Practice Questions

Question 1

A postpartum patient asks the nurse about the occurence of afterpains. The nurse informs the mother that afterpains will be especially noticeable…

a.) When ambulating
b.) While taking a sitz bath
c.) During breastfeeding
d.) Once the patient arrives home & activities are increased

Answer 1

c.) While breastfeeding

Question 2

What might the presence of free-flowing, bright red blood indicate?

KNOW THIS!!!!

Answer 2

cervical laceration

Question 3

A vagina should return to normal size within how many weeks of delivery?

KNOW THIS!!!!

Answer 3

6 - 8 weeks

Question 4

A nurse is assessing the lochia dishcarge on a 1 day PP woman. The nurse notes that the lochia is red & has a fleshy odor. The nurse determiens that this assessment finding indicates what?

a.) A normal finding
b.) The presence of infection
c.) The need for increasing oral fluids
d.) The need for increasing ambulation

Answer 4

a.) A normal finding

Question 5

What type of state is pregnancy?

KNOW THIS!!!!

Answer 5

Hypercoaguable

Question 6

What is a common postpartum complication that can be caused by hormonal shifts as well as pathological etiology such as spinal anesthesia or postpartum onset of preeclampsia?

KNOW THIS!!!!

Answer 6

Headache

Question 7

What is the most common cause of excessive postpartum bleeding?

KNOW THIS!!!!

Answer 7

Uterine atony (lack of normal muscle tone in the uterus)

Question 8

How long does it take for the ductus arteriosus to close?

Answer 8

first 24 hours of life

• takes 2 - 3 months to fully close

Question 9

Do veins or arteries carry oxygen to the baby?

KNOW THIS!!!!

Answer 9

VEINS

Question 10

How many veins & arteries are in fetal circulation?

Answer 10

2 arteries & 1 vein (AVA)

Question 11

Do veins or arteries carry oxygen to the baby?

KNOW THIS!!!!

Answer 11

VEINS

Question 12

What is the most important physiologic change in a newborn?

KNOW THIS!!!!

Answer 12

initiation of breathing!!!

Question 13

What induces mild hypercapnia, hypoxia, & acidosis [normal is 7.30 - 7.40] that stimulates the respiratory center?

Answer 13

labor

Question 14

If the baby isn’t breathing what measure should be taken?

KNOW THIS!!!!

Answer 14

positive pressure ventilation

• NOT CPR

Question 15

What maternal hormone does not pass the placenta?

Answer 15

Insulin

Question 16

At what point after birth will a newborn’s blood sugar drop to the lowest level?

KNOW THIS!!!!

Answer 16

2 hours

Question 17

Infection risk increases in a mom who has been ruptured for over how many hours?

KNOW THIS!!!!

Answer 17

18 + hours

Question 18

When does the anterior fontanelle close?

KNOW THIS!!!!

Answer 18

12 - 18 months

Question 19

When does the posterior fontanelle close?

KNOW THIS!!!!

Answer 19

2 - 3 months

Question 20

A new father wants to know what medication was put into his infant’s eyes & why it is needed. How does the nurse explain the purpose of erythromycin ointment?

a.) Erythromycin opthalmic ointment destroys an infectious exudate caused by Staphylococcus that could make the infant blind.

b.) This opthalmic ointment prevents gonorrheal & chlamydial infetion of the infant’s eyes, potentially acquired from the birth canal.

c.) The ointment prevents the infant’s eyes from sticking together & helps the infant see.

d.) Erythromycin prevents potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eye.

Med Math Quiz

Answer 20

b.) This ointment prevents gonorrheal & chlamydial infection of the infant’s eyes, potentially acquired from the birth canal.

Question 21

A nursing student is describing how to apply erythromycin ointment to a newborn’s eyes. Which answer indicates a need for additional teaching?

a.) “I will wipe the eyes after instilling the ointment.”
b.) “Administration of the eye ointment may be delayed for an hour or so after birth so that eye contact & parent-infant attachment & bonding can occur.”
c.) “I will instill 1-2 cm of eye ointment into each of the neonate’s conjunctival sacs.”
d.) None of the above

Med Math Quiz

Answer 21

a.) “I will wipe the eyes after instilling the ointment”

Question 22

A nursing student tasks about IM injections in newborns because her only practice experiences have been with adults. What is the correct injection site for an IM injection for a newborn?

a.) Vastus lateralis muscle
b.) None of the above
c.) Gluteal muscle
d.) Vastus deltoid muscle

Med Math Quiz

Answer 22

a.) Vastus Lateralis Muscle

Question 23

Pain should be regularly assessed in all newborns. Your newborn patient is to have a circumcision. Which intervention is an example of non-pharmacologic pain management in the newborn?

a.) Acetaminophen
b.) Feeding the newborn
c.) Give Sucrose during the procedure
d.) Loosening the newborn’s clothing

Med Math Quiz

Answer 23

c.) Give Sucrose during the procedure

Question 24

Which statement regarding the practice of giving newborns Vitamin K immediately after birth is most accurate?

a.) Newborns’ GI systems are sterile, resulting in a lack of vitamin K production.
b.) Hemolysis of the fetal red blood cells increases coagulation problems.
c.) Newborns are susceptible to avitaminosis.
d.) Newborns have mature livers that produce clotting factors.

Med Math Quiz

Answer 24

a.) Newborns’ GI systems are sterile, resulting in a lack of vitamin K production.

Question 25

The primary care provider ahs ordered Vitamin K 0.5 mg IM for a newborn. The medication is available as 2 mg/mL. How many mL should the nurse administer to the baby? (Calculate to the nearest hundreth)

a.) 4.00
b.) 2.50
c.) 0.52
d.) 0.25

Med Math Quiz

Answer 25

d.) 0.25

0.5 mg / 2 mg = 0.25 mL

Question 26

A client is to receive morphine 4 mg Q3-4 hours subcutaneously for pain. The morphine is available on the unit in premeasured syringes of 10 mg/mL. When the nurse administers the medication, how many mL of morphine will be wasted? (Calculate to the nearest tenth).

a.) 0.4
b.) 6.0
c.) 4.0
d.) 0.6

Med Math Quiz

Answer 26

d.) 0.6 mL

• 4 / 10 = 0.4 mL administered
• 1.0 - 0.4 = 0.6 mL wasted

Question 27

A neonatologist prescribes gentamicin for a 2 day old septic preterm infant who weighs 1,653 grams & is 38 cm long. The drug reference states: Neonatal dosage of gentamicin for babies less than 1 week of age is 2.5 mg/kg Q12-24 hours. Calculate the safe daily dosage of this medication. (Calculate to the nearest hundreth).

a.) 4.13
b.) 413.25
c.) 41.3
d.) 0.41

Med Math Quiz

Answer 27

a.) 4.13

• 1,653 g / 1000 = 1.653 kg
• 2.5 x 1.653 = 4.13

Question 28

Cloxacillin 500 mg by mouth 4 times a day for 10 days has been ordered for a patient with a breast abscess. The patient states that she is unable to swallow pills. The oral solution is available as 125 mg / 5 mL. How many mL of medicine should the woman take per dose? (Calculate to the nearest whole).

a.) 4
b.) 2.0
c.) 20
d.) 40

Med Math Quiz

Answer 28

c.) 20

• 125 / 5 = 25
• 500 mg / 25 mg = 20 mL

Question 29

A client who has been diagnosed with deep vein thrombosis has been ordered to receive 12 units heparin/min. The nure receives a 500 mL bag of D5W with 20,000 units of heparin added from the pharmacy. At what rate in mL/hr should the nruse set the infusion pump? (Calculate to the nearest whole).

a.) 1.8
b.) 0.3
c.) 18
d.) 30

Med Math Quiz

Answer 29

c.) 18

Question 30

The primary healthcare provider caring for a pregnant client diagnosed with gonorrhea writes the following order: ceftriaxone 250 mg IM x one dose. The medication is available in 1 gram vials. The nurse adds 8 mL of normal saline to the vial. How many mL of the medication should the nurse administer? (Calcualte to the nearest whole).

a.) 2
b.) 0.25
c.) 20
d.) 2,000

Med Math Quiz

Answer 30

a.) 2

• 1 gram = 1,000 mg
• 1000 mg / 8 mL = 250 mg / x mL
• 1000 x = 2,000
• x = 2

Question 31

What is the first step a nurse should take before administering any medication?

a.) Check the patient’s vital signs.
b.) Verify the provider’s order & the medication label against the patient’s identification.
c.) Ensure the patient is fasting.
d.) Call the pharmacy to confirm the prescription.

