UWorld Maternal and Newborn Health EXAM
PREP BUNDLE 2026/2027 | PREMIUM
STUDY GUIDE | VERIFIED QUESTIONS
& DETAILED SOLUTIONS | FINAL EXAM
| MIDTERM EXAM | PRACTICE TEST |
LATEST UPDATED VERSION
Description
Boost your exam performance with this Premium Exam Prep Bundle 2026/2027, a
comprehensive study resource designed to help students master key concepts and succeed on
their exams. This guide contains high-quality exam-style questions, verified correct answers, and
detailed step-by-step solutions that simplify complex topics and enhance understanding.
Whether you're preparing for a Final Exam, Midterm Exam, Unit Test, Weekly Quiz,
Practice Exam, Comprehensive Assessment, Exit Exam, Board Exam, or Certification
Exam, this study guide provides the revision material you need to study efficiently and
confidently. Carefully organized for quick review, it is suitable for students seeking a reliable,
easy-to-use learning resource for exam preparation.
What's Included
Premium 2026/2027 Updated Content
Comprehensive Course Review
Exam-Focused Practice Questions
Verified Correct Answers
Detailed Step-by-Step Solutions
Key Concepts & Frequently Tested Topics
Quick Revision Format
Excellent for Self-Study and Last-Minute Review
Keywords
Exam Prep Bundle, Premium Study Guide, Final Exam, Midterm Exam, Practice Test, Practice
Questions, Question Bank, Test Bank, Exam Questions, Exam Answers, Study Guide, Course
Review, Unit Test, Weekly Quiz, Chapter Test, Mock Exam, Sample Questions, Comprehensive
Assessment, Board Exam, Certification Exam, Exit Exam, Revision Notes, Study Notes, Answer
Key, Detailed Solutions, Complete Review, College Exam, University Exam, Online Learning,
,Self-Study, Exam Success, Academic Resource, Latest Version, Updated 2026/2027, PDF
Download, Instant Download, High Score, Study Material, Exam Preparation.
Which meal should the nurse recommend for a client at 13 weeks gestation?
AVOID SWORDFISH, COLD DELI MEAT, AND LIVER
1. Baked chicken, turnip greens, peanut butter cookie, and grape juice
During pregnancy, it is important for the client to consume a balanced diet with
appropriate nutrients, vitamins, and minerals. Foods containing folic acid, protein,
whole grains, iron, and omega-3 fatty acids are especially important (Option 1).
Due to the risk for bacterial contamination (eg, Listeria, toxoplasmosis), clients who are
pregnant should avoid consuming unpasteurized milk products, unwashed fruits and
vegetables, deli meat and hot dogs (unless heated until steaming hot),
and raw fish/meat. They should also avoid intake of fish high in mercury (eg, shark,
swordfish, king mackerel, tilefish).
A client at 38 weeks gestation is in latent labor with ruptured membranes and is
receiving an oxytocin infusion for labor augmentation. The client is requesting IV
pain medication. When administering an IV narcotic during labor, which nursing
action is appropriate?
2. Give the medication slowly during the peak of the next contraction
Administration of IV narcotics (eg, nalbuphine, butorphanol, meperidine) during
the peak of contractions can help decrease sedation of the fetus and
subsequent newborn respiratory depression at birth (Option 2). Uteroplacental blood
flow is significantly reduced during contraction peaks, and administration of IV
medication at this time results in less medication crossing the placental barrier. In
addition, a higher concentration of medication remains in the maternal vasculature,
which increases the effectiveness of pain relief.
A laboring client, gravida 3 para 2, is admitted to the labor unit reporting severe
perineal pressure and urgently requesting pain relief. The client's cervix is 10 cm
dilated and 100% effaced, with the fetal head at 0 station. Which pain
management technique is most appropriate for this client's report of perineal
pressure
IV narcotics cross the placenta and can cause neonatal respiratory depression
when administered close to birth. Therefore, these are not generally administered
in the second stage of labor.
