Maternal Newborn Nursing Certification
Exam with Questions and Correct
Answers
Calculate a due date if the patient's LMP was 4/1/2017 according to Naegele's
rule - CORRECT ANSWERS Add one year 2018,
Subtract three months January,
Add seven days:
January 8, 2018
The classic triad of symptoms of pregnancy induced hypertension are: -
CORRECT ANSWERS Edema, proteinuria, and elevated blood pressure
When considering maternal arterial blood gases, it is known that pregnant
women are in what state? - CORRECT ANSWERS Compensated respiratory
alkalosis
What medication is given to mothers to increase surfactant and decrease the
chance of RDS in the premature infant? - CORRECT ANSWERS Antenatal
steroids (betamethasone or dexamethasone)
The most commonly used to drug to treat preterm labor in the United States? -
CORRECT ANSWERS Magnesium sulfate
Uterine ___________ results from a decrease in myometrial cells right after
delivery. - CORRECT ANSWERS Involution
Most placentas should deliver within how many minutes after delivery of the
infant? - CORRECT ANSWERS 30 minutes
What is the normal dosage of methargen given IM? - CORRECT ANSWERS 0.2
mg
A simple noninvasive technique that can be taught to pregnant women to
assess fetal well-being is known as: - CORRECT ANSWERS Fetal kick counts
A BPP or biophysical profile of less than ___________ is considered abnormal
and suggests further monitoring, testing, or intervention. - CORRECT
ANSWERS 6 points
,The most common reason for sore nipples when breast-feeding is what issue? -
CORRECT ANSWERS Incorrect latch
How often should the prudent nurse assess vital signs and uterine checks in
the first hour after delivery? - CORRECT ANSWERS Every 15 minutes for the
first hour postpartum
Insulin requirements increase or decrease after delivery? - CORRECT
ANSWERS Decrease
Normal fetal heart rate range for a term infant is: - CORRECT ANSWERS 110 to
160 bpm
Which one of the following is not part of HELLP syndrome?
Hemolysis of red blood cells
Low lactic level
Low platelets - CORRECT ANSWERS Low lactic level
The first type of Lokia noted right after delivery is known as: - CORRECT
ANSWERS Rubra
True or false: it is recommended to give a pregnant woman a flu vaccine at any
time during her pregnancy? - CORRECT ANSWERS True, all trimesters are
appropriate to give the flu vaccine
Early decelerations are usually associated with: - CORRECT ANSWERS Fetal
head compression
The antidote for magnesium sulfate is: - CORRECT ANSWERS Calcium
gluconate
Signs of neonatal withdrawal include all except:
High pitched cry
Irritability
Port Wine Stain birthmarks - CORRECT ANSWERS Port Wine Stain birthmarks
What is the name of the manual assessment done by nurses to determine fetal
lie and or presentation? - CORRECT ANSWERS Leopold's maneuver
Variable decelerations within a fetal heart rate tracing are most indicative of: -
CORRECT ANSWERS Cord compression
Late decelerations within a fetal heart tracing are associated with what issue: -
CORRECT ANSWERS Utero placenta insufficiency
, Absent variability is known as a tracing that is visually __________. - CORRECT
ANSWERS Undetectable and appears as a tracing without any fluctuation
True or false: beta-synthomimetic drugs, such as terbutaline and epinephrine
can increase both maternal and fetal heart rates. - CORRECT ANSWERS True
The four essential components to describe uterine activity: - CORRECT
ANSWERS Frequency, duration, intensity, and resting tone
The umbilical cord normally has three vessels: - CORRECT ANSWERS Two
arteries and one vein.
The vein carries the oxygen rich blood from the placenta to the fetus, and the
arteries return from the fetus carrying deoxygenated blood.
