MATERNAL NEWBORN EXAM QUESTIONS WITH GRADED SOLUTIONS

MATERNAL NEWBORN EXAM QUESTIONS WITH GRADED SOLUTIONS Which Leopold Maneuver is used to determine the presenting part of the fetus? A. first maneuver B. second maneuver C. third maneuver D. fourth maneuver - C. Third maneuver 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 - B. visible jaundice D. Heart rate of 93 bpm What does a rapid decrease in fetal heart rate usually mean? A. Cord compression B. Head Compression C. Placental Insufficiency - A. Cord compression What is a normal range for fetal heart rate? A. 100-150 bpm B. 110-160 bpm C. 90-150 bpm - B. 110-160 bpm What is one of the immunizations given shortly after birth? A. Vitamin K B. Pneumonia vaccine C. HPV vaccine - 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 - B. Uterine tenderness The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. 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 - A. Flushing D. Depressed respirations E. Extreme muscle weakness The nurse notes hypotonia, irritability, and a poor sucking reflex in a fullterm newborn on admission to the nursery. The nurse suspects fetal 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 - B. Abnormal palmar creases A nurse is assessing new parents feeding their newborn. Which of the following assessme