Maternal Nursing Exam 1 Latest 2026 Questions
and Correct Detailed Answers Already Graded A+
Treatment of tracheal esophageal fistula - CORRECT ANSWER-surgical repair
by ligation of the fistula and end-to-side anastomosis of the atresia to decrease
the severity of stricture formation
Describe Pyloric Stenosis. - CORRECT ANSWER-Gastric obstruction associated
with narrowing of the pyloric sphincter due to hypertrophy of the circular area of
muscle surrounding the pylorus
S/S of pyloric stenosis - CORRECT ANSWER-- progressive projective, non-
bilious vomiting
blood tinged vomitus if esophageal irritation occurs
- movable, palpable, firm, olive shaped mass is felt in RUQ
- deep gastric peristaltic waves from LUQ to RUQ may be visible immediately
before vomiting
- irritable and hungry a short time after being fed
may become dehydrated and experience metabolic alkalosis
,Treatment for imperforate anal membrane - CORRECT ANSWER-treated w/
repeated dilation while all other defects require surgical intervention. may
require a colostomy and bowel pull through procedure.
Define Hirschsprung's Disease (aka Megacolon) - CORRECT ANSWER-absence
of ganglion cells for nerve innervation in the rectum and, to varying degrees,
upward in the colon. Major cause of lower bowel obstruction in newborns.
S/S of Hirschsprung Disease - CORRECT ANSWER-- delayed passage or absent
meconium stool in the neonatal period of 24 hrs
- prone to constipation or stool infrequency in first month of life
- chronic constipation of pellet like or ribbon stool beginning the first month of life
- bowel obstruction, abdominal pain and distention, vomiting, failure to thrive
Treatment for Hirschsprung disease - CORRECT ANSWER-- surgical removal of
ganglionic portion of intestine
- one step laparoscopic or transanal pull through
two step procedure: temporary colostomy w/ distal section of normal bowel
during neonatal period until infant is 8-10 kg pull through procedure performed
,and all ganglion portions of bowel are excised. Normal bowel is reattached to anal
canal and colostomy is closed
Postpardum Medications - CORRECT ANSWER-
Methergine (Methylergonovine) uses, side effects, contraindications, dosage. -
CORRECT ANSWER-oxytocic which causes uterine contractions and is used to
treat bleeding of uterus postpardum
SE: increase BP, HA, dizziness, chest pain, heart palpations, dysrhythmias, seizues
Contra: HTN (since med causes an increase in BP), preeclampsia (HTN), eclampsia
(seizures in pt w/ preeclampsia)
Dosage: 0.2 mg PO TID for up to 7 days or 0.2 mg IM/IV
Ferrous sulfate - CORRECT ANSWER-
At term, postpardum women have hypervolemia of blood volume at what
percentage? - CORRECT ANSWER-45%
, How much fluid loss can be expected in vaginal delivery? Cesarean section? -
CORRECT ANSWER-500 mL
1000 mL
How often do you need to feed a newborn, breastfeeding and formula? -
CORRECT ANSWER-Breastfeed - q2-3h
Formula - q3-4h
How much do newborns eat in the first few days of life? - CORRECT ANSWER-
15-30 mL first 24 hr
45-60 mL after first 24 hr
What is the caloric value of breast milk? Formula? - CORRECT ANSWER-Breast
- 21 calories/oz
Formula - 20 calories/oz
At what age is a cleft lip/palate usually repaired? - CORRECT ANSWER-lip - 3-6
mo
palate - 18 mo
and Correct Detailed Answers Already Graded A+
Treatment of tracheal esophageal fistula - CORRECT ANSWER-surgical repair
by ligation of the fistula and end-to-side anastomosis of the atresia to decrease
the severity of stricture formation
Describe Pyloric Stenosis. - CORRECT ANSWER-Gastric obstruction associated
with narrowing of the pyloric sphincter due to hypertrophy of the circular area of
muscle surrounding the pylorus
S/S of pyloric stenosis - CORRECT ANSWER-- progressive projective, non-
bilious vomiting
blood tinged vomitus if esophageal irritation occurs
- movable, palpable, firm, olive shaped mass is felt in RUQ
- deep gastric peristaltic waves from LUQ to RUQ may be visible immediately
before vomiting
- irritable and hungry a short time after being fed
may become dehydrated and experience metabolic alkalosis
,Treatment for imperforate anal membrane - CORRECT ANSWER-treated w/
repeated dilation while all other defects require surgical intervention. may
require a colostomy and bowel pull through procedure.
Define Hirschsprung's Disease (aka Megacolon) - CORRECT ANSWER-absence
of ganglion cells for nerve innervation in the rectum and, to varying degrees,
upward in the colon. Major cause of lower bowel obstruction in newborns.
S/S of Hirschsprung Disease - CORRECT ANSWER-- delayed passage or absent
meconium stool in the neonatal period of 24 hrs
- prone to constipation or stool infrequency in first month of life
- chronic constipation of pellet like or ribbon stool beginning the first month of life
- bowel obstruction, abdominal pain and distention, vomiting, failure to thrive
Treatment for Hirschsprung disease - CORRECT ANSWER-- surgical removal of
ganglionic portion of intestine
- one step laparoscopic or transanal pull through
two step procedure: temporary colostomy w/ distal section of normal bowel
during neonatal period until infant is 8-10 kg pull through procedure performed
,and all ganglion portions of bowel are excised. Normal bowel is reattached to anal
canal and colostomy is closed
Postpardum Medications - CORRECT ANSWER-
Methergine (Methylergonovine) uses, side effects, contraindications, dosage. -
CORRECT ANSWER-oxytocic which causes uterine contractions and is used to
treat bleeding of uterus postpardum
SE: increase BP, HA, dizziness, chest pain, heart palpations, dysrhythmias, seizues
Contra: HTN (since med causes an increase in BP), preeclampsia (HTN), eclampsia
(seizures in pt w/ preeclampsia)
Dosage: 0.2 mg PO TID for up to 7 days or 0.2 mg IM/IV
Ferrous sulfate - CORRECT ANSWER-
At term, postpardum women have hypervolemia of blood volume at what
percentage? - CORRECT ANSWER-45%
, How much fluid loss can be expected in vaginal delivery? Cesarean section? -
CORRECT ANSWER-500 mL
1000 mL
How often do you need to feed a newborn, breastfeeding and formula? -
CORRECT ANSWER-Breastfeed - q2-3h
Formula - q3-4h
How much do newborns eat in the first few days of life? - CORRECT ANSWER-
15-30 mL first 24 hr
45-60 mL after first 24 hr
What is the caloric value of breast milk? Formula? - CORRECT ANSWER-Breast
- 21 calories/oz
Formula - 20 calories/oz
At what age is a cleft lip/palate usually repaired? - CORRECT ANSWER-lip - 3-6
mo
palate - 18 mo
