Maternal Newborn Final Exam Study
Questions with Correct Answers
A nurse is caring for a client who is 8 hours postpartum and is experiencing
hemorrhage. Which of the following actions should the nurse implement after
notifying the provider? (Select all that apply)
A. Massage the fundus.
B. Give oxygen at 2L/min via nasal cannula.
C. Administer oxytocin.
D. Insert an indwelling catheter.
E. Place the client in a lateral position with her legs elevated 30 degrees. -
CORRECT ANSWERS A, C, D, E
While assessing a client in the fourth stage of labor, the nurse suspects bladder
distention. Which of the following findings would the nurse expect to see?
A. The fundus is displaced from the midline.
B. The uterus is firm.
C. The fundus is below the umbilicus.
D. The bladder is resonant with percussion. - CORRECT ANSWERS A
A nurse is testing the reflexes of a newborn to assess neurological maturity.
Which of the following reflexes is the nurse assessing by holding the newborn
upright with feet touching a flat surface?
A. Babinski Reflex
B. Moro Reflex
C. Stepping Reflex
D. Plantar Grasp Reflex - CORRECT ANSWERS C
The nurse in the newborn nursery has just received report. Which of the
following infants should the nurse see FIRST?
A. A 2 day old infant who is lying quietly alert with a heart rate of 185
B. A 1 day old infant who is crying and has a bulging anterior fontanel
C. A 12 hour old infant who is being held, with respirations that are 45 breaths
per minute and regular
D.A 5 hour old infant who is sleeping and whose hands and feet are blue
bilaterally - CORRECT ANSWERS A
The nurse on a postpartum unit is preparing 4 clients for discharge. It would be
MOST important for the nurse to refer which of the following clients for home
care?
A. A 15 year old primipara who delivered a 7 lb male 2 days ago
B. An 18 year old multipara who delivered a 9 lb female by c-section 2 days ago
,C. A 20 year old multipara who delivered 1 day ago and is complaining of
cramping
D. A 22 year old who delivered by c-section and is complaining of burning on
urination - CORRECT ANSWERS D
The nurse teaches a primigravid woman how to measure the frequency of
uterine contractions. The nurse should explain to the client that the frequency
of uterine contractions is determined by which of the following?
A. By timing from the beginning of one contraction to the end of the next
contraction
B. By timing from the beginning of one contraction to the end of the same
contraction
C. By the number of contractions that occur within a given period of time
D. By the strength of the contraction at its peak - CORRECT ANSWERS C
Which of the following are presumptive signs of pregnancy? (Select all that
apply)
A. Positive pregnancy test
B. Enlarged breasts
C. Urinary frequency
d. Braxton Hicks contractions
E. Fetal heart tones heard by the provider
F. Amenorrhea - CORRECT ANSWERS B, C, F
Which of the following is the priority during the third stage of labor for the
mother?
A. Educating the mother
B. Pain management
C. Skin to skin contact
D. Adequate tissue perfusion - CORRECT ANSWERS D
Which fetal presentation is optimal for vaginal delivery?
A. Military
B. Brow
C. Vertex
D. Face - CORRECT ANSWERS C
A woman in labor starts to exhibit late decels on the EFM, what actions should
the nurse take? Select all that apply
A. Give 02
B. Turn patient on left side
C. Put patient in Trendelenburg position
D. Decrease IV fluids
E. Raise the pt.s feet above the level of her heart - CORRECT ANSWERS A, B
, A woman comes in for her 18 week ultrasound. The provider notes an
abnormality with the umbilical cord where the blood vessels travel unprotected
from the placenta to the umbilical cord. The nurse knows this disorder is known
as:
A. Placenta Accreta
B. Velamentous Cord Insertion
C. Ubruptio Placentae
D. Uterine Rupture - CORRECT ANSWERS B
A nurse is perform a newborn assessment on a 24 hour old newborn. Which of
the following should the nurse report to the provider?
A. cross eyed appearance
B. body temperature of 37.0 C
C. Yellow appearance of the skin
D. large posterior fontanelle - CORRECT ANSWERS C
A patient is 12 weeks pregnant and her nurse is performing an assessment to
locate the position of her fundus. At what location should it be found?
A. Just below the xiphoid process
B. At the symphysis pubis
C. At the umbilicus
D. Between the symphysis pubis and umbilicus - CORRECT ANSWERS B
Upon assessment of a laboring patient, a nurse gathers the following
information: cervical dilation of 5 cm, contractions every 5 minutes and
moderate in strength along with some feelings of restlessness. What stage of
labor is her patient in?
A. Second Stage
B. First Stage - Transition Stage
C. Third Stage
D. First Stage - Active Phase - CORRECT ANSWERS D
A nurse if providing education to a client who is 2 hours postpartum and has a
perineal laceration. Which of the following information should the nurse
include? (Select all that apply)
A. Use a perineal squeeze bottle to cleanse the perineum
B. Sit on the perineum while resting in bed
C. Apply a topical anesthetic cream or spray to the perineum
D. Wipe the perineum thoroughly with a back and forth motion
E. Apply cold or ice packs to the perineum - CORRECT ANSWERS A,C,E
Which of the following is a positive sign of pregnancy?
