UWORLD MATERNAL NEWBORN
UPDATED ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
●● Is a physiologic heart murmur expected within the first 48h of life
for a newborn?
Answer: Yes
●● What is the normal hr for a newborn? What can cause this to
increase?
Answer: 100-180 bpm, crying/activity/stimulated states - like an adult!
●● What is the normal respiratory rate for a newborn?
Answer: 30-60 rpm with period pauses lasting <20 seconds
●● What is a nitrazine test?
Answer: Measurement of amniotic fluid pH, negative result pH 5-6 and
will be yellow - olive green, positive result pH 6.5-7.5 and will be blue
●● What is the classification for uterine tachysystole?
Answer: >5 contractions in 10 minutes
,●● What is pre-eclampsia? When does it usually occur?
Answer: Gestational hypertension with proteinuria, after 20 weeks
gestation
●● Pregnancy is a __ state that augments the risk of __ formation
Answer: hypercoagulable, thrombus
●● What is McRobert's Maneuver? What does it manage?
Answer: Sharp flexion of maternal thighs towards abdomen to widen
space between pubic bone and sacrum, shoulder dystocia
●● What is suprapubic pressure?
Answer: Downward pressure applied to maternal pubic bone to dislodge
fetal shoulder
●● Can the MMR vaccine be safely administered to breastfeeding
clients?
Answer: Yes
●● What do rales indicate? Are they expected in neonates immediately
after birth?
Answer: Crackles/fluid in the lungs, yes and will clear as the neonate
transitions to extrauterine life
,●● Are wheezes, stridor, or persistence of crackles after the first few
hours of birth normal?
Answer: No, should be reported
●● What is a molar pregnancy?
Answer: Gestational trophoblastic disease causing rapidly growing
trophoblastic tissue that is initially benign but may lead to gestational
trophoblastic neoplasia (GTN)
●● What is condulomata acuminata? Is it dangerous? - pregnancy
Answer: Painless flesh-coloured bumps in perineal area caused by HPV,
no but can get warts removed
●● What is intrahepatic cholestasis of pregnancy? Is it dangerous? Why?
Answer: Liver disorder that manifests with intense generalized itching
on hands and feet that worsens at night, yes, increases risk of
intrauterine fetal demise
●● What is an important consideration with phototherapy? Why?
Answer: Maintain newborn skin integrity, bilirubin excreted in the stool
and results in loose stool/increased frequency which produces skin
excoriation and breakdown
, ●● Should the newborn's eyes be covered with patches or guards during
phototherapy?
Answer: Yes
●● What are a smooth filtrum, thin upper lip, and short palpebral
features classic facial features of in infants?
Answer: Fetal alcohol syndrome
●● Yawning, sneezing, and a high-pitched cry would indicate what in an
infant?
Answer: Alcohol withdrawal syndrome due to history of maternal
substance abuse
●● What does delayed meconium passage indicate within infants?
Answer: Cystic fibrosis, Hirschsprung disease
●● What is erythema toxicum neonaturum characterized by? What does
it resemble? Appears when? Resolves when?
Answer: Firm white or yellow papules/pustules surrounded by erythema,
flea bites, first few days after birth, 5-7 days
●● What are Epstein pearls? Are they considered common findings and
disappear a few weeks after birth?
Answer: Small white cysts found on hard palate of newborns, yes
UPDATED ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
●● Is a physiologic heart murmur expected within the first 48h of life
for a newborn?
Answer: Yes
●● What is the normal hr for a newborn? What can cause this to
increase?
Answer: 100-180 bpm, crying/activity/stimulated states - like an adult!
●● What is the normal respiratory rate for a newborn?
Answer: 30-60 rpm with period pauses lasting <20 seconds
●● What is a nitrazine test?
Answer: Measurement of amniotic fluid pH, negative result pH 5-6 and
will be yellow - olive green, positive result pH 6.5-7.5 and will be blue
●● What is the classification for uterine tachysystole?
Answer: >5 contractions in 10 minutes
,●● What is pre-eclampsia? When does it usually occur?
Answer: Gestational hypertension with proteinuria, after 20 weeks
gestation
●● Pregnancy is a __ state that augments the risk of __ formation
Answer: hypercoagulable, thrombus
●● What is McRobert's Maneuver? What does it manage?
Answer: Sharp flexion of maternal thighs towards abdomen to widen
space between pubic bone and sacrum, shoulder dystocia
●● What is suprapubic pressure?
Answer: Downward pressure applied to maternal pubic bone to dislodge
fetal shoulder
●● Can the MMR vaccine be safely administered to breastfeeding
clients?
Answer: Yes
●● What do rales indicate? Are they expected in neonates immediately
after birth?
Answer: Crackles/fluid in the lungs, yes and will clear as the neonate
transitions to extrauterine life
,●● Are wheezes, stridor, or persistence of crackles after the first few
hours of birth normal?
Answer: No, should be reported
●● What is a molar pregnancy?
Answer: Gestational trophoblastic disease causing rapidly growing
trophoblastic tissue that is initially benign but may lead to gestational
trophoblastic neoplasia (GTN)
●● What is condulomata acuminata? Is it dangerous? - pregnancy
Answer: Painless flesh-coloured bumps in perineal area caused by HPV,
no but can get warts removed
●● What is intrahepatic cholestasis of pregnancy? Is it dangerous? Why?
Answer: Liver disorder that manifests with intense generalized itching
on hands and feet that worsens at night, yes, increases risk of
intrauterine fetal demise
●● What is an important consideration with phototherapy? Why?
Answer: Maintain newborn skin integrity, bilirubin excreted in the stool
and results in loose stool/increased frequency which produces skin
excoriation and breakdown
, ●● Should the newborn's eyes be covered with patches or guards during
phototherapy?
Answer: Yes
●● What are a smooth filtrum, thin upper lip, and short palpebral
features classic facial features of in infants?
Answer: Fetal alcohol syndrome
●● Yawning, sneezing, and a high-pitched cry would indicate what in an
infant?
Answer: Alcohol withdrawal syndrome due to history of maternal
substance abuse
●● What does delayed meconium passage indicate within infants?
Answer: Cystic fibrosis, Hirschsprung disease
●● What is erythema toxicum neonaturum characterized by? What does
it resemble? Appears when? Resolves when?
Answer: Firm white or yellow papules/pustules surrounded by erythema,
flea bites, first few days after birth, 5-7 days
●● What are Epstein pearls? Are they considered common findings and
disappear a few weeks after birth?
Answer: Small white cysts found on hard palate of newborns, yes
