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MATERNAL EXAM 2 REVISON SUMMER:
1. The nurse is assessing a newborn. Which would be considered a normal finding? a. Atonia
b. Apnea
c. Acrocyanosis
d. Asymmetry
2. The nurse is assessing the fundus of a client on post-partum day2. What should the nurse
expect when palpating the fundus?
a. Fundus two fingerbreadths below the umbilicus and firm
b. Fundus 4 cm above the symphysis pubis and firm
c. Fundus 4cm below the umbilicus and midline
d. Fundus two fingerbreadths above symphysis pubis and firm.
3. A nurse is caring for a client who has just delivered her first newborn. The infant has
been diagnosed with hyperbilirubinemia. While providing education to the client on this
condition, the nurse should include which of the following as potential causes of this
condition, (SAL)?
c. Rh isoimmunization
d. ABO incompatibility
e. Biliary atresia.
4. Which of the following is an advantage of breastfeeding for infant?
a. Breast milk leads to firmer stools, increasing bowel tone
b. Breast milk contains antibodies and thus decreases the possibility of
gastrointestinal illnesses
c. Breast milk is more difficult to digest to it makes the infant fell fuller longer
d. It takes less effort for an infant to suck at a breast than from a bottle.
5. The nurse is called to the room of a client who delivered a macrosomia infant 20 hours ago.
Upon assessment the fundus is noted to be boggy and displaced to the left and a moderate
amount of vaginal bleeding is noted. What is the priority nursing action?
a. Empty the bladder?
b. Provide pain medication
c. initiate IV access
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d. Administer uterotonic medication.
6. Hypoglycemia in a mature infant is defined as a blood glucose level below which amount?
a. 40 mg/100 ml whole blood
7. The nurse is preparing formula for a preterm infant. Which type of formula will most
likely be prescribed for this client?
a. Glucose water
b. 24 calories per ounce
Iron supplemented
d. 20 calories per ounce.
8. A newborn is prescribed to receive vitamin k 0.5mg intramuscularly. How should the nurse
administer this medication to the newborn?
a. Provide the medication immediately before breastfeeding.
b. Administer the medication into the vastus lateralis.
c. Notify the physician for swelling and irritation at the injection site
d. Administer the medication in the deltoid muscle.
9. A newborn infant has loose, yellow stools. The infant appears healthy, but his mother is
concerned that this means he is allergic to breast milk. Which of the following is the nurse’s
best response?
a. Try burping the infant more frequently.
b. You may need to have the infant investigated for bile duct disease.
c. Breast-feed infants’ stools ae normally loose.
d. Consider changing to a soybean formula.
10. At birth the infant has dry cracked skin, absence of vernix, lack of subcutaneous fat,
fingernail extending beyond the fingertips, and poor skin turgor. Based on these findings,
how would the nurse classify the neonate?
d. post-term
11. A nurse is helping her postpaturm client upto the bathroom for the first time after delivery.
Which findings indicates her lochia is within normal limits?
d. The color of the flow is red.
12. A nurse is caring for a 9-month-old with influenza. Which of the following might be a toy
that could be used to interact, play or distract them from the discomfort?
MATERNAL EXAM 2 REVISON SUMMER:
1. The nurse is assessing a newborn. Which would be considered a normal finding? a. Atonia
b. Apnea
c. Acrocyanosis
d. Asymmetry
2. The nurse is assessing the fundus of a client on post-partum day2. What should the nurse
expect when palpating the fundus?
a. Fundus two fingerbreadths below the umbilicus and firm
b. Fundus 4 cm above the symphysis pubis and firm
c. Fundus 4cm below the umbilicus and midline
d. Fundus two fingerbreadths above symphysis pubis and firm.
3. A nurse is caring for a client who has just delivered her first newborn. The infant has
been diagnosed with hyperbilirubinemia. While providing education to the client on this
condition, the nurse should include which of the following as potential causes of this
condition, (SAL)?
c. Rh isoimmunization
d. ABO incompatibility
e. Biliary atresia.
4. Which of the following is an advantage of breastfeeding for infant?
a. Breast milk leads to firmer stools, increasing bowel tone
b. Breast milk contains antibodies and thus decreases the possibility of
gastrointestinal illnesses
c. Breast milk is more difficult to digest to it makes the infant fell fuller longer
d. It takes less effort for an infant to suck at a breast than from a bottle.
5. The nurse is called to the room of a client who delivered a macrosomia infant 20 hours ago.
Upon assessment the fundus is noted to be boggy and displaced to the left and a moderate
amount of vaginal bleeding is noted. What is the priority nursing action?
a. Empty the bladder?
b. Provide pain medication
c. initiate IV access
, 2
d. Administer uterotonic medication.
6. Hypoglycemia in a mature infant is defined as a blood glucose level below which amount?
a. 40 mg/100 ml whole blood
7. The nurse is preparing formula for a preterm infant. Which type of formula will most
likely be prescribed for this client?
a. Glucose water
b. 24 calories per ounce
Iron supplemented
d. 20 calories per ounce.
8. A newborn is prescribed to receive vitamin k 0.5mg intramuscularly. How should the nurse
administer this medication to the newborn?
a. Provide the medication immediately before breastfeeding.
b. Administer the medication into the vastus lateralis.
c. Notify the physician for swelling and irritation at the injection site
d. Administer the medication in the deltoid muscle.
9. A newborn infant has loose, yellow stools. The infant appears healthy, but his mother is
concerned that this means he is allergic to breast milk. Which of the following is the nurse’s
best response?
a. Try burping the infant more frequently.
b. You may need to have the infant investigated for bile duct disease.
c. Breast-feed infants’ stools ae normally loose.
d. Consider changing to a soybean formula.
10. At birth the infant has dry cracked skin, absence of vernix, lack of subcutaneous fat,
fingernail extending beyond the fingertips, and poor skin turgor. Based on these findings,
how would the nurse classify the neonate?
d. post-term
11. A nurse is helping her postpaturm client upto the bathroom for the first time after delivery.
Which findings indicates her lochia is within normal limits?
d. The color of the flow is red.
12. A nurse is caring for a 9-month-old with influenza. Which of the following might be a toy
that could be used to interact, play or distract them from the discomfort?
