Final Exam Semester 2
Maternal/Newborn with Answers 2025-
2026 Updated.
A client has been placed on enzyme replacement for treatment of chronic pancreatitis. In teaching the
client about this therapy, the nurse advises the client not to mix enzyme preparations with foods
containing which element?
Carbohydrates
High fat
High fiber
Protein - Answer Protein
The nurse tells the client not to mix enzyme preparations with foods containing protein because the
enzymes will dissolve the food into a watery substance. Pancreatic-enzyme replacement therapy (PERT)
is the standard of care to prevent malnutrition, malabsorption, and excessive weight loss (Chart 59-3).
Pancrelipase is usually prescribed in capsule or tablet form and contains varying amounts of amylase,
lipase, and protease. No evidence suggests that enzyme preparations should not be mixed with
carbohydrates, food with high fat content, and food with high fiber content.
A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage
of labor when which of the following assessments is noted?
A The client begins to expel clear vaginal fluid
B The contractions are regular
C The membranes have ruptured
D The cervix is dilated completely - Answer D
The second stage of labor begins when the cervix is dilated completely and ends with the birth of the
neonate.
, A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the
fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is
to:
A Place the mother in the supine position
B Document the findings and continue to monitor the fetal patterns
C Administer oxygen via face mask
D Increase the rate of pitocin IV infusion - Answer C
Late decelerations are due to uteroplacental insufficiency as the result of decreased blood flow and
oxygen to the fetus during the uterine contractions. This causes hypoxemia; therefore, oxygen is
necessary. The supine position is avoided because it decreases uterine blood flow to the fetus. The client
should be turned to her side to displace pressure of the gravid uterus on the inferior vena cava. An
intravenous pitocin infusion is discontinued when a late deceleration is noted.
A client in labor is transported to the delivery room and is prepared for a cesarean delivery. The client is
transferred to the delivery room table, and the nurse places the client in the:
A Trendelenburg's position with the legs in stirrups
B Semi-Fowler position with a pillow under the knees
C Prone position with the legs separated and elevated
D Supine position with a wedge under the right hip - Answer D
Vena cava and descending aorta compression by the pregnant uterus impedes blood return from the
lower trunk and extremities. This leads to decreasing cardiac return, cardiac output, and blood flow to
the uterus and the fetus. The best position to prevent this would be side-lying with the uterus displaced
off of abdominal vessels. Positioning for abdominal surgery necessitates a supine position; however, a
wedge placed under the right hip provides displacement of the uterus.
A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler
ultrasound device. The nurse most accurately determines that the fetal heart sounds are heard by:
Maternal/Newborn with Answers 2025-
2026 Updated.
A client has been placed on enzyme replacement for treatment of chronic pancreatitis. In teaching the
client about this therapy, the nurse advises the client not to mix enzyme preparations with foods
containing which element?
Carbohydrates
High fat
High fiber
Protein - Answer Protein
The nurse tells the client not to mix enzyme preparations with foods containing protein because the
enzymes will dissolve the food into a watery substance. Pancreatic-enzyme replacement therapy (PERT)
is the standard of care to prevent malnutrition, malabsorption, and excessive weight loss (Chart 59-3).
Pancrelipase is usually prescribed in capsule or tablet form and contains varying amounts of amylase,
lipase, and protease. No evidence suggests that enzyme preparations should not be mixed with
carbohydrates, food with high fat content, and food with high fiber content.
A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage
of labor when which of the following assessments is noted?
A The client begins to expel clear vaginal fluid
B The contractions are regular
C The membranes have ruptured
D The cervix is dilated completely - Answer D
The second stage of labor begins when the cervix is dilated completely and ends with the birth of the
neonate.
, A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the
fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is
to:
A Place the mother in the supine position
B Document the findings and continue to monitor the fetal patterns
C Administer oxygen via face mask
D Increase the rate of pitocin IV infusion - Answer C
Late decelerations are due to uteroplacental insufficiency as the result of decreased blood flow and
oxygen to the fetus during the uterine contractions. This causes hypoxemia; therefore, oxygen is
necessary. The supine position is avoided because it decreases uterine blood flow to the fetus. The client
should be turned to her side to displace pressure of the gravid uterus on the inferior vena cava. An
intravenous pitocin infusion is discontinued when a late deceleration is noted.
A client in labor is transported to the delivery room and is prepared for a cesarean delivery. The client is
transferred to the delivery room table, and the nurse places the client in the:
A Trendelenburg's position with the legs in stirrups
B Semi-Fowler position with a pillow under the knees
C Prone position with the legs separated and elevated
D Supine position with a wedge under the right hip - Answer D
Vena cava and descending aorta compression by the pregnant uterus impedes blood return from the
lower trunk and extremities. This leads to decreasing cardiac return, cardiac output, and blood flow to
the uterus and the fetus. The best position to prevent this would be side-lying with the uterus displaced
off of abdominal vessels. Positioning for abdominal surgery necessitates a supine position; however, a
wedge placed under the right hip provides displacement of the uterus.
A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler
ultrasound device. The nurse most accurately determines that the fetal heart sounds are heard by:
