TIA Maternal-Newborn Nursing

Question 1

A nurse is assessing a newborn at 1 minute after birth. The infant has a heart rate of 90 bpm, weak cry, some flexion, grimace to stimulation, and blue hands and feet. What is the APGAR score?

Accepted Answer

6

Answer

5

Answer

7

Answer

8

Question 2

A patient is 36 weeks pregnant and has a blood pressure of 158/104 mmHg with 3+ proteinuria. The nurse should prepare for management of:

Accepted Answer

Severe preeclampsia

Answer

Gestational hypertension

Answer

Chronic hypertension

Answer

HELLP syndrome

Question 3

Which fetal heart rate pattern requires the nurse to immediately reposition the mother and notify the provider?

Accepted Answer

Late decelerations in a non-reactive NST

Answer

Accelerations with fetal movement

Answer

Early decelerations during pushing

Answer

Baseline FHR of 140 bpm

Question 4

A nurse is caring for a patient in active labor receiving magnesium sulfate. Which finding signals toxicity?

Accepted Answer

Loss of deep tendon reflexes

Answer

Respiratory rate of 14 breaths/min

Answer

Urinary output of 35 mL/hr

Answer

Mild flushing and warmth

Question 5

A newborn has not passed meconium within 48 hours of birth. The nurse should assess for:

Accepted Answer

Hirschsprung's disease or imperforate anus

Answer

Dehydration

Answer

Hyperbilirubinemia

Answer

Neonatal abstinence syndrome

Question 6

Which nursing action is the priority when a prolapsed umbilical cord is identified?

Accepted Answer

Place the patient in Trendelenburg or knee-chest position

Answer

Prepare the patient for an emergency cesarean section

Answer

Apply warm saline-soaked gauze to the cord

Answer

Notify the charge nurse and document findings