WorksheetsPART 2 TEST 2
Total questions: 61
Worksheet time: 31mins
After an amniotomy, which finding indicates possible infection?
A. Clear, odorless fluid
B. Maternal temperature of 100.6°F
C. Fetal heart rate of 140 bpm
D. Contractions every 5 minutes
What is an amniotomy?
A. Surgical removal of the amniotic sac
B. Artificial rupture of membranes using a sterile instrument
C. Natural rupture of membranes during active labor
D. Drainage of amniotic fluid with ultrasound guidance
Which finding is consistent with hypertonic labor?
A. Weak contractions during the active phase
B. Frequent, cramp-like, poorly coordinated contractions in latent phase
C. Overdistended uterus with decreased tone
D. Soft uterus between contractions
How is the Apgar score assessed?
A. By evaluating heart rate, respirations, muscle tone, reflexes, and color
B. By measuring weight, length, and head circumference
C. By assessing blood glucose, temperature, and heart rate
D. By checking cord blood gases and bilirubin
Which is a common early cause of postpartum hemorrhage?
A. Retained placental fragments
B. Subinvolution
C. Uterine atony
D. Infection
What is the first nursing intervention for postpartum hemorrhage?
A. Notify the provider
B. Administer antibiotics
C. Massage the fundus
D. Prepare for surgery
Which is a sign of hypoglycemia in a term newborn?
A. Hyperactive reflexes
B. High-pitched cry
C. Flushed skin
D. Bradycardia
Where should the uterus be immediately after delivery?
A. Two fingerbreadths above the umbilicus, boggy
B. Midline at the umbilicus, firm
C. To the right of the umbilicus, firm
D. Midline below the umbilicus, soft
Which medication is used to ripen the cervix?
A. Oxytocin
B. Magnesium sulfate
C. Prostaglandin
D. Betamethasone
What medication increases fetal lung maturity?
A. Oxytocin
B. Betamethasone
C. Magnesium sulfate
D. Erythromycin
fter a forceps delivery, the nurse should assess for:
A. Umbilical cord prolapse
B. Scalp bruising and lacerations
C. Absent Moro reflex
D. Low blood glucose
For the first 12 hours after an episiotomy, which intervention is best?
Warm compresses
Sitz bath
Topical antibiotics
Cold packs
Tachysystole is most associated with which fetal complication?
Hypoxia
Shoulder dystocia
Hyperbilirubinemia
Hypoglycemia
Which is a contraindication for induction?
Fetal demise
Gestational hypertension
Placenta previa
Placental insufficiency
For mastitis, the nurse should recommend:
Complete cessation of breastfeeding
Warm compresses before feeding
Pumping only once a day
Cold packs at all times
Stroking a newborn’s cheek causes them to turn toward the stimulus. This is which reflex?
Rooting
Moro
Sucking
Stepping
Normal weight loss for a newborn in the hospital is:
10–15%
1–3%
None
5–10%
In hypovolemic shock postpartum, which intervention is priority?
Monitor urine output
Provide emotional support
Administer antibiotics
Stop blood loss
Uterine atony is defined as:
Weak contractions during labor
Uterine overdistension during pregnancy
Lack of normal uterine muscle tone postpartum
Prolonged contractions postpartum
Which is a manifestation of respiratory distress in a newborn?
A. Nasal flaring and grunting
B. Strong cry and pink skin
C. Regular respirations
D. HR 120 bpm
Which is a priority intervention for apnea in a preterm infant lasting more than 20 seconds?
Stimulate the infant and monitor
Call a code
Administer antibiotics
Increase feeding frequency
Normal temperature for a newborn is:
95–96°F (35–35.5°C)
96–97°F (35.5–36.1°C)
97–99.5°F (36.1–37.5°C)
99.6–101°F (37.6–38.3°C)
Which is the primary reason for respiratory distress in a preterm baby?
Pneumonia
Meconium aspiration
Surfactant deficiency due to lung immaturity
Heart murmur
Which manifestation is expected in neonatal abstinence syndrome?
A. Hypotonia and poor reflexes
B. Tremors and hyperirritability
C. Hypothermia
D. Bradycardia
A newborn of a mother with gestational diabetes is at risk for:
A. Low blood glucose
B. Polycythemia
C. Vitamin K deficiency
D. Hyperbilirubinemia
Correct bulb syringe use includes:
Insert deep into throat
Use only after feeding
Suction nose first, then mouth
Compress bulb before inserting into mouth
A breastfeeding woman asks when her menses will return. You respond:
A. About 2 weeks postpartum
B. About 8 weeks postpartum
C. About 3 months postpartum
D. About 1 year postpartum
Before initiating gavage feeding, the nurse should:
Aspirate gastric contents
Check diaper
Check bowel sounds
Obtain a blood glucose
Pseudomenstruation in a newborn is caused by:
Vaginal infection
Dehydration
Maternal hormone withdrawal
Birth trauma
Which is a noninvasive pain control method for newborns?
