TIA Maternal-Newborn Nursing 2 — Questions and Answers
Question 1: A breastfeeding mother asks how to know if her newborn is getting enough milk. The best indicator is:
- The infant sleeps for 4 hours between feedings
- 6–8 wet diapers per day by day 4–5 (Correct answer)
- The infant finishes each feeding in under 5 minutes
- The mother's breasts feel soft after feeding
Correct answer: 6–8 wet diapers per day by day 4–5
Six to eight wet diapers per day after milk comes in (day 4–5) confirms adequate newborn hydration and intake.
Question 2: A patient in the postpartum period has a boggy uterus and heavy vaginal bleeding. What is the priority nursing action?
- Administer oxytocin as ordered
- Firmly massage the uterine fundus (Correct answer)
- Insert a urinary catheter to decompress the bladder
- Notify the obstetrician immediately
Correct answer: Firmly massage the uterine fundus
Uterine massage is the immediate action to stimulate uterine contraction and reduce postpartum hemorrhage from uterine atony.
Question 3: At what gestational age is a fetus considered to be at full term by current ACOG definitions?
- 37 0/7 weeks
- 38 0/7 weeks
- 39 0/7 weeks (Correct answer)
- 40 0/7 weeks
Correct answer: 39 0/7 weeks
ACOG defines full term as 39 0/7 to 40 6/7 weeks; 37–38 weeks is now classified as early term.
Question 4: A mother is Rh-negative and delivers an Rh-positive newborn. The nurse should administer RhoGAM within:
- 24 hours of delivery
- 48 hours of delivery
- 72 hours of delivery (Correct answer)
- 1 week of delivery
Correct answer: 72 hours of delivery
RhoGAM (Rh immune globulin) must be administered within 72 hours of delivery to prevent Rh sensitization.
Question 5: Which assessment finding in a newborn is associated with respiratory distress syndrome (RDS)?
- Respiratory rate of 38 breaths/min
- Nasal flaring and grunting on expiration (Correct answer)
- Oxygen saturation of 96% on room air
- Pink color with acrocyanosis only
Correct answer: Nasal flaring and grunting on expiration
Nasal flaring and expiratory grunting are classic signs of RDS, indicating the infant is working hard to keep alveoli open.
Question 6: A gravida 3 para 2 patient is at 30 weeks and reports painless bright red vaginal bleeding. The nurse suspects:
- Placental abruption
- Placenta previa (Correct answer)
- Bloody show in early labor
- Cervical polyp bleeding
Correct answer: Placenta previa
Painless bright red bleeding in the second or third trimester is the classic presentation of placenta previa.
TIA Maternal-Newborn Nursing 2
A breastfeeding mother asks how to know if her newborn is getting enough milk.
The best indicator is: