Test 2 Practice Questions (Mother
Baby) QUESTIONS AND CORRECT
ANSWERS
The 4 "T"s serve as a reminder of factors associated with PPH - CORRECT ANSWER ✔✔tone,
trauma, tissue, and thrombin. A lack of uterine tone (atony) and genital tract trauma are the
most common conditions that cause postpartum hemorrhage
The perinatal nurse is providing care to several postpartum patients. Which patient is at the
greatest risk for the development of puerperal infection? - CORRECT ANSWER ✔✔Ceasarean
birth with prolonged labor
During the physical examination, the perinatal nurse checks the newborn's heart rate. Which
location is the most appropriate for the nurse to use when conducting this assessment? -
CORRECT ANSWER ✔✔At the base of the umbilical cord
The perinatal nurse assesses a pregnant woman who is at 35 weeks gestation. The client states
that she has experienced vaginal bleeding for the last 30 minutes. Which vital sign is the priority
for the nurse to assess based on this data? - CORRECT ANSWER ✔✔Fetal heart rate
The nurse is providing care to several newborns in the nursery. Which newborn is ready for the
metabolic screening? - CORRECT ANSWER ✔✔The newborn who has been feeding for 28 hours
after birth
Approximately 24 hours following birth, a small sample of blood is taken from the infant's heel
and placed on special filter paper. A blood sample taken before 24 hours of age may be
unreliable in detecting several conditions. However, if the newborn is discharged from the
,hospital or birthing center before completing the first 24 hours of life, a sample must be
obtained, and the infant's parents must be instructed to contact the physician within 2 weeks to
arrange to have another specimen drawn.
The perinatal nurse is facilitating a class for new mothers who are interested in breastfeeding.
Which hormone does the nurse include as one that is responsible for the system of milk-
secreting glands and increased vascularity that prepares the breast for breastfeeding? -
CORRECT ANSWER ✔✔Estrogen
Estrogen stimulates the formation of additional ducts, the elongation of existing ducts, and the
formation of a system of milk-secreting glands. These changes are associated with an increase in
volume and elasticity of connective tissue, deposition of adipose tissue, and increased
vascularity.
The perinatal nurse describes tearfulness, mood swings, and forgetfulness experienced by a
postpartum woman in the first 2 weeks after birth as postpartum _______. - CORRECT ANSWER
✔✔Blues
The nurse is providing care to a postpartum client who delivered a healthy newborn by cesarean
birth. Which finding in the medical record may indicate an increased risk for complications?
1) Blood loss of 1,200 mL
2) Temperature of 100.1°F
3) Blood pressure of 120/70 mm Hg
4) Heart rate of 88 beats/min - CORRECT ANSWER ✔✔Answer is #1Blood loss of 1,200 mL
The perinatal nurse understands that although an induction of labor for a postterm gestation
may follow a maternal or medical request, this procedure carries the potential for increased
interventions, including _________ _______. - CORRECT ANSWER ✔✔Answer: Labor induction
often leads to an increase in interventionist care, including the use of intravenous therapy,
, amniotomy, internal monitoring, epidural anesthesia, cesarean birth, and a longer stay in the
labor unit.
The postpartum nurse teaches the student nurse that normal spontaneous voiding efforts
return for most women in ________hours following childbirth. - CORRECT ANSWER ✔✔Answer:
Following childbirth, spontaneous voiding should occur within 6 to 8 hours and the first few
voiding amounts should be monitored. Urinary output of at least 150 milliliters per hour is
necessary to avoid urinary retention or stasis.
The perinatal nurse knows that an ultrasound finding of ______________would most likely
confirm a suspected diagnosis of premature rupture of the membranes. - CORRECT ANSWER
✔✔Answer: oligohydramnios
Leakage of amniotic fluid during premature rupture of the membranes is consistent with
findings of oligohydramnios (decreased amniotic fluid).
The perinatal nurse is planning care for a G1 TPAL 0000 patient, who has been in labor for 7
hours. There have been no changes in the patient's cervical dilatation over the last 2 hours and
she is having uterine contractions every 1 to 2 minutes. The patient describes her pain level as a
6 out of a possible 10. The patient's history describes a single incident of childhood sexual
abuse. Which nursing intervention is most appropriate based on this data?
1) Provide continuous emotional support.
2) Ask if she would like to have other family members present.
3) Suggest use of an all-fours position.
4) Encourage a left lateral position. - CORRECT ANSWER ✔✔Answer : #1 Provide continuous
emotional support.
The perinatal nurse is aware that two of the criteria that must be met prior to the use of
_______ forceps are that the fetal scalp is visible and the fetal position is occiput anterior or
posterior. - CORRECT ANSWER ✔✔Answer: outlet
Baby) QUESTIONS AND CORRECT
ANSWERS
The 4 "T"s serve as a reminder of factors associated with PPH - CORRECT ANSWER ✔✔tone,
trauma, tissue, and thrombin. A lack of uterine tone (atony) and genital tract trauma are the
most common conditions that cause postpartum hemorrhage
The perinatal nurse is providing care to several postpartum patients. Which patient is at the
greatest risk for the development of puerperal infection? - CORRECT ANSWER ✔✔Ceasarean
birth with prolonged labor
During the physical examination, the perinatal nurse checks the newborn's heart rate. Which
location is the most appropriate for the nurse to use when conducting this assessment? -
CORRECT ANSWER ✔✔At the base of the umbilical cord
The perinatal nurse assesses a pregnant woman who is at 35 weeks gestation. The client states
that she has experienced vaginal bleeding for the last 30 minutes. Which vital sign is the priority
for the nurse to assess based on this data? - CORRECT ANSWER ✔✔Fetal heart rate
The nurse is providing care to several newborns in the nursery. Which newborn is ready for the
metabolic screening? - CORRECT ANSWER ✔✔The newborn who has been feeding for 28 hours
after birth
Approximately 24 hours following birth, a small sample of blood is taken from the infant's heel
and placed on special filter paper. A blood sample taken before 24 hours of age may be
unreliable in detecting several conditions. However, if the newborn is discharged from the
,hospital or birthing center before completing the first 24 hours of life, a sample must be
obtained, and the infant's parents must be instructed to contact the physician within 2 weeks to
arrange to have another specimen drawn.
The perinatal nurse is facilitating a class for new mothers who are interested in breastfeeding.
Which hormone does the nurse include as one that is responsible for the system of milk-
secreting glands and increased vascularity that prepares the breast for breastfeeding? -
CORRECT ANSWER ✔✔Estrogen
Estrogen stimulates the formation of additional ducts, the elongation of existing ducts, and the
formation of a system of milk-secreting glands. These changes are associated with an increase in
volume and elasticity of connective tissue, deposition of adipose tissue, and increased
vascularity.
The perinatal nurse describes tearfulness, mood swings, and forgetfulness experienced by a
postpartum woman in the first 2 weeks after birth as postpartum _______. - CORRECT ANSWER
✔✔Blues
The nurse is providing care to a postpartum client who delivered a healthy newborn by cesarean
birth. Which finding in the medical record may indicate an increased risk for complications?
1) Blood loss of 1,200 mL
2) Temperature of 100.1°F
3) Blood pressure of 120/70 mm Hg
4) Heart rate of 88 beats/min - CORRECT ANSWER ✔✔Answer is #1Blood loss of 1,200 mL
The perinatal nurse understands that although an induction of labor for a postterm gestation
may follow a maternal or medical request, this procedure carries the potential for increased
interventions, including _________ _______. - CORRECT ANSWER ✔✔Answer: Labor induction
often leads to an increase in interventionist care, including the use of intravenous therapy,
, amniotomy, internal monitoring, epidural anesthesia, cesarean birth, and a longer stay in the
labor unit.
The postpartum nurse teaches the student nurse that normal spontaneous voiding efforts
return for most women in ________hours following childbirth. - CORRECT ANSWER ✔✔Answer:
Following childbirth, spontaneous voiding should occur within 6 to 8 hours and the first few
voiding amounts should be monitored. Urinary output of at least 150 milliliters per hour is
necessary to avoid urinary retention or stasis.
The perinatal nurse knows that an ultrasound finding of ______________would most likely
confirm a suspected diagnosis of premature rupture of the membranes. - CORRECT ANSWER
✔✔Answer: oligohydramnios
Leakage of amniotic fluid during premature rupture of the membranes is consistent with
findings of oligohydramnios (decreased amniotic fluid).
The perinatal nurse is planning care for a G1 TPAL 0000 patient, who has been in labor for 7
hours. There have been no changes in the patient's cervical dilatation over the last 2 hours and
she is having uterine contractions every 1 to 2 minutes. The patient describes her pain level as a
6 out of a possible 10. The patient's history describes a single incident of childhood sexual
abuse. Which nursing intervention is most appropriate based on this data?
1) Provide continuous emotional support.
2) Ask if she would like to have other family members present.
3) Suggest use of an all-fours position.
4) Encourage a left lateral position. - CORRECT ANSWER ✔✔Answer : #1 Provide continuous
emotional support.
The perinatal nurse is aware that two of the criteria that must be met prior to the use of
_______ forceps are that the fetal scalp is visible and the fetal position is occiput anterior or
posterior. - CORRECT ANSWER ✔✔Answer: outlet