During labor, oxygen consumption increases by ______% - CORRECT
ANSWERS 40-60%
The sensation to begin, bearing down or actively begin pushing in an effort to
deliver the event is known as: - CORRECT ANSWERS Fergusons reflex
Breast-feeding should be initiated within what time frame? - CORRECT
ANSWERS The first hour of birth
True or false: when an infant makes clicking or smacking noises during feeding
this is a reassuring sign of a proper latch. - CORRECT ANSWERS False
When teaching to the new mother regarding introduction of bottles and
formula, it should be delayed at how many weeks after delivery to maximize
milk supply and overall breast-feeding success? - CORRECT ANSWERS 3-4
weeks
Signs of adequate milk supply and transfer include: - CORRECT ANSWERS
Audible, swallow, and drawing in of areola
Adequate weight gain of 4 to 6 ounces per week
Six wet diapers, every 24 hours after day four
If a patient complains of back pain and discomfort during labor and
contractions, what position is the infant most commonly in? - CORRECT
ANSWERS Occiput Posterior
During what phase of labor would be reflected, if the patient has increased in
contraction, strength and intensity, and has bouts of nausea and vomiting? -
CORRECT ANSWERS Most likely active phase
Exam with Questions and Correct
Answers
Calculate a due date if the patient's LMP was 4/1/2017 according to Naegele's
rule - CORRECT ANSWERS Add one year 2018,
Subtract three months January,
Add seven days:
January 8, 2018
The classic triad of symptoms of pregnancy induced hypertension are: -
CORRECT ANSWERS Edema, proteinuria, and elevated blood pressure
When considering maternal arterial blood gases, it is known that pregnant
women are in what state? - CORRECT ANSWERS Compensated respiratory
alkalosis
What medication is given to mothers to increase surfactant and decrease the
chance of RDS in the premature infant? - CORRECT ANSWERS Antenatal
steroids (betamethasone or dexamethasone)
The most commonly used to drug to treat preterm labor in the United States? -
CORRECT ANSWERS Magnesium sulfate
Uterine ___________ results from a decrease in myometrial cells right after
delivery. - CORRECT ANSWERS Involution
Most placentas should deliver within how many minutes after delivery of the
infant? - CORRECT ANSWERS 30 minutes
What is the normal dosage of methargen given IM? - CORRECT ANSWERS 0.2
mg
A simple noninvasive technique that can be taught to pregnant women to
assess fetal well-being is known as: - CORRECT ANSWERS Fetal kick counts
A BPP or biophysical profile of less than ___________ is considered abnormal
and suggests further monitoring, testing, or intervention. - CORRECT
ANSWERS 6 points
,The most common reason for sore nipples when breast-feeding is what issue? -
CORRECT ANSWERS Incorrect latch
How often should the prudent nurse assess vital signs and uterine checks in
the first hour after delivery? - CORRECT ANSWERS Every 15 minutes for the
first hour postpartum
Insulin requirements increase or decrease after delivery? - CORRECT
ANSWERS Decrease
Normal fetal heart rate range for a term infant is: - CORRECT ANSWERS 110 to
160 bpm
Which one of the following is not part of HELLP syndrome?
Hemolysis of red blood cells
Low lactic level
Low platelets - CORRECT ANSWERS Low lactic level
The first type of Lokia noted right after delivery is known as: - CORRECT
ANSWERS Rubra
True or false: it is recommended to give a pregnant woman a flu vaccine at any
time during her pregnancy? - CORRECT ANSWERS True, all trimesters are
appropriate to give the flu vaccine
Early decelerations are usually associated with: - CORRECT ANSWERS Fetal
head compression
The antidote for magnesium sulfate is: - CORRECT ANSWERS Calcium
gluconate
Signs of neonatal withdrawal include all except:
High pitched cry
Irritability
Port Wine Stain birthmarks - CORRECT ANSWERS Port Wine Stain birthmarks
What is the name of the manual assessment done by nurses to determine fetal
lie and or presentation? - CORRECT ANSWERS Leopold's maneuver
Variable decelerations within a fetal heart rate tracing are most indicative of: -
CORRECT ANSWERS Cord compression
Late decelerations within a fetal heart tracing are associated with what issue: -
CORRECT ANSWERS Utero placenta insufficiency
, Absent variability is known as a tracing that is visually __________. - CORRECT
ANSWERS Undetectable and appears as a tracing without any fluctuation
True or false: beta-synthomimetic drugs, such as terbutaline and epinephrine
can increase both maternal and fetal heart rates. - CORRECT ANSWERS True
The four essential components to describe uterine activity: - CORRECT
ANSWERS Frequency, duration, intensity, and resting tone
The umbilical cord normally has three vessels: - CORRECT ANSWERS Two
arteries and one vein.
The vein carries the oxygen rich blood from the placenta to the fetus, and the
arteries return from the fetus carrying deoxygenated blood.
During labor, oxygen consumption increases by ______% - CORRECT
ANSWERS 40-60%
The sensation to begin, bearing down or actively begin pushing in an effort to
deliver the event is known as: - CORRECT ANSWERS Fergusons reflex
Breast-feeding should be initiated within what time frame? - CORRECT
ANSWERS The first hour of birth
True or false: when an infant makes clicking or smacking noises during feeding
this is a reassuring sign of a proper latch. - CORRECT ANSWERS False
When teaching to the new mother regarding introduction of bottles and
formula, it should be delayed at how many weeks after delivery to maximize
milk supply and overall breast-feeding success? - CORRECT ANSWERS 3-4
weeks
Signs of adequate milk supply and transfer include: - CORRECT ANSWERS
Audible, swallow, and drawing in of areola
Adequate weight gain of 4 to 6 ounces per week
Six wet diapers, every 24 hours after day four
If a patient complains of back pain and discomfort during labor and
contractions, what position is the infant most commonly in? - CORRECT
ANSWERS Occiput Posterior
During what phase of labor would be reflected, if the patient has increased in
contraction, strength and intensity, and has bouts of nausea and vomiting? -
CORRECT ANSWERS Most likely active phase
