Maternal Test 2 Sherpath Comprehensive Maternal-Newborn
Nursing COMPLETE EXAM LATEST VERSION 2026-2027
QUESTIONS AND ANSWERS
Which metabolic action is responsible for earlier gluconeogenesis in pregnant women?
Destruction of erythrocytes increases bilirubin
Placental hormones lead to impaired healing in the mother
Fetus continually withdraws nutrients from maternal blood
Protein cannot be excreted from the kidneys during pregnancy - answer>>Fetus continually withdraws
nutrients from maternal blood
During pregnancy, fetus withdraws nutrients from maternal blood, causing release of glucose from
stores in the liver.
How would the nurse determine that the mother's body cannot metabolize glucose?
Urine positive for blood
Urine positive for bacteria
Urine positive for ketones
Urine positive for white blood cells - answer>>Urine positive for ketones
Ketones in urine indicate breakdown of muscle tissue for energy when glucose cannot be metabolized
by body cells.
,Which assessment finding would be expected for a newborn whose mother was diagnosed with
gestational diabetes?
Select all that apply.
Hyperactive reflexes
Weight of 4850 g
Serum glucose of 37 mg/dL
Calcium concentration of 8.5 mg/dL
Axillary temperature of 95.9 degrees Fahrenheit - answer>>Weight of 4850 g
Fetal size greater than 4000 g is an indication of macrosomia, an effect in fetuses related to gestational
diabetes.
Serum glucose of 37 mg/dL
Serum glucose levels are likely to be decreased (hypoglycemia) in a fetus of a mother with gestational
diabetes. Normal newborn glucose levels are between 45-60 mg/dL.
Axillary temperature of 95.9 degrees Fahrenheit
An axillary temperature of 97.2 degree F is low and a symptom of hypoglycemia in newborns. Because
this infant has low blood glucose, energy is consumed to maintain normal metabolic function, causing
temperatures to decrease.
A nursing instructor asks a nursing student to describe manifestations of hypoglycemia exhibited by the
newborn. The student responds correctly by telling the instructor about which signs and symptoms?
Select all that apply.
,Eyes open to painful stimuli
Hands and feet appear bluish
Extremities in the flexed position
Respiratory rate of 16 breaths/minute
Axillary temperature 97.2 degrees Fahrenheit - answer>>Eyes open to painful stimuli
Lethargy, exhibited by a newborn's eyes remaining open to painful stimuli, is a symptom of
hypoglycemia in newborns.
Respiratory rate of 16 breaths/minute
A respiratory rate of 16 breaths per minute represents depressed respiration and is a symptom of
hypoglycemia in newborns.
Axillary temperature 97.2 degrees Fahrenheit
An axillary temperature of 97.2 degrees Fahrenheit is low and a symptom of hypoglycemia in newborns.
Match the maternal effect of altered glucose metabolism with its description.
Delayed or difficult birth of fetal shoulders after head is born Excess volume of amniotic fluid Body uses
fat for energy instead of glucose
Ketoacidosis
Dystocia
Hydramnios - answer>>Delayed or difficult birth of fetal shoulders after head is born Dystocia
Excess volume of amniotic fluid
Hydramnios
Body uses fat for energy instead of glucose
, Ketoacidosis
Which statements indicate to the nurse that a pregnant woman is at risk for development of
ketoacidosis?
Select all that apply.
"I avoid eating any type of red meat."
"I've had a cold for the last 2 weeks."
"My mother has had diabetes for 20 years."
"I can never remember to take my insulin."
"I only drink water with lemon when I'm thirsty." - answer>>"I've had a cold for the last 2 weeks."
Infection predisposes women to ketoacidosis.
I can never remember to take my insulin."
Missing doses of insulin predisposes women to ketoacidosis.
For which woman should a nurse schedule a 3-hr glucose tolerance test?