4. Pudendal nerve block
A pudendal nerve block infiltrates local anesthesia (ie, lidocaine) into the areas
surrounding the pudendal nerves that innervate the lower vagina, perineum, and
vulva. When birth is imminent, a pudendal block provides the best pain relief with
the least maternal/newborn side effects and could be administered quickly by the
health care provider. It does not relieve contraction pain but does relieve perineal
pressure when administered in the late second stage of labor (Option 4). In clients
without an epidural, pudendal blocks may be used in preparation for forceps-assisted
birth or laceration repair.
Labor pain distribution and intensity
,A graduate nurse is caring for a client at 39 weeks gestation who is receiving an
oxytocin infusion. Oxytocin is infusing at 20 mU/min. Based on the electronic
fetal monitoring strip, which action by the graduate nurse would cause the
registered nurse to intervene? Click the exhibit button for additional information.
2. Decreases oxytocin to 10 mU/min
Uterine tachysystole is identified when >5 contractions are present in 10 minutes
averaged over 30 minutes.
Uterine tachysystole with late decelerations requires discontinuation of
oxytocin, repositioning to side-lying to increase placental blood flow,
administration of oxygen by face mask at 8-10 L/min, and an IV fluid
bolus (oxygen and IV fluids after repositioning to maximize blood and oxygen delivery),
preparing to administer a subcutaneous injection of terbutaline (Brethine) to relax
the uterus if other interventions are unsuccessful, notifying the health care
provider (HCP) after implementing initial interventions (eg, positioning, oxygen,
fluids) (Option 3). Another nurse can also notify the HCP while the primary nurse is
implementing resuscitative measures.
Documenting findings, actions, and HCP notification as soon as possible
The nurse is participating in an obstetrical emergency simulation in which a client
is hemorrhaging after birth due to uterine inversion. When describing
interventions, which statement by the nurse indicates a need for further
education?
Uterine inversion is a rare, obstetrical emergency that occurs after birth when the
uterine fundus collapses (partially or completely) into the uterine cavity, causing
sudden hemorrhage, severe pelvic pain, and hypovolemic shock
1. "I will administer a rapid infusion of IV oxytocin before the inverted uterus is
corrected."
Successful manual replacement of the inverted uterus through the vaginal canal by the
health care provider (HCP) is the first step in resolving the inversion and requires a
soft, uncontracted uterus. Tocolytics (eg, terbutaline) or inhaled anesthetics may be
needed to assist with uterine relaxation.
Uterotonic medications (eg, oxytocin, carboprost) must be delayed or
discontinued until after the HCP has corrected the inversion (ie, manual uterine
replacement) (Option 1). After uterine replacement, uterotonics are administered
to reinforce its location in the pelvis and control further bleeding.
The nurse is performing a vaginal examination to assess cervical dilation and
effacement for a client in labor. While palpating the fetal presenting part, the
nurse notes a diamond-shaped structure that feels soft in the middle. What action
should the nurse take?
2. Document fetal presentation as cephalic in the medical record
Fetal presentation (eg, cephalic, breech, shoulder) and fetal head position (ie, direction
the occiput is facing), can be determined by identifying the location of fetal skull
landmarks. The posterior fontanel is triangular shaped and is separated from the
anterior fontanel by the sagittal suture. The diamond-shaped fontanel of the fetal
head is the anterior fontanel. When the nurse palpates these major fetal skull
landmarks, fetal presentation should be documented as cephalic (ie, head
down) (Option 2).
, The nurse is caring for a client who reports severe abdominal pain and vaginal
spotting. The client had a positive urine pregnancy test at home, and her last
menstrual period was 8 weeks ago. Which client report to the nurse
is most concerning?
4. Right shoulder pain and dizziness
Symptoms of ectopic pregnancy may include lower abdominal and pelvic pain;
amenorrhea, possibly followed by vaginal spotting or bleeding; and a palpable
adnexal mass on pelvic examination. An ectopic pregnancy may implant in one of
many locations outside the uterine cavity, including the fallopian tubes, ovaries, or
abdominal cavity. As the ectopic pregnancy outgrows its environment, it
may rupture, causing life-threatening maternal hemorrhage. Symptoms indicative of
a ruptured ectopic pregnancy include hypotension, tachycardia, dizziness,
and referred shoulder pain (Option 4). Shoulder pain results from irritation of the
diaphragm by intraabdominal blood. A ruptured ectopic pregnancy is a surgical
emergency and requires immediate intervention.
