ne
tz
sh
ne
NCC-Maternal Newborn Study la
tz
Guide(Highly recommended A+ study
sh
Sp
ne
guide)2022/2023 Questions and Answers
la
tz
sh
Sp
ne
la
1. A woman with a BMI of 18 gains 25 lbs during her pregnancy. This pregnancy is
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sh
at increased risk for
Sp
a. cesarean delivery
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b. Delivery of low birthweight delivery
la
c. preeclampsia
tz
sh
correct answer- b. delivery of a low birthweight infant
Sp
ne
2. During pregnancy, which of the following cardiovascular parameters increases by
la
60%
tz
sh
a. blood volume
Sp
b. plasma volume
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c. red cell mass
la
correct answer- b. plasma volume
tz
sh
Sp
3. When pregnancy, a woman with epilepsy has a higher risk of seizures
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a. during labor through 24 hours postpartum
la
b. from 72 hours to 1 week pp
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c. in the third trimester
sh
Sp
correct answer- a. during labor thru 24 hrs. pp
ne
la
4. The risk of developing diabetes in women with a history of gestational diabetes is
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a. increased only if there are also multiple diabetes risk factors
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Sp
b. increased with onset within 10-15 years in about 50% of those women
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c. the same as women who do not have gest. diabetes
la
correct answer- b. increased with onset within 10-15 years in about 50%
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of those women
sh
Sp
ne
5. A woman recieves magnesium sulfate during labor for gestational hypertension.
la
What effect can this have on newborn?
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a. elevated cortisol levels
sh
Sp
b.hypoglycemia
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c.muscle weakness
la
correct answer- c. muscle weakness
tz
sh
Sp
6. A pregnant woman was diagnosed with varicella-zoster at 32 weeks gestation.
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She is now in active labor at 40 weeks gestation. The nurse would expect that
la
sh
Sp
la
Sp
, ne
tz
sh
ne
which of the following would be appropriate in order to ensure the health of the
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newborn.
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a. admister zoster immunoglobulin to newborn at delivery
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Sp
b. admister zoster immunoglobulin to patient before delivery
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c. the mother's antibodies will be protective so no action is needed
la
correct answer- c. the mother's antibodies will be protective so no action is
tz
needed
sh
Sp
ne
7. In order to decrease the risk of fetal death to that of a non-smoker, a woman
must quit smoking
la
tz
a. before the pregnancy occurs
sh
b. by the end of the first trimester
Sp
ne
c. by the end of the 2nd trimester
correct answer- b. by the end of the first trimester
la
tz
sh
8. A patient in preterm labor at 30 weeks received indocin, the newborn should be
Sp
observed for?
ne
a. duodenal atresia
la
b. Hirschsprung disease
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sh
c. necrotizing entercolitis (NEC)
Sp
correct answer- c. necrotizing enercolitis (NEC)
ne
la
9. What are the characteristics of dizygotic pregnancy?
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sh
a. 1 placenta and 1 amniotic sac
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b. 1 placenta and 2 amniotic sacs
ne
c. 2 placentas and 2 amniotic sacs
la
correct answer- c. 2 placentas and amniotic sacs
tz
sh
Sp
10. A woman is diagnosed with oligohydramnios during her pregnancy. the
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fetus/newborn should be evaluated for
la
a. diabetes insipidus
b. klippel-feil syndrome
tz
sh
Sp
c. polycystic kidney disease
ne
correct answer- c
la
tz
11. A fetus at 36 weeks receives a BBP score of 6. the expectated management is
sh
Sp
a. immediate delivery
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b. repeat in 24 hrs
la
c. schedule the next test in one week
tz
correct answer- b
sh
Sp
ne
12. In evaluating the patient census for staff assignments, the pp nurse is told that a
la
pateint in the high risk unit may be delivered and transferred to pp after delivery.
tz
A L/S ratio was performed with result of 2:0 the nurse would expect the following
sh
Sp
to occur?
