NUR 208 - Maternal Newborn Final Exam
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Study Questions with Correct Answers
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2025-2026
]
A ]nurse ]is ]caring ]for ]a ]client ]who ]is ]8 ]hours ]postpartum ]and ]is ]experiencing ]hemorrhage. ]Which ]
of ]the ]following ]actions ]should ]the ]nurse ]implement ]after ]notifying ]the ]provider? ]
(Select ]all ]that ]apply)
A. ]Massage ]the ]fundus.
B. ]Give ]oxygen ]at ]2L/min ]via ]nasal ]cannula.
C. ]Administer ]oxytocin.
D. ]Insert ]an ]indwelling ]catheter.
E. ]Place ]the ]client ]in ]a ]lateral ]position ]with ]her ]legs ]elevated ]30 ]degrees. ]- ]correct ]answer: ]A, ]C, ]
D, ]E
While ]assessing ]a ]client ]in ]the ]fourth ]stage ]of ]labor, ]the ]nurse ]suspects ]bladder ]distention. ]Whic
h ]of ]the ]following ]findings ]would ]the ]nurse ]expect ]to ]see?
A. ]The ]fundus ]is ]displaced ]from ]the ]midline.
B. ]The ]uterus ]is ]firm.
C. ]The ]fundus ]is ]below ]the ]umbilicus.
D. ]The ]bladder ]is ]resonant ]with ]percussion. ]- ]correct ]answer: ]A
A ]nurse ]is ]testing ]the ]reflexes ]of ]a ]newborn ]to ]assess ]neurological ]maturity. ]Which ]of ]the ]followi
ng ]reflexes ]is ]the ]nurse ]assessing ]by ]holding ]the ]newborn ]upright ]with ]feet ]touching ]a ]flat ]surfac
e?
A. ]Babinski ]Reflex
B. ]Moro ]Reflex
C. ]Stepping ]Reflex
D. ]Plantar ]Grasp ]Reflex ]- ]correct ]answer: ]C
,The ]nurse ]in ]the ]newborn ]nursery ]has ]just ]received ]report. ]Which ]of ]the ]following ]infants ]shoul
d ]the ]nurse ]see ]FIRST?
A. ]A ]2 ]day ]old ]infant ]who ]is ]lying ]quietly ]alert ]with ]a ]heart ]rate ]of ]185
B. ]A ]1 ]day ]old ]infant ]who ]is ]crying ]and ]has ]a ]bulging ]anterior ]fontanel
C. ]A ]12 ]hour ]old ]infant ]who ]is ]being ]held, ]with ]respirations ]that ]are ]45 ]breaths ]per ]minute ]and ]r
egular
D.A ]5 ]hour ]old ]infant ]who ]is ]sleeping ]and ]whose ]hands ]and ]feet ]are ]blue ]bilaterally ]- ]correct ]ans
wer: ]A
The ]nurse ]on ]a ]postpartum ]unit ]is ]preparing ]4 ]clients ]for ]discharge. ]It ]would ]be ]MOST ]important
]for ]the ]nurse ]to ]refer ]which ]of ]the ]following ]clients ]for ]home ]care?
A. ]A ]15 ]year ]old ]primipara ]who ]delivered ]a ]7 ]lb ]male ]2 ]days ]ago
B. ]An ]18 ]year ]old ]multipara ]who ]delivered ]a ]9 ]lb ]female ]by ]c-section ]2 ]days ]ago
C. ]A ]20 ]year ]old ]multipara ]who ]delivered ]1 ]day ]ago ]and ]is ]complaining ]of ]cramping
D. ]A ]22 ]year ]old ]who ]delivered ]by ]c-
section ]and ]is ]complaining ]of ]burning ]on ]urination ]- ]correct ]answer: ]D
The ]nurse ]teaches ]a ]primigravid ]woman ]how ]to ]measure ]the ]frequency ]of ]uterine ]contractions. ]
The ]nurse ]should ]explain ]to ]the ]client ]that ]the ]frequency ]of ]uterine ]contractions ]is ]determined ]b
y ]which ]of ]the ]following?
