NCC-MATERNAL NEWBORN STUDY
2 hours after delivery an examination of the uterine fundus finds it deviated from
midline. The nurse should have the woman
a. flex her legs and reassess
b.further evaluated for infection
c. void to empty the bladder
- answers-c
A critical finding of hyperthermia is
a.hypoglycemia
b. shivering
c. tachycardia
- answers-c
A fetus at 36 weeks receives a BBP score of 6. the expectated management is
a. immediate delivery
b. repeat in 24 hrs
c. schedule the next test in one week
- answers-b
A few hours after administering the eye prophylaxis to the newborn, the nurse notes
edema and a greenish yellow discharge. This is most likely a reaction to
a. erythromycin
b silver nitrate
c. tetracycline
- answers-b
A nbn with hypothermia should be observed for
a. dehydration
b. metabolic acidosis
c. tachypnea
- answers-b
A neonate born to a mother whose HBsAg status is unknown should have
a. hepatitis B vaccine and HBIG adminstered only after the mother
b. the first dose of hep B within the first 12 hrs after birth
,c. the same schedule as a neonate born to HBsAG neg mother
- answers-b
A neonate has scrotal swelling which is soft, non-tender and transilluminates there are
no palpable masses. the most likely diagnosis is
a. cyrptorchidism
b. hydrocele
c. hypospadias
- answers-b
A new breastfeeding mother wants to begin a reduction diet to lose weight. The min
number of kcal a lactating woman should consume per day is
a. 1800
b.2000
c.2200
- answers-a
A newborn is at a higher risk for jaundice when delivered by
a. cesarean section
b.forceps
c. vacuum
- answers-c
a newborn is delivered w meconium staining who is responsive should be managed
how
a. always suction a the perineum
b. no suction if baby is active and does not require resuscitation
c. suction only after the airway has been inspected
- answers-b
A newborn is noted to have cyanosis when quiet but is pink when crying. this is most
likely due to
a. choanal atresia
b. pneumothorax
c. tetrology of fallot
- answers-a
A newborn observed to have hepatomegaly, cardiac gallop, tachypnea, tachycardia,
cyanosis, diaphoresis, and feeding problems most likely has
a. CHF
b.tetralogy of fallot
c. ventricular septal defect
- answers-b
, A newborn whose mother was a poorly controlled diabetic during the third trimester is
at risk for
a. hypercalcemia
b. magnesium deficiency
c. polycythemia
- answers-c
A newly delivered postpartum patient received received terb and corticosteroids during
labor. A potential drug interaction that the pp nurse should watch for in the woman is
a. hyperglycemia
b. ketoacidosis
c. pulmonary edema
- answers-a
A normal breathing pattern for a two hr old neonate may include
a. brief periods of apnea
b. seesaw breathing
c. tachypnea
- answers-a
A nurse discovers that an order for rh immune globulin (RhoGam) to be given 72 hrs
past delivery was missed. It has been 4 days and the pt is to be d/c home. Follwing
standard medication error, what is the correct action regarding the administration of the
RhoGam at this time?
a. a Kleihauer-Betke smear should be obtained before adminstration of Rhogam
b. Administer 300 mg of Rhogam
c. Adminster 300 mg of Rhogam now and check Kleihauer-Betke at 6 weeks
- answers-b
A patient in preterm labor at 30 weeks received indocin, the newborn should be
observed for?
a. duodenal atresia
b. Hirschsprung disease
c. necrotizing entercolitis (NEC)
- answers-c. necrotizing enercolitis (NEC)
A postpartum patient has a spinal headache. The nurse knows that this can occur as a
consequence of epidural due to
a. injured nerve pathways
b. puncture of the dura
c. too rapid adminstration
- answers-b
2 hours after delivery an examination of the uterine fundus finds it deviated from
midline. The nurse should have the woman
a. flex her legs and reassess
b.further evaluated for infection
c. void to empty the bladder
- answers-c
A critical finding of hyperthermia is
a.hypoglycemia
b. shivering
c. tachycardia
- answers-c
A fetus at 36 weeks receives a BBP score of 6. the expectated management is
a. immediate delivery
b. repeat in 24 hrs
c. schedule the next test in one week
- answers-b
A few hours after administering the eye prophylaxis to the newborn, the nurse notes
edema and a greenish yellow discharge. This is most likely a reaction to
a. erythromycin
b silver nitrate
c. tetracycline
- answers-b
A nbn with hypothermia should be observed for
a. dehydration
b. metabolic acidosis
c. tachypnea
- answers-b
A neonate born to a mother whose HBsAg status is unknown should have
a. hepatitis B vaccine and HBIG adminstered only after the mother
b. the first dose of hep B within the first 12 hrs after birth
,c. the same schedule as a neonate born to HBsAG neg mother
- answers-b
A neonate has scrotal swelling which is soft, non-tender and transilluminates there are
no palpable masses. the most likely diagnosis is
a. cyrptorchidism
b. hydrocele
c. hypospadias
- answers-b
A new breastfeeding mother wants to begin a reduction diet to lose weight. The min
number of kcal a lactating woman should consume per day is
a. 1800
b.2000
c.2200
- answers-a
A newborn is at a higher risk for jaundice when delivered by
a. cesarean section
b.forceps
c. vacuum
- answers-c
a newborn is delivered w meconium staining who is responsive should be managed
how
a. always suction a the perineum
b. no suction if baby is active and does not require resuscitation
c. suction only after the airway has been inspected
- answers-b
A newborn is noted to have cyanosis when quiet but is pink when crying. this is most
likely due to
a. choanal atresia
b. pneumothorax
c. tetrology of fallot
- answers-a
A newborn observed to have hepatomegaly, cardiac gallop, tachypnea, tachycardia,
cyanosis, diaphoresis, and feeding problems most likely has
a. CHF
b.tetralogy of fallot
c. ventricular septal defect
- answers-b
, A newborn whose mother was a poorly controlled diabetic during the third trimester is
at risk for
a. hypercalcemia
b. magnesium deficiency
c. polycythemia
- answers-c
A newly delivered postpartum patient received received terb and corticosteroids during
labor. A potential drug interaction that the pp nurse should watch for in the woman is
a. hyperglycemia
b. ketoacidosis
c. pulmonary edema
- answers-a
A normal breathing pattern for a two hr old neonate may include
a. brief periods of apnea
b. seesaw breathing
c. tachypnea
- answers-a
A nurse discovers that an order for rh immune globulin (RhoGam) to be given 72 hrs
past delivery was missed. It has been 4 days and the pt is to be d/c home. Follwing
standard medication error, what is the correct action regarding the administration of the
RhoGam at this time?
a. a Kleihauer-Betke smear should be obtained before adminstration of Rhogam
b. Administer 300 mg of Rhogam
c. Adminster 300 mg of Rhogam now and check Kleihauer-Betke at 6 weeks
- answers-b
A patient in preterm labor at 30 weeks received indocin, the newborn should be
observed for?
a. duodenal atresia
b. Hirschsprung disease
c. necrotizing entercolitis (NEC)
- answers-c. necrotizing enercolitis (NEC)
A postpartum patient has a spinal headache. The nurse knows that this can occur as a
consequence of epidural due to
a. injured nerve pathways
b. puncture of the dura
c. too rapid adminstration
- answers-b
