PROCTORED 2025 ACTUAL EXAM /
MATERNAL NEWBORN OB
QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY
GRADED A+
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1. A need for fetal suctioning can occur after which complication: - answer 🗸
meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
2. If meconium is found in the amniotic fluid, notify: - answer 🗸 the neonatal
resuscitation team to be present at birth
3. An increased risk of meconium in the amniotic fluid occures after: - answer
🗸 38 weeks or breech presentation
,4. Meconium stained amniotic fluid is often what color: - answer 🗸 green
5. When bathing a newborn, the nurse monitors for hypothermia. Which signs
would indicate hypothermia? - answer 🗸 pain or mottling, flexed position,
increased activity
6. The nurse teaches a new mother how to perform cord care and to monitor for
infection at home when the newborn infant is discharged. The nurse tells the
mother that which signs indicate the presence of infection? - answer 🗸 a
moist cord with discharge
7. A male newborn infant has just been circumcised. The nurse checks the
surgical site, expecting it to have what appearance? - answer 🗸 reddened,
with a small amount of bloody drainage
8. The nurse is providing instructions to a mother of a newborn infant
diagnosed with hyperbilirubinemia who is being breast-fed. What feeding
procedure should the nurse teach the mother? - answer 🗸 breast-feed the
infant every 2 to 4 hours
9. The nurse observes slight facial jaundice in a 2-day-old, full-term newborn
infant during a postpartum home visit. Which assessment guideline should
the nurse use to interpret this finding? - answer 🗸 jaundice is first noticed in
the head of the newborn infant, especially the sclera and mucous membranes
10.The nursery-room nurse is reviewing the criteria for early discharge of a
newborn infant. Which finding, if noted in the infant, would indicate that the
criteria for early discharge have not been met? - answer 🗸 has evidence of
significant jaundice within the first 24 hours
,11.The nurse is assessing the respiratory rate of a newborn infant. The nurse
determines that the rate is abnormal if which rate is noted? - answer 🗸 70
breaths/min
12.The nurse is performing an assessment on a newborn infant admitted to the
nursery after birth. On assessment of the newborn's head, the nurse notes an
anterior fontanel that is soft and measures 4 cm across. Based on this
assessment, what is the appropriate nursing action? - answer 🗸 document the
findings
13.The nurse is reviewing the record of a newborn infant admitted to the
nursery and notes that the health care provider has documented the presence
of a caput succedaneum. Based on this documentation, what should the
nurse expect to note? - answer 🗸 swelling of the soft tissue of the head and
scalp
14.The nurse is admitting a newborn infant to the neonatal intensive care
nursery and notes that the health care provider has documented that the
newborn has gastroschisis. The nurse performs an assessment being aware
that which is the location of the abdominal viscera with this condition? -
answer 🗸 outside of the abdominal cavity and not covered with a sac
15.The nurse is assessing a newborn infant with a diagnosis of congenital
diaphragmatic hernia (cdh). Which assessment finding should the nurse
specifically expect to note in the newborn? - answer 🗸 bowel sounds heard
over the chest
16.The nurse in the labor room is assisting in performing an initial assessment
on a newborn. On assessment of the newborn's head, the nurse notes that the
ears are low set. Based on this finding, which nursing action is most
appropriate? - answer 🗸 notify the health care provider
, 17.After the delivery of a newborn infant, the nurse performs an initial
assessment and determines that the apgar score is 9. What does this score
indicate about the infant? - answer 🗸 is adjusting well to extrauterine life
18.A newborn infant is diagnosed with hypospadias, and the mother asks the
nurse about the disorder. What information should the nurse base the
response on? - answer 🗸 it is a congenital anomaly in which the actual
opening of the urethral meatus is below the normal placement on the glans
penis
19.The nurse is reviewing the record of an infant admitted to the newborn
nursery. The nurse notes that the health care provider has documented
bladder exstrophy. On assessment, what should the nurse expect to note in
the infant? - answer 🗸 the urinary bladder is on the outside of the body
20.The nurse is monitoring the vital signs of a client after delivery of a healthy
newborn and notes that the mother's apical pulse is 50 beats/min. Which
nursing action is appropriate? - answer 🗸 document the finding
21.The mother of a preterm baby asks the nurse why the infant is receiving a
caffeine-type medication. What should the nurse explain is the purpose of
the medication? - answer 🗸 decrease the number of apnea occurrences
22.The nurse in the newborn nursery is preparing to feed a newborn the first
feeding of sterile water. During the feeding, the newborn suddenly begins to
cough, choke, and become cyanotic. Based on these symptoms, which
condition might the nurse suspect that the newborn has? - answer 🗸
tracheoesophageal fistula (tef)