Maternity Test Bank Exam 1 2024
QUESTIONS AND ANSWERS
1. 1. A 25-yr-vintage gravida 2, para 2-0-0-2 gave delivery 4 hours ago to a 9-pound,
7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks
for her nurse proper away, pointing out, Im bleeding a lot. The most possibly cause of
postpartum hemorrhage on this lady is:
a. Retained placental fragments. C. Uterine atony.
B. Unrepaired vaginal lacerations. D. Puerperal contamination. - ANSWER-c. Uterine
atony.
2. 1. A new mother asks the nurse while the soft spot on her sons head will leave. The
nurses solution is based at the expertise that the anterior fontanel closes after beginning
by _____ months.
A. 2 c. 12
b. Eight d. 18 - ANSWER-d. 18
3. 1. A new mom remembers from prenatal class that she must attempt to feed her new
child daughter while she famous feeding readiness cues in preference to waiting until
her infant is crying frantically. On the basis of this data, this girl should feed her toddler
about every 2.5 to three hours whilst she:
a. Waves her arms within the air. C. Has hiccups.
B. Makes sucking motions. D. Stretches her legs out instantly. - ANSWER-b. Makes
sucking motions.
4. 1. A female gave delivery to a healthy 7-pound, thirteen-ounce little one female. The
nurse suggests that the girl vicinity the infant to her breast within 15 minutes after
delivery. The nurse is aware of that breastfeeding is effective during the first half-hour
after birth because this is the:
a. Transition length. C. Organizational stage.
B. First duration of reactivity. D. Second length of reactivity. - ANSWER-b. First length
of reactivity.
5. 1. A girl gave delivery to an toddler boy 10 hours ago. Where might the nurse assume to
discover this womans fundus?
A. One centimeter above the umbilicus
b. Two centimeters beneath the umbilicus
c. Midway between the umbilicus and the symphysis pubis
d. Nonpalpable abdominally - ANSWER-a. One centimeter above the umbilicus
6. 1. After giving birth to a healthful little one boy, a primiparous lady, 16 years vintage, is
admitted to the postpartum unit. An appropriate nursing analysis for her at this time is
Risk for impaired parenting associated with deficient expertise of new child care. In
making plans for the womans discharge, what ought to the nurse be sure to consist of
inside the plan of care?
A. Instruct the affected person how to feed and bathe her infant.
, B. Give the affected person written records on bathing her toddler.
C. Advise the patient that each one moms instinctively recognise how to take care of
their toddlers.
D. Provide time for the affected person to bathe her toddler after she perspectives an
infant bath demonstration. - ANSWER-d. Provide time for the patient to wash her
infant after she views an toddler bathtub demonstration.
7. 1. An 18-yr-antique pregnant woman, gravida 1, is admitted to the exertions and start
unit with moderate contractions every 5 minutes that final 40 seconds. The lady states,
My contractions are so robust that I dont recognise what to do with myself. The nurse
should:
a. Assess for fetal properly-being.
B. Encourage the girl to lie on her facet.
C. Disturb the woman as low as feasible.
D. Recognize that ache is customized for each person. - ANSWER-d. Recognize that
ache is customized for each person.
8. 1. An infant boy become born just a few minutes in the past. The nurse is accomplishing
the initial assessment. Part of the evaluation includes the Apgar rating. The Apgar
evaluation is achieved:
a. Only if the new child is in apparent misery.
B. Once via the obstetrician, just after the beginning.
C. At least twice, 1 minute and five minutes after delivery.
D. Every 15 mins for the duration of the newborns first hour after delivery. - ANSWER-c.
At least two times, 1 minute and five mins after beginning.
9. 1. Fetal bradycardia is maximum commonplace for the duration of:
a. Intraamniotic infection.
B. Fetal anemia.
C. Prolonged umbilical wire compression.
D. Tocolytic treatment the usage of terbutaline. - ANSWER-c. Prolonged umbilical wire
compression.
10.1. The nurse recognizes that a lady is in genuine labor when she states:
a. I handed some thick, crimson mucus once I urinated this morning.
B. My bag of waters simply broke.
C. The contractions in my uterus have become more potent and closer collectively.
D. My baby dropped, and I should urinate more regularly now. - ANSWER-c. The
contractions in my uterus are getting more potent and closer collectively.
11.1. Women with hyperemesis gravidarum:
a. Are a majority, due to the fact eighty% of all pregnant women be afflicted by it at a
while.
B. Have vomiting excessive and chronic sufficient to cause weight reduction,
dehydration, and electrolyte imbalance.
C. Need intravenous (IV) fluid and nutrition for maximum of their being pregnant.
D. Often inspire similar, milder symptoms of their male companions and mothers. -
ANSWER-b. Have vomiting extreme and persistent sufficient to purpose weight
loss, dehydration, and electrolyte imbalance.
,12.10. A nulliparous woman who has simply begun the second one degree of her hard work
could maximum probable:
a. Experience a sturdy urge to endure down.
B. Show perineal bulging.
C. Feel tired but relieved that the worst is over.
D. Show an increase in bright crimson bloody show. - ANSWER-c. Feel worn-out yet
relieved that the worst is over.
13.10. A woman has requested an epidural for her pain. She is 5 cm dilated and 100%
effaced. The infant is in a vertex function and is engaged. The nurse will increase the
womans intravenous fluid for a preprocedural bolus. She reviews her laboratory values
and notes that the womans hemoglobin is 12 g/dL, hematocrit is 38%, platelets are
67,000, and white blood cells (WBCs) are 12,000/mm3. Which thing might contraindicate
an epidural for the lady?
A. She is too a ways dilated. C. She has thrombocytopenia.
B. She is anemic. D. She is septic. - ANSWER-c. She has thrombocytopenia.
14.10. A girl who has lately given beginning complains of pain and tenderness in her leg.
On bodily exam the nurse notices warmth and redness over an enlarged, hardened
vicinity. The nurse ought to suspect __________ and ought to confirm the prognosis by
means of ___________.
A. Disseminated intravascular coagulation; inquiring for laboratory assessments
b. Von Willebrand disorder; noting whether or not bleeding instances had been extended
c. Thrombophlebitis; the use of actual-time and color Doppler ultrasound
d. Coagulopathies; drawing blood for laboratory analysis - ANSWER-c.
Thrombophlebitis; the use of real-time and coloration Doppler ultrasound
15.10. A female with excessive preeclampsia has been receiving magnesium sulfate by
intravenous infusion for 8 hours. The nurse assesses the woman and files the following
findings: temperature of 37.1 C, pulse rate of ninety six beats/min, breathing rate of 24
breaths/min, blood strain (BP) of a hundred and fifty five/112 mm Hg, three+ deep
tendon reflexes, and no ankle clonus. The nurse calls the health practitioner, expecting
an order for:
a. Hydralazine. C. Diazepam.
B. Magnesium sulfate bolus. D. Calcium gluconate. - ANSWER-a. Hydralazine
16.10. According to the tips of the American Academy of Pediatrics on little one nutrition:
a. Infants must receive most effective human milk for the primary 6 months of life.
B. Infants ate up formula ought to be started out on stable food sooner than breastfed
babies.
C. If babies are weaned from breast milk earlier than 12 months, they need to get hold of
cows milk, no longer system.
D. After 6 months mothers need to shift from breast milk to cows milk. - ANSWER-a.
Infants must take delivery of best human milk for the primary 6 months of
existence.
17.10. As a part of Standard Precautions, nurses put on gloves when coping with the
newborn. The leader motive is:
a. To guard the toddler from contamination.
, B. That it is part of the Apgar protocol.
C. To shield the nurse from contamination by using the newborn.
D. The nurse has primary responsibility for the toddler at some stage in the primary 2
hours. - ANSWER-c. To defend the nurse from infection by the new child.
18.10. In the recuperation room, if a woman is requested either to elevate her legs (knees
prolonged) away from bed or to flex her knees, area her ft flat at the bed, and lift her
buttocks nicely off the bed, most probable she is being examined to peer whether or not
she:
a. Has recovered from epidural or spinal anesthesia.
B. Has hidden bleeding beneath her.
C. Has regained some flexibility.
D. Is a candidate to move domestic after 6 hours. - ANSWER-a. Has recovered from
epidural or spinal anesthesia.
19.10. The c program languageperiod between the start of the newborn and the return of
the reproductive organs to their regular nonpregnant kingdom is called the:
a. Involutionary duration due to what takes place to the uterus.
B. Lochia length because of the character of the vaginal discharge.
C. Mini-tri length as it lasts simplest three to 6 weeks.
D. Puerperium, or fourth trimester of being pregnant. - ANSWER-d. Puerperium, or
fourth trimester of being pregnant.
20.10. When the infants behaviors and traits call forth a corresponding set of maternal
behaviors and traits, that is called:
a. Mutuality. C. Claiming.
B. Bonding. D. Acquaintance. - ANSWER-a. Mutuality.
21.10. While evaluating an outside monitor tracing of a female in lively labor whose labor is
being induced, the nurse notes that the fetal coronary heart price (FHR) starts to slow
down on the onset of several contractions and returns to baseline earlier than every
contraction ends. The nurse ought to:
22.a. Change the womans function.
23.B. Discontinue the oxytocin infusion.
24.C. Insert an internal display.
25.D. Document the locating within the customers record. - ANSWER-d. Document the
finding within the clients record.
26.10. While comparing the reflexes of a newborn, the nurse notes that with a loud noise
the newborn symmetrically abducts and extends his fingers, his hands fan out and
shape a C with the thumb and forefinger, and he has a slight tremor. The nurse would
record this finding as a fantastic:
27.a. Tonic neck reflex. C. Babinski reflex.
28.B. Glabellar (Myerson) reflex. D. Moro reflex. - ANSWER-d. Moro reflex.
29.10. With regard to factors that have an effect on how the fetus actions thru the beginning
canal, nurses ought to be aware that:
30.a. The fetal mind-set describes the angle at which the fetus exits the uterus.
31.B. Of the 2 primary fetal lies, the horizontal lie is that in which the lengthy axis of the
fetus is parallel to the long axis of the mother.
QUESTIONS AND ANSWERS
1. 1. A 25-yr-vintage gravida 2, para 2-0-0-2 gave delivery 4 hours ago to a 9-pound,
7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks
for her nurse proper away, pointing out, Im bleeding a lot. The most possibly cause of
postpartum hemorrhage on this lady is:
a. Retained placental fragments. C. Uterine atony.
B. Unrepaired vaginal lacerations. D. Puerperal contamination. - ANSWER-c. Uterine
atony.
2. 1. A new mother asks the nurse while the soft spot on her sons head will leave. The
nurses solution is based at the expertise that the anterior fontanel closes after beginning
by _____ months.
A. 2 c. 12
b. Eight d. 18 - ANSWER-d. 18
3. 1. A new mom remembers from prenatal class that she must attempt to feed her new
child daughter while she famous feeding readiness cues in preference to waiting until
her infant is crying frantically. On the basis of this data, this girl should feed her toddler
about every 2.5 to three hours whilst she:
a. Waves her arms within the air. C. Has hiccups.
B. Makes sucking motions. D. Stretches her legs out instantly. - ANSWER-b. Makes
sucking motions.
4. 1. A female gave delivery to a healthy 7-pound, thirteen-ounce little one female. The
nurse suggests that the girl vicinity the infant to her breast within 15 minutes after
delivery. The nurse is aware of that breastfeeding is effective during the first half-hour
after birth because this is the:
a. Transition length. C. Organizational stage.
B. First duration of reactivity. D. Second length of reactivity. - ANSWER-b. First length
of reactivity.
5. 1. A girl gave delivery to an toddler boy 10 hours ago. Where might the nurse assume to
discover this womans fundus?
A. One centimeter above the umbilicus
b. Two centimeters beneath the umbilicus
c. Midway between the umbilicus and the symphysis pubis
d. Nonpalpable abdominally - ANSWER-a. One centimeter above the umbilicus
6. 1. After giving birth to a healthful little one boy, a primiparous lady, 16 years vintage, is
admitted to the postpartum unit. An appropriate nursing analysis for her at this time is
Risk for impaired parenting associated with deficient expertise of new child care. In
making plans for the womans discharge, what ought to the nurse be sure to consist of
inside the plan of care?
A. Instruct the affected person how to feed and bathe her infant.
, B. Give the affected person written records on bathing her toddler.
C. Advise the patient that each one moms instinctively recognise how to take care of
their toddlers.
D. Provide time for the affected person to bathe her toddler after she perspectives an
infant bath demonstration. - ANSWER-d. Provide time for the patient to wash her
infant after she views an toddler bathtub demonstration.
7. 1. An 18-yr-antique pregnant woman, gravida 1, is admitted to the exertions and start
unit with moderate contractions every 5 minutes that final 40 seconds. The lady states,
My contractions are so robust that I dont recognise what to do with myself. The nurse
should:
a. Assess for fetal properly-being.
B. Encourage the girl to lie on her facet.
C. Disturb the woman as low as feasible.
D. Recognize that ache is customized for each person. - ANSWER-d. Recognize that
ache is customized for each person.
8. 1. An infant boy become born just a few minutes in the past. The nurse is accomplishing
the initial assessment. Part of the evaluation includes the Apgar rating. The Apgar
evaluation is achieved:
a. Only if the new child is in apparent misery.
B. Once via the obstetrician, just after the beginning.
C. At least twice, 1 minute and five minutes after delivery.
D. Every 15 mins for the duration of the newborns first hour after delivery. - ANSWER-c.
At least two times, 1 minute and five mins after beginning.
9. 1. Fetal bradycardia is maximum commonplace for the duration of:
a. Intraamniotic infection.
B. Fetal anemia.
C. Prolonged umbilical wire compression.
D. Tocolytic treatment the usage of terbutaline. - ANSWER-c. Prolonged umbilical wire
compression.
10.1. The nurse recognizes that a lady is in genuine labor when she states:
a. I handed some thick, crimson mucus once I urinated this morning.
B. My bag of waters simply broke.
C. The contractions in my uterus have become more potent and closer collectively.
D. My baby dropped, and I should urinate more regularly now. - ANSWER-c. The
contractions in my uterus are getting more potent and closer collectively.
11.1. Women with hyperemesis gravidarum:
a. Are a majority, due to the fact eighty% of all pregnant women be afflicted by it at a
while.
B. Have vomiting excessive and chronic sufficient to cause weight reduction,
dehydration, and electrolyte imbalance.
C. Need intravenous (IV) fluid and nutrition for maximum of their being pregnant.
D. Often inspire similar, milder symptoms of their male companions and mothers. -
ANSWER-b. Have vomiting extreme and persistent sufficient to purpose weight
loss, dehydration, and electrolyte imbalance.
,12.10. A nulliparous woman who has simply begun the second one degree of her hard work
could maximum probable:
a. Experience a sturdy urge to endure down.
B. Show perineal bulging.
C. Feel tired but relieved that the worst is over.
D. Show an increase in bright crimson bloody show. - ANSWER-c. Feel worn-out yet
relieved that the worst is over.
13.10. A woman has requested an epidural for her pain. She is 5 cm dilated and 100%
effaced. The infant is in a vertex function and is engaged. The nurse will increase the
womans intravenous fluid for a preprocedural bolus. She reviews her laboratory values
and notes that the womans hemoglobin is 12 g/dL, hematocrit is 38%, platelets are
67,000, and white blood cells (WBCs) are 12,000/mm3. Which thing might contraindicate
an epidural for the lady?
A. She is too a ways dilated. C. She has thrombocytopenia.
B. She is anemic. D. She is septic. - ANSWER-c. She has thrombocytopenia.
14.10. A girl who has lately given beginning complains of pain and tenderness in her leg.
On bodily exam the nurse notices warmth and redness over an enlarged, hardened
vicinity. The nurse ought to suspect __________ and ought to confirm the prognosis by
means of ___________.
A. Disseminated intravascular coagulation; inquiring for laboratory assessments
b. Von Willebrand disorder; noting whether or not bleeding instances had been extended
c. Thrombophlebitis; the use of actual-time and color Doppler ultrasound
d. Coagulopathies; drawing blood for laboratory analysis - ANSWER-c.
Thrombophlebitis; the use of real-time and coloration Doppler ultrasound
15.10. A female with excessive preeclampsia has been receiving magnesium sulfate by
intravenous infusion for 8 hours. The nurse assesses the woman and files the following
findings: temperature of 37.1 C, pulse rate of ninety six beats/min, breathing rate of 24
breaths/min, blood strain (BP) of a hundred and fifty five/112 mm Hg, three+ deep
tendon reflexes, and no ankle clonus. The nurse calls the health practitioner, expecting
an order for:
a. Hydralazine. C. Diazepam.
B. Magnesium sulfate bolus. D. Calcium gluconate. - ANSWER-a. Hydralazine
16.10. According to the tips of the American Academy of Pediatrics on little one nutrition:
a. Infants must receive most effective human milk for the primary 6 months of life.
B. Infants ate up formula ought to be started out on stable food sooner than breastfed
babies.
C. If babies are weaned from breast milk earlier than 12 months, they need to get hold of
cows milk, no longer system.
D. After 6 months mothers need to shift from breast milk to cows milk. - ANSWER-a.
Infants must take delivery of best human milk for the primary 6 months of
existence.
17.10. As a part of Standard Precautions, nurses put on gloves when coping with the
newborn. The leader motive is:
a. To guard the toddler from contamination.
, B. That it is part of the Apgar protocol.
C. To shield the nurse from contamination by using the newborn.
D. The nurse has primary responsibility for the toddler at some stage in the primary 2
hours. - ANSWER-c. To defend the nurse from infection by the new child.
18.10. In the recuperation room, if a woman is requested either to elevate her legs (knees
prolonged) away from bed or to flex her knees, area her ft flat at the bed, and lift her
buttocks nicely off the bed, most probable she is being examined to peer whether or not
she:
a. Has recovered from epidural or spinal anesthesia.
B. Has hidden bleeding beneath her.
C. Has regained some flexibility.
D. Is a candidate to move domestic after 6 hours. - ANSWER-a. Has recovered from
epidural or spinal anesthesia.
19.10. The c program languageperiod between the start of the newborn and the return of
the reproductive organs to their regular nonpregnant kingdom is called the:
a. Involutionary duration due to what takes place to the uterus.
B. Lochia length because of the character of the vaginal discharge.
C. Mini-tri length as it lasts simplest three to 6 weeks.
D. Puerperium, or fourth trimester of being pregnant. - ANSWER-d. Puerperium, or
fourth trimester of being pregnant.
20.10. When the infants behaviors and traits call forth a corresponding set of maternal
behaviors and traits, that is called:
a. Mutuality. C. Claiming.
B. Bonding. D. Acquaintance. - ANSWER-a. Mutuality.
21.10. While evaluating an outside monitor tracing of a female in lively labor whose labor is
being induced, the nurse notes that the fetal coronary heart price (FHR) starts to slow
down on the onset of several contractions and returns to baseline earlier than every
contraction ends. The nurse ought to:
22.a. Change the womans function.
23.B. Discontinue the oxytocin infusion.
24.C. Insert an internal display.
25.D. Document the locating within the customers record. - ANSWER-d. Document the
finding within the clients record.
26.10. While comparing the reflexes of a newborn, the nurse notes that with a loud noise
the newborn symmetrically abducts and extends his fingers, his hands fan out and
shape a C with the thumb and forefinger, and he has a slight tremor. The nurse would
record this finding as a fantastic:
27.a. Tonic neck reflex. C. Babinski reflex.
28.B. Glabellar (Myerson) reflex. D. Moro reflex. - ANSWER-d. Moro reflex.
29.10. With regard to factors that have an effect on how the fetus actions thru the beginning
canal, nurses ought to be aware that:
30.a. The fetal mind-set describes the angle at which the fetus exits the uterus.
31.B. Of the 2 primary fetal lies, the horizontal lie is that in which the lengthy axis of the
fetus is parallel to the long axis of the mother.
