PNR 308 Maternity Exam Questions with Correct and Verified Answers. 100% Correct and Tutor Verified. Graded A+

PNR 308 Maternity Exam Questions with Correct and Verified Answers. 100% Correct and Tutor Verified. Graded A+ What method of contraception would be most appropriate for an exclusively breastfeeding mother for the first 6 weeks after birth? - Correct Answer Breastfeeding ONLY" "Varicosities of the rectum and anus that become more severe with constipation, and with descent of the infant's head into the pelvis, are called which of the following? a) Hernias b)Aneurisms c) Fissures d) Hemorrhoids - Correct Answer D" "A 23-year-old woman has been taking oral contraceptives for 6 months. At her gynecological exam, the health care provider informs her she is pregnant. What is most likely to have decreased the effectiveness of the oral contraceptives? a) antibiotics b) Recent weight loss of 10 pounds c) Change in sleep pattern d) Feelings of excessive stress - Correct Answer A" "A female patient at an outpatient clinic tells the nurse that she is menopausal and would like to know the best diet she could follow. What type of diet is recommended for the menopausal woman? - Correct Answer Low fat, high fibre" "Which symptoms characterize premenstrual dysphoric disorder (PMDD)? (Select all that apply.) a) Anxiety b) Irritability c) Breast tenderness d) Suicidal thoughts e) Appetite changes - Correct Answer A, B, E" "Which patient history and physical information would contraindicate use of combined oral contraceptives? (Select all that apply.) a) One week postpartum and breastfeeding b) Previous blood clot c) Heavy menstrual bleeding d) Positive pregnancy test e) Undiagnosed vaginal bleeding - Correct Answer A, B, D, E" "What is the usual site of implantation in the female reproductive system? - Correct Answer Upper section of the posterior uterine wall" "What is the most accurate response from a nurse when a pregnant woman having an ultrasound at 8 weeks of gestation asks if she may learn her expectant child's sex? - Correct Answer "The external genitalia will not be visible on ultrasound until 10 weeks at the earliest."" "Which hormone is produced by the placenta? - Correct Answer Estrogen" "Which maternal hormone reduces uterine contractions to prevent spontaneous abortions? - Correct Answer Progesterone" "Which statements are true about the placenta? (Select all that apply.) a) It functions as an endocrine gland during the pregnancy. b) It is much larger than the fetus during the entire pregnancy. c) It serves as an organ for fetal respiration, nutrition, and excretion. d) It is always present in the uterus; it just grows in size during pregnancy. e) It produces estrogen, which stimulates the development of breasts for lactation. - Correct Answer A, C, E" "What functions does the amniotic fluid have? (Select all that apply.) a) Nourishes the fetus b) Allows buoyancy and fetal movement c) Maintains an even temperature d) Provides for fetal circulation e) Allows for symmetrical growth - Correct Answer B, C, E" "Where is the irregular hyperpigmentation of chloasma found? - Correct Answer Cheeks, forehead, nose (ON THE FACE)" "Which symptoms are expected changes during pregnancy? (Select all that apply.) a) Blurred vision b) Nasal stuffiness c) Mild vaginal bleeding d) Breast enlargement e) Constipation f) Skin discolouration - Correct Answer B, D, E, F" "What would be considered risk factor(s) for low blood glucose after birth? (Select all that apply.) a) Preterm b) Maternal diabetes c) Large size for gestational age d) Hypothermia e) Congenital heart defects - Correct Answer A, B, C, D" "Which statements are accurate about what the nurse should tell the mother to expect in the postpartum period? (Select all that apply.) a) "You should call your healthcare provider if your discharge returns to bright red rubra after progressing to the clear discharge of alba." b) "By the end of the first day, your breasts will become firm and uncomfortable." c) "You might see a temporary increase of blood flow during ambulation." d) "You may need to use a water-soluble lubricant for intercourse." e) "Your uterus should return to pre-pregnancy size by 6 months." f) "Afterpains should decrease rapidly within 48 hours postpartum." - Correct Answer A, C, D, F" "What are the positive signs of pregnancy? (Select all that apply.) a) Fetal movements felt by mother b) Fetal heart rate c) Positive serum pregnancy test d) Fetal outline identified by palpation e) Visualization of fetus with ultrasound - Correct Answer B, E" "Which routine assessments are made at each prenatal visit? (Select all that apply.) a) Fundal height b) Glucose tolerance test (GTT) c) Urinalysis for protein and ketones D) Fetal heart rate e) Leopold manoeuvers - Correct Answer A, C, D" "At what point does pre-eclampsia become eclampsia? - Correct Answer Seizure activity" "A patient is 28 weeks