MOTHER BABY-TEST 2 PRACTICE QUESTIONS
The 4 "T"s serve as a reminder of factors associated with PPH - Answers - tone,
trauma, tissue, and thrombin. A lack of uterine tone (atony) and genital tract trauma are
the most common conditions that cause postpartum hemorrhage
The perinatal nurse is providing care to several postpartum patients. Which patient is at
the greatest risk for the development of puerperal infection? - Answers - Ceasarean
birth with prolonged labor
During the physical examination, the perinatal nurse checks the newborn's heart rate.
Which location is the most appropriate for the nurse to use when conducting this
assessment? - Answers - At the base of the umbilical cord
The perinatal nurse assesses a pregnant woman who is at 35 weeks gestation. The
client states that she has experienced vaginal bleeding for the last 30 minutes. Which
vital sign is the priority for the nurse to assess based on this data? - Answers - Fetal
heart rate
The nurse is providing care to several newborns in the nursery. Which newborn is ready
for the metabolic screening? - Answers - The newborn who has been feeding for 28
hours after birth
Approximately 24 hours following birth, a small sample of blood is taken from the
infant's heel and placed on special filter paper. A blood sample taken before 24 hours of
age may be unreliable in detecting several conditions. However, if the newborn is
discharged from the hospital or birthing center before completing the first 24 hours of
life, a sample must be obtained, and the infant's parents must be instructed to contact
the physician within 2 weeks to arrange to have another specimen drawn.
The postpartum nurse teaches the student nurse that normal spontaneous voiding
efforts return for most women in ________hours following childbirth. - Answers -
Answer: Following childbirth, spontaneous voiding should occur within 6 to 8 hours and
the first few voiding amounts should be monitored. Urinary output of at least 150
milliliters per hour is necessary to avoid urinary retention or stasis.
The perinatal nurse knows that an ultrasound finding of ______________would most
likely confirm a suspected diagnosis of premature rupture of the membranes. - Answers
- Answer: oligohydramnios
Leakage of amniotic fluid during premature rupture of the membranes is consistent with
findings of oligohydramnios (decreased amniotic fluid).
, The perinatal nurse is planning care for a G1 TPAL 0000 patient, who has been in labor
for 7 hours. There have been no changes in the patient's cervical dilatation over the last
2 hours and she is having uterine contractions every 1 to 2 minutes. The patient
describes her pain level as a 6 out of a possible 10. The patient's history describes a
single incident of childhood sexual abuse. Which nursing intervention is most
appropriate based on this data?
1) Provide continuous emotional support.
2) Ask if she would like to have other family members present.
3) Suggest use of an all-fours position.
4) Encourage a left lateral position. - Answers - Answer : #1 Provide continuous
emotional support.
The perinatal nurse is aware that two of the criteria that must be met prior to the use of
_______ forceps are that the fetal scalp is visible and the fetal position is occiput
anterior or posterior. - Answers - Answer: outlet
The perinatal nurse is explaining to new parents about the eye ointment their infant will
receive. Which medications are appropriate to include in the teaching session?
SELECT ALL THAT APPLY.
1) Erythromycin ophthalmic 0.5% ointment (Ilotycin)
2) Tetracycline 1% ophthalmic ointment (Achromycin V Tetracyn Tetrex)
3) Penicillin G 1% ophthalmic ointment
4) Gentamicin 0.5% ophthalmic ointment
5) Vitamin K (Phytonadione) - Answers - ANSWER: 1, 2
1) Erythromycin ophthalmic 0.5% ointment (Ilotycin)
2) Tetracycline 1% ophthalmic ointment (Achromycin V Tetracyn Tetrex)
Two hours following birth, the perinatal nurse places the newborn in a radiant warmer
and administers vitamin K. Which condition does this vitamin protect the newborn
against?
1) Neonatal hemorrhage
2) Eye infection
3) Jaundice
4) Respiratory infection - Answers - ANSWER #1 Neonatal hemorrhage
The perinatal nurse is facilitating a class for new mothers who are interested in
breastfeeding. Which hormone does the nurse include as one that is responsible for the
system of milk-secreting glands and increased vascularity that prepares the breast for
breastfeeding? - Answers - Estrogen
Estrogen stimulates the formation of additional ducts, the elongation of existing ducts,
and the formation of a system of milk-secreting glands. These changes are associated
The 4 "T"s serve as a reminder of factors associated with PPH - Answers - tone,
trauma, tissue, and thrombin. A lack of uterine tone (atony) and genital tract trauma are
the most common conditions that cause postpartum hemorrhage
The perinatal nurse is providing care to several postpartum patients. Which patient is at
the greatest risk for the development of puerperal infection? - Answers - Ceasarean
birth with prolonged labor
During the physical examination, the perinatal nurse checks the newborn's heart rate.
Which location is the most appropriate for the nurse to use when conducting this
assessment? - Answers - At the base of the umbilical cord
The perinatal nurse assesses a pregnant woman who is at 35 weeks gestation. The
client states that she has experienced vaginal bleeding for the last 30 minutes. Which
vital sign is the priority for the nurse to assess based on this data? - Answers - Fetal
heart rate
The nurse is providing care to several newborns in the nursery. Which newborn is ready
for the metabolic screening? - Answers - The newborn who has been feeding for 28
hours after birth
Approximately 24 hours following birth, a small sample of blood is taken from the
infant's heel and placed on special filter paper. A blood sample taken before 24 hours of
age may be unreliable in detecting several conditions. However, if the newborn is
discharged from the hospital or birthing center before completing the first 24 hours of
life, a sample must be obtained, and the infant's parents must be instructed to contact
the physician within 2 weeks to arrange to have another specimen drawn.
The postpartum nurse teaches the student nurse that normal spontaneous voiding
efforts return for most women in ________hours following childbirth. - Answers -
Answer: Following childbirth, spontaneous voiding should occur within 6 to 8 hours and
the first few voiding amounts should be monitored. Urinary output of at least 150
milliliters per hour is necessary to avoid urinary retention or stasis.
The perinatal nurse knows that an ultrasound finding of ______________would most
likely confirm a suspected diagnosis of premature rupture of the membranes. - Answers
- Answer: oligohydramnios
Leakage of amniotic fluid during premature rupture of the membranes is consistent with
findings of oligohydramnios (decreased amniotic fluid).
, The perinatal nurse is planning care for a G1 TPAL 0000 patient, who has been in labor
for 7 hours. There have been no changes in the patient's cervical dilatation over the last
2 hours and she is having uterine contractions every 1 to 2 minutes. The patient
describes her pain level as a 6 out of a possible 10. The patient's history describes a
single incident of childhood sexual abuse. Which nursing intervention is most
appropriate based on this data?
1) Provide continuous emotional support.
2) Ask if she would like to have other family members present.
3) Suggest use of an all-fours position.
4) Encourage a left lateral position. - Answers - Answer : #1 Provide continuous
emotional support.
The perinatal nurse is aware that two of the criteria that must be met prior to the use of
_______ forceps are that the fetal scalp is visible and the fetal position is occiput
anterior or posterior. - Answers - Answer: outlet
The perinatal nurse is explaining to new parents about the eye ointment their infant will
receive. Which medications are appropriate to include in the teaching session?
SELECT ALL THAT APPLY.
1) Erythromycin ophthalmic 0.5% ointment (Ilotycin)
2) Tetracycline 1% ophthalmic ointment (Achromycin V Tetracyn Tetrex)
3) Penicillin G 1% ophthalmic ointment
4) Gentamicin 0.5% ophthalmic ointment
5) Vitamin K (Phytonadione) - Answers - ANSWER: 1, 2
1) Erythromycin ophthalmic 0.5% ointment (Ilotycin)
2) Tetracycline 1% ophthalmic ointment (Achromycin V Tetracyn Tetrex)
Two hours following birth, the perinatal nurse places the newborn in a radiant warmer
and administers vitamin K. Which condition does this vitamin protect the newborn
against?
1) Neonatal hemorrhage
2) Eye infection
3) Jaundice
4) Respiratory infection - Answers - ANSWER #1 Neonatal hemorrhage
The perinatal nurse is facilitating a class for new mothers who are interested in
breastfeeding. Which hormone does the nurse include as one that is responsible for the
system of milk-secreting glands and increased vascularity that prepares the breast for
breastfeeding? - Answers - Estrogen
Estrogen stimulates the formation of additional ducts, the elongation of existing ducts,
and the formation of a system of milk-secreting glands. These changes are associated