The nurse is performing an assessment on a 2-day-old infant with suspected
Hirschsprung disease. Which of the following findings should the nurse
anticipate? Select all that apply.
) Frothy saliva, drooling, and choking are signs of esophageal atresia, which is a
malformation in which the esophagus does not connect to the stomach. As a
result, secretions and feedings enter the airway and cause respiratory distress.
2. Distended abdomen
3. Feeding intolerance
5. Inability to pass meconium
Hirschsprung disease is characterized by a lack of specialized nerve cells in portions
of the distal large intestine, resulting in the inability of the internal anal sphincter to
relax. As a result, there is an absence of peristalsis and bowel evacuation,
including the absence of meconium passage within 48 hours, which is expected
within 24-48 hours of birth. Newborns with Hirschsprung disease exhibit symptoms of
distal intestinal obstruction (eg, distended abdomen, feeding intolerance,
and vomiting green bile/bilious emesis), which leads to a backup of intestinal
contents (Options 2, 3, and 5).
The nurse is caring for a client at 39 weeks gestation who is receiving an IV
oxytocin infusion for induction of labor. The nurse notes recurrent late
decelerations on the fetal monitor. Which of the following actions should the
nurse take? Select all that apply.
A late deceleration is a gradual decrease in fetal heart rate (FHR) with a uterine
contraction that reaches its lowest point (ie, nadir) after the contraction's peak
with a slow return to baseline. Late decelerations occur as a reflexive
chemoreceptor response to temporary fetal hypoxemia or fetal metabolic
acidemia (in severe cases). Uteroplacental insufficiency, uterine tachysystole,
and maternal supine hypotension are common causes because they compromise
perfusion and oxygen availability to the fetus.
Vibroacoustic stimulation is used during nonreactive nonstress tests (ie, no
accelerations) to provoke fetal movement, which helps determine whether the
absence of expected accelerations is physiologic (eg, fetal sleep cycle) or
PREP BUNDLE 2026/2027 | PREMIUM
STUDY GUIDE | VERIFIED QUESTIONS
& DETAILED SOLUTIONS | FINAL EXAM
| MIDTERM EXAM | PRACTICE TEST |
LATEST UPDATED VERSION
Description
Boost your exam performance with this Premium Exam Prep Bundle 2026/2027, a
comprehensive study resource designed to help students master key concepts and succeed on
their exams. This guide contains high-quality exam-style questions, verified correct answers, and
detailed step-by-step solutions that simplify complex topics and enhance understanding.
Whether you're preparing for a Final Exam, Midterm Exam, Unit Test, Weekly Quiz,
Practice Exam, Comprehensive Assessment, Exit Exam, Board Exam, or Certification
Exam, this study guide provides the revision material you need to study efficiently and
confidently. Carefully organized for quick review, it is suitable for students seeking a reliable,
easy-to-use learning resource for exam preparation.
What's Included
Premium 2026/2027 Updated Content
Comprehensive Course Review
Exam-Focused Practice Questions
Verified Correct Answers
Detailed Step-by-Step Solutions
Key Concepts & Frequently Tested Topics
Quick Revision Format
Excellent for Self-Study and Last-Minute Review
Keywords
Exam Prep Bundle, Premium Study Guide, Final Exam, Midterm Exam, Practice Test, Practice
Questions, Question Bank, Test Bank, Exam Questions, Exam Answers, Study Guide, Course
Review, Unit Test, Weekly Quiz, Chapter Test, Mock Exam, Sample Questions, Comprehensive
Assessment, Board Exam, Certification Exam, Exit Exam, Revision Notes, Study Notes, Answer
Key, Detailed Solutions, Complete Review, College Exam, University Exam, Online Learning,
,Self-Study, Exam Success, Academic Resource, Latest Version, Updated 2026/2027, PDF
Download, Instant Download, High Score, Study Material, Exam Preparation.
Which meal should the nurse recommend for a client at 13 weeks gestation?
AVOID SWORDFISH, COLD DELI MEAT, AND LIVER
1. Baked chicken, turnip greens, peanut butter cookie, and grape juice
During pregnancy, it is important for the client to consume a balanced diet with
appropriate nutrients, vitamins, and minerals. Foods containing folic acid, protein,
whole grains, iron, and omega-3 fatty acids are especially important (Option 1).
Due to the risk for bacterial contamination (eg, Listeria, toxoplasmosis), clients who are
pregnant should avoid consuming unpasteurized milk products, unwashed fruits and
vegetables, deli meat and hot dogs (unless heated until steaming hot),
and raw fish/meat. They should also avoid intake of fish high in mercury (eg, shark,
swordfish, king mackerel, tilefish).
A client at 38 weeks gestation is in latent labor with ruptured membranes and is
receiving an oxytocin infusion for labor augmentation. The client is requesting IV
pain medication. When administering an IV narcotic during labor, which nursing
action is appropriate?
2. Give the medication slowly during the peak of the next contraction
Administration of IV narcotics (eg, nalbuphine, butorphanol, meperidine) during
the peak of contractions can help decrease sedation of the fetus and
subsequent newborn respiratory depression at birth (Option 2). Uteroplacental blood
flow is significantly reduced during contraction peaks, and administration of IV
medication at this time results in less medication crossing the placental barrier. In
addition, a higher concentration of medication remains in the maternal vasculature,
which increases the effectiveness of pain relief.
A laboring client, gravida 3 para 2, is admitted to the labor unit reporting severe
perineal pressure and urgently requesting pain relief. The client's cervix is 10 cm
dilated and 100% effaced, with the fetal head at 0 station. Which pain
management technique is most appropriate for this client's report of perineal
pressure
IV narcotics cross the placenta and can cause neonatal respiratory depression
when administered close to birth. Therefore, these are not generally administered
in the second stage of labor.
4. Pudendal nerve block
A pudendal nerve block infiltrates local anesthesia (ie, lidocaine) into the areas
surrounding the pudendal nerves that innervate the lower vagina, perineum, and
vulva. When birth is imminent, a pudendal block provides the best pain relief with
the least maternal/newborn side effects and could be administered quickly by the
health care provider. It does not relieve contraction pain but does relieve perineal
pressure when administered in the late second stage of labor (Option 4). In clients
without an epidural, pudendal blocks may be used in preparation for forceps-assisted
birth or laceration repair.
Labor pain distribution and intensity
,A graduate nurse is caring for a client at 39 weeks gestation who is receiving an
oxytocin infusion. Oxytocin is infusing at 20 mU/min. Based on the electronic
fetal monitoring strip, which action by the graduate nurse would cause the
registered nurse to intervene? Click the exhibit button for additional information.
2. Decreases oxytocin to 10 mU/min
Uterine tachysystole is identified when >5 contractions are present in 10 minutes
averaged over 30 minutes.
Uterine tachysystole with late decelerations requires discontinuation of
oxytocin, repositioning to side-lying to increase placental blood flow,
administration of oxygen by face mask at 8-10 L/min, and an IV fluid
bolus (oxygen and IV fluids after repositioning to maximize blood and oxygen delivery),
preparing to administer a subcutaneous injection of terbutaline (Brethine) to relax
the uterus if other interventions are unsuccessful, notifying the health care
provider (HCP) after implementing initial interventions (eg, positioning, oxygen,
fluids) (Option 3). Another nurse can also notify the HCP while the primary nurse is
implementing resuscitative measures.
Documenting findings, actions, and HCP notification as soon as possible
The nurse is participating in an obstetrical emergency simulation in which a client
is hemorrhaging after birth due to uterine inversion. When describing
interventions, which statement by the nurse indicates a need for further
education?
Uterine inversion is a rare, obstetrical emergency that occurs after birth when the
uterine fundus collapses (partially or completely) into the uterine cavity, causing
sudden hemorrhage, severe pelvic pain, and hypovolemic shock
1. "I will administer a rapid infusion of IV oxytocin before the inverted uterus is
corrected."
Successful manual replacement of the inverted uterus through the vaginal canal by the
health care provider (HCP) is the first step in resolving the inversion and requires a
soft, uncontracted uterus. Tocolytics (eg, terbutaline) or inhaled anesthetics may be
needed to assist with uterine relaxation.
Uterotonic medications (eg, oxytocin, carboprost) must be delayed or
discontinued until after the HCP has corrected the inversion (ie, manual uterine
replacement) (Option 1). After uterine replacement, uterotonics are administered
to reinforce its location in the pelvis and control further bleeding.
The nurse is performing a vaginal examination to assess cervical dilation and
effacement for a client in labor. While palpating the fetal presenting part, the
nurse notes a diamond-shaped structure that feels soft in the middle. What action
should the nurse take?
2. Document fetal presentation as cephalic in the medical record
Fetal presentation (eg, cephalic, breech, shoulder) and fetal head position (ie, direction
the occiput is facing), can be determined by identifying the location of fetal skull
landmarks. The posterior fontanel is triangular shaped and is separated from the
anterior fontanel by the sagittal suture. The diamond-shaped fontanel of the fetal
head is the anterior fontanel. When the nurse palpates these major fetal skull
landmarks, fetal presentation should be documented as cephalic (ie, head
down) (Option 2).
, The nurse is caring for a client who reports severe abdominal pain and vaginal
spotting. The client had a positive urine pregnancy test at home, and her last
menstrual period was 8 weeks ago. Which client report to the nurse
is most concerning?
4. Right shoulder pain and dizziness
Symptoms of ectopic pregnancy may include lower abdominal and pelvic pain;
amenorrhea, possibly followed by vaginal spotting or bleeding; and a palpable
adnexal mass on pelvic examination. An ectopic pregnancy may implant in one of
many locations outside the uterine cavity, including the fallopian tubes, ovaries, or
abdominal cavity. As the ectopic pregnancy outgrows its environment, it
may rupture, causing life-threatening maternal hemorrhage. Symptoms indicative of
a ruptured ectopic pregnancy include hypotension, tachycardia, dizziness,
and referred shoulder pain (Option 4). Shoulder pain results from irritation of the
diaphragm by intraabdominal blood. A ruptured ectopic pregnancy is a surgical
emergency and requires immediate intervention.
The nurse is performing an assessment on a 2-day-old infant with suspected
Hirschsprung disease. Which of the following findings should the nurse
anticipate? Select all that apply.
) Frothy saliva, drooling, and choking are signs of esophageal atresia, which is a
malformation in which the esophagus does not connect to the stomach. As a
result, secretions and feedings enter the airway and cause respiratory distress.
2. Distended abdomen
3. Feeding intolerance
5. Inability to pass meconium
Hirschsprung disease is characterized by a lack of specialized nerve cells in portions
of the distal large intestine, resulting in the inability of the internal anal sphincter to
relax. As a result, there is an absence of peristalsis and bowel evacuation,
including the absence of meconium passage within 48 hours, which is expected
within 24-48 hours of birth. Newborns with Hirschsprung disease exhibit symptoms of
distal intestinal obstruction (eg, distended abdomen, feeding intolerance,
and vomiting green bile/bilious emesis), which leads to a backup of intestinal
contents (Options 2, 3, and 5).
The nurse is caring for a client at 39 weeks gestation who is receiving an IV
oxytocin infusion for induction of labor. The nurse notes recurrent late
decelerations on the fetal monitor. Which of the following actions should the
nurse take? Select all that apply.
A late deceleration is a gradual decrease in fetal heart rate (FHR) with a uterine
contraction that reaches its lowest point (ie, nadir) after the contraction's peak
with a slow return to baseline. Late decelerations occur as a reflexive
chemoreceptor response to temporary fetal hypoxemia or fetal metabolic
acidemia (in severe cases). Uteroplacental insufficiency, uterine tachysystole,
and maternal supine hypotension are common causes because they compromise
perfusion and oxygen availability to the fetus.
Vibroacoustic stimulation is used during nonreactive nonstress tests (ie, no
accelerations) to provoke fetal movement, which helps determine whether the
absence of expected accelerations is physiologic (eg, fetal sleep cycle) or
