NUR202 Maternal Newborn Nursing
Midterm Exam Review (Qns & Ans)
2025
1. What is the primary goal of fetal heart rate monitoring during
labor?
A. To measure maternal hydration levels
B. To assess uterine contractions
C. To evaluate fetal oxygenation and detect signs of distress
D. To determine cervical effacement
ANS: C. To evaluate fetal oxygenation and detect signs of
distress
Rationale: Fetal heart rate monitoring helps identify potential
fetal hypoxia or distress during labor.
©2025
,2. Which intervention is most appropriate for a laboring woman
experiencing hypotension after an epidural?
A. Encourage ambulation
B. Administer intravenous fluids and reposition to a lateral
position
C. Increase oxytocin infusion
D. Discontinue fetal monitoring
ANS: B. Administer intravenous fluids and reposition to a
lateral position
Rationale: Hypotension can reduce placental perfusion; fluids
and lateral positioning improve circulation.
3. What is the most effective measure to prevent postpartum
hemorrhage?
A. Early breastfeeding
B. Frequent uterine massage
C. Administration of prophylactic antibiotics
D. Delayed clamping of the umbilical cord
ANS: B. Frequent uterine massage
Rationale: Uterine massage promotes contraction and
minimizes bleeding after delivery.
©2025
,4. Which factor increases the risk of preterm labor?
A. Regular prenatal visits
B. Smoking during pregnancy
C. Maternal age between 25 and 30
D. Delivery history of full-term infants
ANS: B. Smoking during pregnancy
Rationale: Smoking is a known risk factor for preterm labor
due to its effect on placental and fetal development.
5. What is the purpose of administering antenatal corticosteroids
to pregnant women at risk of preterm delivery?
A. To induce labor
B. To increase maternal immunity
C. To enhance fetal lung maturity
D. To prevent gestational diabetes
ANS: C. To enhance fetal lung maturity
Rationale: Corticosteroids accelerate surfactant production,
reducing the risk of respiratory distress syndrome in preterm
neonates.
---
©2025
, Fill-in-the-Blank Questions
6. The first stage of labor is characterized by cervical ________
and dilation.
ANS: Effacement
Rationale: Effacement refers to the thinning of the cervix as
labor progresses.
7. Skin-to-skin contact immediately after birth promotes
maternal-newborn bonding and helps regulate the newborn’s
________.
ANS: Temperature
Rationale: Skin-to-skin contact stabilizes temperature,
breathing, and heart rate in newborns.
8. A Bishop score of ________ or higher indicates readiness for
induction of labor.
ANS: 6
Rationale: A score of 6 or above suggests that the cervix is
favorable for induction.
9. In newborns, jaundice caused by elevated unconjugated
bilirubin within the first 24 hours is referred to as ________
jaundice.
ANS: Pathologic
©2025
Midterm Exam Review (Qns & Ans)
2025
1. What is the primary goal of fetal heart rate monitoring during
labor?
A. To measure maternal hydration levels
B. To assess uterine contractions
C. To evaluate fetal oxygenation and detect signs of distress
D. To determine cervical effacement
ANS: C. To evaluate fetal oxygenation and detect signs of
distress
Rationale: Fetal heart rate monitoring helps identify potential
fetal hypoxia or distress during labor.
©2025
,2. Which intervention is most appropriate for a laboring woman
experiencing hypotension after an epidural?
A. Encourage ambulation
B. Administer intravenous fluids and reposition to a lateral
position
C. Increase oxytocin infusion
D. Discontinue fetal monitoring
ANS: B. Administer intravenous fluids and reposition to a
lateral position
Rationale: Hypotension can reduce placental perfusion; fluids
and lateral positioning improve circulation.
3. What is the most effective measure to prevent postpartum
hemorrhage?
A. Early breastfeeding
B. Frequent uterine massage
C. Administration of prophylactic antibiotics
D. Delayed clamping of the umbilical cord
ANS: B. Frequent uterine massage
Rationale: Uterine massage promotes contraction and
minimizes bleeding after delivery.
©2025
,4. Which factor increases the risk of preterm labor?
A. Regular prenatal visits
B. Smoking during pregnancy
C. Maternal age between 25 and 30
D. Delivery history of full-term infants
ANS: B. Smoking during pregnancy
Rationale: Smoking is a known risk factor for preterm labor
due to its effect on placental and fetal development.
5. What is the purpose of administering antenatal corticosteroids
to pregnant women at risk of preterm delivery?
A. To induce labor
B. To increase maternal immunity
C. To enhance fetal lung maturity
D. To prevent gestational diabetes
ANS: C. To enhance fetal lung maturity
Rationale: Corticosteroids accelerate surfactant production,
reducing the risk of respiratory distress syndrome in preterm
neonates.
---
©2025
, Fill-in-the-Blank Questions
6. The first stage of labor is characterized by cervical ________
and dilation.
ANS: Effacement
Rationale: Effacement refers to the thinning of the cervix as
labor progresses.
7. Skin-to-skin contact immediately after birth promotes
maternal-newborn bonding and helps regulate the newborn’s
________.
ANS: Temperature
Rationale: Skin-to-skin contact stabilizes temperature,
breathing, and heart rate in newborns.
8. A Bishop score of ________ or higher indicates readiness for
induction of labor.
ANS: 6
Rationale: A score of 6 or above suggests that the cervix is
favorable for induction.
9. In newborns, jaundice caused by elevated unconjugated
bilirubin within the first 24 hours is referred to as ________
jaundice.
ANS: Pathologic
©2025
