MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM LATEST 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
A+ TEST BANK 1
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to remove any
urine or feces, and petroleum ointment should be applied to prevent the diaper from
sticking to the healing surface. Prepackaged wipes often contain other products that may
irritate the site. The yellow exudate, which covers the glans penis as the area heals and
epithelializes, is not an infective process and should not be removed. If bleeding occurs at
home, the client should be instructed to apply gentle pressure to the site of the bleeding
with sterile gauze squares and call the health care provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of gestation in
preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg
subcutaneously, to stop her labor contractions. What are the primary side effects of
terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth
C.Tachycardia and a feeling of nervousness
Rationale:
A+ TEST BANK 2
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties
of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a
feeling of nervousness. Option A is not a side effect. Options B and D are side effects of
magnesium sulfate.
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the breast
d. Manually express a small amount of milk before nursing
c. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning (C) of the infant on the
breast, e.g., grasping too little of the areola or grasping on the nipple.
The nurse is counseling a woman who wants to become pregnant. The woman tells the
nurse that she has a 36-day menstrual cycle and the first day of her menstrual period was
January *. The nurse correctly calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7
c. January 30-31
This woman can expect her next period to begin 36 days from the first day of her last
A+ TEST BANK 3
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
menstrual period - the cycle begins at the first day of the cycle and continues to the first day
of the next cycle. Her next period would, therefore, begin on February 13. Ovulation occurs
14 days before the first day of the menstrual period. Therefore, ovulation for this woman
would occur January 31 (C).
The nurse should encourage the laboring client to begin pushing when
a. there is only an anterior or posterior lip of cervix left
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced
c. the cervix is completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated (A,
B, and D), the cervix can become edematous and may never completely dilate, necessitating
an operative delivery. Many primigravidas begin active labor 100% effaced and then proceed
to dilate.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from
small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute
and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1.
What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription
d. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription (D).
A+ TEST BANK 4
NEONATE EXAM
MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM LATEST 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
A+ TEST BANK 1
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to remove any
urine or feces, and petroleum ointment should be applied to prevent the diaper from
sticking to the healing surface. Prepackaged wipes often contain other products that may
irritate the site. The yellow exudate, which covers the glans penis as the area heals and
epithelializes, is not an infective process and should not be removed. If bleeding occurs at
home, the client should be instructed to apply gentle pressure to the site of the bleeding
with sterile gauze squares and call the health care provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of gestation in
preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg
subcutaneously, to stop her labor contractions. What are the primary side effects of
terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth
C.Tachycardia and a feeling of nervousness
Rationale:
A+ TEST BANK 2
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties
of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a
feeling of nervousness. Option A is not a side effect. Options B and D are side effects of
magnesium sulfate.
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the breast
d. Manually express a small amount of milk before nursing
c. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning (C) of the infant on the
breast, e.g., grasping too little of the areola or grasping on the nipple.
The nurse is counseling a woman who wants to become pregnant. The woman tells the
nurse that she has a 36-day menstrual cycle and the first day of her menstrual period was
January *. The nurse correctly calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7
c. January 30-31
This woman can expect her next period to begin 36 days from the first day of her last
A+ TEST BANK 3
, MIDWIFERY PRACTICE AND NORMAL
NEONATE EXAM
menstrual period - the cycle begins at the first day of the cycle and continues to the first day
of the next cycle. Her next period would, therefore, begin on February 13. Ovulation occurs
14 days before the first day of the menstrual period. Therefore, ovulation for this woman
would occur January 31 (C).
The nurse should encourage the laboring client to begin pushing when
a. there is only an anterior or posterior lip of cervix left
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced
c. the cervix is completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated (A,
B, and D), the cervix can become edematous and may never completely dilate, necessitating
an operative delivery. Many primigravidas begin active labor 100% effaced and then proceed
to dilate.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from
small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute
and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1.
What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription
d. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription (D).
A+ TEST BANK 4
