NCC Maternal Newborn Nursing Practice Exam

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• A postpartum woman has an order for Rh immune globulin and rubella vaccine. When should the rubella vaccine be administered?
• What maternal condition is often associated with an increased incidence of neural tube defects in newborns?
• A pregnant woman diagnosed with varicella-zoster at 32 weeks gestation is in active labor. What is the expected action to ensure the newborn's health?
• A newborn who exhibits cyanosis while quiet but turns pink when crying is likely suffering from what condition?
• What primarily causes after pains in postpartum women?
• A critical finding of hyperthermia in a newborn is which of the following?
• A woman with a BMI of 18 gains 25 lbs during her pregnancy. What risk does this pregnancy face?
• What does a low pH in umbilical blood typically indicate?
• What complication might a large for gestational age (LGA) infant experience?
• A nurse discovers that a Rh immune globulin order was missed 72 hours postpartum. What is the appropriate action?
• What acid-base change occurs due to falling progesterone levels within the first 2 days after birth?
• What is a typical sign of respiratory distress in a newborn?
• The use of a heat shield primarily prevents which type of heat loss?
• A newborn whose mother was poorly controlled diabetic during the third trimester is at risk for what condition?
• What is a primary benefit of early nursing or milk removal in the lactation initiation stage?
• A newborn with hypothermia should be observed for which of the following?
• For a newborn receiving phototherapy via a fiber optic blanket, what instruction should be given to the mother?
• What is the typical recovery time frame for a woman after a vaginal delivery?
• In cases of neonatal sepsis, which of the following organisms is commonly associated with Group B streptococcus as a pathogen?
• If a patient reports painful nipples during breastfeeding, what could be a contributing factor?
• Why are gavage feedings often required for preterm infants?
• What are the characteristics of a dizygotic pregnancy?
• What is a common physical finding in a neonate with jaundice?
• What is the most effective method for confirming pregnancy in a clinical setting?
• What is an important assessment for a postpartum patient with decreased bowel sounds?
• Which intervention is least likely to help a mother experiencing flat nipples with breastfeeding?
• What factor contributes to the need for vitamin K administration in newborns shortly after birth?
• In what position should a newborn be placed to properly assess the fontanelles?
• Which of the following assessments is important for a newborn on phototherapy?
• An umbilical blood gas shows a pH of 7.27, PC02 of 50 mm Hg, and HC03 of 23 meq/L. What does this represent?
• A tremor characterized by equal amplitude and rate of alternating movement in a 12-hour-old newborn indicates which condition?
• Umbilical blood gas values are primarily used to?
• A patient has a 2-hour glucose tolerance test result of 140. What is the best recommendation for assessing her current risk of diabetes?
• When assessing a new postpartum patient, how should her blood pressure be expected to compare to baseline during pregnancy?
• Which condition is associated with an increased risk of postpartum hemorrhage?
• After giving birth, what should be monitored for a woman who received medications for uterine atony?
• What inhibits surfactant production in infants with respiratory distress syndrome (RDS)?
• What is the risk of developing diabetes in women with a history of gestational diabetes?
• If a woman receives magnesium sulfate during labor for gestational hypertension, what effect might this have on the newborn?
• During pregnancy, which hormone is primarily responsible for maintaining the corpus luteum?
• What physical change is commonly seen in a mother experiencing postpartum blues?
• Two hours after delivery, the uterine fundus is found to be deviated from midline. What should the nurse encourage the woman to do?
• Why is hyperbilirubinemia particularly concerning in preterm infants?
• On the first day postpartum, where would the nurse expect to palpate the fundus?
• A fetus at 36 weeks receives a BBP score of 6. What is the expected management?
• When considering thermoregulation in the newborn, the loss of heat to moving air at the skin surface is called?
• What follow-up vaccines should a newborn of an HBsAg mother receive at 2 months and 4 months?
• What symptom would most strongly suggest a ruptured ectopic pregnancy?
• A postpartum patient received terb and corticosteroids during labor. What potential drug interaction should be monitored?
• In women with epilepsy, when is the risk of seizures higher during pregnancy?
• Which postpartum value increases due to the catabolic process of involution compared to the 3rd trimester?
• What is a common cause of engorgement in non-breastfeeding women?
• What should be monitored closely in a newborn diagnosed with hypoglycemia?
• During catheterization of a postpartum patient's bladder, what is the maximum amount of urine that should be removed at one time?
• What is the most common postpartum infection?
• What hormonal change occurs immediately postpartum that affects insulin requirements in diabetic patients?
• At birth, the most potent stimulus for constriction of the ductus arteriosus is an increase in what?
• Why will an insulin-dependent diabetic have her insulin dose reduced following delivery?
• The recommendation regarding breastfeeding for a postpartum mother diagnosed with cytomegalovirus during the third trimester is to:
• What is a common cause of sudden late onset postpartum hemorrhage?
• What percent of eclampsia cases occur during the postpartum period among women with a history of pre-eclampsia?
• Which statement regarding respiratory distress syndrome (RDS) is incorrect?
• What is the most likely diagnosis for a newborn with absent breath sounds on the left and heart sounds shifted to the right?
• A patient in preterm labor at 30 weeks received indocin. What should the newborn be observed for?
• A postpartum woman who is not breastfeeding is advised against binding her breasts to prevent painful engorgement. What is the rationale?
• A potential complication following a cesarean delivery can include:
• A woman is 12 hours postpartum with a WBC count of 25,000. What does this indicate?
• A postpartum woman is given Rh immune globulin (Rhogam). What possible side effect should the nurse alert her about?
• Which characteristic is more indicative of jitteriness than seizures?
• When performing cord care for a newborn, which cleaning agent is recommended?
• At what age does the American Academy of Pediatrics recommend starting a vitamin D supplement for infants?
• When evaluating cord blood gas, if the pH is low, which other blood gas parameter helps determine if acidosis is respiratory or metabolic?
• If a nurse observes hair on the ears of a newborn, what could this indicate about the mother?
• What intervention is crucial for a postpartum woman experiencing heavy vaginal bleeding?
• In cord blood gas analysis, what does a pH level below 7.2 indicate?
• What is a common feature of Trisomy 21 in newborns?
• A newborn is at higher risk for jaundice when delivered by which method?
• What size endotracheal tube should be available to resuscitate a 36-week, 2500 gm newborn?
• Which feature is the most important when deciding on a mechanical breast pump?
• What is the best indicator of an infant's need for oxygen?
• What is a risk associated with a cesarean section in terms of maternal health?
• A woman delivering a newborn with spina bifida wants to know the risk of a subsequent baby having a similar condition. What should the nurse inform her?
• Which condition may necessitate temporary discontinuation of breastfeeding for a mother?
• The initiation of lactation is primarily dependent on which of the following factors?
• What common condition occurs in newborns as a response to meconium exposure during birth?
• What does the ultrasound for antepartum testing assess?
• What should a neonate born to a mother with an unknown HBsAg status receive?
• What is a common cause of spinal headaches in postpartum patients?
• Which class of antibiotic can interfere with bilirubin binding to protein in newborns?
• A postpartum patient is urinating excessively. What is the most appropriate nursing response?
• A newborn presenting with tachypnea and cyanosis is most likely experiencing which condition?
• A postpartum mother with hepatitis A virus has been diagnosed before delivery. What is the recommendation regarding her breastfeeding?
• Which nutritional supplement is commonly recommended during pregnancy to prevent neural tube defects?
• In which ethnic population is umbilical cord hernia more commonly observed?
• When should a postpartum woman be educated about the signs of a potential allergic reaction to Rh immune globulin?
• What condition is indicated if a preterm infant experiences rapid breathing and cyanosis?
• A woman 4 hours postpartum reports sudden, excruciating vulvar pain and severe rectal pressure. What condition is likely?
• What test is appropriate for a newborn born to an HIV-positive mother?
• What does the presence of phosphatidylglycerol (PG) indicate in amniotic fluid?
• For a breastfeeding mother with flat nipples having trouble latching, what should be recommended?
• Breech presentation increases the risk for which complication?
• What is the main purpose of performing a PG test?
• What physiological reason necessitates a vitamin K injection on the day of birth?
• How much weight does the average woman lose at birth?
• A newborn with hepatomegaly, tachycardia, and feeding problems is most likely experiencing which condition?
• What is commonly expected in terms of blood loss for a postpartum woman within the first hour after delivery?
• The specific tests mandated in newborn screening for inborn errors of metabolism are determined by which authority?
• At what rate per minute should chest compressions be performed on a newborn?
• The process that triggers the metabolism of brown fat in the neonate occurs for which purpose?
• During postpartum recovery, low levels of various hormones lead to which of the following effects?
• A normal breathing pattern for a two-hour-old neonate may include which of the following?
• Which factor may contribute to poor weight gain in preterm infants?
• Which of the following temperatures in a term newborn is considered normal?
• On postpartum day 2, a woman exhibits signs of sleep disturbances, irritability, agitation, and confusion. What condition does the nurse suspect?
• Which cardiovascular parameter increases by 60% during pregnancy?
• What complication is a postpartum woman at increased risk for due to shoulder dystocia?
• A woman is diagnosed with oligohydramnios during her pregnancy. What should be evaluated in the fetus/newborn?
• If a newborn is delivered with meconium staining but is responsive, how should they be managed?
• Which of the following is a limitation of an alpha-fetoprotein (AFP) test?
• What is a characteristic sign of Tetralogy of Fallot in a newborn?
• A patient with documented prenatal exposure to parvovirus shows pre-existing IgG antibodies. What is an appropriate recommendation?
• If a patient in the high-risk unit has a L/S ratio of 2:0, what is the likely outcome?
• What is a likely reaction if a newborn shows edema and a greenish-yellow discharge after eye prophylaxis?