a Nitrazine test determine - CORRECT ANSWERS-the pH of the fluid
- An alkaline pH can indicate ROM
The greatest risk to mom and fetus after ROM is umbilical cord prolapse. Therefore the
nurse should ??? - CORRECT ANSWERS-Begin FHR monitoring
- monitor the fetus closely to ensure wellbeing
What does yellow sclera indicate - CORRECT ANSWERS-hyperbilirubinemia
, Where is the posterior and anterior fontanels located? Which is larger? - CORRECT
ANSWERS-Posterior fontanel = back of head
Anterior fontanel = top of head; LARGER
When is the babinski reflex no longer present - CORRECT ANSWERS-after 1 year of
age
There are ____ arteries and ___ veins in the umbilical cord - CORRECT ANSWERS-2
arteries 1 vein (AVA)
The nurse should verify the newborns identity every time they are returned to their
parent. What information do they match before transporting the newborn back to the
parent's room? - CORRECT ANSWERS-Match the info on the parents ID band to the
info on the newborns ID band
Severe pre-ecampsia can have a _____ amount of urinary protein (proteinuria) that is
_____ than 500mg in a 24 hour specimen - CORRECT ANSWERS-increased; greater
Severe preeclampsia can have decreased urine output (oliguria) of _____mL/hr.
- or less than 400 - 500 per day
WHY? - CORRECT ANSWERS-20mL/hr
Related to decreased perfusion of the kidneys and possible glomerular damage
Severe preeclampsia can have vasospasm and decreased blood flow to the retina,
causing ________ ________ - CORRECT ANSWERS-visual disturbance , such as
blurred vision, double vision, or dark spots
Following amniocentesis:
- The greatest risk = Fetal _____. Therefore, the PRIORTY is to ????
- Check the pt temperature to monitor for ________.
- Observe for uterine contractions to identify ________ _________
- Administer Rh0(D) immune globulin to ______ Rh sensitization - CORRECT
ANSWERS-- death (PRIORITY = Monitor the FHR)
- infection
- preterm labor
-Updated 2025
A mom is at 36 weeks gestation. Are visual disturbances normal? - CORRECT
ANSWERS-No this is a potential prenatal complication associated with HTN. Report to
provider so additional fetal and maternal evaluation can be done
Tingling or numbness of the fingers is called ______ ______ ______ syndrome
resulting from shoulder drooping. When does this common discomfort occur? -
CORRECT ANSWERS-Brachial plexus traction syndrome
occurs during 2nd trimester
Reports of urinary frequency is common during the ____ trimester. Why? - CORRECT
ANSWERS-3rd because enlarged uterus causes decrease in bladder capacity
Are leg cramps normal in the 3rd trimester? - CORRECT ANSWERS-Yes because the
nerves that supply lower extremities are compressed due to the enlarging uterus
Fasting blood glucose expected reference range - CORRECT ANSWERS-60-105
mg/dL
Hemoglobin expected reference range for pregnant women - CORRECT ANSWERS-
greater than 11
adverse effects of combined oral contraceptives - CORRECT ANSWERS-depression,
amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness
_______ _______ can occur due to an excess of estrogen. (Polyuria) - CORRECT
ANSWERS-Fluid retention
(hypertension/hypotension) is a common adverse effect of combined oral contraceptives
- CORRECT ANSWERS-Hypertension
A nurse is performing a vaginal exam on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take? - CORRECT ANSWERS-Insert two gloved
fingers into the vagina and apply upward pressure to the presenting part
Also...
- wrap the visible cord with loose sterile towel saturated with 0.9% NaCl
- Apply oxygen at 8-10 L/min via non breather mask
,- place the client into modified Sims position (knee-chest) or extreme Trendelenburg
(relieves compression)
What range indicates a positive test result for a 1-hr glucose tolerance test and should
be reported to the provider? - CORRECT ANSWERS-130-140 or greater
Oliguria is a manifestation of magnesium sulfate toxicity. The nurse should report a
urinary output of less than what to the provider?? - CORRECT ANSWERS-less than 25-
30mL/hr
What is the antidote of magnesium sulfate - CORRECT ANSWERS-calcium gluconate
(should be readily available)
_______ is a bluish discoloration of the hands and feet.
- also an expected finding in a newborn 24-48 hours after birth - CORRECT
ANSWERS-Acrocyanosis
What is transient strabismus?
When can this persist till (what age)? - CORRECT ANSWERS-a normal variation in the
newborns eyes that can persist until the 3rd or 4th month of age
Is jaundice occurring within the first 24 hours of birth normal? - CORRECT ANSWERS-
No, this is associated with ABO incompatibility, hemolysis, or Rh- isoimmunization
*Report to provider*
________ _________ is a benign, edematous area of the scalp, commonly found in the
occiput.
- occiput = back part of head/skull - CORRECT ANSWERS-Caput succadaneum
What does a Nitrazine test determine - CORRECT ANSWERS-the pH of the fluid
- An alkaline pH can indicate ROM
The greatest risk to mom and fetus after ROM is umbilical cord prolapse. Therefore the
nurse should ??? - CORRECT ANSWERS-Begin FHR monitoring
- monitor the fetus closely to ensure wellbeing
What does yellow sclera indicate - CORRECT ANSWERS-hyperbilirubinemia
, Where is the posterior and anterior fontanels located? Which is larger? - CORRECT
ANSWERS-Posterior fontanel = back of head
Anterior fontanel = top of head; LARGER
When is the babinski reflex no longer present - CORRECT ANSWERS-after 1 year of
age
There are ____ arteries and ___ veins in the umbilical cord - CORRECT ANSWERS-2
arteries 1 vein (AVA)
The nurse should verify the newborns identity every time they are returned to their
parent. What information do they match before transporting the newborn back to the
parent's room? - CORRECT ANSWERS-Match the info on the parents ID band to the
info on the newborns ID band
Severe pre-ecampsia can have a _____ amount of urinary protein (proteinuria) that is
_____ than 500mg in a 24 hour specimen - CORRECT ANSWERS-increased; greater
Severe preeclampsia can have decreased urine output (oliguria) of _____mL/hr.
- or less than 400 - 500 per day
WHY? - CORRECT ANSWERS-20mL/hr
Related to decreased perfusion of the kidneys and possible glomerular damage
Severe preeclampsia can have vasospasm and decreased blood flow to the retina,
causing ________ ________ - CORRECT ANSWERS-visual disturbance , such as
blurred vision, double vision, or dark spots
Following amniocentesis:
- The greatest risk = Fetal _____. Therefore, the PRIORTY is to ????
- Check the pt temperature to monitor for ________.
- Observe for uterine contractions to identify ________ _________
- Administer Rh0(D) immune globulin to ______ Rh sensitization - CORRECT
ANSWERS-- death (PRIORITY = Monitor the FHR)
- infection
- preterm labor
