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NUR 202/ NUR202 HESI – Maternal-Newborn Nursing Review| Fortis (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NUR 202/ NUR202 HESI – Maternal-Newborn Nursing Review| Fortis (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION A pregnant client with diabetes has poorly controlled blood glucose levels, resulting in elevated Accucheck readings. This causes the fetus to produce excess insulin. What effect can this have on the newborn after delivery? Answer: Blood sugar drop (neonatal hypoglycemia) QUESTION Why must DKA be prevented? Answer: DKA can lead to fetal death. QUESTION Why might diabetic mom need a C-section? Answer: Risk of macrosomia. QUESTION Why monitor infections closely in diabetic pregnancy? Answer: Infection can cause mom to become hyperglycemic. QUESTION Maternal glucose goals before meals Answer: 65-95 QUESTION Maternal glucose goals one hour after meals Answer: ≤130-140 QUESTION Placental complications listed with DM? Answer: Placental deterioration and/or placental abruption. QUESTION Oral contraception after delivery is what for diabetics? Answer: Contraindicated. QUESTION Standard of care for pregnant opioid addiction? Answer: Methadone maintenance program. QUESTION When is breastfeeding contraindicated due to substance use? Answer: If continuing amphetamines, alcohol, cocaine, heroin, or marijuana. QUESTION Cocaine use in pregnancy increases risk of what type of labor? Answer: Precipitous labor. QUESTION S/S of newborn drug withdrawal Answer: Tremors, tachycardia, hypertension. QUESTION Meconium Answer: Thick, sticky, dark green/black substance made of what the baby swallowed in the womb (amniotic fluid, mucus, cells). QUESTION When is meconium normal for newborns after birth? Answer: First 24-48 hours QUESTION If mom tests positive for drugs at admission, newborn testing uses what sample? Answer: Meconium sample. QUESTION How is chronic HTN during pregnancy characterized Answer: Elevated BP before 20 weeks gestation. QUESTION Baby is born before 37 weeks of pregnancy. Answer: Preterm birth QUESTION RF for preterm birth Answer: Previous preterm birth Infections Diabetes or hypertension Multiple gestation (twins, etc.) QUESTION The placenta pulls away too early, which cuts off oxygen and nutrients to the baby and causes bleeding. Answer: Placental abruption

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NURl 202/l NUR202l HESIl –l Maternal-
Newbornl Nursingl Review|l Fortisl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A

Q:l Al pregnantl clientl withl diabetesl hasl poorlyl controlledl bloodl glucosel levels,l
resultingl inl elevatedl Accucheckl readings.l Thisl causesl thel fetusl tol producel excessl
insulin.l

Whatl effectl canl thisl havel onl thel newbornl afterl delivery?

Answer:
Bloodl sugarl dropl (neonatall hypoglycemia)



Q:l Whyl mustl DKAl bel prevented?
Answer:
DKAl canl leadl tol fetall death.



Q:l Whyl mightl diabeticl moml needl al C-section?
Answer:
Riskl ofl macrosomia.



Q:l Whyl monitorl infectionsl closelyl inl diabeticl pregnancy?
Answer:
Infectionl canl causel moml tol becomel hyperglycemic.

,Q:l Maternall glucosel goalsl beforel meals
Answer:
65-95



Q:l Maternall glucosel goalsl onel hourl afterl meals
Answer:
≤130-140



Q:l Placentall complicationsl listedl withl DM?
Answer:
Placentall deteriorationl and/orl placentall abruption.



Q:l Orall contraceptionl afterl deliveryl isl whatl forl diabetics?
Answer:
Contraindicated.



Q:l Standardl ofl carel forl pregnantl opioidl addiction?
Answer:
Methadonel maintenancel program.



Q:l Whenl isl breastfeedingl contraindicatedl duel tol substancel use?
Answer:
Ifl continuingl amphetamines,l alcohol,l cocaine,l heroin,l orl marijuana.



Q:l Cocainel usel inl pregnancyl increasesl riskl ofl whatl typel ofl labor?

,Answer:
Precipitousl labor.



Q:l S/Sl ofl newbornl drugl withdrawal
Answer:
Tremors,l tachycardia,l hypertension.



Q:l Meconium
Answer:
Thick,l sticky,l darkl green/blackl substancel madel ofl whatl thel babyl swallowedl inl thel
wombl (amnioticl fluid,l mucus,l cells).



Q:l Whenl isl meconiuml normall forl newbornsl afterl birth?
Answer:
Firstl 24-48l hours



Q:l Ifl moml testsl positivel forl drugsl atl admission,l newbornl testingl usesl whatl sample?
Answer:
Meconiuml sample.



Q:l Howl isl chronicl HTNl duringl pregnancyl characterized
Answer:
Elevatedl BPl beforel 20l weeksl gestation.



Q:l Babyl isl bornl beforel 37l weeksl ofl pregnancy.

, Answer:
Preterml birth



Q:l RFl forl preterml birth
Answer:
Previousl preterml birth

Infections

Diabetesl orl hypertension

Multiplel gestationl (twins,l etc.)



Q:l Thel placental pullsl awayl tool early,l whichl cutsl offl oxygenl andl nutrientsl tol thel
babyl andl causesl bleeding.

Answer:
Placentall abruption



Q:l Pregnancyl complicationl markedl byl highl bloodl pressurel andl organl involvementl
afterl 20l weeksl gestation.

Answer:
Preeclampsia



Q:l Keyl S/Sl preeclampsia
Answer:
BPl ≥l 140/90

Proteinl inl urine

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