2025 Maternal Newborn Final Exam| New Latest
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with Questions and Answers
The clinic nurse reviews the complete blood count results for a 30-year-old woman who is now
33 weeks' gestation. Tamara's hemoglobin value is 11.2 g/dL, and her hematocrit is 38%. The
clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
d. Increased values for 33 weeks' gestation ----------- Correct Answer ------------ B
Which of the following statements is most appropriate for the nurse to say to a patient with a
complete or total placenta previa?
Select one:
a. "During the second stage of labor you will need to bear down."
b. "You should ambulate in the halls at least twice each day."
c. "Your provider will likely induce your labor with oxytocin."
d. "Please promptly report any vaginal bleeding or if you feel any lower back discomfort. ---------
-- Correct Answer ------------ D
A labor nurse is caring for a patient, 39 weeks' gestation, who has been diagnosed with placenta
previa. Which of the following physician orders should the nurse question?
Select one:
a. Type and crossmatch her blood.
b. Sterile vaginal exam
c. Administer an oral stool softener to reduce straining.
d. Assess her complete blood count. ----------- Correct Answer ------------ B
A sterile vaginal exam is contraindicated in all pregnant women with extensive vaginal bleeding
until the source of bleeding is identified. Due to the possibility of massive hemorrhage, ensure
adequate IV access is established and blood/blood products are readily available. Straining at
stool is also contraindicated as this can cause cervical dilation and increased risk of hemorrhage;
stool softeners are often given to prevent straining.
The perinatal nurse is assessing a woman in triage who is 34 + 3 weeks' gestation in her first
pregnancy. She is worried about having her baby "too soon," and she is experiencing uterine
contractions every 10 to 15 minutes. The fetal heart rate is 136 beats per minute. A vaginal
examination performed by the health-care provider reveals that the cervix is closed, long, and
posterior. The most likely diagnosis would be:
Select one:
a. Preterm labor
b. Term labor
c. Back labor
,d. Braxton-Hicks contractions ----------- Correct Answer ------------ D
Which of the following signs or symptoms would the nurse expect to see in a woman with
concealed abruptio placentae?
Select one:
a. Abrupt onset of uterine pain
b. Normal vital signs
c. Normal fetal heart rate (FHR) pattern
d. Mild uterine tenderness ----------- Correct Answer ------------ A
Concealed abruptio placenta occurs when more than 1/2 of the placenta separates prematurely.
Total blood loss can be >1500 ml with moderate to severe dark vaginal bleeding and abrupt onset
of uterine pain described as tearing, knifelike, and continuous. The uterus may be described as
hard or board-like. Significant maternal tachycardia with severe orthostatic hypotension and
significant tachypnea are also seen. Fetal heart patterns show compromise and death can occur.
The perinatal nurse describes for the new nurse the various risks associated with prolonged
premature preterm rupture of membranes (PPROM). These risks include (select all that apply):
Select one or more:
a. Chorioamnionitis
b. Fetal/neonatal sepsis
c. Operative birth
d. Cord compression ----------- Correct Answer ------------ A,B,C,D
Feedback; Even though maintaining the pregnancy to gain further fetal maturity can be
beneficial, prolonged PPROM has been correlated with an increased risk of maternal infection
such as chorioamnionitis, fetal/neonatal sepsis, increased rates of cesarean/operative birth, and
cord compression causing fetal hypoxia or asphyxia.
The nurse is providing prenatal teaching to a group of diverse pregnant women. One woman,
who indicates she smokes two to three cigarettes a day, asks about its impact on her pregnancy.
The nurse explains that the most significant risk to the fetus is:
Select one:
a. Respiratory distress at birth
b. Severe neonatal anemia
c. Low neonatal birth weight
d. Neonatal hyperbilirubinemia ----------- Correct Answer ------------ C
A nurse in a prenatal clinic is educating a client about the antepartal period. The client asks the
nurse how much weight is safe for her to gain during her pregnancy. Which of the following is
an appropriate response? ----------- Correct Answer ------------- "A weight gain of about 12 to
14.5 kg (25 to 30 lb ) is good."