A. ]By ]timing ]from ]the ]beginning ]of ]one ]contraction ]to ]the ]end ]of ]the ]next ]contraction
B. ]By ]timing ]from ]the ]beginning ]of ]one ]contraction ]to ]the ]end ]of ]the ]same ]contraction
C. ]By ]the ]number ]of ]contractions ]that ]occur ]within ]a ]given ]period ]of ]time
D. ]By ]the ]strength ]of ]the ]contraction ]at ]its ]peak ]- ]correct ]answer: ]C
Which ]of ]the ]following ]are ]presumptive ]signs ]of ]pregnancy? ](Select ]all ]that ]apply)
A. ]Positive ]pregnancy ]test
, B. ]Enlarged ]breasts
C. ]Urinary ]frequency
d. ]Braxton ]Hicks ]contractions
E. ]Fetal ]heart ]tones ]heard ]by ]the ]provider
F. ]Amenorrhea ]- ]correct ]answer: ]B, ]C, ]F
Which ]of ]the ]following ]is ]the ]priority ]during ]the ]third ]stage ]of ]labor ]for ]the ]mother?
A. ]Educating ]the ]mother
B. ]Pain ]management
C. ]Skin ]to ]skin ]contact
D. ]Adequate ]tissue ]perfusion ]- ]correct ]answer: ]D
Which ]fetal ]presentation ]is ]optimal ]for ]vaginal ]delivery?
A. ]Military
B. ]Brow
C. ]Vertex
D. ]Face ]- ]correct ]answer: ]C
A ]woman ]in ]labor ]starts ]to ]exhibit ]late ]decels ]on ]the ]EFM, ]what ]actions ]should ]the ]nurse ]take? ]S
elect ]all ]that ]apply
A. ]Give ]02
B. ]Turn ]patient ]on ]left ]side
C. ]Put ]patient ]in ]Trendelenburg ]position
D. ]Decrease ]IV ]fluids
E. ]Raise ]the ]pt.s ]feet ]above ]the ]level ]of ]her ]heart ]- ]correct ]answer: ]A, ]B
] ] ] ] ] ] ]
Study Questions with Correct Answers
] ] ] ] ]
2025-2026
]
A ]nurse ]is ]caring ]for ]a ]client ]who ]is ]8 ]hours ]postpartum ]and ]is ]experiencing ]hemorrhage. ]Which ]
of ]the ]following ]actions ]should ]the ]nurse ]implement ]after ]notifying ]the ]provider? ]
(Select ]all ]that ]apply)
A. ]Massage ]the ]fundus.
B. ]Give ]oxygen ]at ]2L/min ]via ]nasal ]cannula.
C. ]Administer ]oxytocin.
D. ]Insert ]an ]indwelling ]catheter.
E. ]Place ]the ]client ]in ]a ]lateral ]position ]with ]her ]legs ]elevated ]30 ]degrees. ]- ]correct ]answer: ]A, ]C, ]
D, ]E
While ]assessing ]a ]client ]in ]the ]fourth ]stage ]of ]labor, ]the ]nurse ]suspects ]bladder ]distention. ]Whic
h ]of ]the ]following ]findings ]would ]the ]nurse ]expect ]to ]see?
A. ]The ]fundus ]is ]displaced ]from ]the ]midline.
B. ]The ]uterus ]is ]firm.
C. ]The ]fundus ]is ]below ]the ]umbilicus.
D. ]The ]bladder ]is ]resonant ]with ]percussion. ]- ]correct ]answer: ]A
A ]nurse ]is ]testing ]the ]reflexes ]of ]a ]newborn ]to ]assess ]neurological ]maturity. ]Which ]of ]the ]followi
ng ]reflexes ]is ]the ]nurse ]assessing ]by ]holding ]the ]newborn ]upright ]with ]feet ]touching ]a ]flat ]surfac
e?
A. ]Babinski ]Reflex
B. ]Moro ]Reflex
C. ]Stepping ]Reflex
D. ]Plantar ]Grasp ]Reflex ]- ]correct ]answer: ]C
,The ]nurse ]in ]the ]newborn ]nursery ]has ]just ]received ]report. ]Which ]of ]the ]following ]infants ]shoul
d ]the ]nurse ]see ]FIRST?
