Maternal Newborn Nursing Practice Test Welcome to your Maternal Newborn Nursing Practice Test 1. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which finding on ultrasound would most suggest a diagnosis of anencephaly in the fetus? Cystic hygroma Polyhydramnios Absence of cranial bones above the orbits Single umbilical artery None 2. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In the setting of severe preeclampsia, which symptom requires immediate intervention to prevent maternal seizures? Mild headache Visual disturbances Swelling of the hands and feet Sudden weight gain None 3. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A patient with a history of lupus is pregnant. Which complication is most likely to be seen in her pregnancy? Decreased fetal movement Hyperemesis gravidarum Pre-eclampsia Gestational diabetes None 4. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which symptom should be immediately reported by a pregnant woman at 24 weeks gestation indicating a potential placental abruption? Intermittent mild nausea Pain-free vaginal bleeding Sudden onset of localized uterine pain Continuous back pain with no bleeding None 5. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In a diabetic pregnant woman, what is the most common fetal complication to monitor for during ultrasounds? Microcephaly Sacrococcygeal teratoma Macrosomia Cleft palate None 6. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A 32-week pregnant patient presents with sudden shortness of breath and chest pain. What is the most likely diagnosis? Myocardial infarction Pulmonary embolism Asthma exacerbation Musculoskeletal pain None 7. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the primary risk factor for ectopic pregnancy? Advanced maternal age Prior ectopic pregnancy High body mass index Multiparity None 8. Newborn Nursing: Pregnancy Birth Risk Factors and Complications During prenatal visits, which finding is most concerning for vasa previa? Fetal heart rate decelerations Irregular maternal weight gain Occasional Braxton Hicks contractions Polyhydramnios None 9. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the primary concern when a pregnant woman at 36 weeks gestation reports decreased fetal movement? Digestive upset in the mother Fetal sleep cycles Fetal growth restriction Normal variation in movement None 10. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In the context of a pregnant patient with severe itching and jaundice, which condition must be urgently ruled out? Intrahepatic cholestasis of pregnancy Hyperemesis gravidarum Urticarial papules and plaques of pregnancy Preeclampsia None 11. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which maternal condition is most associated with a risk of delivering a neonate with neonatal thrombocytopenia? Gestational diabetes Hypothyroidism Idiopathic thrombocytopenic purpura (ITP) Chronic hypertension None 12. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is a critical concern when managing a pregnant woman with polyhydramnios? Fetal somatic mutation Spontaneous preterm labor Undiagnosed gestational diabetes Reduced fetal movements None 13. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A pregnant patient with a known uterine fibroid presents with acute abdominal pain and tenderness. What is the most likely diagnosis? Uterine rupture Red degeneration of fibroid Acute urinary retention Placental abruption None 14. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In a pregnant patient with preeclampsia, which laboratory finding is most indicative of progressing to HELLP syndrome? Elevated liver enzymes Low serum glucose Decreased serum creatinine Elevated white blood cell count None 15. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the primary risk associated with a velamentous cord insertion diagnosed during pregnancy? Umbilical cord prolapse Fetal growth restriction Vasa previa Gestational diabetes None 16. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which condition is most commonly associated with a history of multiple cesarean sections? Placenta accreta Uterine atony Fetal malpresentation Gestational hypertension None 17. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A pregnant patient at 30 weeks gestation with a seizure disorder is stable on medication. What is the key risk management strategy for this patient? Frequent ultrasound examinations Regular fetal heart rate monitoring Continuous EEG monitoring Therapeutic drug level assessments None 18. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which symptom is most indicative of a molar pregnancy? Severe morning sickness Decreased fetal movement Hypertensive episodes Rapid uterine growth None 19. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the most likely complication in a pregnancy following bariatric surgery? Fetal macrosomia Nutritional deficiencies in the mother Excessive weight gain during pregnancy Decreased risk of gestational diabetes None 20. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which complication is most likely to occur in a twin pregnancy during the third trimester? Single intrauterine growth restriction (IUGR) Twin-to-twin transfusion syndrome (TTTS) Unilateral placental abruption Single fetal demise None 21. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In a pregnant patient with a known substance use disorder, which fetal condition is most critically monitored for? Fetal alcohol syndrome Neonatal abstinence syndrome Fetal growth restriction Congenital heart defects None 22. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the major concern with oligohydramnios diagnosed at 34 weeks gestation? Fetal overactivity Pulmonary hypoplasia Excessive fetal growth Maternal hypertension None 23. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which symptom is most concerning for amniotic fluid embolism in a laboring patient? Progressive labor pain Sudden onset of hypoxia and cardiovascular collapse Gradual onset of fever and tachycardia Intermittent vaginal bleeding None 24. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A pregnant woman at 28 weeks gestation presents with a painless, bright red vaginal bleeding. Which condition should be immediately considered? Cervical insufficiency Placenta previa Uterine rupture Ectopic pregnancy None 25. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum nurse is assessing a mother 24 hours after delivery. The mother's fundus is firm, but she is experiencing a heavy flow of bright red blood. Which of the following conditions is most likely? Lochia serosa Lochia rubra Uterine atony Retained placental fragments None 26. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which symptom should be reported immediately by a postpartum patient as it suggests the possibility of a postpartum preeclampsia? Diaphoresis Headache that does not improve with analgesics Fatigue Frequent urination None 27. Newborn Nursing: Maternal Postpartum Assessment Management and Education A mother reports pain and a reddened area on her breast. Which condition is the most likely diagnosis? Mastitis Engorgement Milk bleb Intraductal papilloma None 28. Newborn Nursing: Maternal Postpartum Assessment Management and Education In the postpartum period, which blood pressure reading would be a critical value that needs immediate intervention? 150/100 mm Hg 120/80 mm Hg 100/60 mm Hg 130/85 mm Hg None 29. Newborn Nursing: Maternal Postpartum Assessment Management and Education A new mother is experiencing difficulty urinating post-delivery. Which of the following should be assessed first? Bladder infection Perineal trauma Medication side effects Psychological factors None 30. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the primary reason for administering Rh immunoglobulin to an Rh-negative mother after delivery of an Rh-positive baby? To boost the mother's immune system To prevent maternal anemia To prevent Rh isoimmunization in future pregnancies To increase fetal hemoglobin levels None 31. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which of the following is a sign of a potential thromboembolic disorder in a postpartum patient? Tachycardia Unilateral leg pain and swelling Hypotension Polyuria None 32. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum patient exhibits signs of depression, such as persistent sadness, withdrawal from social interaction, and lack of interest in her newborn. What is the most appropriate initial step in management? Prescribe antidepressants Schedule immediate psychological counseling Recommend increased social support and reassessment in two weeks Advise her to get more sleep None 33. Newborn Nursing: Maternal Postpartum Assessment Management and Education When assessing a postpartum woman's uterine involution, which finding would indicate a deviation from normal recovery? Uterus firm and located two fingerbreadths below the umbilicus on day two Uterus soft and boggy, located at the level of the umbilicus on day three Uterus firm, descending one fingerbreadth below the umbilicus each day postpartum Uterus located in the midline, firm, and decreasing in size daily None 34. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the primary concern for a postpartum patient whose perineal pads are saturated within an hour after normal vaginal delivery? Lochia serosa Uterine atony Lochia alba Normal postpartum discharge None 35. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum nurse assesses a mother who complains of shortness of breath and chest pain 48 hours after delivery. Which of the following conditions is most critical to rule out first? Pulmonary edema Pulmonary embolism Costochondritis Postpartum cardiomyopathy None 36. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which of the following findings in a postpartum assessment 24 hours after a cesarean section is most concerning? Incisional pain rated 5 on a scale of 1 to 10 Slight redness around the incision edges Serous drainage from the incision site Hard, reddened area on the calf of one leg None 37. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the most effective initial management for a postpartum patient diagnosed with uterine atony and ongoing heavy bleeding? Administration of oral methylergonovine Intravenous infusion of oxytocin Application of a cold pack to the abdomen Immediate bed rest with leg elevation None 38. Newborn Nursing: Maternal Postpartum Assessment Management and Education During a postpartum visit, a mother reports feelings of detachment from her baby and frequent crying episodes. Which of the following steps should be prioritized? Advising more physical rest Immediate psychological evaluation for postpartum depression Offering reassurance about normal stress after childbirth Scheduling a routine follow-up in one month None 39. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum patient reports not feeling the urge to void along with lower abdominal pain 12 hours after a vaginal delivery. What is the most likely cause? Urinary retention Bladder infection Uterine prolapse Constipation None 40. Newborn Nursing: Newborn Assessment and Management A newborn is exhibiting signs of jaundice within the first 24 hours of life. What is the most likely etiology of this jaundice? Physiological jaundice Breastfeeding jaundice Breast milk jaundice Pathological jaundice None 41. Newborn Nursing: Newborn Assessment and Management Which assessment finding is most concerning in a 24-hour-old newborn? Acrocyanosis Central cyanosis Mottling of the skin Jaundice None 42. Newborn Nursing: Newborn Assessment and Management What is the optimal timing for the first dose of hepatitis B vaccine in a newborn? Within the first 12 hours At 24 hours At 48 hours Before discharge None 43. Newborn Nursing: Newborn Assessment and Management Which symptom would indicate a potential glucose homeostasis issue in a newborn? Consistent sneezing Frequent yawning Jitteriness Excessive sleepiness None 44. Newborn Nursing: Newborn Assessment and Management What does a bulging fontanelle in a newborn most likely indicate? Dehydration Normal variant Increased intracranial pressure Viral infection None 45. Newborn Nursing: Newborn Assessment and Management In assessing the Moro reflex in a newborn, what is an abnormal response? Symmetric abduction and extension of the arms Arms returning to midline after abduction and extension Lack of arm movement following stimulation Crying in response to the reflex being elicited None 46. Newborn Nursing: Newborn Assessment and Management A newborn's respiratory rate is 65 breaths per minute with mild intercostal retractions. What is the most appropriate initial action? Administer oxygen immediately Initiate Continuous Positive Airway Pressure (CPAP) Observe and record ongoing assessments Prepare for intubation None 47. Newborn Nursing: Newborn Assessment and Management Which of the following findings in a newborn should prompt immediate evaluation for sepsis? Frequent hiccupping Consolable crying Temperature instability Episodes of apnea lasting less than 15 seconds None 48. Newborn Nursing: Newborn Assessment and Management What is the primary concern with a caput succedaneum in a newborn? It indicates underlying skull fractures. It may cause jaundice as it resolves. It is associated with developmental delays. It often leads to infection. None 49. Newborn Nursing: Newborn Assessment and Management A newborn with suspected congenital heart disease would most likely exhibit which of the following? Persistent nasal flaring A heart murmur Decreased activity levels Increased feeding vigor None 50. Newborn Nursing: Newborn Assessment and Management What is a critical aspect of managing a newborn with suspected neonatal abstinence syndrome? Ensuring frequent, high-volume feedings Applying tight swaddling Minimizing environmental stimuli Providing sucrose water frequently None 51. Newborn Nursing: Maternal Postpartum Complications A postpartum woman develops sudden, sharp chest pain and shortness of breath 48 hours after delivery. Which complication is most likely? Uterine atony Pulmonary embolism Postpartum hemorrhage Endometritis None 52. Newborn Nursing: Maternal Postpartum Complications A patient is diagnosed with postpartum preeclampsia. Which symptom is LEAST likely to be observed? Hypertension Seizures Urinary tract infection Proteinuria None 53. Newborn Nursing: Maternal Postpartum Complications Which assessment finding is most indicative of a hematoma developing in a postpartum woman? Persistent vaginal bleeding Sudden onset of pelvic pain Elevated blood pressure Increased heart rate None 54. Newborn Nursing: Maternal Postpartum Complications A woman 3 days postpartum complains of severe abdominal pain, fever, and an offensive odor from her vaginal discharge. What is the most likely diagnosis? Cystitis Endometritis Urinary retention Vaginal tear None 55. Newborn Nursing: Maternal Postpartum Complications What is the primary treatment for a postpartum woman diagnosed with venous thromboembolism (VTE)? Antibiotics Anticoagulants Antidepressants Analgesics None 56. Newborn Nursing: Maternal Postpartum Complications Which condition is characterized by persistent heavy bleeding more than 24 hours but less than 6 weeks postpartum? Delayed postpartum hemorrhage Early postpartum hemorrhage Subinvolution of the uterus Uterine atony None 57. Newborn Nursing: Maternal Postpartum Complications A postpartum patient exhibits tachycardia, low-grade fever, and localized pain and swelling in the leg. What is the most probable diagnosis? Deep vein thrombosis Eclampsia Endometritis Mastitis None 58. Newborn Nursing: Maternal Postpartum Complications What is a key distinguishing feature of postpartum cardiomyopathy? Hypertension Low blood sugar Heart failure Proteinuria None 59. Newborn Nursing: Maternal Postpartum Complications A patient presents with a swollen, red, and painful area on one breast, accompanied by fever and malaise eight days postpartum. What is the most likely condition? Mastitis Breast engorgement Fibroadenoma Breast abscess None 60. Newborn Nursing: Maternal Postpartum Complications If a postpartum woman exhibits signs of shock, pallor, and a firm, contracted uterus, what should be suspected? Uterine inversion Uterine rupture Placental abruption Concealed hemorrhage None 61. Newborn Nursing: Maternal Postpartum Complications Which intervention is most critical for managing a postpartum woman with suspected septic pelvic thrombophlebitis? Antibiotics and anticoagulants Corticosteroids Diuretics Nonsteroidal anti-inflammatory drugs None 62. Newborn Nursing: Maternal Postpartum Complications In assessing a postpartum woman with suspected disseminated intravascular coagulation 'DIC', which laboratory finding is most significant? Elevated white blood cell count Decreased fibrinogen levels Increased platelet count Normal prothrombin time None 63. Newborn Nursing: Maternal Postpartum Complications Which clinical symptom is not typically associated with postpartum thyroiditis? Fatigue Weight loss Cold intolerance Tachycardia None 64. Newborn Nursing: Maternal Postpartum Complications A postpartum patient exhibits localized warmth, redness, and tenderness in the calf. What is the initial diagnostic test of choice? Venography Ultrasound MRI X-ray None 65. Newborn Nursing: Maternal Postpartum Complications Following a cesarean section, a patient presents with tachypnea, hypoxia, and confusion. Which condition should be urgently considered? Amniotic fluid embolism Uterine atony Postpartum hemorrhage Puerperal psychosis None 66. Newborn Nursing: Maternal Postpartum Complications What is the hallmark symptom of postpartum eclampsia? Hypertension Seizures Proteinuria Swelling of the legs None 67. Newborn Nursing: Maternal Postpartum Complications Which of the following is a risk factor for postpartum uterine inversion? Chronic hypertension Excessive traction on the umbilical cord Previous cesarean delivery Gestational diabetes None 68. Newborn Nursing: Maternal Postpartum Complications What is the most effective management strategy for preventing postpartum depression? Prophylactic antidepressants Routine debriefing sessions Early recognition and treatment of symptoms Strict bed rest post-delivery None 69. Newborn Nursing: Maternal Postpartum Complications Which symptom would differentiate a postpartum hemorrhage caused by retained placental fragments from other causes? Rapid heart rate High blood pressure Passing large clots Continuous bleeding None 70. Newborn Nursing: Maternal Postpartum Complications A postpartum woman with no prior history of hypertension develops sudden blood pressure elevations. What should be considered? Chronic hypertension White coat syndrome Postpartum preeclampsia Essential hypertension None 71. Newborn Nursing: Newborn Complications A neonate is diagnosed with transient tachypnea. Which symptom is most characteristic of this condition? Rapid breathing Decreased heart rate Cyanosis around the mouth Frequent vomiting None 72. Newborn Nursing: Newborn Complications Which intervention is most appropriate for a newborn diagnosed with hypoglycemia? Immediate feeding or intravenous glucose Application of a warming blanket Administration of supplemental oxygen Frequent neurological assessments None 73. Newborn Nursing: Newborn Complications In assessing a newborn with suspected neonatal abstinence syndrome, which sign would not typically be associated with this condition? Tremors Lethargy Excessive crying Hyperactive reflexes None 74. Newborn Nursing: Newborn Complications A newborn exhibits bluish discoloration of the skin without respiratory distress. The condition is suspected to be acrocyanosis. What is the typical duration for this condition to resolve? 