Swaddling
Morphine
Ibuprofen
Lidocaine
Bright red, continuous trickle of blood postpartum with a firm uterus indicates:
Normal lochia
Laceration
Retained placenta
Uterine atony
Macrosomia is defined as:
A. Birth weight >90th percentile for gestational age
B. Birth weight <10th percentile
C. Any birth weight over 3000 g
D. Birth weight between 10th–90th percentile
Which wound assessment acronym is used for perineal healing?
BUBBLEHE
APGAR
REEDA
ROM
Hypothermia in a newborn can cause:
A. Hypoglycemia and respiratory distress
B. Hyperbilirubinemia
C. Fever and seizures
D. Hypotension
Spina bifida is:
Inflammation of spinal meninges
Premature fusion of skull sutures
Failure of the brain to develop normally
Neural tube defect with imperfect closure of vertebrae
Which finding suggests postpartum depression rather than baby blues?
A. Crying easily for two days
B. Persistent feelings of inadequacy and inability to cope
C. Sleep disturbance in first week
D. Mild anxiety relieved by rest
Which is most concerning for postpartum psychosis?
A. Tearfulness and insomnia
B. Paranoia and hallucinations
C. Mild anxiety about newborn care
D. Sleep pattern disturbance
Why do breastfed babies feed more often than formula-fed babies?
A. Breast milk is digested more quickly
B. Formula is harder to prepare
C. Breast milk has fewer calories
D. Breast milk is less palatable
In the postpartum acronym BUBBLEHE, the “E” after Lochia stands for:
Elimination
Edema
Emotional status
Episiotomy
RhoGAM is given at:
36 weeks
After delivery only
28 weeks
20 weeks
Group B strep is treated during labor with:
Penicillin
Ampicillin
Gentamicin
Erythromycin
Newborn vitamin K is given to:
Aid digestion
Prevent jaundice
Prevent hemorrhage
Prevent infection
Heat loss when air currents blow across the newborn is:
A. Evaporation
B. Conduction
C. Convection
D. Radiation
For an infant with spina bifida, the nurse should:
A. Place supine
B. Cover sac with dry dressing
C. Place prone with moist sterile dressing over sac
D. Delay surgery until school age
The antidote for narcotic-induced respiratory depression is:
A. Flumazenil
B. Naloxone
C. Epinephrine
D. Atropine
Induction of labor is defined as:
Emergency C-section
Strengthening existing contractions
Initiating labor before it begins naturally
Artificial rupture of membranes only
Phototherapy for jaundice works by:
Breaking down bilirubin in the skin
Preventing bilirubin absorption
Increasing bilirubin production
Increasing hemoglobin
Which is a benefit of breastfeeding for the baby?
Decreases oxytocin release
Increases jaundice risk
Maintains infant temperature
Delays bonding
Which is a risk factor for preterm labor?
A. Maternal age 25 years
B. Previous preterm birth
C. Term pregnancy with normal fluid
D. Normal BMI
Caput succedaneum differs from cephalohematoma because:
Caput takes weeks to resolve
Caput does not cross suture lines
Cephalohematoma occurs at birth only
Caput crosses suture lines; cephalohematoma does not
Which is correct teaching for circumcision care?
Apply tight diaper
Remove yellow crust daily
Wash with warm water only
Expect no redness
A finding suggesting developmental hip dysplasia is:
Equal leg length
Equal knee height
Symmetrical thigh creases
Asymmetrical gluteal folds
Hypoglycemia in a term newborn is defined as:
Glucose <50 mg/dL
Glucose <30 mg/dL
Glucose <40 mg/dL
Glucose <45 mg/dL
An infant weighing above the 90th percentile for gestational age is:
A. SGA
B. AGA
C. LGA
D. LBW
A newborn weighing 2400 g at term is:
A. LBW
B. AGA
C. LGA
D. SGA
Which newborn classification is between the 10th and 90th percentile for gestational age?
A. SGA
B. LGA
C. AGA
D. LBW
Which statement correctly differentiates induction from augmentation of labor?
A. Induction strengthens existing contractions; augmentation initiates contractions before labor begins naturally.
B. Induction and augmentation both start labor before term.
C. Induction starts labor before it begins naturally; augmentation stimulates contractions that have already begun
D. Induction is only used in post-term pregnancy; augmentation is used only in preterm labor.
Q: Which finding is consistent with hypotonic labor?
A. Increased uterine muscle tone with frequent, cramp-like contractions
B. Labor that begins normally but contractions diminish during the active phase
C. A tense uterus even between contractions
D. Contractions that are frequent and nonproductive in the latent phase
Q: Which is a late cause of postpartum hemorrhage?
A. Uterine atony
B. Perineal laceration
C. Retained placental fragments
D. Hematoma in the reproductive tract
Q: Which of the following is an indication for induction of labor according to the document?
Gestational hypertension
Active herpes infection in the birth canal
Placenta previa
Abnormal fetal presentation
Q: Which statement correctly differentiates induction from augmentation of labor?
A. Induction strengthens existing contractions; augmentation initiates labor before it begins.
B. Induction starts labor before it begins naturally; augmentation stimulates contractions that have already begun.
C. Both induction and augmentation always require prostaglandins.
D. Induction is used only for post-term pregnancies.
