NUR202 / NUR 202 Midterm Exam|
Maternal-Newborn Nursing | Questions
and Verified Answers | Graded A+ |
Fortis | 2025/2026 Guide
Action to take for a client who has a prolapsed umbilical cord
-correct answer-using a sterile-gloved hand, insert two fingers into the
vagina, and apply finger pressure on either side of the cord to the fetal
presenting part to elevate it off of the cord. Stay in this position until the
delivery of the baby
Management of hypoglycemia for newborns who are small for
gestational age
-correct answer-an asymptomatic at-risk newborn who has a blood
glucose level less than 25 mg/dl in the first 4 hr, or less than 35 mg/dl
from 4 hr to 24 hr of age, should be offered oral feedings to increase
levels to greater than 45 mg/dl
-initiate iv dextrose for a symptomatic newborn
Newborn assessment: priority action for newborn who is limp and
cyanotic
-correct answer-evaporation: loss of heat as surface liquid is converted
to vapor. Gently rub the newborn dry with a warm sterile blanket
(adhering to standard precautions) immediately after delivery. If
,thermoregulation is unstable, postpone the initial bath until the
newborn's skin temperature is 36.5 c (97.7 f). When bathing, expose
only one body part at a time, washing and drying thoroughly
Actions to take for a client prior to cesarean birth
-correct answer-apply a sequential compression device
Care of the newborn who is receiving phototherapy
-correct answer-keep the newborn undressed. For male newborn, a
surgical mask should be placed (like a bikini) over the genitalia to
prevent possible testicular damage from heat and light waves. Be sure to
remove the metal strip form the mask to prevent burning
Contraindications for oral contraceptives
-correct answer-clients who have a history of thromboembolic disorders,
stroke, heart attack, coronary artery disease, gallbladder disease,
cirrhosis or liver tumor, headache with focal neurologic findings,
uncontrolled hypertension, diabetes mellitus with vascular involvement,
breast or estrogen-related cancers, pregnancy, lactating, less than 6
weeks postpartum, or smoking (if over 35 years of age) are advised not
to take oral contraceptive medications
Evaluating a birth parent's understanding of newborn discharge teaching
-correct answer-offer pacifier at naps and night
,Evaluating the client's response after receiving methyldopa
-correct answer-antihypertensive medications can have an additive
hypotensive effect
client education
-correct answer-observe for manifestations of hypotension (dizziness,
lightheadedness, faintness)
-lie down if feeling dizzy, lightheaded, or faint, and change positions
slowly
Evaluating the effectiveness of teaching about an amniocentesis
The aspiration of amniotic fluid for analysis by insertion of a needle
transabdominally into a client's uterus and amniotic sac under direct
ultrasound guidance locating the placenta and determining the position
of the fetus. It may be performed after 14 weeks of gestation
alpha-fetoprotein (afp) can be measures from the amniotic fluid between
15 and 20 weeks (16 to 18 weeks of gestation is ideal) and can be used
to assess for neural tube defects in the fetus or chromosomal disorders.
Can be evaluated to follow up a high level of afp in maternal blood
Expected findings for a client who gave birth 24 hours ago
-correct answer-assess bladder elimination pattern. Excessive urine
diuresis (more than 3,000 ml/day) is normal within the first 2 to 3 days
after delivery
, Identifying findings that indicate a complication for a client who is at 32
weeks of gestation
-correct answer-rapid pulse
Identifying route of administration for misoprostol
-correct answer-tablet insert vaginally to ripen the cervix
I
Nterventions for a client who is experiencing postpartum hemorrhagic
shock
-correct answer-assess bladder for distention. Insert an indwelling
urinary catheter to assess kidney function and obtain an accurate
measurement of urinary output
Interventions for a prolapsed umbilical cord
-correct answer-administer oxygen at 8 to 10 l/min via a face mask to
improve fetal oxygenation
Performing a newborn heelstick
-correct answer-offer pacifier with sucrose before, during, and after
painful procedures
Providing discharge instructions to a client two days after birth
Maternal-Newborn Nursing | Questions
and Verified Answers | Graded A+ |
Fortis | 2025/2026 Guide
Action to take for a client who has a prolapsed umbilical cord
-correct answer-using a sterile-gloved hand, insert two fingers into the
vagina, and apply finger pressure on either side of the cord to the fetal
presenting part to elevate it off of the cord. Stay in this position until the
delivery of the baby
Management of hypoglycemia for newborns who are small for
gestational age
-correct answer-an asymptomatic at-risk newborn who has a blood
glucose level less than 25 mg/dl in the first 4 hr, or less than 35 mg/dl
from 4 hr to 24 hr of age, should be offered oral feedings to increase
levels to greater than 45 mg/dl
-initiate iv dextrose for a symptomatic newborn
Newborn assessment: priority action for newborn who is limp and
cyanotic
-correct answer-evaporation: loss of heat as surface liquid is converted
to vapor. Gently rub the newborn dry with a warm sterile blanket
(adhering to standard precautions) immediately after delivery. If
,thermoregulation is unstable, postpone the initial bath until the
newborn's skin temperature is 36.5 c (97.7 f). When bathing, expose
only one body part at a time, washing and drying thoroughly
Actions to take for a client prior to cesarean birth
-correct answer-apply a sequential compression device
Care of the newborn who is receiving phototherapy
-correct answer-keep the newborn undressed. For male newborn, a
surgical mask should be placed (like a bikini) over the genitalia to
prevent possible testicular damage from heat and light waves. Be sure to
remove the metal strip form the mask to prevent burning
Contraindications for oral contraceptives
-correct answer-clients who have a history of thromboembolic disorders,
stroke, heart attack, coronary artery disease, gallbladder disease,
cirrhosis or liver tumor, headache with focal neurologic findings,
uncontrolled hypertension, diabetes mellitus with vascular involvement,
breast or estrogen-related cancers, pregnancy, lactating, less than 6
weeks postpartum, or smoking (if over 35 years of age) are advised not
to take oral contraceptive medications
Evaluating a birth parent's understanding of newborn discharge teaching
-correct answer-offer pacifier at naps and night
,Evaluating the client's response after receiving methyldopa
-correct answer-antihypertensive medications can have an additive
hypotensive effect
client education
-correct answer-observe for manifestations of hypotension (dizziness,
lightheadedness, faintness)
-lie down if feeling dizzy, lightheaded, or faint, and change positions
slowly
Evaluating the effectiveness of teaching about an amniocentesis
The aspiration of amniotic fluid for analysis by insertion of a needle
transabdominally into a client's uterus and amniotic sac under direct
ultrasound guidance locating the placenta and determining the position
of the fetus. It may be performed after 14 weeks of gestation
alpha-fetoprotein (afp) can be measures from the amniotic fluid between
15 and 20 weeks (16 to 18 weeks of gestation is ideal) and can be used
to assess for neural tube defects in the fetus or chromosomal disorders.
Can be evaluated to follow up a high level of afp in maternal blood
Expected findings for a client who gave birth 24 hours ago
-correct answer-assess bladder elimination pattern. Excessive urine
diuresis (more than 3,000 ml/day) is normal within the first 2 to 3 days
after delivery
, Identifying findings that indicate a complication for a client who is at 32
weeks of gestation
-correct answer-rapid pulse
Identifying route of administration for misoprostol
-correct answer-tablet insert vaginally to ripen the cervix
I
Nterventions for a client who is experiencing postpartum hemorrhagic
shock
-correct answer-assess bladder for distention. Insert an indwelling
urinary catheter to assess kidney function and obtain an accurate
measurement of urinary output
Interventions for a prolapsed umbilical cord
-correct answer-administer oxygen at 8 to 10 l/min via a face mask to
improve fetal oxygenation
Performing a newborn heelstick
-correct answer-offer pacifier with sucrose before, during, and after
painful procedures
Providing discharge instructions to a client two days after birth