pregnant and has gestational hypertension. Which symptom would indicate that her condition is becoming more severe? a) Blurred vision b) Presence of 1+ protein in urine c) Dependent edema d) Blood pressure of 138/90 mm Hg - Correct Answer A" "What is the best description of hemolytic disease of the newborn (erythroblastosis fetalis)? - Correct Answer An immune reaction by the mother's blood against the Rh factor on the fetus' red blood cells" "What are the predisposing factors for placental abruption? (Select all that apply.) a) Cigarette smoking b) Poor nutrition c) Hypertension d) Folate deficiency e) Excessive weight gain - Correct Answer A, B, C, D" "Which of the following would be considered teratogens? (select all that apply) a) Glyburide b) Nicotine c) X-rays d) Cannabis e) Zika virus - Correct Answer B, C, D, E" "When ______ to _______ cm of the fetal head is visible at the vaginal opening, this is known as crowning. - Correct Answer 3 to 4 cm" "A primiparous woman in active labour would be between ______ to ______ cm dilated. - Correct Answer 4 to 10 cm" "What would the nurse expect a normal finding to be during assessment of the fundus during the fourth stage of labour? - Correct Answer Firm and at the umbilicus" "What is the purpose of the administration of vitamin K (AquaMEPHYTON) to a newborn? - Correct Answer Blood clotting! (GI is sterile so need to give vit K within first 6h of life)" "The health care provider performs a nitrazine paper test and the nurse observes the strip paper to be deep blue in colour. What is the significance of this assessment? - Correct Answer The fluid is alkaline and most likely amniotic fluid." "If the sacrum of the fetus in a breech presentation is in the mother's right posterior pelvis, it is described as: - Correct Answer R Sacrum Posterior (RSP)" "A health care provider (HCP) informs a nurse that the woman has a laceration that extends through the anal sphincter into the rectal mucosa. Based on the definition, what does the nurse document, per the HCP, as the description of this laceration? - Correct Answer Fourth degree" "What signs of respiratory distress in the newborn should be reported immediately? (Select all that apply.) a) Grunting respirations b) Heart rate above 110 beats/minute c) Flaring of the nostrils d) Respiratory rate of 50 breaths/minute e) Cyanosis of the hands and feet - Correct Answer A, C" "Which assessments are included in evaluating a newborn using the Apgar scoring system? (Select all that apply.) a) Heart rate b) Cry c) Colour d) Meconium e) Respiratory effort f) Reflexes - Correct Answer A, C, E, F" "Which childbirth method was originally called "husband-coached childbirth" and was the first to include the father as an integral part of labour? - Correct Answer Bradley method" "What is a potential adverse effect of pudendal block? - Correct Answer Vaginal hematoma" "What interventions should a nurse expect to implement after an epidural block is placed? - Correct Answer Frequent BP monitoring" "Which theory explains how pain impulses reach the brain for interpretation and supports nonpharmacological methods of pain control? - Correct Answer Gate-control theory" "Which are nonpharmacological forms of pain control? (Select all that apply.) a) epidural b) effleurage c) sacral pressure d) hydrotherapy e) breathing techniques - Correct Answer B, C, D, E" "A nurse is aware that magnesium sulphate is used for which of the following purposes? a) To protect the neurological status of a fetus b) To prevent preterm labour c) To induce labour in post-term pregnancy d) To enhance movement of a fetus - Correct Answer A" "A healthy woman in labour has excess amniotic fluid. She is in active labour and is not progressing because contractions are too weak to be effective. What does the nurse suspect is the cause of this ineffective labour? - Correct Answer Decreased uterine muscle tone because of overdistention" "What is the most important risk a nurse would assess for after an amniotomy? - Correct Answer Umbilical cord prolapse" "What is used to assess the status of the cervix in determining its readiness for induction? a) Apgar score b) Bishop score c) Amniotomy d) Prostaglandin secretion - Correct Answer B" "Which are considered pharmacological methods to stimulate contractions? (Select all that apply.) a) Version b) Oxytocin administration c) Amniotomy d) Prostaglandin gel e) Nipple stimulation - Correct Answer B, D" "When should an Rh-negative mother receive a dose of Rho(D) immune globulin after delivering an Rh-positive infant? - Correct Answer 72 hours" "A breastfeeding mother reports that she has cramping after every time she feeds her baby. The nurse informs her that these are afterpains, intermittent uterine contractions similar to menstrual cramps. What is the best healthcare provider-ordered pharmacological nursing intervention? - Correct Answer Mild analgesics" "What postpartum assessment does the acronym REEDA help a nurse remember how to complete thoroughly? *Bonus to state what REEDA stands for* a) Breasts for a lactating mother b) A perineum or a Caesarean incision c) Risk of a blood clot d) The status of hemorrhoids - Correct Answer B R - redness E - echymosis E - edema D - discharge A - approximation" "Put the following types of lochia in the order in which they occur during the postpartum period (and colour!). 