Maternal Newborn Exam Questions And
Answers
Ac16cyearcoldcclientccomescintoctheccliniccbecausecshecthinkscshecmightcbecpregnant.cWhic
hcofcthecfollowingcarecpresumptivecsignscofcpregnancy?
a.cAbdominalcenlargement
b.cAmenorrhea
c.cFatigue
d.cPositivecpregnancyctest
e.cBreastctendernessc-cCORRECTccANSWER-Amenorrhea
Fatigue
Breastctenderness
Ac23cyearcoldcpatientciscrecoveringcfromcacmolarcpregnancycwhencshecstatesctocthecnurse,c"
Iccan'tcwaitctocstartctryingctocgetcpregnantcagain-
cIcwantcacbabycascsooncascpossible."cWhichcofcthecfollowingciscthecmostcappropriate crespon
secbycthecnurse:
a.c"Yourcmedicalcteamcwillcsupportcyoucwithcwhatevercyoucchoosectocdo."
b.c"Youcshouldcwaitcatcleastc6cmonthscbeforecattemptingctocgetcpregnantcagain."
c.c"AsclongcascyoucconsultcwithcyourcOB,cyoucarecmedicallycclearedctocgetcpregnantcagain."
d.c"YoucwillcneedctoccompletecserialcHCGctestingcandcwaitcatcleastcacyearcbeforecgettingcpre
gnantcagain."c-cCORRECTccANSWER-
"YoucwillcneedctoccompletecserialcHCGctestingcandcwaitcatcleastcacyearcbeforecgettingcpregn
antcagain."
Ac6cdaycpostpartumcpatientctellscyoucthatcsheciscexperiencingcextremecfatigue,closscofcappe
tite,candcshecdoescnotcfeelcacclosecbondcwithchercnewborn.cBasedconcthiscdata,cwhichcofcthe
secconditionsciscthiscpatientcmostclikelycexperiencing?
a.cIroncdeficiencycanemia
b.cInadequatecskin-to-skinccontact
c.cPostpartumcdepression
d.cSepsisc-cCORRECTccANSWER-Postpartumcdepression
AcclientccheckscintoctheclaborcandcdeliverycunitcforcanceversioncandcthecdoctorchascTerbutali
necprescribed.cWhatciscthecreasoningcbehindcthecordercforcthiscmedication?
a.cTocrelaxcthecuterusctocpreventcpretermclabor
b.cTocstimulatecthecuterusctochelpcthecbabycturncintocposition
,c.cTocstimulatecthecuterusctochelpcthecmomcgocintoclaborcaftercthecbabyciscputcinctheccorrectc
position
d.cTocrelaxcallcmusclescofcthecbodyctochelpcminimizecthecmom'sccomfortcwhilecthecdoctorcrot
atescthecbabyc-cCORRECTccANSWER-Tocrelaxcthecuterusctocpreventcpretermclabor
Acclientciscfoundctochavecpolyhydramnios.cWhichcofcthecfollowingcconditionsciscthecinfantcatcr
iskcforcdeveloping?c(Selectcallcthatcapply)
a.cGIcissues
b.cRenalcabnormalities
c.cNeuralctubecdefects
d.cDiabetes
e.cLowcbirthcweightc-cCORRECTccANSWER-GIcissues
Neuralctubecdefects
Diabetes
Acmomcwithcpreeclampsiaccomescintoctheccliniccandccomplainscofcdizziness.cWhatcarecsom
ecothercimportantcs/sctoclookcforc(selectcallcthatcapply)
a.curinecoutputcofc40cforctheclastc3chours
b.cblurredcvision
c.cnausea
d.cconstipation
e.cnonreactivecnonstressctestc-cCORRECTccANSWER-
Urinecoutputcofc40cforctheclastc3chours
Blurredcvision
Nonreactivecnonstressctest
AcmothercincLaborcandcDeliverycjustcdeliveredchercbabycviacC-
section.cWhatcarecsomeccomplicationscthecnursecshouldcbecmindfulcof?cSelectcallcthatcappl
y
a.cIncreasedcchancescofchemorrhaging
b.cBraincdamage
c.cPossiblecincisioncinfection
d.cLosscofcappetitec-cCORRECTccANSWER-Increasedcchancescofchemorrhaging
Possiblecincisioncinfection
Acnewborncborncacminutecagochascaccentralcpaleness,cacfloppycmouth,cbradypnea,cvigorou
sccry,candcflexedcarmscandclegs.cWhatciscthiscnewborn'scfirstcAPGARcscore?
a.c3
b.c4
c.c2
d.c5c-cCORRECTccANSWER-4
AcNICUcnursecischelpingcstabilizecancinfantcimmediatelycfollowingcbirth.cShecnotescacrocya
nosis,cweakccry,cactivecmovement,ccryingcwithcstimulation,candcacpulsecoverc100cbpm.cBas
edconcthesecfindings,cwhatciscthecinfant'scAPGARcscorecatcthisctime?
a.c8
, b.c6
c.c10
d.c5c-cCORRECTccANSWER-8
Acnursecatcacprenatalccliniccisccaringcforcacclientcwhociscpregnantcandcexperiencingcepisode
scofcmaternalchypotension.cThecclientcaskscthecnursecwhatccausescthesecepisodes.cWhichc
ofcthecfollowingcresponsescshouldcthecnursecmake?
a.c"Thisciscduectocancincreasecincbloodcvolume."
b.c"Thisciscduectocpressurecfromcthecuterusconcthecdiaphragm."
c.c"Thisciscduectocthecweightcofcthecuterusconcthecvenaccava."
d.c"Thisciscduectocincreasedccardiaccoutput."c-cCORRECTccANSWER-
"Thisciscduectocthecweightcofcthecuterusconcthecvenaccava."
Acnursecifcprovidingceducationctocacclientcwhocisc2chourscpostpartumcandchascacperinealclac
eration.cWhichcofcthecfollowingcinformationcshouldcthecnursecinclude?c(Selectcallcthatcapply)
a.cUsecacperinealcsqueezecbottlectoccleansecthecperineum
b.cSitconcthecperineumcwhilecrestingcincbed
c.cApplycactopicalcanestheticccreamcorcsprayctocthecperineum
d.cWipecthecperineumcthoroughlycwithcacbackcandcforthcmotion
e.cApplyccoldcorcicecpacksctocthecperineumc-cCORRECTccANSWER-
Usecacperinealcsqueezecbottlectoccleansecthecperineum
Applycactopicalcanestheticccreamcorcsprayctocthecperineum
Applyccoldcicecpacksctocthecperineum
Acnursecincaccliniccreceivescacphoneccallcfromcacclientcwhocwouldclikectocbectestedcincthecclini
cctocconfirmcacpregnancy.cWhichcofcthecfollowingcinformationcshouldcthecnursecprovidectocth
ecclient?
a.c"Youcshouldcwaitcuntilc4cweekscaftercconceptionctocbectested."
b.c"Youcshouldcbecoffcmedicationsc24chourscpriorctocthectest."
c.c"YoucshouldcbecNPOcforcatcleastc8chourscbeforecthectest."
d.c"Youcshouldccollectcurinecfromcthecfirstcmorningcvoid."c-cCORRECTccANSWER-
"Youcshouldccollectcurinecfromcthecfirstcmorningcvoid."
Acnurseciscassessingcacfemalecpatientcforcpossiblecearlycsignscofcacsyphiliscinfection,cwhatcs
ymptomscshouldcthecnursecexpectctocfind?
a.cChancrecatcthecsitecofcinfection
b.cFoulcbodycodor
c.cAlopecia
d.cDifficultyccoordinatingcmusclecmovementc-cCORRECTccANSWER-
Chancrecatcthecsitecofcinfection
Acnurseciscassessingcacpost-
termcinfant.cAccharacteristiccthatcthecnursecshouldcexpectctocseecduringcassessmentcis
a.cPale,ctranslucentcskin
b.cNailscextendingcovercfingers
c.cLargecdepositscofcsubcutaneouscfat
Answers
Ac16cyearcoldcclientccomescintoctheccliniccbecausecshecthinkscshecmightcbecpregnant.cWhic
hcofcthecfollowingcarecpresumptivecsignscofcpregnancy?
a.cAbdominalcenlargement
b.cAmenorrhea
c.cFatigue
d.cPositivecpregnancyctest
e.cBreastctendernessc-cCORRECTccANSWER-Amenorrhea
Fatigue
Breastctenderness
Ac23cyearcoldcpatientciscrecoveringcfromcacmolarcpregnancycwhencshecstatesctocthecnurse,c"
Iccan'tcwaitctocstartctryingctocgetcpregnantcagain-
cIcwantcacbabycascsooncascpossible."cWhichcofcthecfollowingciscthecmostcappropriate crespon
secbycthecnurse:
a.c"Yourcmedicalcteamcwillcsupportcyoucwithcwhatevercyoucchoosectocdo."
b.c"Youcshouldcwaitcatcleastc6cmonthscbeforecattemptingctocgetcpregnantcagain."
c.c"AsclongcascyoucconsultcwithcyourcOB,cyoucarecmedicallycclearedctocgetcpregnantcagain."
d.c"YoucwillcneedctoccompletecserialcHCGctestingcandcwaitcatcleastcacyearcbeforecgettingcpre
gnantcagain."c-cCORRECTccANSWER-
"YoucwillcneedctoccompletecserialcHCGctestingcandcwaitcatcleastcacyearcbeforecgettingcpregn
antcagain."
Ac6cdaycpostpartumcpatientctellscyoucthatcsheciscexperiencingcextremecfatigue,closscofcappe
tite,candcshecdoescnotcfeelcacclosecbondcwithchercnewborn.cBasedconcthiscdata,cwhichcofcthe
secconditionsciscthiscpatientcmostclikelycexperiencing?
a.cIroncdeficiencycanemia
b.cInadequatecskin-to-skinccontact
c.cPostpartumcdepression
d.cSepsisc-cCORRECTccANSWER-Postpartumcdepression
AcclientccheckscintoctheclaborcandcdeliverycunitcforcanceversioncandcthecdoctorchascTerbutali
necprescribed.cWhatciscthecreasoningcbehindcthecordercforcthiscmedication?
a.cTocrelaxcthecuterusctocpreventcpretermclabor
b.cTocstimulatecthecuterusctochelpcthecbabycturncintocposition
,c.cTocstimulatecthecuterusctochelpcthecmomcgocintoclaborcaftercthecbabyciscputcinctheccorrectc
position
d.cTocrelaxcallcmusclescofcthecbodyctochelpcminimizecthecmom'sccomfortcwhilecthecdoctorcrot
atescthecbabyc-cCORRECTccANSWER-Tocrelaxcthecuterusctocpreventcpretermclabor
Acclientciscfoundctochavecpolyhydramnios.cWhichcofcthecfollowingcconditionsciscthecinfantcatcr
iskcforcdeveloping?c(Selectcallcthatcapply)
a.cGIcissues
b.cRenalcabnormalities
c.cNeuralctubecdefects
d.cDiabetes
e.cLowcbirthcweightc-cCORRECTccANSWER-GIcissues
Neuralctubecdefects
Diabetes
Acmomcwithcpreeclampsiaccomescintoctheccliniccandccomplainscofcdizziness.cWhatcarecsom
ecothercimportantcs/sctoclookcforc(selectcallcthatcapply)
a.curinecoutputcofc40cforctheclastc3chours
b.cblurredcvision
c.cnausea
d.cconstipation
e.cnonreactivecnonstressctestc-cCORRECTccANSWER-
Urinecoutputcofc40cforctheclastc3chours
Blurredcvision
Nonreactivecnonstressctest
AcmothercincLaborcandcDeliverycjustcdeliveredchercbabycviacC-
section.cWhatcarecsomeccomplicationscthecnursecshouldcbecmindfulcof?cSelectcallcthatcappl
y
a.cIncreasedcchancescofchemorrhaging
b.cBraincdamage
c.cPossiblecincisioncinfection
d.cLosscofcappetitec-cCORRECTccANSWER-Increasedcchancescofchemorrhaging
Possiblecincisioncinfection
Acnewborncborncacminutecagochascaccentralcpaleness,cacfloppycmouth,cbradypnea,cvigorou
sccry,candcflexedcarmscandclegs.cWhatciscthiscnewborn'scfirstcAPGARcscore?
