Quiz_________________?
A 28-week-gestation newborn experienced birth asphyxia at the time of delivery. What is a
long-term complication of birth asphyxia?
a)Necrotizing enterocolitis
b)Retinopathy of prematurity
c)Intraventricular hemorrhage
d)Anemia of prematurity -
Answer✅
C
Birth asphyxia will cause an insult to the brain, and more often than not will cause a bleed
or intraventricular hemorrhage. Birth asphyxia is not directly correlated with NEC,
retinopathy of prematurity, or anemia of prematurity. These are common for the premature
infant, but not necessarily birth asphyxia.
Quiz_________________?
A client at 28 weeks gestation is admitted to the labor and birth unit. Which test would
most likely be used to assess the client's comprehensive fetal status?
1
, a) Ultrasound for physical structure
b) Nonstress test (NST)
c) Biophysical profile (BPP)
d) Amniocentesis -
Answer✅
C.
Biophysical profile is a comprehensive test that would be used to assess the client's fetal
status at 28 weeks gestation. Ultrasound for physical structure is limited to identifying the
growth and development of the fetus, and does not assess for other parameters of fetal
well-being. Women with a high-risk factor will probably begin having NSTs at 30-32 weeks
gestation and at frequent intervals for the remainder of the pregnancy. Amniocentesis late in
pregnancy is used to test for lung maturity, not overall fetal status in labor, and when
performed earlier it is used to test for specific disorders.
Quiz_________________?
A client expresses concern that her 2-hour-old newborn is sleepy and difficult to awaken.
The nurse explains that this behavior indicates which of the following?
A) Normal progression of behavior
B) Probable hypoglycemia
C) Physiological abnormality
D) Inadequate oxygenation -
Answer✅
A
From 30 to 120 minutes of age, the newborn enters the second stage of transition, that of
sleep or a decrease in activity. More information would be needed to determine if
hypoglycemia, a physiologic abnormality, or inadequate oxygenation was present.
2
, Quiz_________________?
A client states that she had a spontaneous abortion 12 months ago. The client asks if her
hormones may have contributed to the loss of the pregnancy. The nurse's response is based
upon her knowledge of which of the following facts?
a) Implantation occurs when progesterone levels are low.
b) hCG reaches a maximum level at 4 weeks gestation.
c) Progesterone decreases the contractility of the uterus.
d) Progesterone is only produced by the corpus luteum during pregnancy. -
Answer✅
C
Progesterone decreases the contractility of the uterus, thus preventing uterine contractions
that might cause spontaneous abortion. Progesterone must be present in high levels for
implantation to occur. After 10 weeks, the placenta takes over the production of
progesterone. hCG reaches its maximum level at 50-70 days gestation.
Quiz_________________?
A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is
almost black. Which response by the nurse would be most appropriate?
A) "You probably took iron during your pregnancy."
B) "This is meconium stool, normal for a newborn."
C) "I'll take a sample and check it for possible bleeding."
D) "This is unusual and I need to report this." -
Answer✅
B
Meconium is greenish-black and tarry and usually passed within 12 to 24 hours of birth. This
is a normal finding. Iron can cause stool to turn black, but this would not be the case here.
The stool is a normal occurrence and does not need to be checked for blood or reported.
3
, Quiz_________________?
A new mother reports that her newborn often spits up after feeding. Assessment reveals
regurgitation. The nurse responds based on the understanding that this most likely is due to
which of the following?
A) Placing the newborn prone after feeding
B) Limited ability of digestive enzymes
C) Underdeveloped pyloric sphincter
D) Relaxed cardiac sphincter -
Answer✅
D
The cardiac sphincter and nervous control of the stomach is immature, which may lead to
uncoordinated peristaltic activity and frequent regurgitation. Placement of the newborn is
unrelated to regurgitation. Most digestive enzymes are available at birth, but they are limited
in their ability to digest complex carbohydrates and fats; this results in fatty stools, not
regurgitation. Immaturity of the pharyngoesophageal sphincter and absence of lower
esophageal peristaltic waves, not an underdeveloped pyloric sphincter, also contribute to
the reflux of gastric contents.
Quiz_________________?