A. Positive pregnancy test
B. Fetus seen in ultrasound
C. Abdominal enlargement
D. Mild uterine cramping - CORRECT ANSWERS B
Questions with Correct Answers
A nurse is caring for a client who is 8 hours postpartum and is experiencing
hemorrhage. Which of the following actions should the nurse implement after
notifying the provider? (Select all that apply)
A. Massage the fundus.
B. Give oxygen at 2L/min via nasal cannula.
C. Administer oxytocin.
D. Insert an indwelling catheter.
E. Place the client in a lateral position with her legs elevated 30 degrees. -
CORRECT ANSWERS A, C, D, E
While assessing a client in the fourth stage of labor, the nurse suspects bladder
distention. Which of the following findings would the nurse expect to see?
A. The fundus is displaced from the midline.
B. The uterus is firm.
C. The fundus is below the umbilicus.
D. The bladder is resonant with percussion. - CORRECT ANSWERS A
A nurse is testing the reflexes of a newborn to assess neurological maturity.
Which of the following reflexes is the nurse assessing by holding the newborn
upright with feet touching a flat surface?
A. Babinski Reflex
B. Moro Reflex
C. Stepping Reflex
D. Plantar Grasp Reflex - CORRECT ANSWERS C
The nurse in the newborn nursery has just received report. Which of the
following infants should the nurse see FIRST?
A. A 2 day old infant who is lying quietly alert with a heart rate of 185
B. A 1 day old infant who is crying and has a bulging anterior fontanel
C. A 12 hour old infant who is being held, with respirations that are 45 breaths
per minute and regular
D.A 5 hour old infant who is sleeping and whose hands and feet are blue
bilaterally - CORRECT ANSWERS A
The nurse on a postpartum unit is preparing 4 clients for discharge. It would be
MOST important for the nurse to refer which of the following clients for home
care?
A. A 15 year old primipara who delivered a 7 lb male 2 days ago
B. An 18 year old multipara who delivered a 9 lb female by c-section 2 days ago
,C. A 20 year old multipara who delivered 1 day ago and is complaining of
cramping
D. A 22 year old who delivered by c-section and is complaining of burning on
urination - CORRECT ANSWERS D
The nurse teaches a primigravid woman how to measure the frequency of
uterine contractions. The nurse should explain to the client that the frequency
of uterine contractions is determined by which of the following?
A. By timing from the beginning of one contraction to the end of the next
contraction
B. By timing from the beginning of one contraction to the end of the same
contraction
C. By the number of contractions that occur within a given period of time
D. By the strength of the contraction at its peak - CORRECT ANSWERS C
Which of the following are presumptive signs of pregnancy? (Select all that
apply)
A. Positive pregnancy test
B. Enlarged breasts
C. Urinary frequency
d. Braxton Hicks contractions
E. Fetal heart tones heard by the provider
F. Amenorrhea - CORRECT ANSWERS B, C, F
Which of the following is the priority during the third stage of labor for the
mother?
A. Educating the mother
B. Pain management
C. Skin to skin contact
D. Adequate tissue perfusion - CORRECT ANSWERS D
Which fetal presentation is optimal for vaginal delivery?
A. Military
B. Brow
C. Vertex
D. Face - CORRECT ANSWERS C
A woman in labor starts to exhibit late decels on the EFM, what actions should
the nurse take? Select all that apply
A. Give 02
B. Turn patient on left side
C. Put patient in Trendelenburg position
D. Decrease IV fluids
E. Raise the pt.s feet above the level of her heart - CORRECT ANSWERS A, B
, A woman comes in for her 18 week ultrasound. The provider notes an
abnormality with the umbilical cord where the blood vessels travel unprotected
from the placenta to the umbilical cord. The nurse knows this disorder is known
as:
A. Placenta Accreta
B. Velamentous Cord Insertion
C. Ubruptio Placentae
D. Uterine Rupture - CORRECT ANSWERS B
A nurse is perform a newborn assessment on a 24 hour old newborn. Which of
the following should the nurse report to the provider?
A. cross eyed appearance
B. body temperature of 37.0 C
C. Yellow appearance of the skin
D. large posterior fontanelle - CORRECT ANSWERS C
A patient is 12 weeks pregnant and her nurse is performing an assessment to
locate the position of her fundus. At what location should it be found?
A. Just below the xiphoid process
B. At the symphysis pubis
C. At the umbilicus
D. Between the symphysis pubis and umbilicus - CORRECT ANSWERS B
Upon assessment of a laboring patient, a nurse gathers the following
information: cervical dilation of 5 cm, contractions every 5 minutes and
moderate in strength along with some feelings of restlessness. What stage of
labor is her patient in?
A. Second Stage
B. First Stage - Transition Stage
C. Third Stage
D. First Stage - Active Phase - CORRECT ANSWERS D
A nurse if providing education to a client who is 2 hours postpartum and has a
perineal laceration. Which of the following information should the nurse
include? (Select all that apply)
A. Use a perineal squeeze bottle to cleanse the perineum
B. Sit on the perineum while resting in bed
C. Apply a topical anesthetic cream or spray to the perineum
D. Wipe the perineum thoroughly with a back and forth motion
E. Apply cold or ice packs to the perineum - CORRECT ANSWERS A,C,E
Which of the following is a positive sign of pregnancy?
A. Positive pregnancy test
B. Fetus seen in ultrasound
C. Abdominal enlargement
D. Mild uterine cramping - CORRECT ANSWERS B
