Maternal Newborn Exam 5 Questions with
Accurate Answers
Baby nutrition correct answer moms should watch baby for feeding cues like
increased activity, mouthing, rooting, sucking; fed throughout day and night, may
need to wake baby every 3 hours for feedings, no pacifiers to lengthen time
between feedings, crying is late sign, focus on baby, feed for 20-45 minutes,
observe for gulps and swallowing, feed first side until baby stops suckling then
break suction and burp baby and go to other side
Benefits of breastfeeding correct answer provides protection against bacterial,
viral, protozoan infections; reduces severity of allergies, GI, and respiratory
disease like ear infections, diarrhea, pneumonia
Blues management correct answer validation, reassurance, education, nutrition,
exercise, "view of perfect mother," family/friends support, support groups
Cervical cap correct answer good for one year, fit by HCP, may be left in for 48
hours, requires additional spermicide for additional acts of sex
Combined hormonal contraception correct answer can start anytime when not
pregnant, back up needed if >5 days after menses started or abstain for 7 days;
must get BP measurement before starting
Combined hormonal products mechanism of action correct answer progestin
suppresses release of GnRH from hypothalamus, suppress surge of LH, thickens
cervical mucus; estrogen suppresses release of FSH
, Common breastfeeding problems correct answer flat or inverted nipples (assess
with pinch test); sore nipples from incorrect latch or positioning, engorgement,
mastitis
Common cause organisms in metritis correct answer Group A, B, D streptococci,
chlamydia trachomatis, genital mycoplasma
Condom correct answer check expiration date, don't store in wallet or hot place,
only use water based lubricants
Contraindications for breastfeeding correct answer HIV/AIDS in US, active and
untreated TB, varicella, HTLV 1-positive, active herpes on breast around nipple,
illicit drugs, smoking not recommended, meds like antiseizure, antivirals,
biologics, and birth control pills because it dries up the breast and galactosemia in
infants where baby will have fever, rash, vomiting, diarrhea, and is autoimmune
Contraindications of combined contraception correct answer pregnancy, HTN,
migraine with aura, smokers over 35, history of DVT, CVA, CAD, cirrhosis, current
history of liver disease, gallbladder disease, diabetes,vascular disease, tobacco
use, breast cancer, undiagnosed vaginal bleeding
Contributing factors for baby blues correct answer emotional letdown after birth,
physical discomfort in early PP, fatigue, anxiety about caring for baby after
discharge, fears over physical attractiveness, depression during pregnancy,
depression in general
Depo correct answer ovulation inhibited due to higher hormone levels, cervical
mucus thickening, thinning of endometrium, decreased tubal motility, given every
10-14 weeks via IM injection, side effects are spontaneous bleeding, weight gain,
Accurate Answers
Baby nutrition correct answer moms should watch baby for feeding cues like
increased activity, mouthing, rooting, sucking; fed throughout day and night, may
need to wake baby every 3 hours for feedings, no pacifiers to lengthen time
between feedings, crying is late sign, focus on baby, feed for 20-45 minutes,
observe for gulps and swallowing, feed first side until baby stops suckling then
break suction and burp baby and go to other side
Benefits of breastfeeding correct answer provides protection against bacterial,
viral, protozoan infections; reduces severity of allergies, GI, and respiratory
disease like ear infections, diarrhea, pneumonia
Blues management correct answer validation, reassurance, education, nutrition,
exercise, "view of perfect mother," family/friends support, support groups
Cervical cap correct answer good for one year, fit by HCP, may be left in for 48
hours, requires additional spermicide for additional acts of sex
Combined hormonal contraception correct answer can start anytime when not
pregnant, back up needed if >5 days after menses started or abstain for 7 days;
must get BP measurement before starting
Combined hormonal products mechanism of action correct answer progestin
suppresses release of GnRH from hypothalamus, suppress surge of LH, thickens
cervical mucus; estrogen suppresses release of FSH
, Common breastfeeding problems correct answer flat or inverted nipples (assess
with pinch test); sore nipples from incorrect latch or positioning, engorgement,
mastitis
Common cause organisms in metritis correct answer Group A, B, D streptococci,
chlamydia trachomatis, genital mycoplasma
Condom correct answer check expiration date, don't store in wallet or hot place,
only use water based lubricants
Contraindications for breastfeeding correct answer HIV/AIDS in US, active and
untreated TB, varicella, HTLV 1-positive, active herpes on breast around nipple,
illicit drugs, smoking not recommended, meds like antiseizure, antivirals,
biologics, and birth control pills because it dries up the breast and galactosemia in
infants where baby will have fever, rash, vomiting, diarrhea, and is autoimmune
Contraindications of combined contraception correct answer pregnancy, HTN,
migraine with aura, smokers over 35, history of DVT, CVA, CAD, cirrhosis, current
history of liver disease, gallbladder disease, diabetes,vascular disease, tobacco
use, breast cancer, undiagnosed vaginal bleeding
Contributing factors for baby blues correct answer emotional letdown after birth,
physical discomfort in early PP, fatigue, anxiety about caring for baby after
discharge, fears over physical attractiveness, depression during pregnancy,
depression in general
Depo correct answer ovulation inhibited due to higher hormone levels, cervical
mucus thickening, thinning of endometrium, decreased tubal motility, given every
10-14 weeks via IM injection, side effects are spontaneous bleeding, weight gain,
