Maternal Newborn: EXAM 2 review - PART TWO!Online version Test your knowledge with this review game for Maternal Newborn nursing exam 2! (Part Two) by Kayla Meyers 1 What is the normal range for a newborn's heart rate? a 110-160 beats per minute b 100-120 beats per minute c 80-100 beats per minute d 160-180 beats per minute 2 What is a common sign of postpartum hemorrhage? a Frequent urination b Increased appetite c Elevated blood pressure d Excessive bleeding after delivery 3 Which hormone is primarily responsible for milk production? a Progesterone b Oxytocin c Prolactin d Estrogen 4 What is the recommended position for a newborn during sleep? a On their back b On their side c In a sitting position d On their stomach 5 What is the ideal time frame for initiating breastfeeding after birth? a Within 24 hours b After 6 hours c After 2 hours d Within the first hour 6 What is the purpose of the Apgar score? a To determine gestational age b To assess a newborn's health at birth c To measure maternal weight d To evaluate fetal position 7 Which condition is characterized by high blood pressure during pregnancy? a Placenta previa b Ectopic pregnancy c Preeclampsia d Gestational diabetes 8 What is the typical duration of the first stage of labor? a 6-12 hours b 3-6 hours c 12-24 hours d 1-3 hours 9 What is a common complication of gestational diabetes? a Macrosomia (large baby) b Preterm labor c Neonatal jaundice d Low birth weight 10 An Intrauterine Pressure Catheter (IUPC) can be utilized to: Choose one or more answers a Measure fetal heartbeat b Measure the strength of contractions c Measure the amount of amniotic fluid d Instill fluids if necessary 11 Moderate variability on a fetal heart monitor is displayed as: a <5 beats per minute around baseline b 6-25 beats per minute around baseline c Absent for 2+ minutes 12 Variable decelerations on a fetal heart monitor indicate: a Head compression b Cord compression c Baby is okay! d Placental insufficiency 13 Early decelerations on a fetal heart monitor indicate: a Cord compression b Placental insufficiency c Baby is okay! d Head compression 14 Accelerations on a fetal heart monitor indicate: a Baby is okay! b Head compression c Cord compression d Placental insufficiency 15 Late decelerations on a fetal heart monitor indicate: a Cord compression b Baby is okay! c Head compression d Placental insufficiency 16 What does the 'P' in the mnemonic "Lion Pit" stand for? a STOP Pitocin! b Pneumonia c Potassium levels are low d Position pt to left side 17 What does the 'L' in the mnemonic "Lion Pit" stand for? a Lots of IV fluids b Let the doctor know c Left lateral position d Lovenox prescription 18 What does the 'I' in the mnemonic "Lion Pit" stand for? a Increase oxytocin b IV fluids c Irrigate urinary catheter d Ice pack to perineum 19 Which of the following statements regarding oxytocin administration are TRUE? Select all that apply. Choose one or more answers a Initiates uterine contractions. b Responsible for causing synthesize & release of breast milk in the breasts c Must be administered IVPB at hub closest to the patient d Has half-life of 3 minutes, making it easy to quickly stop an infusion if needed 20 Which of the following defines the "taking-in phase"? (Reva Rubin's 3 Phases) a Second phase characterized by dependent & independent maternal behavior. b Time immediately after birth when the patient needs others to meet her needs & relives the birth process c Third phase in which the woman reestablishes relationships with others 21 Which of the following defines the "taking-hold phase"? (Reva Rubin's 3 Phases) a Time immediately after birth when the patient needs others to meet her needs & relives the birth process b Third phase in which the woman reestablishes relationships with others c Second phase characterized by dependent & independent maternal behavior. 22 Which of the following defines the "letting go phase"? (Reva Rubin's 3 Phases) a Third phase in which the woman reestablishes relationships with others b Time immediately after birth when the patient needs others to meet her needs & relives the birth process c Second phase characterized by dependent & independent maternal behavior. 23 Lochia "rubra" is recognized as: a Red/brown (1-3 days postpartum) b Serosanguinous (day #3-10 postpartum) c White (up to 6 weeks postpartum - normal finding) 24 Lochia "serosa" is recognized as: a Red/brown (1-3 days postpartum) b Serosanguinous (day #3-10 postpartum) c White (up to 6 weeks postpartum - normal finding) 25 Lochia "alba" is recognized as: a Red/brown (1-3 days postpartum) b Serosanguinous (day #3-10 postpartum) c White (up to 6 weeks postpartum - normal finding) 26 When a newborn sucks the mothers breast, __________ (hormone) is released which causes the production/release of breastmilk. a Estrogen b Prolactin c Progesterone d Oxytocin 27 This hormone causes contraction of the smooth muscle in the uterus & around the alveoli cells in the breasts: a Prolactin b Progesterone c Estrogen d Oxytocin 28 A woman who is breastfeeding should be sure to consume _________ extra calories per day a 200 b 500 c 800 d 1000 29 Signs/symptoms of hypoglycemia in a newborn include: Choose one or more answers a Jitteriness b Fever (temp above 100.4) c Weak cry d Poor feeding e Lethargy 30 A nurse obtains the temperature of a newborn. Which of the following results should the nurse document as abnormal and notify the provider? a 97.8 b 99.8 c 99.0 d 98.6 31 What is considered a normal respiratory rate for a newborn? a 12-20 breaths per minute b 40-80 breaths per minute c 30-60 breaths per minute d 90-100 breaths per minute 32 Which of the following blood pressure readings obtained from a newborn should the nurse be concerned about? a 50/75 mmHg b 58/86 mmHg c 52/78 mmHg d 68/94 mmHg