a.c3
b.c4
c.c2
d.c5c-cCORRECTccANSWER-4
AcNICUcnursecischelpingcstabilizecancinfantcimmediatelycfollowingcbirth.cShecnotescacrocya
nosis,cweakccry,cactivecmovement,ccryingcwithcstimulation,candcacpulsecoverc100cbpm.cBas
edconcthesecfindings,cwhatciscthecinfant'scAPGARcscorecatcthisctime?
a.c8
, b.c6
c.c10
d.c5c-cCORRECTccANSWER-8
Acnursecatcacprenatalccliniccisccaringcforcacclientcwhociscpregnantcandcexperiencingcepisode
scofcmaternalchypotension.cThecclientcaskscthecnursecwhatccausescthesecepisodes.cWhichc
ofcthecfollowingcresponsescshouldcthecnursecmake?
a.c"Thisciscduectocancincreasecincbloodcvolume."
b.c"Thisciscduectocpressurecfromcthecuterusconcthecdiaphragm."
c.c"Thisciscduectocthecweightcofcthecuterusconcthecvenaccava."
d.c"Thisciscduectocincreasedccardiaccoutput."c-cCORRECTccANSWER-
"Thisciscduectocthecweightcofcthecuterusconcthecvenaccava."
Acnursecifcprovidingceducationctocacclientcwhocisc2chourscpostpartumcandchascacperinealclac
eration.cWhichcofcthecfollowingcinformationcshouldcthecnursecinclude?c(Selectcallcthatcapply)
a.cUsecacperinealcsqueezecbottlectoccleansecthecperineum
b.cSitconcthecperineumcwhilecrestingcincbed
c.cApplycactopicalcanestheticccreamcorcsprayctocthecperineum
d.cWipecthecperineumcthoroughlycwithcacbackcandcforthcmotion
e.cApplyccoldcorcicecpacksctocthecperineumc-cCORRECTccANSWER-
Usecacperinealcsqueezecbottlectoccleansecthecperineum
Applycactopicalcanestheticccreamcorcsprayctocthecperineum
Applyccoldcicecpacksctocthecperineum
Acnursecincaccliniccreceivescacphoneccallcfromcacclientcwhocwouldclikectocbectestedcincthecclini
cctocconfirmcacpregnancy.cWhichcofcthecfollowingcinformationcshouldcthecnursecprovidectocth
ecclient?
a.c"Youcshouldcwaitcuntilc4cweekscaftercconceptionctocbectested."
b.c"Youcshouldcbecoffcmedicationsc24chourscpriorctocthectest."
c.c"YoucshouldcbecNPOcforcatcleastc8chourscbeforecthectest."
d.c"Youcshouldccollectcurinecfromcthecfirstcmorningcvoid."c-cCORRECTccANSWER-
"Youcshouldccollectcurinecfromcthecfirstcmorningcvoid."
Acnurseciscassessingcacfemalecpatientcforcpossiblecearlycsignscofcacsyphiliscinfection,cwhatcs
ymptomscshouldcthecnursecexpectctocfind?
a.cChancrecatcthecsitecofcinfection
b.cFoulcbodycodor
c.cAlopecia
d.cDifficultyccoordinatingcmusclecmovementc-cCORRECTccANSWER-
Chancrecatcthecsitecofcinfection
Acnurseciscassessingcacpost-
termcinfant.cAccharacteristiccthatcthecnursecshouldcexpectctocseecduringcassessmentcis
a.cPale,ctranslucentcskin
b.cNailscextendingcovercfingers
c.cLargecdepositscofcsubcutaneouscfat