Maternal Newborn Nursing Test Maternity Nursing (OB Maternal & Newborn) 5

Question 1

A laboring client at 8 cm dilation reports uncontrollable urge to push. Which nursing intervention is most appropriate at this time?

Accepted Answer

Instruct the client to use panting or blowing breathing to resist the urge to push

Answer

Until the cervix is fully dilated (10 cm), pushing is discouraged; panting or blowing techniques help the client resist the urge and prevent cervical edema.

Question 2

A nurse notes that a newborn's blood glucose at 2 hours of life is 38 mg/dL. The infant is alert and feeding well at the breast. What is the priority nursing action?

Accepted Answer

Encourage continued breastfeeding and recheck glucose in 30–60 minutes

Answer

For a symptomatic or asymptomatic newborn with glucose 25–40 mg/dL who is feeding, the first intervention is oral feeding with a recheck within 30–60 minutes per AAP guidelines.

Question 3

Which position is most appropriate for a client with a prolapsed umbilical cord while awaiting emergency cesarean delivery?

Accepted Answer

Trendelenburg or knee-chest position

Answer

Trendelenburg or knee-chest position uses gravity to relieve pressure on the prolapsed cord by allowing the fetal presenting part to move away from the cord.

Question 4

A client 6 hours postpartum has a blood pressure of 158/106 mmHg, a severe headache, and 3+ proteinuria. Which medication does the nurse anticipate administering?

Accepted Answer

Magnesium sulfate

Answer

Postpartum severe-range hypertension with headache and proteinuria indicates postpartum preeclampsia/eclampsia; magnesium sulfate is used for seizure prophylaxis.

Question 5

A newborn is born at 39 weeks to a mother with Type 1 diabetes. Which complication is the newborn at highest risk for in the first hours of life?

Accepted Answer

Hypoglycemia due to fetal hyperinsulinemia

Answer

Infants of diabetic mothers develop hyperinsulinemia in utero; when maternal glucose is removed at birth, high insulin levels cause neonatal hypoglycemia.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing (OB Maternal & Newborn) 5