A. ]A ]2 ]day ]old ]infant ]who ]is ]lying ]quietly ]alert ]with ]a ]heart ]rate ]of ]185
B. ]A ]1 ]day ]old ]infant ]who ]is ]crying ]and ]has ]a ]bulging ]anterior ]fontanel
C. ]A ]12 ]hour ]old ]infant ]who ]is ]being ]held, ]with ]respirations ]that ]are ]45 ]breaths ]per ]minute ]and ]r
egular
D.A ]5 ]hour ]old ]infant ]who ]is ]sleeping ]and ]whose ]hands ]and ]feet ]are ]blue ]bilaterally ]- ]correct ]ans
wer: ]A
The ]nurse ]on ]a ]postpartum ]unit ]is ]preparing ]4 ]clients ]for ]discharge. ]It ]would ]be ]MOST ]important
]for ]the ]nurse ]to ]refer ]which ]of ]the ]following ]clients ]for ]home ]care?
A. ]A ]15 ]year ]old ]primipara ]who ]delivered ]a ]7 ]lb ]male ]2 ]days ]ago
B. ]An ]18 ]year ]old ]multipara ]who ]delivered ]a ]9 ]lb ]female ]by ]c-section ]2 ]days ]ago
C. ]A ]20 ]year ]old ]multipara ]who ]delivered ]1 ]day ]ago ]and ]is ]complaining ]of ]cramping
D. ]A ]22 ]year ]old ]who ]delivered ]by ]c-
section ]and ]is ]complaining ]of ]burning ]on ]urination ]- ]correct ]answer: ]D
The ]nurse ]teaches ]a ]primigravid ]woman ]how ]to ]measure ]the ]frequency ]of ]uterine ]contractions. ]
The ]nurse ]should ]explain ]to ]the ]client ]that ]the ]frequency ]of ]uterine ]contractions ]is ]determined ]b
y ]which ]of ]the ]following?
A. ]By ]timing ]from ]the ]beginning ]of ]one ]contraction ]to ]the ]end ]of ]the ]next ]contraction
B. ]By ]timing ]from ]the ]beginning ]of ]one ]contraction ]to ]the ]end ]of ]the ]same ]contraction
C. ]By ]the ]number ]of ]contractions ]that ]occur ]within ]a ]given ]period ]of ]time
D. ]By ]the ]strength ]of ]the ]contraction ]at ]its ]peak ]- ]correct ]answer: ]C
Which ]of ]the ]following ]are ]presumptive ]signs ]of ]pregnancy? ](Select ]all ]that ]apply)
A. ]Positive ]pregnancy ]test
, B. ]Enlarged ]breasts
C. ]Urinary ]frequency
d. ]Braxton ]Hicks ]contractions
E. ]Fetal ]heart ]tones ]heard ]by ]the ]provider
F. ]Amenorrhea ]- ]correct ]answer: ]B, ]C, ]F
Which ]of ]the ]following ]is ]the ]priority ]during ]the ]third ]stage ]of ]labor ]for ]the ]mother?
A. ]Educating ]the ]mother
B. ]Pain ]management
C. ]Skin ]to ]skin ]contact
D. ]Adequate ]tissue ]perfusion ]- ]correct ]answer: ]D
Which ]fetal ]presentation ]is ]optimal ]for ]vaginal ]delivery?
A. ]Military
B. ]Brow
C. ]Vertex
D. ]Face ]- ]correct ]answer: ]C
A ]woman ]in ]labor ]starts ]to ]exhibit ]late ]decels ]on ]the ]EFM, ]what ]actions ]should ]the ]nurse ]take? ]S
elect ]all ]that ]apply
A. ]Give ]02
B. ]Turn ]patient ]on ]left ]side
C. ]Put ]patient ]in ]Trendelenburg ]position
D. ]Decrease ]IV ]fluids
E. ]Raise ]the ]pt.s ]feet ]above ]the ]level ]of ]her ]heart ]- ]correct ]answer: ]A, ]B