MATERNITY EXAM REVIEW QUESTIONS WITH ANSWERS DOWNLOAD TO SCORE A, Exams of Nursing

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- Question 1 The nurse is administering vitamin K (phytonadione) to a newborn. Ordered is a 1 time dose of 0.5mg of vitamin K intramuscularly. Available is vitamin K is 1mg/0.5ml. How many mililiters does the nurse administer? Needs Grading Selecte d Answer : Correct

0.

ml Answer: (^) 0. ml

- Question 2 A postpartum patient is receiving 1 unit of pack red blood cells (PRBC) after a Needs Grading hemorrhage. 372ml is infusing at 93ml/hr. The infusion started at 1230. At what time will the infusion be complete. Selecte d Answer: Correct

Evaluation Method Correct Answer ml Exact Match 0.

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0

Answer: (^163) 0

- Question 3 0 out of 2 points A postpartum woman is to receive 15 units of Pitocin for increased bleeding. Available is 20u/ml. How many mililitiers will be administed for one dose? Selecte d Answer : Correc t Answe r:

0.

ml

- Question 4 0 out of 2 points An infant in the NICU is receiving 18ml of breast milk via a feeding tube. The feeding is to infuse over 90 (ninety) minutes. The feeding pump should be set at which rate?

Evaluation Method Correct Answer

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Selected 12 Answer:^ ml Correc t Answe r:

Exact Match^12 ml/hr

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- Question 5 An infant is receiving 135ml of LR via infusion pump over 9 hours. The infusion pump should be set at which rate? Needs Grading Selecte d Answer : Correct

ml/hr Answer: 15ml / hr

- Question 6 The nurse notes that the infant has been feeding poorly over the last 24 hours. She should immediately assess for other signs of: Selected Answer: necrotizin g entercoliti s Answers: hyper h e m o l y t i c a n

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emia necrotizin g entercolitis decreased bilirubin levels

- Question 7 The nurse should be alert to a blood group incompatibility if: Selected Answer: (^) the mother is B-positive and the infant is O-negative Answers: both the mother and the infant is O- negative the mother is B-positive and the infant is O-negative the mother is O-positive and the infant is B-negative the mother is A-positive and the infantis A-negative - Questio n 8

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2 out of 2 points 0 out of 2 points 2 out of 2 points

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Which nursing measure would be appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth? Selected Answer: (^) Assist the client in performing leg exercises every 2 hours Answers: Limit the client's oral fluid intke for the first 24 hours Ambulate the client immediately Assist the client in performing leg exercises every 2 hours Roll a bath blanket and place it firmly behind the client's knees

- Question 9 Which measure may prevent mastitis in a breastfeeding client? Selected Answer: (^) Initiating early and frequent feedings Answers: 2 out of 2 points Initiating early and frequent feedings W

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earing a tight-fitting bra Applying ice packs prior to feeding Nursing the infant for 5 minutes on each breast

- Question 10 What data in the client's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression? Selected Answer: (^) History of extreme sadness Answers: 2 out of 2 points History of extreme sadness Second pregnancy in a 3- year period Ambivalence during the first trimester Unexpected operative birth - Question 11 2 out of 2 points

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How can nurses prevent evaporative heat loss in the newborn? Selected Answer: (^) Drying the baby after birth and wrapping the baby in a dry blanket Answer s: Drying the baby after birth and wrapping the baby in a dry blanket Placing the baby away from the outside wall and the windows Keeping the baby out of drafts and away from air conditioners Warming the stethocope and the nurse's hands before touching the baby

- Question 12 Which infant has the lowest risk of developing high bilirubin levels? Selected Answer: (^) The infant who developed a cephalohemotoma 0 out of 2 points Answer s:

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T h e i n f ant who is breastfeed during the first hour of life The infant who uses brown fat to maintain temperature The infant who was bruised during a difficult birth The infant who developed a cephalohemotoma

- Question 13 2 out of 2 points The nurse is preparing to administer a vitamin K injection to the infant shortly afte birth. Which is important to understand about vitamin K? Selected Answer: (^) It is not initially synthesized because of a sterile bowel at birth Answers: It is important for the production of red blood cells It is necessary for the production of platelets It is responsible for the breakdown of bilirbin and the prevention of jaundice

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It is not initially synthesized because of a sterile bowel at birth

- Question 14 The client says, "My baby is so thin and wrinkle. It looks like he has too much skin." Which is the most therapeutic response by the nurse to the new client's statement? Selected Answer: (^) "You sound disappointed about the way your infant looks." Answers: 2 out of 2 points "You sound disappointed about the way your infant looks." "Don't worry. In no time he'll fill out his skin and look just fine." "All mothers are concerned about how their babies look." "You know, all the cigarettes you smoked interfered with the nourishment he needed." - Question 15 Overstimulation may cause increased oxygen use in a preterm infnat. Which nursing intervention helps to avoid this problem? Selected Answer: (^) Group all care activities together to provide long periods of rest Answers:

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0 out of 2 points Teach the parents signs of overstimulation, such as turning the face away or stiffning and extending the extremities and fingers Keep charts on top of the incubator so the nurses can write on them there Group all care activities together to provide long periods of rest While giving a report to the next nurse, stand in front of the incubator and talk softly about how the infant responds to stimulation

- Question 16 2 out of 2 points Infants who develop a cephalohematoma are at increased risk for: Selected Answer: jaundice Answers: caput succedaneu m jaundice

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erythema toxicum

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infection

- Question 17 2 out of 2 points A new client asks, "Why are you doing a gestational age assessment on my baby?" The nurse's best response is: Selected Answer: (^) "It helps us identify infants who are at risk for any problems." Answers: "This must be done to meet insurance requirements." "The gestational age determines how long the infant will be hospitalized." "It was ordered by your physician." "It helps us identify infants who are at risk for any problems." - Question 18 Which assessment finding of a new born requires prompt action by the nurse? Selected Answer: (^) Pause in breathing lasting longer than 20 seconds Answers: Pause for 15 se co nd s fol lo

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wed by rapid respirations Respiratory rate of 50 breaths/min Pause in breathing lasting longer than 20 seconds Cyanosis of the feet only

- Question 19 2 out of 2 points 2 out of 2 points The nurse is receiving shift report in the newborn nursey. Which client should the nurse assess first? Selected Answer: (^40) weeks gestation female newborn with reported poor feeding at the last attempt Answers: 38 weeks gestation female newborn with a blood sugar

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level of 60 mg/dL 39 weeks gestation male newborn who has been crying prior to initial bath Term male newborn with a noted axillary temperature of 37.2o^ C (99o^ F)

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40 weeks gestation female newborn with reported poor feeding at the last attempt

- Question 20 Which are early signs of hypoglycemia in the newborn for which the nurse should assess? (Select All That Apply) Poor Feeding Respiratory difficulty Jitteriness Answer An increase in 2 out of 2 points s: (^) temerature Poor Feeding Respiratory difficulty Jitteriness A capillary refill of 2 seconds - Question 21 The postpartum nurse is reviewing oral-nasal bulb suctioning with a first-time mom. Which statement will the nurse need to correct? Selected Answer: (^) "Suc tion the nose first and then the mouth." Answers: "Dep ress the bulb prior to inserting the tip."

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"Suction the nose first and then the mouth." "Gradually release the pressure on the bulb while withdrawing it." "Keep the bulb syringe in the bassinet at all times."

- Question 22 An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2o^ C (97.2o^ F). The infant was to be bathed next. What is the nurses next action? Selected Answer: (^) Delay the bath until the newborn's temerature is above 36.7o^ C (98o^ F) 2 out of 2 points 2 out of 2 points Answers:

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Delay the bath until the newborn's temerature is above 36.7o^ C (98o^ F) Test the water to determine if it is too hot Take the infant's temperature rectally Give the bath

- Question 23 Which is the priority rationale for doing a car seat trial for a preterm neonate being discharged soon? Selected Answer: (^) Assesses for any apnea or bradycardia while in the car seat Answers: (^) To determine if the neoate cries while in the care seat To assess the parent's knowledge about car seat use Assesses for any apnea or bradycardia while in the car seat Assesses the car seat's size - Question 24 The nurse knows that late postpartum hemorrhage can be prevented by: Selected Answer: inspecting the placenta after birth Answers: admin p i t o c i n I V d u r

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ing labor administering broad- spectrum antibiotics inspecting the placenta after birth pulling on the umbilical cord to hasten the birt of the placenta

- Question 25 2 out of 2 points

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2 out of 2 points 0 out of 2 points The nurse is teaching new parents strategies to help with newborn colic. Which should the nurse suggest? (Select All That Apply) Selected Answers: (^) Burp the infant frequently during feedings Feed the infant in an upright position

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Answer s: Burp the infant frequently during feedings Feed the infant in an upright position Increaed the number of feedings Increase carrying time by use of a front carrier pack Allow the infant to cry for a period of time

- Question 26 The nurse is teaching new parents how to avoid and treat newborn diaper rash. Which should the nurse include in the teaching session? (Select All That Apply) Keep the diaper area clean and dry 0 out of 2 points Do not use talc-based powders in the diaper area Answer s: (^) Remove the diaper and expose the perineum to warm

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air if a rash develops Keep the diaper area clean and dry Apply a thick layer of zinc oxide to prevent further outbreaks Do not use talc-based powders in the diaper area Cleanse the diaper area with a scrubbing motion

- Question 27 A multiparous client is admitted to the postpartum unit after a rapid labor and birth of a 4000g 2 out of 2 points infant. Her fundus is boggy, lochia heavy, and vital signs are unchanged. The nurse has the client void and massages her fundus, however the fundus remains difficult to find and the lochia remains heavy. Which action shou the nurse take next? Selected Answer: (^) Notify the health care provider Answers: Recheck the vital signs Insert a Foley catheter Notify the health care provider

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Continue to massage the fundus

- Question 28

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A steady trickel of bright red blood from the vaginal in the presence of a firm fundus could mean: Selected Answer: (^) lacerations of the gential tract Answers: (^) uterine atony perineal hematoma lacerations of the gential tract infection of the uterus

- Question 29 A client with mastitis is concerened about breastfeeding while she has an active infection. Which is an appropriate response by the nurse? Selected Answer: (^) Organisms that cause mastitis are not passed to the milk Answers: (^) Oragnisms will be inactivated by gastric acid The infant is protected from infection by immynoglobulins in the breast milk The infan t is not susc eptib le to the orga nism s Orga nism s that caus e mast itis are not pass ed to the milk - Questio