STUDY GUIDE 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ 1. Newborn Assessment: priority findings Pg. 197 Answer: •
Obtain measurements. (length and weight)
• Obtain vital signs in the following sequence: respirations, heart
rate, blood pressure, and temperature.
• Obtain an APGAR score.
• Head to toe
◉ 1. Early Onset of Labor: pharmacological therapy Pg. 104 Answer:
• Brethine- beta-adrenegic agonist that relaxes uterine smooth
muscle by stimulating beta2 receptors in the smooth muscle fibers
to inhibit uterine activity.
• Magnesium Sulfate- relaxes the smooth muscle of the uterus and
thus inhibits uterine activity by suppressing contractions.
• Indocin- is a nonsteroidal anti-inflammatory drug that suppresses
preterm labor by blocking the production of prostaglandins. This
inhibition of prostaglandins suppresses uterine contractions.
◉ 14. Prenatal Care: RhoGAM Injection Pg. 23 Answer: • Administer
RhoGAM injection around 28 weeks of gestation for clients who are
Rh-negative.
,◉ 15. Clinical Disorders: Reporting Critical finding during gestation
Pg. 85 Answer: • Reports of nausea and vomiting past 12 weeks of
gestation-hyperemesis gravidarum
• Fatigue, irritability, cravings to ingest materials that are not food-
Anemia
• Hypertension, nausea, vomiting- preeclampsia
◉ 16. Complications of the Newborn: Hypoglycemia Pg. 245 Answer:
-findings: RD, hypotonia, poor feeding, hypothermia
• Hypoglycemia is a serum glucose level of less than 40 mg/dL for
term newborns occurring in the first 3 days of life and less than 25
mg/dL for preterm newborns.
• Untreated hypoglycemia can result in seizures, brain damage,
and/or death.
◉ 17. Prenatal Care: Reinforcing client teaching about laboratory
testing Pg. 23 Answer: • Instruct clients to avoid all over the counter
medications, supplements, and prescription medications unless
prescribed by the provider.
• Instruct clients to watch for signs of potential complications and to
repost occurrence to provider.
• Explain importance of regular follow up to include monthly
prenatal visits for the first seven months, then every two weeks
during the eighth month, and every week during the last month.
,◉ 18. Clinical Disorders: Abnormal findings Pg. 83 Answer: •
Unexpected medical conditions include incompetent cervix,
hyperemesis gravidarum, anemia, gestational diabetes, gestational
hypertension, preeclampsia, and heart disease.
◉ 19. Complications of Pregnancy: Nursing Interventions Pg. 103
Answer: • Instruct clients to remain on bed rest with bathroom
privileges.
• Encourage clients to rest in the left lateral position to increase
blood flow to the uterus and decrease uterine activity.
• Tell clients to avoid sexual intercourse.
• Ensure hydration.
• Monitor FHR and contraction pattern.
◉ 20. Fetal assessment during labor: priority intervention for
spontaneous rupture of membrane Pg. 107 Answer: • Check vital
signs every 4 hours.
• Obtain vaginal, urine, and blood cultures prior to administration of
antibiotics.
• Monitor FHR and uterine contractions.
• Monitor for signs and symptoms of infection.
, ◉ 21. Prenatal care: reinforcing teaching regarding heartburn Pg. 25
Answer: • Eat small frequent meals
• Sit up for 30 mins after meals.
• Check with the provider prior to using any over the counter
antacids.
◉ 22. Bleeding during pregnancy: Abruptio Placentae Pg. 65
Answer: • Uterine pain with vaginal bleeding
• Fetal distress
• Vaginal bleeding
• Board like tender abdomen
-most common cause for DIC
◉ car safety Answer: - Rear-facing car seat in the back seat,
preferably in the middle (away from airbags & side impact)
- Keep infants in rear facing car seats until age 2 or until the child
reaches max ht & wt for the seat
- Do not use a used or 2nd hand car seat
-45 degress
-harness at or just below the shoulder
-retainer clip at axillae