BSNC 5000 OB QUESTIONS WITH COMPLETE
SOLUTIONS
A nurse is assessing a postpartum client 30 minutes into the
fourth stage of labor, finding the client's perineal pad and bed
linen saturated with fresh rubra flow. The nurse completes a
fundal assessment and notes the fundus to be boggy. What is the
nurse's first priority action?
Perform fundal massage
(T/F) Major physiological adaptations of the newborn occur in
the first 9-12 hours after birth.
False
A nurse is assessing a 12-hour old newborn and notes the heart
rate is 172 bpm. What should the nurse's next action be?
Assess the behavioral state of the infant
A potentially rare, but serious condition affecting the newborn
associated with selective serotonin reuptake inhibitor (SSRI) use
in pregnancy is:
Persistent pulmonary hypertension
, (T/F) When compared to term newborn, late preterm infants
have a higher morbidity and mortality rate due to their
physiologic and metabolic immaturity.
True
(T/F) Jaundice, also known as hyperbilirubinemia, occurs when
there is a decreased amount of bilirubin in the circulation of a
newborn.
False
A newborn is reassessed at 6 hours of life and the nurse finds the
following: heart rate of 158/bpm, respiratory rate of 60 breaths
per minute with thin clear nasal discharge. This is recognized to
be:
Second period of reactivity
How would the nurse assess a newborn for the Babinski reflex?
Stroke upwards on the sole of the newborns foot
The nurse is aware that the following maternal and fetal blood
types could lead to hemolytic disease of the newborn?
Maternal client: Rh-negative; Fetus: Rh-positive
SOLUTIONS
A nurse is assessing a postpartum client 30 minutes into the
fourth stage of labor, finding the client's perineal pad and bed
linen saturated with fresh rubra flow. The nurse completes a
fundal assessment and notes the fundus to be boggy. What is the
nurse's first priority action?
Perform fundal massage
(T/F) Major physiological adaptations of the newborn occur in
the first 9-12 hours after birth.
False
A nurse is assessing a 12-hour old newborn and notes the heart
rate is 172 bpm. What should the nurse's next action be?
Assess the behavioral state of the infant
A potentially rare, but serious condition affecting the newborn
associated with selective serotonin reuptake inhibitor (SSRI) use
in pregnancy is:
Persistent pulmonary hypertension
, (T/F) When compared to term newborn, late preterm infants
have a higher morbidity and mortality rate due to their
physiologic and metabolic immaturity.
True
(T/F) Jaundice, also known as hyperbilirubinemia, occurs when
there is a decreased amount of bilirubin in the circulation of a
newborn.
False
A newborn is reassessed at 6 hours of life and the nurse finds the
following: heart rate of 158/bpm, respiratory rate of 60 breaths
per minute with thin clear nasal discharge. This is recognized to
be:
Second period of reactivity
How would the nurse assess a newborn for the Babinski reflex?
Stroke upwards on the sole of the newborns foot
The nurse is aware that the following maternal and fetal blood
types could lead to hemolytic disease of the newborn?
Maternal client: Rh-negative; Fetus: Rh-positive