A nurse is caring for a client in the obstetrical unit diagnosed with pregnancy-induced
hypertension (PIH) and magnesium intoxication as a result of prolonged magnesium sulfate
therapy. Which of the following medications should the nurse anticipate that the provider will
prescribe? ----------- Correct Answer ------------- Calcium gluconate
,A nurse is explaining to a client why epidural anesthesia is not given until a good labor pattern
has been established. In the course of the teaching, the nurse tells the client that anesthesia given
too early ----------- Correct Answer ------------- may prolong labor.
A nurse is performing an assessment on a pregnant woman during a prenatal visit. Which of the
following findings would lead the nurse to report to the obstetrician that the patient may be
experiencing intrauterine growth restriction (IUGR)?
Select one:
a. Leopold's maneuvers: Hard round object in the fundus, flat object on left of uterus, small parts
on right of uterus, soft round object above the symphysis
b. Weight gain: 6-pound increase over 4-week period
c. Fundal height measurement: 22 cm at 26 weeks' gestation
d. Alpha-fetoprotein assessment: level is one-half normal, accompanied by complaints of severe
nausea and vomiting ----------- Correct Answer ------------ C
Which of the following would be a priority for the nurse when caring for a pregnant woman who
has recently emigrated from another country?
Select one:
a. Help her develop a realistic, detailed birth plan.
b. Identify her support system.
c. Teach her about expected emotional changes of pregnancy.
d. Refer her to a doula for labor support. ----------- Correct Answer ------------ B
When providing a psychosocial assessment on a pregnant woman at 21 weeks' gestation, the
nurse would expect to observe which of the following signs?
Select one:
a. Ambivalence
b. Depression
c. Anxiety
d. Happiness ----------- Correct Answer ------------ C The correct answer is: Anxiety
The maternal tasks of pregnancy include acceptance of pregnancy and generally happy feelings
during this time. Adaptation to pregnancy in the second trimester, more specifically, includes
anxiety regarding body changes, and the presence of fears and phobias. Feelings of anxiety in
addition to changes in body image include loss of old life, changing relationships with friends
and family, changes in sexual activity and "tuning in" to the fetus in terms of movement, etc.
Jenny, a 21-year-old single woman, comes for her first prenatal appointment at 31 weeks'
gestation with her first pregnancy. The clinic nurse's most appropriate statement is:
Select one:
a. "Jenny, it is late in your pregnancy to be having your first appointment, but it is nice to meet
you and I will try to help you get caught up in your care."
b. "Jenny, have you had care in another clinic? I can't believe this is your first appointment!"
c. "Jenny, by the date of your last menstrual period, you are 31 weeks and now that you are
finally here, we need you to come monthly for the next two visits and then weekly."
d. "Jenny, by your information, you are 31 weeks' gestation in this pregnancy. Do you have
questions for me before I begin your prenatal history and information sharing?" ----------- Correct
, Answer ------------ D
Strategies for culturally responsive care include (select all that apply):
Select one or more:
a. Practicing ethnocentrism
b. Applying stereotyping
c. Examining one's own biases
d. Learning another language ----------- Correct Answer ------------ C,D
The perinatal nurse screens all pregnant women early in pregnancy for maternal attachment risk
factors, which include (select all that apply):
Select one or more:
a. Adolescence
b. Low educational level
c. History of depression
d. A strong support system for the pregnancy ----------- Correct Answer ------------ A,B,C
Sally is in her third trimester and has begun to sing and talk to the fetus. Sally is probably
exhibiting signs of:
Select one:
a. Mental illness
b. Delusions
c. Attachment
d. Crisis ----------- Correct Answer ------------ C
The clinic nurse encourages paternal attachment during pregnancy by including the father in
(select all that apply):
Select one or more:
a. Prenatal visits
b. Ultrasound appointments
c. Prenatal class information
d. History taking and obtaining prenatal screening information ----------- Correct Answer ---------
--- A,B,C
The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first
pregnancy. Rebecca's quadruple marker screen result is positive at 17 weeks' gestation. The
nurse explains that Rebecca may need a referral to:
Select one:
a. A genetics counselor/specialist for further diagnostic testing
b. An obstetrician
c. A gynecologist
d. A social worker ----------- Correct Answer ------------ A
Your pregnant patient is in her first trimester and is scheduled for an abdominal ultrasound.
