NURS 4211 Maternity Final Exam/NURS 4211 Maternity Final ExamNURS 4211 Maternity Final ExamNURS 4211 Maternity Final ExamNURS 4211 Maternity Final ExamNURS 4211 Maternity Final ExamVVNURS 4211 Maternity Final ExamNURS 4211 Maternity Final Exam/NURS 4211 Maternity Final Exam/NURS 4211 Maternity Fina...
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1. A newborn with severe meconium aspiration syndrome (MAS. is not responding to
conventional treatment. Which of the following would the nurse anticipate as possibly
necessary for this newborn?
A) Extracorporeal membrane oxygenation (ECMO)
B) Respiratory support with a ventilator
C) Insertion of a laryngoscope for deep suctioning
D) Replacement of an endotracheal tube via x-ray
2. Assessment of newborn reveals a large protruding tongue, slow reflexes, distended
abdomen, poor feeding, hoarse cry, goiter and dry skin. Which of the following would
the nurse suspect?
A) Phenylketonuria
B) Galactosemia
C) Congenital hypothyroidism
D) Maple syrup urine disease
3. A nursing student is preparing a presentation for the class on clubfoot. The student
determines that the presentation was successful when the class states which of the
following?
A) Clubfoot is a common genetic disorder.
B) The condition affects girls more often than boys.
C) The exact cause of clubfoot is not known.
D) The intrinsic form can be manually reduced.
4. The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in
utero because the newborn is exhibiting signs of neonatal abstinence syndrome. Which
of the following would the nurse expect to assess? (Select all that apply.)
A) Tremors
B) Diminished sucking
C) Regurgitation
D) Shrill, high-pitched cry
E) Hypothermia
F) Frequent sneezing
5. A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority?
A) Initiating IV fluid therapy
B) Beginning resuscitative measures
C) Promoting kangaroo care
D) Obtaining a blood culture
Page 1
, 6. A newborn is suspected of having fetal alcohol syndrome. Which of the following
would the nurse expect to assess?
A) Bradypnea
B) Hydrocephaly
C) Flattened maxilla
D) Hypoactivity
7. The nurse is teaching a group of students about the differences between a full-term
newborn and a preterm newborn. The nurse determines that the teaching is effective
when the students state that the preterm newborn has:
A) Fewer visible blood vessels through the skin
B) More subcutaneous fat in the neck and abdomen
C) Well-developed flexor muscles in the extremities
D) Greater surface area in proportion to weight
8. Which of the following, if noted in the maternal history, would the nurse identify as
possibly contributing to the birth of an LGA newborn?
A) Drug abuse
B) Diabetes
C) Preeclampsia
D) Infection
9. When performing newborn resuscitation, which action would the nurse do first?
A) Intubate with an appropriate-sized endotracheal tube.
B) Give chest compressions at a rate of 80 times per minute.
C) Administer epinephrine intravenously.
D) Suction the mouth and then the nose.
10. A woman is to undergo an amnioinfusion. Which statement would be most appropriate
to include when teaching the woman about this procedure?
A) “You'll need to stay in bed while you're having this procedure.”
B) “We'll give you an analgesic to help reduce the pain.”
C) “After the infusion, you'll be scheduled for a cesarean birth.”
D) “A suction cup is placed on your baby's head to help bring it out.”
11. When assessing several women for possible VBAC, which woman would the nurse
identify as being the best candidate?
A) One who has undergone a previous myomectomy
B) One who had a previous cesarean birth via a low transverse incision
C) One who has a history of a contracted pelvis
D) One who has a vertical incision from a previous cesarean birth
Page 2
, 12. A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While caring for the client, the nurse notes a sudden onset of fetal bradycardia.
Inspection of the abdomen reveals an irregular wall contour. The client also complains
of acute abdominal pain that is continuous. Which of the following would the nurse
suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse
13. A pregnant woman with gestational diabetes comes to the clinic for a fasting blood
glucose level. When reviewing the results, the nurse determines that which result
indicates good glucose control?
A) 90 mg/dL
B) 100 mg/dL
C) 110 mg /dL
D) 120 mg/dL
14. A nurse is counseling a pregnant woman with rheumatoid arthritis about medications
that can be used during pregnancy. Which drug would the nurse emphasize as being
contraindicated at this time?
A) Hydroxychloroquine
B) Nonsteroidal anti-inflammatory drug
C) Glucocorticoid
D) Methotrexate
15. A pregnant woman asks the nurse, “I'm a big coffee drinker. Will the caffeine in my
coffee hurt my baby?” Which response by the nurse would be most appropriate?
A) “The caffeine in coffee has been linked to birth defects.”
B) “Caffeine has been shown to cause growth restriction in the fetus.”
C) “Caffeine is a stimulant and needs to be avoided completely.”
D) “If you keep your intake to less than 300 mg/day, you should be okay.”
16. A nurse is providing care to several pregnant women at the clinic. The nurse would
screen for group B streptococcus infection in a client at:
A) 16 weeks' gestation
B) 28 week' gestation
C) 32 weeks' gestation
D) 36 weeks' gestation
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