NSG 3500 EXAM 4 COMPLETE EXAM PREP 2026 | MATERNAL
HEALTH NURSING STUDY GUIDE | ULTIMATE REVIEW | HIGH-
YIELD PRACTICE QUESTIONS | CORRECT ANSWERS
1. Discuss why 'Ineffective tissue perfusion: cardiopulmonary' is prioritized for
an infant with persistent pulmonary hypertension.
This diagnosis is prioritized because it relates to the infant's feeding
difficulties.
This diagnosis is prioritized because persistent pulmonary
hypertension affects the infant's ability to oxygenate blood
effectively, leading to compromised cardiopulmonary function.
This diagnosis is prioritized due to the risk of peripheral circulation
issues in infants.
This diagnosis is prioritized as it addresses potential neurovascular
complications.
2. In a scenario where a premature infant is receiving oxygen therapy, what
should the nurse monitor closely to ensure the infant's safety?
Parental understanding of oxygen therapy.
Infant's weight gain.
Oxygen saturation levels.
Frequency of feeding.
3. Why is it important for the nurse to reassure parents about their newborn's
sleeping patterns after breastfeeding?
It suggests that the baby is not feeding properly.
It helps alleviate parental anxiety and reinforces understanding of
normal neonatal behavior.
, It indicates a potential health issue that needs immediate attention.
It allows the nurse to avoid further assessments.
4. If a nurse is caring for a newborn whose mother received terbutaline during
labor, what specific assessment should the nurse prioritize?
Blood glucose monitoring
Weight assessment
Feeding readiness evaluation
Temperature regulation
5. In a scenario where a newborn is delivered via cesarean section, what
nursing intervention could be implemented to support the initiation of
respiration?
Avoid any interventions to prevent stress to the newborn.
Immediately administer supplemental oxygen without assessment.
Provide gentle suctioning of the airway to clear any fluid.
Delay the newborn's assessment to allow for maternal recovery.
6. Why is eye contact between the mother and newborn significant in the
context of maternal-infant bonding?
Eye contact indicates the baby's health status.
Eye contact is not important after delivery.
Eye contact fosters emotional connection and bonding between the
mother and newborn.
Eye contact is only necessary during feeding.
7. If a newborn with transient tachypnea of the newborn (TTN) begins to exhibit
grunting and cyanosis, what should be the immediate nursing intervention?
, Increase the feeding frequency to improve energy levels.
Provide supplemental oxygen and notify the healthcare provider.
Perform a full physical assessment for other conditions.
Reassess the newborn's temperature and administer antipyretics.
8. Describe the significance of addressing hypothermia in newborns and how it
relates to the symptoms observed in the provided scenario.
Hypothermia is easily managed with oral feeding alone.
Hypothermia can lead to poor feeding and bradycardia in
newborns, making thermal regulation crucial for their health.
Hypothermia is only a concern in premature infants, not in full-term
newborns.
Hypothermia does not affect feeding but can cause respiratory
distress.
9. Why is regular weight gain considered a priority outcome for small-for-
gestational-age (SGA) infants?
Regular weight gain means that parents are actively involved in care.
Regular weight gain indicates that the infant is receiving adequate
nutrition and is growing appropriately.
Regular weight gain shows that the infant's body temperature is stable.
Regular weight gain is unrelated to the infant's overall health.
10. What is the target blood glucose level for a premature hypoglycemic infant
after treatment?
60 mg/dL
50 mg/dL
42 mg/dL
, 58 mg/dL
11. A mother is concerned when the nurse says her 2-month-old's heart rate is
120 bpm. What is the best response by the nurse?
"Has your daughter had troubling breathing?"
"Don't worry. The doctor will check it."
"Her pulse rate is okay."
"A normal heart rate for a 2-month-old is 120 bpm."
12. Why might a mother's uncertainty about the feeding schedule be a concern
for a newborn's discharge?
It may indicate a lack of understanding of the infant's nutritional
needs.
It suggests that the infant is well-prepared for discharge.
It shows that the mother is committed to breastfeeding.
It indicates that the mother is confident in her parenting skills.
13. If a nurse discovers that a newborn with jaundice has a history of traumatic
birth, what should be the next step in management?
Reassure the parents that jaundice is always temporary.
Document the history of traumatic birth without further action.
Immediately switch the infant to formula feeding.
Monitor bilirubin levels and assess for signs of complications.
14. Which adaptation of the cardiorespiratory system must occur at birth to
prevent persistent foetal circulation?