Fasting glucose of 90 mg/dL
3-hr fasting glucose of 95 mg/dL
Greater than 140 mg/dL reading from a glucose challenge test
Nursing COMPLETE EXAM LATEST VERSION 2026-2027
QUESTIONS AND ANSWERS
Which metabolic action is responsible for earlier gluconeogenesis in pregnant women?
Destruction of erythrocytes increases bilirubin
Placental hormones lead to impaired healing in the mother
Fetus continually withdraws nutrients from maternal blood
Protein cannot be excreted from the kidneys during pregnancy - answer>>Fetus continually withdraws
nutrients from maternal blood
During pregnancy, fetus withdraws nutrients from maternal blood, causing release of glucose from
stores in the liver.
How would the nurse determine that the mother's body cannot metabolize glucose?
Urine positive for blood
Urine positive for bacteria
Urine positive for ketones
Urine positive for white blood cells - answer>>Urine positive for ketones
Ketones in urine indicate breakdown of muscle tissue for energy when glucose cannot be metabolized
by body cells.
,Which assessment finding would be expected for a newborn whose mother was diagnosed with
gestational diabetes?
Select all that apply.
Hyperactive reflexes
Weight of 4850 g
Serum glucose of 37 mg/dL
Calcium concentration of 8.5 mg/dL
Axillary temperature of 95.9 degrees Fahrenheit - answer>>Weight of 4850 g
Fetal size greater than 4000 g is an indication of macrosomia, an effect in fetuses related to gestational
diabetes.
Serum glucose of 37 mg/dL
Serum glucose levels are likely to be decreased (hypoglycemia) in a fetus of a mother with gestational
diabetes. Normal newborn glucose levels are between 45-60 mg/dL.
Axillary temperature of 95.9 degrees Fahrenheit
An axillary temperature of 97.2 degree F is low and a symptom of hypoglycemia in newborns. Because
this infant has low blood glucose, energy is consumed to maintain normal metabolic function, causing
temperatures to decrease.
A nursing instructor asks a nursing student to describe manifestations of hypoglycemia exhibited by the
newborn. The student responds correctly by telling the instructor about which signs and symptoms?
Select all that apply.
,Eyes open to painful stimuli
Hands and feet appear bluish
Extremities in the flexed position
Respiratory rate of 16 breaths/minute
Axillary temperature 97.2 degrees Fahrenheit - answer>>Eyes open to painful stimuli
Lethargy, exhibited by a newborn's eyes remaining open to painful stimuli, is a symptom of
hypoglycemia in newborns.
Respiratory rate of 16 breaths/minute
A respiratory rate of 16 breaths per minute represents depressed respiration and is a symptom of
hypoglycemia in newborns.
Axillary temperature 97.2 degrees Fahrenheit
An axillary temperature of 97.2 degrees Fahrenheit is low and a symptom of hypoglycemia in newborns.
Match the maternal effect of altered glucose metabolism with its description.
Delayed or difficult birth of fetal shoulders after head is born Excess volume of amniotic fluid Body uses
fat for energy instead of glucose
Ketoacidosis
Dystocia
Hydramnios - answer>>Delayed or difficult birth of fetal shoulders after head is born Dystocia
Excess volume of amniotic fluid
Hydramnios
Body uses fat for energy instead of glucose
, Ketoacidosis
Which statements indicate to the nurse that a pregnant woman is at risk for development of
ketoacidosis?
Select all that apply.
"I avoid eating any type of red meat."
"I've had a cold for the last 2 weeks."
"My mother has had diabetes for 20 years."
"I can never remember to take my insulin."
"I only drink water with lemon when I'm thirsty." - answer>>"I've had a cold for the last 2 weeks."
Infection predisposes women to ketoacidosis.
I can never remember to take my insulin."
Missing doses of insulin predisposes women to ketoacidosis.
For which woman should a nurse schedule a 3-hr glucose tolerance test?
Fasting glucose of 90 mg/dL
3-hr fasting glucose of 95 mg/dL
Greater than 140 mg/dL reading from a glucose challenge test
