maternity exam

Question 1

which prenatal factor might result in a larger than average infant?

Answer 1

gestational diabetes

Question 2

An infant from a cesarean birth might have which finding on assessment

Answer 2

tachypnea

Question 3

Which of the following would be best to help a newborn maintain adequate body temperature

Answer 3

wrap the infant in a warm, dry blanket

Question 4

A fan blowing in the mother’s room would result in which kind of heat loss

Answer 4

convection

Question 5

Which method is helpful in detecting hydrocele in a newborn male?

Answer 5

use a penlight to illuminate the scrotal sac for translucence

Question 6

Poor muscle tone, low temperature, jitteriness, and a high-pitched cry are signs of what in a newborn

Answer 6

hypoglycemia

Question 7

A white cheese-like substance on a newborn is called what

Answer 7

vernix

Question 8

One side of a NB body turns dark red while the other side is a pale after vigorous crying is a normal finding (Harlequin) T or F?

Answer 8

true

Question 9

Which of the following is a cardiovascular change the newborn goes through at birth

Answer 9

pressure changes occur and result in the closure of ductus arteriosus

Question 10

Hypothermia in a newborn can lead to hypoglycemia if not corrected. T or F?

Answer 10

true

Question 11

It is normal for a newborn to lose what percent of birth weight during the first few days of life

Answer 11

5%-10%

Question 12

Which reflex is used to encourage the infant to feed?

Answer 12

rooting reflex

Question 13

Which reflex is also known as the sterile reflex in a newborn?

Answer 13

moro reflex

Question 14

Which APGAR scores would be a priority for close observation?

Answer 14

5 at 1 minute, 6 at 5 minutes

Question 15

What is the Ortolani maneuver used to assess in a newborn?

Answer 15

possibility of dislocated hip

Question 16

An infant from a cesarean delivery is at greater risk for what compared to a vaginally delivery?

Answer 16

excessive fluid in its lung leading to risk for respiratory distress

Question 17

HR 140 RR48 T98.6ax B/P72/38 are abnormal newborn VS and should be reported immediately. T or F?

Answer 17

false

Question 18

What action is a priority for an infant that has jitteriness, poor feeding and a high-pitched cry?

Answer 18

assess for hypoglycemia

Question 19

It is not necessary to wear gloves when caring for a newly born infant that has been bathed yet. T or F?

Answer 19

false

Question 20

Which of the following would demonstrate how to correctly clear secretions from an infants mouth and nose?

Answer 20

position newborn on its side, head slightly lower and use a bulb syringe

Question 21

A priority for the newborn’s first bath is to remove all traces of blood and leave the vernix in place. T or F?

Answer 21

true

Question 22

One way to prevent infant abduction is to

Answer 22

instruct parent to check staff ID of all staff before releasing infant

Question 23

Why is Vitamin K administered IM to the newborn shortly after birth?

Answer 23

it is necessary for formation of certain clotting factors they are lacking

Question 24

Which are the critical transition hours for a newborn?

Answer 24

the first 6-12 hours after birth

Question 25

One way to help an infant get warm is provide kangaroo care that involves skin-to-skin contact and coverage with blanket. T or F?

Answer 25

true

Question 26

The newborn has bluish tint to the skin when they develop jaundice. T or F?

Answer 26

false

Question 27

Which of the following is not a way to prevent heat loss in a 1-day old newborn

Answer 27

bathe the infant when its temperature is 97.5

Question 28

Which is appropriate to instruct new parents regarding their infant's circumcision care

Answer 28

cover the penis generously with petroleum jelly with each diaper change

Question 29

Which is a nursing intervention that is most appropriate to help prevent thrombophlebitis in a post cesarean woman

Answer 29

assist to ambulate at soon as VS stable and able to stand

Question 30

Which is the best site to administer Vitamin K IM to in a newborn

Answer 30

vastus lateralis

Question 31

You should instruct a new mother to call her HCP if her newborn does not void in how many hours

Answer 31

12 hours

Question 32

When preparing the delivery room which of the following would not be a priority to have available

Answer 32

otoscope

Question 33

Ineffective airway clearance related to mucus and secretions is a priority nursing diagnosis for a C-section baby. T or F?

Answer 33

true

Question 34

Symptoms of postpartum blues include which of the following

Answer 34

lack of interest in infant, insomnia, poor appetite, obsessive thinking

Question 35

What is the most common cause of postpartum hemorrhage

Answer 35

uterine atony

Question 36

Which instruction is a priority for a woman with postpartum infection

Answer 36

handwashing

Question 37

Which of the following findings would be a priority to report immediately in a woman with a DVT.

Answer 37

sudden onset of dyspnea

Question 38

In critical situations it is best to explain care, focus on signs of improvement and acknowledge it's difficult time. T or F?

Answer 38

true

Question 39

A heavy steady trickle of blood with a firm fundus in a postpartum woman could indicate which of the following

Answer 39

cervical laceration

Question 40

Which position is best for a woman with endometritis to assist lochia to drain and not become stagnant.

Answer 40

semi-fowler

Question 41

Which action would be a priority for a postpartum woman with heavy lochia and passing large clots?

Answer 41

palpate her fundus

Question 42

If you suspect a DVT in a postpartum woman, which assessment would be a priority for the nurse to make

Answer 42

check for redness, warmth and swelling in the extremity

Question 43

If you note a postpartum woman saturates 2 peri-pads in 30 minutes, what action should you prioritize

Answer 43

assess her fundus

Question 44

In a postpartum woman recovering from a cervical laceration repair, what findings is most concerning

Answer 44

weak, thready and rapid pulse

Question 45

Which of the following medications is used first for uterine atony in postpartum patient if fundal massage is not working

Answer 45

oxytocin

Question 46

Which of the following are common signs and symptoms of mastitis in a breastfeeding woman

Answer 46

reports of painful red and warm area on one breast

Question 47

What do you need to assess as a priority hourly on a new postpartum woman

Answer 47

number and amount of saturation on peri-pads

Question 48

What behaviors exhibited by a postpartum woman at her 6-week checkup would be a priority to report

Answer 48

irritability and lack of interest in caring for infant

Question 49

Anticoagulants are not usually prescribed for a postpartum woman who has developed a DVT. T or F?

Answer 49

false

Question 50

An immediate response by the nurse in a postpartum woman that develops sudden dyspnea and shortness of breath is

Answer 50

elevate the head of bed to 45 degrees