TIA Maternal-Newborn Nursing 3

Question 1

A nurse assesses a newborn's skin and finds a yellowish discoloration at 12 hours of age. This is best described as:

Accepted Answer

Pathologic jaundice, which requires evaluation

Answer

Physiologic jaundice, which is normal at this time

Answer

Erythema toxicum, a benign rash

Answer

Mongolian spots requiring documentation only

Question 2

Which finding in a patient at 34 weeks gestation is consistent with preterm labor?

Accepted Answer

Regular contractions every 5 minutes with cervical dilation

Answer

Braxton Hicks contractions that stop with hydration

Answer

Fetal movement of 10 kicks in 2 hours

Answer

Mild lower back ache after prolonged standing

Question 3

A nurse is teaching a new mother about sudden infant death syndrome (SIDS) prevention. Which instruction is most important?

Accepted Answer

Always place the infant supine (on back) to sleep

Answer

Place the infant prone to sleep to prevent aspiration

Answer

Use a soft mattress with bumper pads in the crib

Answer

Keep the infant in a separate room from birth

Question 4

Postpartum depression differs from 'baby blues' in that it:

Accepted Answer

Persists beyond 2 weeks and requires treatment

Answer

Occurs within the first 72 hours after delivery

Answer

Resolves spontaneously within 2 weeks

Answer

Is characterized only by irritability, not sadness

Question 5

A newborn's blood glucose is 38 mg/dL at 2 hours of age. What is the priority nursing action?

Accepted Answer

Offer early breastfeeding or formula feeding

Answer

Recheck in 1 hour and document

Answer

Initiate IV dextrose infusion

Answer

Administer glucagon intramuscularly

Question 6

Which maternal condition places the newborn at highest risk for hypoglycemia immediately after birth?

Accepted Answer

Poorly controlled gestational diabetes

Answer

Gestational hypertension

Answer

Group B Streptococcus colonization

Answer

Thyroid disease on levothyroxine