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a. A PG (phosphatidyglycerol) test needs to be performed
la
sh
Sp
la
Sp
, ne
tz
sh
ne
b. the lungs are mature, and delivery will occur
la
c. the lungs are still immature, and the L/S will be repeated in 1 week
tz
correct answer- b
sh
Sp
ne
13. Which of the following is a limitation of an alpha-fetaprotein (AFP) test?
la
a. closed neural tube defects are not detected
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b. it will not detect down syndrome
sh
Sp
c. its best sensitivity is at 20 weeks
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correct answer- a
la
tz
14. A postpartum woman's prenatal history shows a quad screen with a maternal
sh
serum (MSAFP) lower than normal and higher than HCG and Inhibin A. The
Sp
ne
nurse can expect the diagnosis of the newborn?
a. neural tube defect
la
b. Trisomy 21
tz
sh
c. Underestimated gestational age
Sp
correct answer- b
ne
la
15. An umbilical gas ( artery) reveals the following ph: 7.27, PC02: 50mm Hg; HC03:
tz
sh
23 meq/Ll base excessl -3.6. this represents
Sp
a. normal value
ne
b. metabolic acidosis
la
c. respiratory acidosis
tz
sh
correct answer- a
Sp
ne
16. Umbical blood gas values are used to?
la
a. determine etiology of any immediate complication
tz
b. direct neonatal resuscitation efforts
sh
Sp
c. establish the metabolic status of the fetus
ne
correct answer- c
la
tz
17. Ultrasound for antepartum testing uses high frequency sound waves to produce
sh
Sp
an image that varies based on the
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a. amount of fetus moves
la
b. density of the structure under the transducer
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c. strength of the reflected energy
sh
Sp
correct answer- b
ne
la
18. In evaluating a cord blood gas, if the pH is low, what other blood gas parameter
tz
is used to determine if the acidosis is respiratory or metabolic?
sh
Sp
a. PC02
ne
b. HCO3
la
c. Po2
tz
correct answer- a
sh
Sp
ne
19. Breech presentation increases risk for
la
sh
Sp
la
Sp
tz
sh
ne
NCC-Maternal Newborn Study la
tz
Guide(Highly recommended A+ study
sh
Sp
ne
guide)2022/2023 Questions and Answers
la
tz
sh
Sp
ne
la
1. A woman with a BMI of 18 gains 25 lbs during her pregnancy. This pregnancy is
tz
sh
at increased risk for
Sp
a. cesarean delivery
ne
b. Delivery of low birthweight delivery
la
c. preeclampsia
tz
sh
correct answer- b. delivery of a low birthweight infant
Sp
ne
2. During pregnancy, which of the following cardiovascular parameters increases by
la
60%
tz
sh
a. blood volume
Sp
b. plasma volume
ne
c. red cell mass
la
correct answer- b. plasma volume
tz
sh
Sp
3. When pregnancy, a woman with epilepsy has a higher risk of seizures
ne
a. during labor through 24 hours postpartum
la
b. from 72 hours to 1 week pp
tz
c. in the third trimester
sh
Sp
correct answer- a. during labor thru 24 hrs. pp
ne
la
4. The risk of developing diabetes in women with a history of gestational diabetes is
tz
a. increased only if there are also multiple diabetes risk factors
sh
Sp
b. increased with onset within 10-15 years in about 50% of those women
ne
c. the same as women who do not have gest. diabetes
la
correct answer- b. increased with onset within 10-15 years in about 50%
tz
of those women
sh
Sp
ne
5. A woman recieves magnesium sulfate during labor for gestational hypertension.
la
What effect can this have on newborn?
tz
a. elevated cortisol levels
sh
Sp
b.hypoglycemia
ne
c.muscle weakness
la
correct answer- c. muscle weakness
tz
sh
Sp
6. A pregnant woman was diagnosed with varicella-zoster at 32 weeks gestation.
ne
She is now in active labor at 40 weeks gestation. The nurse would expect that
la
sh
Sp
la
Sp
, ne
tz
sh
ne
which of the following would be appropriate in order to ensure the health of the
la
newborn.
