Maternal Newborn Alternate Item Format Quiz (2024)

  • 1.

    What is the normal range for fetal heart rate during labor?

    • A.

      80-100 bpm

    • B.

      110-160 bpm

    • C.

      180-200 bpm

    • D.

      200-220 bpm

    Correct Answer
    B. 110-160 bpm

    Explanation
    The normal range for fetal heart rate during labor is 110-160 beats per minute (bpm). This range indicates a healthy heart rate for the baby during the birthing process.

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  • 2.

    Which hormone is responsible for uterine contractions during labor and breastfeeding?

    • A.

      Progesterone

    • B.

      Estrogen

    • C.

      Oxytocin

    • D.

      Prolactin

    Correct Answer
    C. Oxytocin

    Explanation
    Oxytocin is the hormone responsible for uterine contractions during labor and breastfeeding. It helps stimulate the uterus to contract during labor and plays a role in milk ejection during breastfeeding.

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  • 3.

    What is the recommended position for a laboring woman to facilitate fetal descent?

    • A.

      Supine

    • B.

      Trendelenburg

    • C.

      Lithotomy

    • D.

      Upright

    Correct Answer
    D. Upright

    Explanation
    The recommended position for a laboring woman to facilitate fetal descent is upright. This position allows gravity to assist in the baby's descent through the birth canal.

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  • 4.

    Which assessment finding indicates placental separation during the third stage of labor?

    Correct Answer
    C. Lengthening of the umbilical cord

    Explanation
    The assessment finding that indicates placental separation during the third stage of labor is lengthening of the umbilical cord. As the placenta separates from the uterine wall, the cord lengthens, and signs of placental separation become evident.

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  • 5.

    What is the most critical action to prevent heat loss in a newborn immediately after birth?

    • A.

      Delayed cord clamping

    • B.

      Swaddling the baby

    • C.

      Applying warm blankets

    • D.

      Placing the baby on a radiant warmer

    Correct Answer
    D. Placing the baby on a radiant warmer

    Explanation
    The most critical action to prevent heat loss in a newborn immediately after birth is placing the baby on a radiant warmer. This helps maintain the baby's body temperature and prevent hypothermia.

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  • 6.

    Which vitamin is commonly administered to the newborn shortly after birth to prevent bleeding?

    • A.

      Vitamin A

    • B.

      Vitamin B6

    • C.

      Vitamin C

    • D.

      Vitamin K

    Correct Answer
    D. Vitamin K

    Explanation
    Vitamin K is commonly administered to the newborn shortly after birth to prevent bleeding. Newborns have low levels of vitamin K, and the injection helps prevent vitamin K deficiency bleeding.

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  • 7.

    Which condition is characterized by excessive bilirubin levels in the blood of a newborn?

    • A.

      Jaundice

    • B.

      Anemia

    • C.

      Cyanosis

    • D.

      Hypoglycemia

    Correct Answer
    A. Jaundice

    Explanation
    Jaundice is the condition characterized by excessive bilirubin levels in the blood of a newborn. It causes a yellow discoloration of the skin and eyes.

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  • 8.

    What is the appropriate nursing action for a newborn experiencing respiratory distress?

    • A.

      Placing the baby in a supine position

    • B.

      Administering oxygen via nasal cannula

    • C.

      Giving a bottle of formula for comfort

    • D.

      Encouraging breastfeeding

    Correct Answer
    B. Administering oxygen via nasal cannula

    Explanation
    The appropriate nursing action for a newborn experiencing respiratory distress is administering oxygen via nasal cannula. This helps provide supplemental oxygen and support respiratory function.

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  • 9.

    What is the primary method of feeding for a premature newborn who is unable to suckle effectively?

    • A.

      Bottle feeding

    • B.

      Cup feeding

    • C.

      Breastfeeding

    • D.

      Tube feeding

    Correct Answer
    D. Tube feeding

    Explanation
    The primary method of feeding for a premature newborn who is unable to suckle effectively is tube feeding. This ensures that the baby receives the necessary nutrients while they develop the ability to feed orally.

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  • 10.

    Which maternal condition requires immediate medical attention to prevent potential harm to the fetus?

    • A.

      Gestational diabetes

    • B.

      Hypertension

    • C.

      Iron deficiency anemia

    • D.

      Urinary tract infection

    Correct Answer
    B. Hypertension

    Explanation
    Hypertension (high blood pressure) in the mother requires immediate medical attention to prevent potential harm to the fetus. Uncontrolled hypertension can lead to complications during pregnancy and delivery.

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  • 11.

    What is the recommended sleep position for reducing the risk of sudden infant death syndrome (SIDS)?

    • A.

      Prone position

    • B.

      Supine position

    • C.

      Right lateral position

    • D.

      Left lateral position

    Correct Answer
    B. Supine position

    Explanation
    The recommended sleep position for reducing the risk of sudden infant death syndrome (SIDS) is the supine position. Placing the baby on their back to sleep is the safest sleep position and reduces the risk of SIDS.

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  • 12.

    Which condition is characterized by a persistent opening in the newborn's heart?

    • A.

      Ventricular septal defect

    • B.

      Patent ductus arteriosus

    • C.

      Atrial septal defect

    • D.

      Tetralogy of Fallot

    Correct Answer
    B. Patent ductus arteriosus

    Explanation
    Patent ductus arteriosus is the condition characterized by a persistent opening in the newborn's heart. It is a common congenital heart defect.

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  • 13.

    What is the appropriate intervention for a newborn with hyperbilirubinemia?

    • A.

      Phototherapy

    • B.

      Blood transfusion

    • C.

      Lumbar puncture

    • D.

      Antibiotic therapy

    Correct Answer
    A. Phototherapy

    Explanation
    The appropriate intervention for a newborn with hyperbilirubinemia is phototherapy. This treatment involves exposing the baby to a special light to break down excessive bilirubin in the blood.

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  • 14.

    Which newborn reflex is elicited by gently stroking the baby's cheek, causing them to turn their head?

    • A.

      Moro reflex

    • B.

      Rooting reflex

    • C.

      Grasp reflex

    • D.

      Babinski reflex

    Correct Answer
    B. Rooting reflex

    Explanation
    The newborn reflex that is elicited by gently stroking the baby's cheek, causing them to turn their head, is the rooting reflex. This reflex helps the baby find the breast or bottle for feeding.

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  • 15.

    What is the normal range for a newborn's respiratory rate at rest?

    • A.

      30-60 breaths per minute

    • B.

      60-80 breaths per minute

    • C.

      100-120 breaths per minute

    • D.

      160-180 breaths per minute

    Correct Answer
    A. 30-60 breaths per minute

    Explanation
    The normal range for a newborn's respiratory rate at rest is 30-60 breaths per minute. This is the typical breathing rate for a healthy newborn when they are not crying or active.

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Maternal Newborn Alternate Item Format Quiz (2024)
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