Med Math Quiz

Answer 31

b.) Verify the provider’s order & the medication label against the patient’s identification.

Question 32

When performing medication reconciliation, which of the following actions should the nurse include?

a.) Only document changes in prescribed medications.
b.) Disregard over the counter medications.
c.) Compare the patient’s new medication orders with the list of medications they have been taking.
d.) Asume the patient’s current medications are correct without validation.

Med Math Quiz

Answer 32

c.) Compare the patient’s new medication orders with the list of medications they have been taking.

Question 33

After a vaginal delivery, it is determined that the newborn requires fluid resuscitation. The dose for normal saline is 10 mL/kg. The newborn weighs 3500 g. Calculate the intravenous dose for the newborn.

a.) 10 mL
b.) 20 mL
c.) 35 mL
d.) 50 mL

Med Math Quiz

Answer 33

c.) 35 mL

• 3500 g = 3.5 kg
• 10 mL x 3.5 kg = 35 mL

Question 34

A newborn requires medication B, which is prescribed at 0.1 mg/kg/dose. If the newborn weighs 2.8 kg, how much medication should be administered per dose?

a.) 0.18 mg
b.) 0.30 mg
c.) 0.25 mg
d.) 0.28 mg

Med Math Quiz

Answer 34

d.) 0.28 mg

0.1 x 2.8 = 0.28 mg

Question 35

The prescribed dose for medication C is 5 mg/kg/day, to be administered in 3 divided doses. If the newborn weighs 4000 g, how much medication should be administered per dose?

a.) 5 mg
b.) 6.67 mg
c.) 10 mg
d.) 20 mg

Med Math Quiz

Answer 35

b.) 6.67 mg

• 4,000 g = 4 kg
• 5 mg x 4 kg = 20 mg

20 mg / 3 = 6.67 mg

Question 36

A woman in preterm labor is prescribed betamethasone to enhance fetal lung maturity. THe prescribed dose is 12 mg IM every 24 hours for 2 doses. The available concentration of betamethasone is 6 mg/mL. How many mL are needed per dose?

a.) 1.5 mL
b.) 2 mL
c.) 1 mL
d.) 3 mL

Med Math Quiz

Answer 36

b.) 2 mL

Question 37

A woman is prescribed misoprostol (Cytotec) 600 mcg orally for postpartum hemorrhage. The available tablet strength is 200 mcg. How many tablets should she take to achieve the prescribed dose?

a.) 4
b.) 5
c.) 3
d.) 2

Med Math Quiz

Answer 37

c.) 3

Question 38

A pregnant woman with preeclampsia is prescribed magnesium sulfate for seizure prophylaxis. The loading dose is 4 g IV over 20 minutes, followed by a maintenance infusion fo 2 g per hour. How many mL of a 50% magnesium sulfate solution (which is 500 mg/mL) should be given for the loading dose?

a.) 4
b.) 6
c.) 8
d.) 10

Med Math Quiz

Answer 38

c.) 8

4 g = 4,000 mg

• 4,000 mg / 500 mg = 8

Question 39

A pregnant woman is prescribed IV cefazolin for surgical prophylaxis prior to a cesarean section. The prescribed dose is 2 grams, and the available concentration of cefazolin is 1 gram per 50 mL. How many mL of the solution should be administered to deliver the prescribed dose?

a.) 25
b.) 50
c.) 75
d.) 100

Med Math Quiz

Answer 39

d.) 100

1 g / 50 mL = 2 g / x mL

50 x 2 = 100 mL