NUR2633 MATERNAL EXAM 2 MATERNAL CHILD HEALTH
NURSING REVISION QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS
1. When teaching umbilical cord care to the new mother, the nurse would include which
information?
Apply peroxide to the cord with each diaper change
Cover the cord with petroleum jelly after bathing
Keep the cord dry and open to air
Wash the cord with soap and water each day during a tub bath
2. Which of the following prohibits a client from receiving epidural or spinal anesthesia?
Laboring client is human immunodeficiency virus (HIV) positive
Presence of scoliosis
Presence of lower back tattoos
Thrombocytopenia
3. Which medication used to treat postpartum hemorrhage is contraindicated in clients with
asthma?
Oxytocin
Carboprost tromethamine
Methylergonovine
Misoprostol
4. A nurse is assessing a postpartum client who is three days postpartum after having a
cesarean section. The client is tearful, cannot sleep, and is feeling let down. These
behaviors are associated with which of the following?
Postpartum blues
Postpartum depression
Postpartum psychosis
Maladaptive mother-infant attachment
5. The nurse has received a report about a client in labor. The client's last vaginal
examination was recorded as 5 cm 80% and +1 station. What is the nurses interpretation
of this report?
The cervix is dilated 5 cm, it is effaced 80%, and the presenting part is 1 cm above the
ischial spines
The cervix is effaced 5 cm. it is dilated 80%, and the presenting part is 1 cm above the
ischial spines
The cervix is dilated 5 cm, it is effaced 80%, and the presenting part is 1 cm below
the ischial spines
The cervix is effaced 5 cm, it is dilated 80 %, and the presenting part is 1 cm below the
schist spines.
, 6. The nurse is assessing the newborn's skin and notes the presence of small, raised pearly
or white spots on the nose, chin, and forehead. The nurse knows the name for this
common newborn skin condition is which of the following?
Milia
Neonatal acne
Pustular melanosis
Erythema Toxicum
7. A client in the third stage of labor. Which of the following findings indicate placental
separation? (Select all that apply)
Lengthening of the umbilical cord
Swift gush of amniotic fluid
Softening of the lower uterine segment
Appearance of dark blood from the vagina
Fundus firmly contracts
8. A client with hypertension who is receiving intravenous magnesium sulfate therapy has
required an epidural anesthetic. The perinatal nurse reviews the clients complete blood
count (CBC) results. Which findings must the nurse report to the anesthesiologist before
the procedure.
Red blood cell count 5.0 million/mm
White blood cell count of 15,000/mm
Hemoglobin of 11.4 g/dL
Platelet count of 101, 000/mm
9. A nurse receives shift report on four clients who all gave birth within the last 4 hours.
Which client should the nurse assess first?
Blood loss of 850mL during cesarean birth
Exhausted mother wanting only to rest after childbirth
Systolic blood pressure changed from 132 to 92 mmHg
10. The nursing faculty member explains to a class of nursing students the importance of
infant nutrition. Which statement by a student nurse would indicate that additional
teaching is needed?
“As long as the infant continues to gain weight, nutritional needs are being met.”
“A breastfeeding mother can decide to supplement feedings as desired.”
“The infant should remain on each breast for 5 minutes during each feeding
attempt.”
“Weight loss is expected during the first few days of life.”
NURSING REVISION QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS
1. When teaching umbilical cord care to the new mother, the nurse would include which
information?
Apply peroxide to the cord with each diaper change
Cover the cord with petroleum jelly after bathing
Keep the cord dry and open to air
Wash the cord with soap and water each day during a tub bath
2. Which of the following prohibits a client from receiving epidural or spinal anesthesia?
Laboring client is human immunodeficiency virus (HIV) positive
Presence of scoliosis
Presence of lower back tattoos
Thrombocytopenia
3. Which medication used to treat postpartum hemorrhage is contraindicated in clients with
asthma?
Oxytocin
Carboprost tromethamine
Methylergonovine
Misoprostol
4. A nurse is assessing a postpartum client who is three days postpartum after having a
cesarean section. The client is tearful, cannot sleep, and is feeling let down. These
behaviors are associated with which of the following?
Postpartum blues
Postpartum depression
Postpartum psychosis
Maladaptive mother-infant attachment
5. The nurse has received a report about a client in labor. The client's last vaginal
examination was recorded as 5 cm 80% and +1 station. What is the nurses interpretation
of this report?
The cervix is dilated 5 cm, it is effaced 80%, and the presenting part is 1 cm above the
ischial spines
The cervix is effaced 5 cm. it is dilated 80%, and the presenting part is 1 cm above the
ischial spines
The cervix is dilated 5 cm, it is effaced 80%, and the presenting part is 1 cm below
the ischial spines
The cervix is effaced 5 cm, it is dilated 80 %, and the presenting part is 1 cm below the
schist spines.
, 6. The nurse is assessing the newborn's skin and notes the presence of small, raised pearly
or white spots on the nose, chin, and forehead. The nurse knows the name for this
common newborn skin condition is which of the following?
Milia
Neonatal acne
Pustular melanosis
Erythema Toxicum
7. A client in the third stage of labor. Which of the following findings indicate placental
separation? (Select all that apply)
Lengthening of the umbilical cord
Swift gush of amniotic fluid
Softening of the lower uterine segment
Appearance of dark blood from the vagina
Fundus firmly contracts
8. A client with hypertension who is receiving intravenous magnesium sulfate therapy has
required an epidural anesthetic. The perinatal nurse reviews the clients complete blood
count (CBC) results. Which findings must the nurse report to the anesthesiologist before
the procedure.
Red blood cell count 5.0 million/mm
White blood cell count of 15,000/mm
Hemoglobin of 11.4 g/dL
Platelet count of 101, 000/mm
9. A nurse receives shift report on four clients who all gave birth within the last 4 hours.
Which client should the nurse assess first?
Blood loss of 850mL during cesarean birth
Exhausted mother wanting only to rest after childbirth
Systolic blood pressure changed from 132 to 92 mmHg
10. The nursing faculty member explains to a class of nursing students the importance of
infant nutrition. Which statement by a student nurse would indicate that additional
teaching is needed?
“As long as the infant continues to gain weight, nutritional needs are being met.”
“A breastfeeding mother can decide to supplement feedings as desired.”
“The infant should remain on each breast for 5 minutes during each feeding
attempt.”
“Weight loss is expected during the first few days of life.”
