NSG 3332 Maternal-Infant Nursing II
Midterm Practice Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025|2026 Q&A | Instant
Download Pdf
1. A nurse is assessing a postpartum woman 24 hours after delivery.
Which finding requires immediate follow-up?
a. Fundus firm at the umbilicus
b. Lochia rubra with small clots
c. Saturating a peripad in 30 minutes
d. Temperature of 100.2°F
Excessive bleeding indicated by saturating a pad in less than an hour
suggests postpartum hemorrhage, which is an emergency.
2. A nurse is caring for a newborn who is jittery, irritable, and has a high-
pitched cry. The nurse suspects neonatal abstinence syndrome. What
, is the priority intervention?
a. Place infant under radiant warmer
b. Reduce environmental stimuli
c. Feed formula rapidly
d. Encourage frequent visitors
Infants with withdrawal are hypersensitive to stimuli; minimizing noise
and handling helps reduce symptoms.
3. Which hormone is primarily responsible for stimulating milk
production postpartum?
a. Oxytocin
b. Prolactin
c. Estrogen
d. Progesterone
Prolactin stimulates milk production, while oxytocin aids in milk let-
down.
4. A woman at 32 weeks’ gestation reports sudden gush of fluid. Which
test confirms rupture of membranes?
a. Ultrasound
b. Leopold’s maneuvers
c. Nitrazine paper test
d. Contraction stress test
Nitrazine paper detects amniotic fluid (alkaline). A blue color confirms
membrane rupture.
,5. Which is the best position for a woman experiencing umbilical cord
prolapse?
a. Supine with legs extended
b. Sitting upright
c. Knee-chest or Trendelenburg
d. Side-lying with head elevated
These positions relieve cord compression and improve oxygen supply to
the fetus.
6. Which newborn assessment finding is abnormal and requires
immediate action?
a. Acrocyanosis of hands and feet
b. Respiratory rate of 50
c. Grunting respirations
d. Positive Moro reflex
Grunting is a sign of respiratory distress and needs immediate
attention.
7. Which complication is associated with gestational diabetes?
a. Fetal growth restriction
b. Macrosomia
c. Preterm labor
d. Postpartum hemorrhage
Gestational diabetes leads to increased glucose supply to the fetus,
causing macrosomia.
, 8. A nurse prepares to administer Rho(D) immune globulin (RhoGAM).
Which maternal condition requires it?
a. Rh-positive mother, Rh-positive newborn
b. Rh-negative mother, Rh-negative newborn
c. Rh-negative mother, Rh-positive newborn
d. Rh-positive mother, Rh-negative newborn
RhoGAM prevents isoimmunization when the mother is Rh-negative
and the baby is Rh-positive.
9. Which finding is most concerning in a woman with severe
preeclampsia?
a. +2 pedal edema
b. Epigastric pain
c. Blood pressure 150/90 mmHg
d. Proteinuria of +1
Epigastric pain may indicate liver involvement and risk for HELLP
syndrome.
10. A newborn with meconium-stained amniotic fluid is born
vigorous with strong respirations. What should the nurse do first?
a. Suction the trachea with a catheter
b. Continue routine care
c. Provide bag-mask ventilation
d. Intubate immediately
If vigorous, no suctioning is needed; routine care is appropriate.
Midterm Practice Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025|2026 Q&A | Instant
Download Pdf
1. A nurse is assessing a postpartum woman 24 hours after delivery.
Which finding requires immediate follow-up?
a. Fundus firm at the umbilicus
b. Lochia rubra with small clots
c. Saturating a peripad in 30 minutes
d. Temperature of 100.2°F
Excessive bleeding indicated by saturating a pad in less than an hour
suggests postpartum hemorrhage, which is an emergency.
2. A nurse is caring for a newborn who is jittery, irritable, and has a high-
pitched cry. The nurse suspects neonatal abstinence syndrome. What
, is the priority intervention?
a. Place infant under radiant warmer
b. Reduce environmental stimuli
c. Feed formula rapidly
d. Encourage frequent visitors
Infants with withdrawal are hypersensitive to stimuli; minimizing noise
and handling helps reduce symptoms.
3. Which hormone is primarily responsible for stimulating milk
production postpartum?
a. Oxytocin
b. Prolactin
c. Estrogen
d. Progesterone
Prolactin stimulates milk production, while oxytocin aids in milk let-
down.
4. A woman at 32 weeks’ gestation reports sudden gush of fluid. Which
test confirms rupture of membranes?
a. Ultrasound
b. Leopold’s maneuvers
c. Nitrazine paper test
d. Contraction stress test
Nitrazine paper detects amniotic fluid (alkaline). A blue color confirms
membrane rupture.
,5. Which is the best position for a woman experiencing umbilical cord
prolapse?
a. Supine with legs extended
b. Sitting upright
c. Knee-chest or Trendelenburg
d. Side-lying with head elevated
These positions relieve cord compression and improve oxygen supply to
the fetus.
6. Which newborn assessment finding is abnormal and requires
immediate action?
a. Acrocyanosis of hands and feet
b. Respiratory rate of 50
c. Grunting respirations
d. Positive Moro reflex
Grunting is a sign of respiratory distress and needs immediate
attention.
7. Which complication is associated with gestational diabetes?
a. Fetal growth restriction
b. Macrosomia
c. Preterm labor
d. Postpartum hemorrhage
Gestational diabetes leads to increased glucose supply to the fetus,
causing macrosomia.
, 8. A nurse prepares to administer Rho(D) immune globulin (RhoGAM).
Which maternal condition requires it?
a. Rh-positive mother, Rh-positive newborn
b. Rh-negative mother, Rh-negative newborn
c. Rh-negative mother, Rh-positive newborn
d. Rh-positive mother, Rh-negative newborn
RhoGAM prevents isoimmunization when the mother is Rh-negative
and the baby is Rh-positive.
9. Which finding is most concerning in a woman with severe
preeclampsia?
a. +2 pedal edema
b. Epigastric pain
c. Blood pressure 150/90 mmHg
d. Proteinuria of +1
Epigastric pain may indicate liver involvement and risk for HELLP
syndrome.
10. A newborn with meconium-stained amniotic fluid is born
vigorous with strong respirations. What should the nurse do first?
a. Suction the trachea with a catheter
b. Continue routine care
c. Provide bag-mask ventilation
d. Intubate immediately
If vigorous, no suctioning is needed; routine care is appropriate.