tz
a. admister zoster immunoglobulin to newborn at delivery
sh
Sp
b. admister zoster immunoglobulin to patient before delivery
ne
c. the mother's antibodies will be protective so no action is needed
la
correct answer- c. the mother's antibodies will be protective so no action is
tz
needed
sh
Sp
ne
7. In order to decrease the risk of fetal death to that of a non-smoker, a woman
must quit smoking
la
tz
a. before the pregnancy occurs
sh
b. by the end of the first trimester
Sp
ne
c. by the end of the 2nd trimester
correct answer- b. by the end of the first trimester
la
tz
sh
8. A patient in preterm labor at 30 weeks received indocin, the newborn should be
Sp
observed for?
ne
a. duodenal atresia
la
b. Hirschsprung disease
tz
sh
c. necrotizing entercolitis (NEC)
Sp
correct answer- c. necrotizing enercolitis (NEC)
ne
la
9. What are the characteristics of dizygotic pregnancy?
tz
sh
a. 1 placenta and 1 amniotic sac
Sp
b. 1 placenta and 2 amniotic sacs
ne
c. 2 placentas and 2 amniotic sacs
la
correct answer- c. 2 placentas and amniotic sacs
tz
sh
Sp
10. A woman is diagnosed with oligohydramnios during her pregnancy. the
ne
fetus/newborn should be evaluated for
la
a. diabetes insipidus
b. klippel-feil syndrome
tz
sh
Sp
c. polycystic kidney disease
ne
correct answer- c
la
tz
11. A fetus at 36 weeks receives a BBP score of 6. the expectated management is
sh
Sp
a. immediate delivery
ne
b. repeat in 24 hrs
la
c. schedule the next test in one week
tz
correct answer- b
sh
Sp
ne
12. In evaluating the patient census for staff assignments, the pp nurse is told that a
la
pateint in the high risk unit may be delivered and transferred to pp after delivery.
tz
A L/S ratio was performed with result of 2:0 the nurse would expect the following
sh
Sp
to occur?
ne
a. A PG (phosphatidyglycerol) test needs to be performed
la
sh
Sp
la
Sp
, ne
tz
sh
ne
b. the lungs are mature, and delivery will occur
la
c. the lungs are still immature, and the L/S will be repeated in 1 week
tz
correct answer- b
sh
Sp
ne
13. Which of the following is a limitation of an alpha-fetaprotein (AFP) test?
la
a. closed neural tube defects are not detected
tz
b. it will not detect down syndrome
sh
Sp
c. its best sensitivity is at 20 weeks
ne
correct answer- a
la
tz
14. A postpartum woman's prenatal history shows a quad screen with a maternal
sh
serum (MSAFP) lower than normal and higher than HCG and Inhibin A. The
Sp
ne
nurse can expect the diagnosis of the newborn?
a. neural tube defect
la
b. Trisomy 21
tz
sh
c. Underestimated gestational age
Sp
correct answer- b
ne
la
15. An umbilical gas ( artery) reveals the following ph: 7.27, PC02: 50mm Hg; HC03:
tz
sh
23 meq/Ll base excessl -3.6. this represents
Sp
a. normal value
ne
b. metabolic acidosis
la
c. respiratory acidosis
tz
sh
correct answer- a
Sp
ne
16. Umbical blood gas values are used to?
la
a. determine etiology of any immediate complication
tz
b. direct neonatal resuscitation efforts
sh
Sp
c. establish the metabolic status of the fetus
ne
correct answer- c
la
tz
17. Ultrasound for antepartum testing uses high frequency sound waves to produce
sh
Sp
an image that varies based on the
ne
a. amount of fetus moves
la
b. density of the structure under the transducer
tz
c. strength of the reflected energy
sh
Sp
correct answer- b
ne
la
18. In evaluating a cord blood gas, if the pH is low, what other blood gas parameter
tz
is used to determine if the acidosis is respiratory or metabolic?
sh
Sp
a. PC02
ne
b. HCO3
la
c. Po2
tz
correct answer- a
sh
Sp
ne
19. Breech presentation increases risk for
la
sh
Sp
la
Sp