24 to 48 hours after birth One week after birth Immediately at birth Up to three months after birth None 75. Newborn Nursing: Newborn Complications What is the most effective management strategy for a newborn diagnosed with polycythemia? Hydration and partial exchange transfusion Phototherapy Increased feeding frequency Administration of erythropoietin None 76. Newborn Nursing: Newborn Complications Which of the following is not a common cause of neonatal jaundice? Blood type incompatibility Premature birth Breastfeeding failure Maternal diabetes None 77. Newborn Nursing: Newborn Complications A newborn is diagnosed with a congenital diaphragmatic hernia. Which clinical manifestation would typically be observed first? Cyanosis Bilious vomiting Scaphoid abdomen Inconsolable crying None 78. Newborn Nursing: Newborn Complications Which finding is least likely in a newborn with esophageal atresia? Polyhydramnios in the mother Excessive salivation Immediate post-feeding vomiting Weight gain None 79. Newborn Nursing: Newborn Complications Jaundice Respiratory distress Hypocalcemia Hypoglycemia None 80. Newborn Nursing: Newborn Complications In managing a newborn with suspected necrotizing enterocolitis 'NEC', what is the first-line treatment approach? Surgical intervention Probiotic supplementation Bowel rest and broad-spectrum antibiotics Immediate feeding with hypoallergenic formula None 81. Newborn Nursing: Newborn Complications What is a definitive diagnostic feature of a newborn with choanal atresia? Inability to pass a catheter through the nasal passages to the throat Frequent sneezing and nasal discharge Abnormal facial features Cyanosis relieved by crying None 82. Newborn Nursing: Newborn Complications A neonate with Pierre Robin sequence is most at risk for which complication? Hyperglycemia Feeding difficulties Hypothyroidism Uric acid nephropathy None 83. Newborn Nursing: Newborn Complications A newborn exhibits signs of meconium aspiration syndrome. Which of the following is not a common intervention? Supplemental oxygen Suctioning of the airways Intravenous fluid administration Immediate breastfeeding None 84. Newborn Nursing: Newborn Complications Which symptom is least likely in a newborn with congenital hypothyroidism? Jaundice Hoarse crying Hypertonia Umbilical hernia None 85. Newborn Nursing: Newborn Complications Which factor is least associated with the development of neonatal sepsis? Premature rupture of membranes Maternal infection Low birth weight Breastfeeding None 86. Newborn Nursing: Newborn Complications A neonate diagnosed with total anomalous pulmonary venous return is likely to require what intervention shortly after birth? Cardiac surgery Phototherapy Administration of surfactant Gastric tube feeding None 87. Newborn Nursing: Newborn Complications Which clinical finding is not expected in a newborn with fetal alcohol syndrome? Microcephaly Epicanthal folds Cleft palate Increased birth weight None 88. Newborn Nursing: Newborn Complications What is the primary concern for a newborn diagnosed with erythroblastosis fetalis? Hyperbilirubinemia Hypoglycemia Respiratory distress Hypocalcemia None 89. Newborn Nursing: Newborn Complications In a newborn with suspected bronchopulmonary dysplasia, which intervention is most critical? Administration of diuretics High-calorie feedings Continuous positive airway pressure therapy Corticosteroid therapy None 90. Newborn Nursing: Newborn Complications What is the least common manifestation of neonatal lupus? Skin rash Cardiac complications Liver dysfunction Renal involvement None 91. Newborn Nursing: Newborn Complications Which complication is least likely in a newborn following a maternal infection with rubella during pregnancy? Cataracts Deafness Cardiac defects Hyperglycemia None 92. Newborn Nursing: Newborn Complications In a neonate, what is a potential complication of untreated severe patent ductus arteriosus 'PDA'? Polycythemia Pulmonary hypertension Hypothyroidism Hypercalcemia None 93. Newborn Nursing: Newborn Complications Which finding is unusual in a newborn with Down syndrome? Single palmar crease Excessive moro reflex Flattened nasal bridge Small ears None 94. Newborn Nursing: Newborn Complications A newborn with suspected inborn error of metabolism is most urgently tested for which of the following? Uric acid levels Blood glucose levels Amino acid levels Electrolyte levels None 95. Newborn Nursing: Newborn Complications What is an unlikely symptom of a newborn with galactosemia? Jaundice Cataracts Excessive weight gain Hepatomegaly None 96. Newborn Nursing: Newborn Complications In evaluating a newborn for suspected congenital adrenal hyperplasia (CAH), which sign would be least likely? Virilization Hypotension Low sodium levels Increased pigmentation None 97. Newborn Nursing: Newborn Complications What intervention is most critical for a newborn with a confirmed diagnosis of maple syrup urine disease 'MSUD'? High-protein diet Dialysis Dietary restriction of branched-chain amino acids Supplementation with vitamins None 98. Newborn Nursing: Newborn Complications Which of the following is an uncommon feature of a newborn with Turner syndrome? Lymphedema Wide neck Tall stature Cardiac anomalies None 99. Newborn Nursing: Newborn Complications A newborn exhibits symptoms of hypocalcemia. Which of the following is not a typical cause in neonates? DiGeorge syndrome Excessive intake of cow's milk Maternal diabetes Premature birth None 100. Newborn Nursing: Newborn Complications In a neonate with congenital heart disease, which symptom would be atypical? Cyanosis Tachypnea Frequent urination Poor feeding None 1 out of 100 Time is Up! Time's up