When explaining the rationale for early pregnancy ultrasound, the best response is:
Select one:
Version| Best Studying Material| Final Exam
with Questions and Answers
The clinic nurse reviews the complete blood count results for a 30-year-old woman who is now
33 weeks' gestation. Tamara's hemoglobin value is 11.2 g/dL, and her hematocrit is 38%. The
clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
d. Increased values for 33 weeks' gestation ----------- Correct Answer ------------ B
Which of the following statements is most appropriate for the nurse to say to a patient with a
complete or total placenta previa?
Select one:
a. "During the second stage of labor you will need to bear down."
b. "You should ambulate in the halls at least twice each day."
c. "Your provider will likely induce your labor with oxytocin."
d. "Please promptly report any vaginal bleeding or if you feel any lower back discomfort. ---------
-- Correct Answer ------------ D
A labor nurse is caring for a patient, 39 weeks' gestation, who has been diagnosed with placenta
previa. Which of the following physician orders should the nurse question?
Select one:
a. Type and crossmatch her blood.
b. Sterile vaginal exam
c. Administer an oral stool softener to reduce straining.
d. Assess her complete blood count. ----------- Correct Answer ------------ B
A sterile vaginal exam is contraindicated in all pregnant women with extensive vaginal bleeding
until the source of bleeding is identified. Due to the possibility of massive hemorrhage, ensure
adequate IV access is established and blood/blood products are readily available. Straining at
stool is also contraindicated as this can cause cervical dilation and increased risk of hemorrhage;
stool softeners are often given to prevent straining.
The perinatal nurse is assessing a woman in triage who is 34 + 3 weeks' gestation in her first
pregnancy. She is worried about having her baby "too soon," and she is experiencing uterine
contractions every 10 to 15 minutes. The fetal heart rate is 136 beats per minute. A vaginal
examination performed by the health-care provider reveals that the cervix is closed, long, and
posterior. The most likely diagnosis would be:
Select one:
a. Preterm labor
b. Term labor
c. Back labor
,d. Braxton-Hicks contractions ----------- Correct Answer ------------ D
Which of the following signs or symptoms would the nurse expect to see in a woman with
concealed abruptio placentae?
Select one:
a. Abrupt onset of uterine pain
b. Normal vital signs
c. Normal fetal heart rate (FHR) pattern
d. Mild uterine tenderness ----------- Correct Answer ------------ A
Concealed abruptio placenta occurs when more than 1/2 of the placenta separates prematurely.
Total blood loss can be >1500 ml with moderate to severe dark vaginal bleeding and abrupt onset
of uterine pain described as tearing, knifelike, and continuous. The uterus may be described as
hard or board-like. Significant maternal tachycardia with severe orthostatic hypotension and
significant tachypnea are also seen. Fetal heart patterns show compromise and death can occur.
The perinatal nurse describes for the new nurse the various risks associated with prolonged
premature preterm rupture of membranes (PPROM). These risks include (select all that apply):
Select one or more:
a. Chorioamnionitis
b. Fetal/neonatal sepsis
c. Operative birth
d. Cord compression ----------- Correct Answer ------------ A,B,C,D
Feedback; Even though maintaining the pregnancy to gain further fetal maturity can be
beneficial, prolonged PPROM has been correlated with an increased risk of maternal infection
such as chorioamnionitis, fetal/neonatal sepsis, increased rates of cesarean/operative birth, and
cord compression causing fetal hypoxia or asphyxia.
The nurse is providing prenatal teaching to a group of diverse pregnant women. One woman,
who indicates she smokes two to three cigarettes a day, asks about its impact on her pregnancy.
The nurse explains that the most significant risk to the fetus is:
Select one:
a. Respiratory distress at birth
b. Severe neonatal anemia
c. Low neonatal birth weight
d. Neonatal hyperbilirubinemia ----------- Correct Answer ------------ C
A nurse in a prenatal clinic is educating a client about the antepartal period. The client asks the
nurse how much weight is safe for her to gain during her pregnancy. Which of the following is
an appropriate response? ----------- Correct Answer ------------- "A weight gain of about 12 to
14.5 kg (25 to 30 lb ) is good."
