Maternal Newborn OB Final Exam Questions With
Complete Solutions
4. Early decelerations are probably caused by:
a. Decreased maternal-fetal exchange
b. Umbilical cord occlusion
c. Momentary increase in intracranial pressure due to head
compression
d. Compression of umbilical cord Correct Answers C
A 1-day-old neonate in the well-baby nursery is suspected of
suffering from drug withdrawal because he is markedly
hyperreflexic and is exhibiting which of the following additional
sign or symptom?
a. Prolonged periods of sleep
b. Hypovolemic anemia
c. Repeated bouts of diarrhea
d. Pronounced pustular rash Correct Answers C
A 16-year-old woman delivers a healthy, full-term male infant.
The nurse notes the following behaviors 2 hours after the birth:
Woman holds baby away from her body; woman refers to baby
as "he"; woman verbalizes she wanted a baby girl; woman
requests that baby be placed in the bassinet so she can eat her
lunch. The most appropriate nursing diagnosis for this woman
is:
a. At risk for impaired parenting related to disappointment with
baby as evidenced by verbalizing she wanted a girl
b. At risk for impaired parenting related to nonnurturing
behaviors as evidenced by holding baby away from body
,c. At risk for impaired mother-infant attachment as evidenced by
woman requesting baby being placed in bassinet
d. At risk for impaired mother-infant attachment related to
disappointment as evidenced by calling baby "he" Correct
Answers A
A 25 year-old woman gave birth to her second child 6 hours
ago. She informs the nurse that she is bleeding more than with
her previous birth experience. The initial nursing action is to:
a. Explain that this is normal for second-time moms.
b. Assess the location and firmness of the fundus.
c. Change her pad and return in 1 hour and reassess.
d. Give her 10 units of oxytocin as per standing order. Correct
Answers B
A 26-year-old woman at 29 weeks' gestation experienced
epigastric pain following the consumption of a large meal of
fried fish and onion rings. The pain resolved a few hours later.
The most likely diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion Correct Answers A. a. The progesterone-
induced prolonged emptying time of bile from the gallbladder,
combined with elevated blood cholesterol levels, may
predispose the pregnant woman to gallstone formation
(cholelithiasis). Pain in the epigastric region following ingestion
of a high-fat meal constitutes the major symptom of these
conditions. The pain is self-limiting and usually resolves within
2 hours.
,A 34-weeks' gestation multigravida, G3 P1 is admitted to the
labor suite. She is contracting every 7 minutes and 40 seconds.
The woman has several medical problems. Which of the
following of her comorbidities is most consistent with the
clinical picture?
a. Kyphosis
b. Urinary tract infection
c. Congestive heart failure
d. Cerebral palsy Correct Answers B
A 37-year-old woman who is 17 weeks pregnant has had an
amniocentesis. Before discharge, the nurse teaches the woman to
call her doctor if she experiences which of the following side
effects?
a. Pain at the puncture site
b. Macular rash on the abdomen
c. Decrease in urinary output
d. Cramping of the uterus Correct Answers D
A 42-week gestation neonate is admitted to the NICU (neonatal
intensive care unit). This neonate is at risk for which
complication?
a. Meconium aspiration syndrome
b. Failure to thrive
c. Necrotizing enterocolitis
d. Intraventricular hemorrhage Correct Answers A
A baby boy was just born to a mother who had positive vaginal
cultures for group B streptococci. The mother was admitted to
the labor room 30 minutes before the birth. For which of the
following should the nursery nurse closely observe this baby?
, a. Grunting
b. Acrocyanosis
c. Pseudostrabismus
d. Hydrocele Correct Answers A
A client is 1 hour postpartum from a vacuum delivery over a
midline episiotomy of a 4500-gram neonate. Which of the
following nursing diagnoses is appropriate for this mother?
a. Risk for altered parenting
b. Risk for imbalanced nutrition: less than body requirements
c. Risk for ineffective individual coping
d. Risk for fluid volume deficit Correct Answers D
A client on 2 gm/hr of magnesium sulfate has decreased deep
tendon reflexes. Identify the priority nursing assessment to
ensure client safety.a. Assess uterine contractions
continuously.b. Assess fetal heart rate continuously.c. Assess
urinary output.d. Assess respiratory rate. Correct Answers D
A clinic nurse explains to the pregnant woman that the amount
of amniotic fluid present at 24 weeks' gestation is
approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL Correct Answers C
A couple who has sought infertility counseling has been told that
the man's sperm count is very low. The nurse advises the couple
that spermatogenesis is impaired when which of the following
occur?
Complete Solutions
4. Early decelerations are probably caused by:
a. Decreased maternal-fetal exchange
b. Umbilical cord occlusion
c. Momentary increase in intracranial pressure due to head
compression
d. Compression of umbilical cord Correct Answers C
A 1-day-old neonate in the well-baby nursery is suspected of
suffering from drug withdrawal because he is markedly
hyperreflexic and is exhibiting which of the following additional
sign or symptom?
a. Prolonged periods of sleep
b. Hypovolemic anemia
c. Repeated bouts of diarrhea
d. Pronounced pustular rash Correct Answers C
A 16-year-old woman delivers a healthy, full-term male infant.
The nurse notes the following behaviors 2 hours after the birth:
Woman holds baby away from her body; woman refers to baby
as "he"; woman verbalizes she wanted a baby girl; woman
requests that baby be placed in the bassinet so she can eat her
lunch. The most appropriate nursing diagnosis for this woman
is:
a. At risk for impaired parenting related to disappointment with
baby as evidenced by verbalizing she wanted a girl
b. At risk for impaired parenting related to nonnurturing
behaviors as evidenced by holding baby away from body
,c. At risk for impaired mother-infant attachment as evidenced by
woman requesting baby being placed in bassinet
d. At risk for impaired mother-infant attachment related to
disappointment as evidenced by calling baby "he" Correct
Answers A
A 25 year-old woman gave birth to her second child 6 hours
ago. She informs the nurse that she is bleeding more than with
her previous birth experience. The initial nursing action is to:
a. Explain that this is normal for second-time moms.
b. Assess the location and firmness of the fundus.
c. Change her pad and return in 1 hour and reassess.
d. Give her 10 units of oxytocin as per standing order. Correct
Answers B
A 26-year-old woman at 29 weeks' gestation experienced
epigastric pain following the consumption of a large meal of
fried fish and onion rings. The pain resolved a few hours later.
The most likely diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion Correct Answers A. a. The progesterone-
induced prolonged emptying time of bile from the gallbladder,
combined with elevated blood cholesterol levels, may
predispose the pregnant woman to gallstone formation
(cholelithiasis). Pain in the epigastric region following ingestion
of a high-fat meal constitutes the major symptom of these
conditions. The pain is self-limiting and usually resolves within
2 hours.
,A 34-weeks' gestation multigravida, G3 P1 is admitted to the
labor suite. She is contracting every 7 minutes and 40 seconds.
The woman has several medical problems. Which of the
following of her comorbidities is most consistent with the
clinical picture?
a. Kyphosis
b. Urinary tract infection
c. Congestive heart failure
d. Cerebral palsy Correct Answers B
A 37-year-old woman who is 17 weeks pregnant has had an
amniocentesis. Before discharge, the nurse teaches the woman to
call her doctor if she experiences which of the following side
effects?
a. Pain at the puncture site
b. Macular rash on the abdomen
c. Decrease in urinary output
d. Cramping of the uterus Correct Answers D
A 42-week gestation neonate is admitted to the NICU (neonatal
intensive care unit). This neonate is at risk for which
complication?
a. Meconium aspiration syndrome
b. Failure to thrive
c. Necrotizing enterocolitis
d. Intraventricular hemorrhage Correct Answers A
A baby boy was just born to a mother who had positive vaginal
cultures for group B streptococci. The mother was admitted to
the labor room 30 minutes before the birth. For which of the
following should the nursery nurse closely observe this baby?
, a. Grunting
b. Acrocyanosis
c. Pseudostrabismus
d. Hydrocele Correct Answers A
A client is 1 hour postpartum from a vacuum delivery over a
midline episiotomy of a 4500-gram neonate. Which of the
following nursing diagnoses is appropriate for this mother?
a. Risk for altered parenting
b. Risk for imbalanced nutrition: less than body requirements
c. Risk for ineffective individual coping
d. Risk for fluid volume deficit Correct Answers D
A client on 2 gm/hr of magnesium sulfate has decreased deep
tendon reflexes. Identify the priority nursing assessment to
ensure client safety.a. Assess uterine contractions
continuously.b. Assess fetal heart rate continuously.c. Assess
urinary output.d. Assess respiratory rate. Correct Answers D
A clinic nurse explains to the pregnant woman that the amount
of amniotic fluid present at 24 weeks' gestation is
approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL Correct Answers C
A couple who has sought infertility counseling has been told that
the man's sperm count is very low. The nurse advises the couple
that spermatogenesis is impaired when which of the following
occur?
