MATERNAL NEWBORN EXAM QUESTIONS WITH COMPLETE SOLUTIONS

MATERNAL NEWBORN EXAM QUESTIONS WITH COMPLETE SOLUTIONS A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman to induce labour. Provided are 100 mg tabs. How many tabs are given? - ANSWER-A: 0.25 tabs Which Leopold Manoeuvre is used to determine the presenting part of the foetus? A. first manoeuvre B. second manoeuvre C. third manoeuvre D. fourth manoeuvre - ANSWER-C. Third manoeuvre A newborn is newly admitted to the nursery. A nursing assessment finds all of the following findings. Which of these are abnormal? (Select all that apply) A. acrocyanosis B. visible jaundice C. respiratory Rate of 47 breaths per minute D. heart rate of 93 bpm E. anteroposterior lateral ratio of 1:1 - ANSWER-B. visible jaundice D. Heart rate of 93 bpm What does a rapid decrease in foetal heart rate usually mean? A. Cord compression B. Head Compression C. Placental Insufficiency - ANSWER-A. Cord compression What is a normal range for foetal heart rate? A. 100-150 bpm B. 110-160 bpm C. 90-150 bpm - ANSWER-B. 110-160 bpm What is one of the immunizations given shortly after birth? A. Vitamin K B. Pneumonia vaccine C. HPV vaccine - ANSWER-A. Vitamin K The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? A. soft abdomen B. uterine tenderness C. absence of abdominal pain D. painless, bright red vaginal bleeding - ANSWER-B. Uterine tenderness The nurse is monitoring a client in preterm labour who is receiving intravenous magnesium sulphate. The nurse should monitor for which adverse effects of this medication? Select all that apply. A. Flushing B. Hypertension C. Increased urinary output D. Depressed respirations E. Extreme muscle weakness F. Hyperactive deep tendon reflexes - ANSWER-A. Flushing D. Depressed respirations E. Extreme muscle weakness The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse suspects foetal alcohol syndrome and is aware that which additional sign would be consistent with this syndrome? A. Length of 19 inches B. Abnormal palmar creases C. Birth weight of 6 lb, 14 oz D. Head circumference appropriate for gestational age - ANSWER-B. Abnormal palmar creases A nurse is assessing new parents feeding their newborn. Which of the following assessments requires more education? A. Parents are holding the newborn in a semi-upright position B. The bottle is tilted enough that no air is coming through the nipple C. The father is allowing the bottle to prop on the blanket D. The newborn is given opportunities to burp during feeding - ANSWER-C. The father is allowing the bottle to prop on the blanket A nurse is providing discharge instructions to a postpartum client following a caesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? A. Sit-ups B. Pelvic tilt exercises C. Kegel exercises D. Abdominal crunches - ANSWER-C. Kegel exercises A Labor and Delivery nurse is caring for a client in labour and has applied an external foetal monitor and Toc transducer. The FHR is around 140/min. Contractions are occurring every 8 min and lasting 30-40 secs. The nurse performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced, and the foetus is at -2 station. Which stage and phase of labour is this client experiencing? A. First stage, active phase B. Fourth stage of labour C. Second stage of labour D. First stage, latent phase - ANSWER-D. First stage, latent phase A woman is admitted to the hospital in labour that has had a miscarriage at 10 weeks gestation five years ago. She has a three year old who was born at 39 weeks, and a five year old born at 40 weeks. What is her GTPAL? A. G=3 T=2 P=0, A=1, L=2 B. G=4 T=2 P=0, A=1, L=2 C. G=4 T=1 P=1, A=1, L=2 D. G=3 T=2 P=0, A=1, L=3 - ANSWER-B. G=4 T=2 P=0, A=1, L=2 How many mL of blood would you expect after a mother delivers via C-section? A. 500 mL B. 2000 mL C. 1000 mL D. 1500 mL - ANSWER-C. 1000 mL What method of contraception offers protections against STIs? A. Condoms B. Intrauterine device C. Combined oral contraceptives D. Bilateral tubal ligation - ANSWER-A. Condoms