Systemic vascular resistance must decrease
HEALTH NURSING STUDY GUIDE | ULTIMATE REVIEW | HIGH-
YIELD PRACTICE QUESTIONS | CORRECT ANSWERS
1. Discuss why 'Ineffective tissue perfusion: cardiopulmonary' is prioritized for
an infant with persistent pulmonary hypertension.
This diagnosis is prioritized because it relates to the infant's feeding
difficulties.
This diagnosis is prioritized because persistent pulmonary
hypertension affects the infant's ability to oxygenate blood
effectively, leading to compromised cardiopulmonary function.
This diagnosis is prioritized due to the risk of peripheral circulation
issues in infants.
This diagnosis is prioritized as it addresses potential neurovascular
complications.
2. In a scenario where a premature infant is receiving oxygen therapy, what
should the nurse monitor closely to ensure the infant's safety?
Parental understanding of oxygen therapy.
Infant's weight gain.
Oxygen saturation levels.
Frequency of feeding.
3. Why is it important for the nurse to reassure parents about their newborn's
sleeping patterns after breastfeeding?
It suggests that the baby is not feeding properly.
It helps alleviate parental anxiety and reinforces understanding of
normal neonatal behavior.
, It indicates a potential health issue that needs immediate attention.
It allows the nurse to avoid further assessments.
4. If a nurse is caring for a newborn whose mother received terbutaline during
labor, what specific assessment should the nurse prioritize?
Blood glucose monitoring
Weight assessment
Feeding readiness evaluation
Temperature regulation
5. In a scenario where a newborn is delivered via cesarean section, what
nursing intervention could be implemented to support the initiation of
respiration?
Avoid any interventions to prevent stress to the newborn.
Immediately administer supplemental oxygen without assessment.
Provide gentle suctioning of the airway to clear any fluid.
Delay the newborn's assessment to allow for maternal recovery.
6. Why is eye contact between the mother and newborn significant in the
context of maternal-infant bonding?
Eye contact indicates the baby's health status.
Eye contact is not important after delivery.
Eye contact fosters emotional connection and bonding between the
mother and newborn.
Eye contact is only necessary during feeding.
7. If a newborn with transient tachypnea of the newborn (TTN) begins to exhibit
grunting and cyanosis, what should be the immediate nursing intervention?
, Increase the feeding frequency to improve energy levels.
Provide supplemental oxygen and notify the healthcare provider.
Perform a full physical assessment for other conditions.
Reassess the newborn's temperature and administer antipyretics.
8. Describe the significance of addressing hypothermia in newborns and how it
relates to the symptoms observed in the provided scenario.
Hypothermia is easily managed with oral feeding alone.
Hypothermia can lead to poor feeding and bradycardia in
newborns, making thermal regulation crucial for their health.
Hypothermia is only a concern in premature infants, not in full-term
newborns.
Hypothermia does not affect feeding but can cause respiratory
distress.
9. Why is regular weight gain considered a priority outcome for small-for-
gestational-age (SGA) infants?
Regular weight gain means that parents are actively involved in care.
Regular weight gain indicates that the infant is receiving adequate
nutrition and is growing appropriately.
Regular weight gain shows that the infant's body temperature is stable.
Regular weight gain is unrelated to the infant's overall health.
10. What is the target blood glucose level for a premature hypoglycemic infant
after treatment?
60 mg/dL
50 mg/dL
42 mg/dL
, 58 mg/dL
11. A mother is concerned when the nurse says her 2-month-old's heart rate is
120 bpm. What is the best response by the nurse?
"Has your daughter had troubling breathing?"
"Don't worry. The doctor will check it."
"Her pulse rate is okay."
"A normal heart rate for a 2-month-old is 120 bpm."
12. Why might a mother's uncertainty about the feeding schedule be a concern
for a newborn's discharge?
It may indicate a lack of understanding of the infant's nutritional
needs.
It suggests that the infant is well-prepared for discharge.
It shows that the mother is committed to breastfeeding.
It indicates that the mother is confident in her parenting skills.
13. If a nurse discovers that a newborn with jaundice has a history of traumatic
birth, what should be the next step in management?
Reassure the parents that jaundice is always temporary.
Document the history of traumatic birth without further action.
Immediately switch the infant to formula feeding.
Monitor bilirubin levels and assess for signs of complications.
14. Which adaptation of the cardiorespiratory system must occur at birth to
prevent persistent foetal circulation?
Systemic vascular resistance must decrease