A nurse is teaching a group of first-trimester prenatal clients about the discomforts of
pregnancy. A client asks the nurse, "What causes my nausea and vomiting?" The nurse
responds indicating which of the following as being contributing factors to first-trimester
emesis? Select all that apply.
a) Human chorionic gonadotropin
b) Estrogen
c) Alterations in carbohydrate metabolism
d) Prostaglandins -
4
A 28-week-gestation newborn experienced birth asphyxia at the time of delivery. What is a
long-term complication of birth asphyxia?
a)Necrotizing enterocolitis
b)Retinopathy of prematurity
c)Intraventricular hemorrhage
d)Anemia of prematurity -
Answer✅
C
Birth asphyxia will cause an insult to the brain, and more often than not will cause a bleed
or intraventricular hemorrhage. Birth asphyxia is not directly correlated with NEC,
retinopathy of prematurity, or anemia of prematurity. These are common for the premature
infant, but not necessarily birth asphyxia.
Quiz_________________?
A client at 28 weeks gestation is admitted to the labor and birth unit. Which test would
most likely be used to assess the client's comprehensive fetal status?
1
, a) Ultrasound for physical structure
b) Nonstress test (NST)
c) Biophysical profile (BPP)
d) Amniocentesis -
Answer✅
C.
Biophysical profile is a comprehensive test that would be used to assess the client's fetal
status at 28 weeks gestation. Ultrasound for physical structure is limited to identifying the
growth and development of the fetus, and does not assess for other parameters of fetal
well-being. Women with a high-risk factor will probably begin having NSTs at 30-32 weeks
gestation and at frequent intervals for the remainder of the pregnancy. Amniocentesis late in
pregnancy is used to test for lung maturity, not overall fetal status in labor, and when
performed earlier it is used to test for specific disorders.
Quiz_________________?
A client expresses concern that her 2-hour-old newborn is sleepy and difficult to awaken.
The nurse explains that this behavior indicates which of the following?
A) Normal progression of behavior
B) Probable hypoglycemia
C) Physiological abnormality
D) Inadequate oxygenation -
Answer✅
A
From 30 to 120 minutes of age, the newborn enters the second stage of transition, that of
sleep or a decrease in activity. More information would be needed to determine if
hypoglycemia, a physiologic abnormality, or inadequate oxygenation was present.
2
, Quiz_________________?
A client states that she had a spontaneous abortion 12 months ago. The client asks if her
hormones may have contributed to the loss of the pregnancy. The nurse's response is based
upon her knowledge of which of the following facts?
a) Implantation occurs when progesterone levels are low.
b) hCG reaches a maximum level at 4 weeks gestation.
c) Progesterone decreases the contractility of the uterus.
d) Progesterone is only produced by the corpus luteum during pregnancy. -
Answer✅
C
Progesterone decreases the contractility of the uterus, thus preventing uterine contractions
that might cause spontaneous abortion. Progesterone must be present in high levels for
implantation to occur. After 10 weeks, the placenta takes over the production of
progesterone. hCG reaches its maximum level at 50-70 days gestation.
Quiz_________________?
A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is
almost black. Which response by the nurse would be most appropriate?
A) "You probably took iron during your pregnancy."
B) "This is meconium stool, normal for a newborn."
C) "I'll take a sample and check it for possible bleeding."
D) "This is unusual and I need to report this." -
Answer✅
B
Meconium is greenish-black and tarry and usually passed within 12 to 24 hours of birth. This
is a normal finding. Iron can cause stool to turn black, but this would not be the case here.
The stool is a normal occurrence and does not need to be checked for blood or reported.
3
, Quiz_________________?
A new mother reports that her newborn often spits up after feeding. Assessment reveals
regurgitation. The nurse responds based on the understanding that this most likely is due to
which of the following?
A) Placing the newborn prone after feeding
B) Limited ability of digestive enzymes
C) Underdeveloped pyloric sphincter
D) Relaxed cardiac sphincter -
Answer✅
D
The cardiac sphincter and nervous control of the stomach is immature, which may lead to
uncoordinated peristaltic activity and frequent regurgitation. Placement of the newborn is
unrelated to regurgitation. Most digestive enzymes are available at birth, but they are limited
in their ability to digest complex carbohydrates and fats; this results in fatty stools, not
regurgitation. Immaturity of the pharyngoesophageal sphincter and absence of lower
esophageal peristaltic waves, not an underdeveloped pyloric sphincter, also contribute to
the reflux of gastric contents.
Quiz_________________?
A nurse is teaching a group of first-trimester prenatal clients about the discomforts of
pregnancy. A client asks the nurse, "What causes my nausea and vomiting?" The nurse
responds indicating which of the following as being contributing factors to first-trimester
emesis? Select all that apply.
a) Human chorionic gonadotropin
b) Estrogen
c) Alterations in carbohydrate metabolism
d) Prostaglandins -
4