1. Lochia serosa 2. Lochia alba 3. Lochia rubra - Correct Answer 3 1 2 Rubra = RED Serosa = SEROUS = Brownish red Alba = yellow/white" "A nurse makes an initial assessment of a postpartum patient, revealing right leg edema, calf tenderness, pain when walking, and redness of the calf. What do these symptoms most likely indicate? What is a 'test' for this (and what is it called)? - Correct Answer DVT You can have the woman sit/stand and take the affected leg and while keeping knee straight, dorsiflex the foot - if painful this is a POSITIVE HOMAN'S SIGN." "A postpartum patient has been diagnosed with mastitis. She informs a nurse she is experiencing quite a bit of pain and asks what she might do to relieve it. The patient also states she would like to avoid medication if possible. What would the best instruction be to give to the patient? What should the patient NOT do? - Correct Answer Apply moist heat to affected area. She should NOT wean her baby as it can make it worse." "A woman is 4-weeks postpartum. She arrives at the outpatient clinic and informs a nurse that her lochia remains very red and she feels a heaviness in her pelvic area. The nurse assesses her fundus to be firm and at the umbilical level. The nurse would attribute these symptoms to which of the following? a) Subinvolution of the uterus b) Clotting disorder d) Cervical laceration e) Dehydration - Correct Answer A" "Which assessment would be an early indicator of hypovolemic shock in a postpartum patient? a) Heart rate 80, BP 125/95, temperature 38.5° C b) Heart rate 90, BP 106/80, and respiratory rate 20 c) Heart rate 135, BP 100/85, respiratory rate 24 d) Heart rate 150, BP 106/80, and respiratory rate 16 - Correct Answer C" "Which is a sign of puerperal sepsis? - Correct Answer Fever of 38° C lasting for 2 days" "Early postpartum hemorrhage results from which of the following causes? (Select all that apply.) a) Hematomas of the reproductive tract b) Uterine atony c) Subinvolution of the uterus d) Retention of placental fragments e) Lacerations of the reproductive tract - Correct Answer A, B, E" "Which are signs of mastitis? (Select all that apply.) a) Milk leaking from nipples b) Abscess in one breast c) Fever/chills d) Heaviness in breast e) Redness in breast - Correct Answer B, C, D, E" "Which patient/family problem would be the priority for the newborn? - Correct Answer Thermoregulation" "A nurse assesses blood-tinged mucus discharge in a newborn baby girl's diaper. What education can the nurse provide to the mother about why this is occurring in her newborn? - Correct Answer Hormonal withdrawal from mother at birth" "What is usually included in parent teaching for newborn care prior to discharge? (Select all that apply.) a) Basic infant care b) CPR training c) Return appointments for well-baby care d) Potential birth control methods e) Proper use of car safety seats - Correct Answer A, C, E" "The nurse auscultates a fetal HR of 152 on a client in early labour. What action by the nurse is most appropriate? a) inform the mother the HR is normal b) reassess in 5 minutes c) immediately inform the HCP d) place the ct on her L side and apply oxygen - Correct Answer A" "While evaluating the fetal heart monitor tracing on a ct in labour, the nurse notices fetal heart decelerations. What assessment must the nurse complete at this time? - Correct Answer Check the maternal BP - if mother is supine, decelerations may be caused by maternal supine hypotension syndrome. They usually are corrected when the woman turns on her side to displace the weight of the gravid uterus from the vena cava." "What newborn assessments should be included as part of the NIPS scale? (Select all that apply.) a) Leg movement b) Consolability c) Arm movement d) Cry e) Activity f) Facial expression - Correct Answer A, C, D, F" "A nurse assesses a newborn's temperature to be 36.3° C. What action should the nurse do first? - Correct Answer Place newborn skin to skin with a caregiver" "What terminology will a nurse use when considering how well developed the infant is at birth and the ability of the organs to function outside the uterus? a) Level of development b) Gestational level c) Level of maturation d) Level of growth - Correct Answer C" "A preterm infant in the NICU is receiving calcium gluconate for hypocalcemia and hypoglycemia. What assessment would a nurse prioritize? - Correct Answer HR" "Which characteristic puts a preterm infant at risk for sepsis? - Correct Answer Immature liver" "What diagnostic assessment is used to diagnose phenylketonuria (PKU)? - Correct Answer Guthrie blood test" "What is the most common type of birth injury? - Correct Answer intracranial hemorrhage" "Which signs and symptoms characterize cold stress? (Select all that apply.) a) Fever b) Hyperactivity c) Periods of apnea d) Tachycardia e) Mottling of the skin - Correct Answer C, E" "Identify the physical characteristics that would be present in an infant with respiratory distress syndrome. (Select all that apply.) a) Respiratory rate above 60 b) Apnea c) Edema d) Meconium-stained sputum e) Grunting and retractions - Correct Answer A, B, C, E" "What are the signs of necrotizing enterocolitis (NEC)? (Select all that apply.) a) Decreased urine output b) Abdominal distention c) Jaundice d) Bilious vomitus e) Diarrhea f) Bloody stools - Correct Answer B, D, E, F" "A newborn infant will typically lose _______ to 10 % of his or her birth weight by day 3 or 4. - Correct Answer 7-10%" "What is the most important nursing intervention to promote a positive hospital experience for a 1-month-old infant? - Correct Answer Consistent caregiver attendance" "For how many weeks will the infant experience passive immunity from his or her mother? - Correct Answer 12" "The nurse is assessing an episiotomy of a postpartum client. Which of the following findings should the nurse expect to see? a) an area of redness adjacent to the incision b) moderate serosanguinous drainage c) well approximated edges d) ecchymotic area distal to the incision - Correct Answer C" "A normal RR for a newborn is? - Correct Answer 30-60" "A woman at 40 weeks of gestation calls the OB triage nurse to report a trickle of fluid from her vagina. What action by the nurse is most appropriate? a. Instruct the woman to come to the hospital. b. Ask her to time her contractions. c. Tell her if she saturates two pads in an hour to come to the hospital. d. Reassure her that she has plenty of time before delivery. - Correct Answer A" "A woman, 40 weeks gestation calls the labour unit to see if she should go to the hospital yet. Which statement indicates she is probably in labour and should proceed to come to the hospital? a) "the contractions are 5-20m apart" b) "I saw pink discharge on the toilet paper" c) "I have had bad cramping for the past 3-4h" d) "the contractions are about a minute long and I am unable to talk during them" - Correct Answer D" "The return of the uterus to its nonpregnant size after giving birth is called? - Correct Answer Involution" "The nurse enters a labouring clients room. The ct c/o intense back pain with each contraction. The nurse concludes that the fetus is likely in which of the following positions? a) Mentum anterior b) Sacrum posterior c) Occiput posterior d) Scapula anterior. - Correct Answer C When a fetus is in the occiput posterior position, mothers frequently complain of severe back pain" "A nurse must give K 0.5mg IM to a newborn. Which needle size is most appropriate? a) 1" 22g b) ⅝" 25g c) 1" 25g d) ½" 18g - Correct Answer B" "A gravid client, G3 P2, was examined 5min ago. Her cervix was 8cm dilated and 90% effaced. She now states she needs to move her bowels. What should the nurse do? - Correct Answer Evaluate the progress of labour" "The nurse is evaluating the involution of a woman 3d PP. What should she expect to find about the feel and position of the fundus? What about the characteristics of lochia? - Correct Answer Fundus 3cm BELOW umbilicus. Lochia rubra." "What is the shape of the anterior fontanelle? Posterior? - Correct Answer Anterior = diamond Posterior = triangle" "On examination, a full-term primipara in active labour is noted to be ROA, 7cm dilated, and +3 station. What should the nurse report to the physician? - Correct Answer Descent is progressing well ROA - R occipitoanterior 7cm - 3cm to go +3 station - +2cm to go" "Apgar scores are normally conducted when? How are they numbered? Which is more accurate? Which is used more for emergency treatment? - Correct Answer After 1minute and 5minutes 0 - 2. 0 is lowest possible score and 10 is highest. 5 min is more accurate BUT 1min is often used to detect emergent issues." "A client is admitted with a diagnosis of hyperemesis gravidarum. Which of the HCPs orders is most important to complete? a) check admission weight b) obtain CBC c) start IV multivitamins d) obtain UA - Correct Answer C" "To prevent infection, the nurse teaches the PP ct to perform which task? a) change peripad at each voiding b) apply antibiotic ointment to perineum daily c) Void at least every two hours d) Spray the perineum with povidone-iodine after toileting - Correct Answer A" "When an infant's cheek is touched, it will turn its head toward the stimulus. This is called the ____________ reflex. Other infant reflexes include ___, ___, and ___. - Correct Answer Rooting. Moro, babinski, sucking."