TIA Maternal-Newborn Nursing 2

Question 1

A breastfeeding mother asks how to know if her newborn is getting enough milk. The best indicator is:

Accepted Answer

6–8 wet diapers per day by day 4–5

Answer

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?

Accepted Answer

Firmly massage the uterine fundus

Answer

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?

Accepted Answer

39 0/7 weeks

Answer

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:

Accepted Answer

72 hours of delivery

Answer

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)?

Accepted Answer

Nasal flaring and grunting on expiration

Answer

Nasal flaring and expiratory grunting are classic signs of RDS, indicating the infant is working hard to keep alveoli open.

TIA - Assessment Technologies Institute Practice Test