NUR 206 Exam 3: Community Health Nursing Essentials
and Exam Mastery: Questions & Answers
Maternity and Newborn Nursing Concepts
1. Following a vacuum-assisted vaginal delivery, a newborn's head
appears elongated with soft tissue swelling. Which condition
does the nurse identify?
o A. Cephalhematoma
o B. Caput succedaneum
o C. Hemangioma
o D. Microcephaly
o Rationale: Caput succedaneum is characterized by an
elongated head shape and swelling of the soft tissue often
following vacuum assistance.
2. Which medication is anticipated for a pregnant client being
treated for idiopathic thrombocytopenic purpura (ITP)?
o A. Neupogen
o B. Neumega
o C. Corticosteroids
o D. Epogen
o Rationale: Corticosteroids are the standard anticipated
treatment for ITP during pregnancy.
3. What is the priority nursing assessment for a mother
breastfeeding for the first time?
, o A. The mother’s personal views on breastfeeding
o B. The infant's position and ability to latch
o C. The infant's rooting reflex
o D. The mother's plan for long-term breastfeeding
o Rationale: Assessing the latch and positioning is the clinical
priority to ensure successful feeding and prevent nipple
trauma.
4. A nurse assessing a 2-day-old newborn is concerned about an
evolving infection. Which finding supports this?
o A. Jaundice
o B. Oligohydramnios during labor
o C. Temperature instability and poor feeding
o D. Maternal history of toxoplasmosis
o Rationale: In newborns, non-specific signs like temperature
instability and poor feeding are primary indicators of
infection.
5. What is a priority assessment for an infant born to a mother with
a drug addiction?
o A. Hypotonia
o B. Respiratory rate of 40
o C. Tremors and diaphoresis
o D. Signs of newborn rejection
, o Rationale: Tremors and diaphoresis are classic signs of
Neonatal Abstinence Syndrome (NAS).
6. Which finding would the nurse expect in a 24-hour-old newborn
experiencing dehydration?
o A. Low birth weight
o B. Sunken anterior fontanel
o C. Uric acid crystals in the diaper
o D. Only one wet diaper
o Rationale: A sunken anterior fontanel is a physical
manifestation of fluid volume deficit in an infant.
7. Which infant is at the highest risk for Transient Tachypnea of the
Newborn (TTN)?
o A. 40-week infant born to a mother with rubella
o B. 38-week infant born via C-section
o C. 42-week infant born via vaginal delivery
o D. 39-week infant born to a mother with asthma
o Rationale: Infants born via C-section are at higher risk for
TTN because they do not experience the "thoracic squeeze"
of vaginal birth that clears lung fluid.
8. When is the administration of Methylergonovine (Methergine)
contraindicated in a hemorrhaging postpartum client?
o A. Heart rate of 84
o B. Platelet count of 170,000
and Exam Mastery: Questions & Answers
Maternity and Newborn Nursing Concepts
1. Following a vacuum-assisted vaginal delivery, a newborn's head
appears elongated with soft tissue swelling. Which condition
does the nurse identify?
o A. Cephalhematoma
o B. Caput succedaneum
o C. Hemangioma
o D. Microcephaly
o Rationale: Caput succedaneum is characterized by an
elongated head shape and swelling of the soft tissue often
following vacuum assistance.
2. Which medication is anticipated for a pregnant client being
treated for idiopathic thrombocytopenic purpura (ITP)?
o A. Neupogen
o B. Neumega
o C. Corticosteroids
o D. Epogen
o Rationale: Corticosteroids are the standard anticipated
treatment for ITP during pregnancy.
3. What is the priority nursing assessment for a mother
breastfeeding for the first time?
, o A. The mother’s personal views on breastfeeding
o B. The infant's position and ability to latch
o C. The infant's rooting reflex
o D. The mother's plan for long-term breastfeeding
o Rationale: Assessing the latch and positioning is the clinical
priority to ensure successful feeding and prevent nipple
trauma.
4. A nurse assessing a 2-day-old newborn is concerned about an
evolving infection. Which finding supports this?
o A. Jaundice
o B. Oligohydramnios during labor
o C. Temperature instability and poor feeding
o D. Maternal history of toxoplasmosis
o Rationale: In newborns, non-specific signs like temperature
instability and poor feeding are primary indicators of
infection.
5. What is a priority assessment for an infant born to a mother with
a drug addiction?
o A. Hypotonia
o B. Respiratory rate of 40
o C. Tremors and diaphoresis
o D. Signs of newborn rejection
, o Rationale: Tremors and diaphoresis are classic signs of
Neonatal Abstinence Syndrome (NAS).
6. Which finding would the nurse expect in a 24-hour-old newborn
experiencing dehydration?
o A. Low birth weight
o B. Sunken anterior fontanel
o C. Uric acid crystals in the diaper
o D. Only one wet diaper
o Rationale: A sunken anterior fontanel is a physical
manifestation of fluid volume deficit in an infant.
7. Which infant is at the highest risk for Transient Tachypnea of the
Newborn (TTN)?
o A. 40-week infant born to a mother with rubella
o B. 38-week infant born via C-section
o C. 42-week infant born via vaginal delivery
o D. 39-week infant born to a mother with asthma
o Rationale: Infants born via C-section are at higher risk for
TTN because they do not experience the "thoracic squeeze"
of vaginal birth that clears lung fluid.
8. When is the administration of Methylergonovine (Methergine)
contraindicated in a hemorrhaging postpartum client?
o A. Heart rate of 84
o B. Platelet count of 170,000