A nurse is caring for a client in the obstetrical unit diagnosed with pregnancy-induced
hypertension (PIH) and magnesium intoxication as a result of prolonged magnesium sulfate
therapy. Which of the following medications should the nurse anticipate that the provider will
prescribe? ----------- Correct Answer ------------- Calcium gluconate
,A nurse is explaining to a client why epidural anesthesia is not given until a good labor pattern
has been established. In the course of the teaching, the nurse tells the client that anesthesia given
too early ----------- Correct Answer ------------- may prolong labor.
A nurse is performing an assessment on a pregnant woman during a prenatal visit. Which of the
following findings would lead the nurse to report to the obstetrician that the patient may be
experiencing intrauterine growth restriction (IUGR)?
Select one:
a. Leopold's maneuvers: Hard round object in the fundus, flat object on left of uterus, small parts
on right of uterus, soft round object above the symphysis
b. Weight gain: 6-pound increase over 4-week period
c. Fundal height measurement: 22 cm at 26 weeks' gestation
d. Alpha-fetoprotein assessment: level is one-half normal, accompanied by complaints of severe
nausea and vomiting ----------- Correct Answer ------------ C
Which of the following would be a priority for the nurse when caring for a pregnant woman who
has recently emigrated from another country?
Select one:
a. Help her develop a realistic, detailed birth plan.
b. Identify her support system.
c. Teach her about expected emotional changes of pregnancy.
d. Refer her to a doula for labor support. ----------- Correct Answer ------------ B
When providing a psychosocial assessment on a pregnant woman at 21 weeks' gestation, the
nurse would expect to observe which of the following signs?
Select one:
a. Ambivalence
b. Depression
c. Anxiety
d. Happiness ----------- Correct Answer ------------ C The correct answer is: Anxiety
The maternal tasks of pregnancy include acceptance of pregnancy and generally happy feelings
during this time. Adaptation to pregnancy in the second trimester, more specifically, includes
anxiety regarding body changes, and the presence of fears and phobias. Feelings of anxiety in
addition to changes in body image include loss of old life, changing relationships with friends
and family, changes in sexual activity and "tuning in" to the fetus in terms of movement, etc.
Jenny, a 21-year-old single woman, comes for her first prenatal appointment at 31 weeks'
gestation with her first pregnancy. The clinic nurse's most appropriate statement is:
Select one:
a. "Jenny, it is late in your pregnancy to be having your first appointment, but it is nice to meet
you and I will try to help you get caught up in your care."
b. "Jenny, have you had care in another clinic? I can't believe this is your first appointment!"
c. "Jenny, by the date of your last menstrual period, you are 31 weeks and now that you are
finally here, we need you to come monthly for the next two visits and then weekly."
d. "Jenny, by your information, you are 31 weeks' gestation in this pregnancy. Do you have
questions for me before I begin your prenatal history and information sharing?" ----------- Correct
, Answer ------------ D
Strategies for culturally responsive care include (select all that apply):
Select one or more:
a. Practicing ethnocentrism
b. Applying stereotyping
c. Examining one's own biases
d. Learning another language ----------- Correct Answer ------------ C,D
The perinatal nurse screens all pregnant women early in pregnancy for maternal attachment risk
factors, which include (select all that apply):
Select one or more:
a. Adolescence
b. Low educational level
c. History of depression
d. A strong support system for the pregnancy ----------- Correct Answer ------------ A,B,C
Sally is in her third trimester and has begun to sing and talk to the fetus. Sally is probably
exhibiting signs of:
Select one:
a. Mental illness
b. Delusions
c. Attachment
d. Crisis ----------- Correct Answer ------------ C
The clinic nurse encourages paternal attachment during pregnancy by including the father in
(select all that apply):
Select one or more:
a. Prenatal visits
b. Ultrasound appointments
c. Prenatal class information
d. History taking and obtaining prenatal screening information ----------- Correct Answer ---------
--- A,B,C
The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first
pregnancy. Rebecca's quadruple marker screen result is positive at 17 weeks' gestation. The
nurse explains that Rebecca may need a referral to:
Select one:
a. A genetics counselor/specialist for further diagnostic testing
b. An obstetrician
c. A gynecologist
d. A social worker ----------- Correct Answer ------------ A
Your pregnant patient is in her first trimester and is scheduled for an abdominal ultrasound.
When explaining the rationale for early pregnancy ultrasound, the best response is:
Select one:
