Maternal Newborn Nursing Test Maternity Nursing (OB Maternal & Newborn) 4

Question 1

A client at 41 weeks gestation undergoes a biophysical profile (BPP). A score of 6 out of 10 is obtained. What is the nurse's understanding of this result?

Accepted Answer

Equivocal — further evaluation or delivery may be indicated

Answer

A BPP score of 6/10 is equivocal and requires further evaluation, possible repeat testing, or consideration of delivery depending on gestational age.

Question 2

A nurse is teaching a client about signs of preterm labor. Which symptom should the client report immediately?

Accepted Answer

A low backache that comes and goes every 10 minutes at 32 weeks

Answer

Regular low backaches occurring every 10 minutes at 32 weeks may indicate preterm labor contractions and require immediate medical evaluation.

Question 3

Which newborn reflex disappears by 3–4 months of age and, if still present after 6 months, may indicate neurological damage?

Accepted Answer

Moro reflex

Answer

The Moro (startle) reflex normally disappears by 3–4 months; persistence beyond 6 months can indicate central nervous system dysfunction.

Question 4

A nurse is preparing to administer vitamin K (phytonadione) to a newborn. Which site and route are correct?

Accepted Answer

Vastus lateralis, intramuscular

Answer

Vitamin K is administered intramuscularly into the vastus lateralis (anterolateral thigh) muscle in newborns, as it is the preferred IM site.

Question 5

A client at 36 weeks gestation presents with sudden, severe abdominal pain, a rigid board-like abdomen, and dark red vaginal bleeding. Fetal heart tones are difficult to auscultate. The nurse suspects:

Accepted Answer

Severe abruptio placentae

Answer

Sudden severe abdominal pain, board-like uterine rigidity, dark red vaginal bleeding, and compromised fetal heart tones are classic signs of severe abruptio placentae.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing (OB Maternal & Newborn) 4