, Updated/Latest Maternal Newborn Nursing The Critical Components of
Nursing Care 3rd Edition Durham and Chapman Test Bank Comprehensive
Examination Questions and Answers Study Guide for Maternal Health
Newborn Care Obstetric Nursing Labor Delivery Postpart
1. A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What
assessment finding confirms to the nurse that the client is not labor at this time?: Contractions decrease with walking.
2. A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the parents in the grieving process
which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy: B. provide a time for the parents to hold their infant in
privacy
3. What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a
tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord: A. body temperature
4. What is the most important assessment for the nurse to conduct following the administration of epidural
anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure: D. Maternal blood pressure
5. A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate 500 ml with
magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion
pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75: D. 75
, 6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my baby
sister eating my mommy's breast?" How should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice: A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C.Remind him that his mother breastfed him too
7. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach: D. Place the infant in warm
room and use a calm approach
8. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What maternal
prescription is most important in preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3: A. Betamethasone (Celestone) 12 mg deep IM
9. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary retention.
The home health nurse notes that the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important for the nurse to take? A. Auscultate the lungs for respiratory
pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change: C. Change to latex-free gloves when handling infant
10. The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2 proteinuria, BP
172/112 mmHg, facial and hand swelling, complaints of blurry vision and a severe frontal headache. Which
medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate: D. Magnesium sulfate
, 11. A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes
the client's temperature to be 101.2F, with severe abdominal or uterine tenderness on palpation. The nurse knows
that these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D.Viral infection.: B. Chorioamnionitis
12. A male infant with a 2-day history of fever and diarrhea is brought to a clinic by his mother who tells the nurse that
the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription
is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D.Apply external cooling blanket: B. Infuse normal saline intravenously
13. A 6-month old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention should the
nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands B. record observations of the restraints
q2h and ensure that they are in place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises: D. remove restraints one at a time to provide ROM
exercises
14. A new mother calls the nurse stating that she wants to start feeding her 6-month-old child something besides breast
milk, but is concerned that the infant is too young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each mealD. reassure the mother that the infant
is old enough to eat iron-fortified
cereal: D. reassure the mother that the infant is old enough to eat iron-fortified cereal
15. While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heart rate pattern that
falls and rises abruptly with a "V" shaped appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position: D. Change the maternal position
Nursing Care 3rd Edition Durham and Chapman Test Bank Comprehensive
Examination Questions and Answers Study Guide for Maternal Health
Newborn Care Obstetric Nursing Labor Delivery Postpart
1. A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What
assessment finding confirms to the nurse that the client is not labor at this time?: Contractions decrease with walking.
2. A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the parents in the grieving process
which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy: B. provide a time for the parents to hold their infant in
privacy
3. What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a
tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord: A. body temperature
4. What is the most important assessment for the nurse to conduct following the administration of epidural
anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure: D. Maternal blood pressure
5. A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate 500 ml with
magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion
pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75: D. 75
, 6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my baby
sister eating my mommy's breast?" How should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice: A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C.Remind him that his mother breastfed him too
7. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach: D. Place the infant in warm
room and use a calm approach
8. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What maternal
prescription is most important in preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3: A. Betamethasone (Celestone) 12 mg deep IM
9. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary retention.
The home health nurse notes that the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important for the nurse to take? A. Auscultate the lungs for respiratory
pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change: C. Change to latex-free gloves when handling infant
10. The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2 proteinuria, BP
172/112 mmHg, facial and hand swelling, complaints of blurry vision and a severe frontal headache. Which
medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate: D. Magnesium sulfate
, 11. A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes
the client's temperature to be 101.2F, with severe abdominal or uterine tenderness on palpation. The nurse knows
that these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D.Viral infection.: B. Chorioamnionitis
12. A male infant with a 2-day history of fever and diarrhea is brought to a clinic by his mother who tells the nurse that
the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription
is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D.Apply external cooling blanket: B. Infuse normal saline intravenously
13. A 6-month old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention should the
nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands B. record observations of the restraints
q2h and ensure that they are in place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises: D. remove restraints one at a time to provide ROM
exercises
14. A new mother calls the nurse stating that she wants to start feeding her 6-month-old child something besides breast
milk, but is concerned that the infant is too young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each mealD. reassure the mother that the infant
is old enough to eat iron-fortified
cereal: D. reassure the mother that the infant is old enough to eat iron-fortified cereal
15. While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heart rate pattern that
falls and rises abruptly with a "V" shaped appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position: D. Change the maternal position
