Maternal Newborn Ex. Questions With
Accurate Answer
1. A nurse is teaching the parent of a newborn about car seat use. Which of the
following information should the nurse include?
A. Position the newborn at a 45-degree angle in the car seat
B. Place the retainer clip across the newborn's abdomen
C. Keep the car seat rear-facing until the newborn can sit unsupported
D. Place the shoulder harness straps below the level of the newborn's armpits
correct answer A
2. A nurse is caring for a client who is at 37 weeks of gestation and has placenta
previa. The client asks the nurse why the provider does not do an internal
examination. Which of the following explanations of the primary reason should
the nurse provide?
A. There is an increased risk of introducing infection
B. This could initiate preterm labor
C. This could result in profound bleeding
D. There is an increased risk of rupture of membranes correct answer C
3. A nurse caring for an antepartum client whose laboratory findings indicate a
negative rubella titer. Which of the following is the correct interpretation of this
data?
A. The client is not experiencing a rubella infection at this time
B. The client is immune to the rubella virus
C. The client requires a rubella vaccination at this time
D. The client requires a rubella vaccination following delivery correct answer D
,4. A nurse on the labor and delivery unit is caring for a patient who is having
induction of labor with oxytocin administered through a secondary IV line.
Uterine contractions occur every 2 min, lasting 90 seconds, and are strong to
palpation. The baseline fetal heart rate is 150/min, with a uniform deceleration
beginning at the peak of the contraction and a return to baseline after the
contractions is over. Which of the following actions should the nurse take?
A. Decrease the rate of infusion of the maintenance IV solution
B. Discontinue the infusion of the IV oxytocin
C. Increase the rate of infusion of the IV oxytocin
D. Slow the client's rate of breathing correct answer B
5. A nurse is caring for a client during a nonstress test (NST). At the end of a 30-
min period of observation, the nurse notes the following findings: The fetal heart
rate baseline is 120/min with minimal variability and no accelerations. There are
two decelerations of 15/min in the fetal heart rate during a period of fetal
movement, each lasting 20 seconds. Which of the following interpretations of
these findings should the nurse make?
A. A negative test
B. A nonreactive test
C A positive test
D. A reactive test correct answer B
6. A nurse is caring for a newborn immediately following birth. After assuring a
patent airway, what is the priority nursing action?
A. Administer vitamin K
B. Dry the skin
C. Administer eye prophylaxis
, D. Place an identification bracelet correct answer B
7. A nurse observes that a newborn has a pink trunk and head, bluish hands and
feet, and flexed extremities after delivery. He has a weak and slow cry, a heart
rate of 130/min, and cries in response to suctioning. The nurse should document
what APGAR score for this infant?
A. 6
B. 7
C. 8
D. 9 correct answer C
8. A nurse on a postpartum unit is giving discharge instructions to a client whose
newborn had a circumcision with the Plastibell technique. Which of the following
client statements indicates understanding of circumcision care (Select all that
apply)
A. I'll expect the plastic ring to fall off by itself within a week
B. I'll apply petroleum jelly to his penis with diaper changes
C. I'll wash his penis with warm water and mild soap each day
D. I'll call the doctor if I see any bleeding
E. I'll make sure his diaper is loose in the front correct answer A,D,E
9. A nurse is caring for a newborn whose mother is positive for the hepatitis B
surface antigen. Which of the following should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine
monthly for 6 months
B. Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B
surface antigen
Accurate Answer
1. A nurse is teaching the parent of a newborn about car seat use. Which of the
following information should the nurse include?
A. Position the newborn at a 45-degree angle in the car seat
B. Place the retainer clip across the newborn's abdomen
C. Keep the car seat rear-facing until the newborn can sit unsupported
D. Place the shoulder harness straps below the level of the newborn's armpits
correct answer A
2. A nurse is caring for a client who is at 37 weeks of gestation and has placenta
previa. The client asks the nurse why the provider does not do an internal
examination. Which of the following explanations of the primary reason should
the nurse provide?
A. There is an increased risk of introducing infection
B. This could initiate preterm labor
C. This could result in profound bleeding
D. There is an increased risk of rupture of membranes correct answer C
3. A nurse caring for an antepartum client whose laboratory findings indicate a
negative rubella titer. Which of the following is the correct interpretation of this
data?
A. The client is not experiencing a rubella infection at this time
B. The client is immune to the rubella virus
C. The client requires a rubella vaccination at this time
D. The client requires a rubella vaccination following delivery correct answer D
,4. A nurse on the labor and delivery unit is caring for a patient who is having
induction of labor with oxytocin administered through a secondary IV line.
Uterine contractions occur every 2 min, lasting 90 seconds, and are strong to
palpation. The baseline fetal heart rate is 150/min, with a uniform deceleration
beginning at the peak of the contraction and a return to baseline after the
contractions is over. Which of the following actions should the nurse take?
A. Decrease the rate of infusion of the maintenance IV solution
B. Discontinue the infusion of the IV oxytocin
C. Increase the rate of infusion of the IV oxytocin
D. Slow the client's rate of breathing correct answer B
5. A nurse is caring for a client during a nonstress test (NST). At the end of a 30-
min period of observation, the nurse notes the following findings: The fetal heart
rate baseline is 120/min with minimal variability and no accelerations. There are
two decelerations of 15/min in the fetal heart rate during a period of fetal
movement, each lasting 20 seconds. Which of the following interpretations of
these findings should the nurse make?
A. A negative test
B. A nonreactive test
C A positive test
D. A reactive test correct answer B
6. A nurse is caring for a newborn immediately following birth. After assuring a
patent airway, what is the priority nursing action?
A. Administer vitamin K
B. Dry the skin
C. Administer eye prophylaxis
, D. Place an identification bracelet correct answer B
7. A nurse observes that a newborn has a pink trunk and head, bluish hands and
feet, and flexed extremities after delivery. He has a weak and slow cry, a heart
rate of 130/min, and cries in response to suctioning. The nurse should document
what APGAR score for this infant?
A. 6
B. 7
C. 8
D. 9 correct answer C
8. A nurse on a postpartum unit is giving discharge instructions to a client whose
newborn had a circumcision with the Plastibell technique. Which of the following
client statements indicates understanding of circumcision care (Select all that
apply)
A. I'll expect the plastic ring to fall off by itself within a week
B. I'll apply petroleum jelly to his penis with diaper changes
C. I'll wash his penis with warm water and mild soap each day
D. I'll call the doctor if I see any bleeding
E. I'll make sure his diaper is loose in the front correct answer A,D,E
9. A nurse is caring for a newborn whose mother is positive for the hepatitis B
surface antigen. Which of the following should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine
monthly for 6 months
B. Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B
surface antigen
