CJE Maternity 1 Practice Exam

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• Which sign is NOT typically associated with postpartum blues?
• True or false: Maternal hypotension is a recognizable cause of prolonged deceleration.
• If a mother is diagnosed with a transverse baby at 34 weeks, what could potentially happen?
• What is the leading cause of macrosomia in newborns that are LGA?
• What structure allows for the transfer of oxygen and nutrients from the maternal circulation into fetal circulation?
• What term is used for periods of disturbed brain activity that can cause episodes of staring and convulsions?
• Which antihypertensive is commonly administered intravenously during pregnancy?
• Which condition does not contraindicate the use of oxytocin?
• Why do LGA newborns often experience hypoglycemia?
• Which of the following symptoms is NOT associated with postpartum psychosis?
• True or False: The use of antihypertensives is recommended during pregnancy for severe blood pressure elevations.
• Which of the following nursing interventions should be implemented for a pregnant mother with nausea and vomiting?
• Which factor could contribute to an SGA newborn's risk of respiratory distress?
• What is a common physical characteristic of a newborn who is large for gestational age (LGA)?
• What does a score of 0 for respiratory efforts indicate in an Apgar score?
• Is it true that an epidural or spinal analgesia can cause allergic reactions and pruritus, or elevated temperature?
• Which of the following can be classified as severe manifestations of preeclampsia?
• True or False: ECV is considered unsafe for most pregnancies.
• What is the number one adverse effect associated with epidural or spinal analgesia?
• What does the letter 'P' represent in an Apgar score?
• When should a caregiver contact a healthcare provider concerning the umbilical cord stump?
• Which statement accurately describes a critical monitoring aspect for managing gestational hypertension?
• What could happen if a mother is giving birth to a transverse baby?
• In an Apgar score, a score of 2 for grimace indicates what response?
• What is the range for fetal variability classified as moderate?
• Which of the following is NOT a risk factor for gestational hypertension?
• True or False: All LGA babies exhibit physical growth abnormalities immediately after birth.
• What position should a mother be in following a postpartum headache to relieve symptoms?
• What is the primary purpose of antihypertensive medications?
• SGA newborns typically experience which of the following health issues?
• Which position is considered a breech position?
• Which finding would typically indicate a more severe case of preeclampsia?
• What is an appropriate response if a nurse observes late decelerations in fetal heart rate?
• Select all that apply: What types of treatments might be given to a preterm newborn with necrotizing enterocolitis?
• Which of the following is indicative of severe preeclampsia?
• What is the lowest and maximum scoring for each section of the Apgar score?
• What recommendation can a nurse give to a mother experiencing nausea and vomiting at 8 weeks of pregnancy?
• Which medication is used to manage postpartum hemorrhage and can also cause hypertension?
• What does a late deceleration in fetal heart rate typically signify?
• What score is given for a newborn with pink body and blue extremities in the Apgar assessment?
• Which of the following complications should a nurse expect in preterm newborns?
• True or false: The umbilical cord stump dries, shrinks, and turns black over time.
• Cold stress in a newborn can result in which of the following?
• What is a common side effect of magnesium sulfate that typically does not require intervention?
• Which of the following is a characteristic of non-reassuring FHR patterns?
• All of the following can be signs of magnesium toxicity EXCEPT:
• Which classification describes fetal variability of less than 5 bpm?
• What is a characteristic of bronchopulmonary dysplasia in preterm infants?
• Which of the following is a common sign of necrotizing enterocolitis in a newborn?
• True or false: Late decelerations occur due to a fall in oxygen levels triggering vasoconstriction in non-vital areas of the fetus.
• True or False: Untreated eye infections in newborns can lead to serious complications, including blindness.
• True or False: For morning nausea, eating a small snack before rising can help settle the stomach.
• Which of the following are considered worsening manifestations of preeclampsia?
• True or False: If a mother exhibits one sign or symptom of magnesium toxicity, the infusion should be stopped.
• Which of the following is NOT a sign of postpartum depression?
• With an Apgar score, which of the following are infants checked for?
• What condition is characterized by heavy bleeding occurring within days or weeks after childbirth?
• Which condition is characterized by high blood pressure and the presence of proteins in urine during pregnancy?
• Select all that apply: What are some nursing management actions for a preterm newborn with necrotizing enterocolitis?
• What is the average fetal heart rate during pregnancy?
• True or false: The umbilical cord has one vein and two arteries.
• LGA newborns are at greater risk for which of the following conditions?
• What defines a prolonged deceleration in fetal heart rate?
• True or false: If urine or stool gets on the stump of the umbilical cord, it is appropriate to use mild soap for cleaning.
• What is recommended when treating hypotension during pregnancy?
• What physiological issue may lead to gestational hypertension?
• What is a key sign of a retained placenta that could lead to a postpartum hemorrhage?
• Which of the following is a common symptom of hypotension?
• During an Apgar assessment, what can indicate a baby's muscle tone condition?
• True or False: Eclampsia can have the same manifestations as severe preeclampsia.
• What symptom is NOT typically associated with fetal distress?
• What condition occurs when blood pressure is significantly lower than normal?
• What is a common metabolic issue observed in preterm newborns related to energy production?
• Which nursing intervention is NOT appropriate for managing a pregnant mother with nausea?
• What type of management is recommended for gestational hypertension?
• What should be avoided to manage hypotension during pregnancy?
• What is one of the first assessments performed on a newborn baby shortly after birth?
• What should be monitored during a magnesium sulfate infusion?
• A score of 0 in the Apgar score indicates which skin condition?
• The baby's umbilical cord stump usually stays attached for how many days?
• What can increase the risk of developing gestational hypertension?
• True or false: The LION mnemonic includes actions specifically for managing variable decelerations.
• What is the first action a nurse should take when postpartum hemorrhage is suspected?
• What should a nurse do if hypotension occurs after administering epidural analgesia?
• Which medication is contraindicated in patients with asthma for treating postpartum hemorrhage?
• Which of the following is NOT a therapeutic management step for gestational hypertension?
• Which of the following is a sign of fetal distress?
• Which of the following are types of breech presentation?
• True or false: A prolonged deceleration starts as a variable or late deceleration and is then prolonged.
• What is a common symptom experienced in severe preeclampsia related to vision?
• What skin changes might be observed in a woman experiencing postpartum hemorrhage?
• True or False: Fetal distress may occur when a pregnancy lasts too long (postmaturity).
• True or False: A rash is a common complication expected in a preterm newborn with necrotizing enterocolitis.
• What is the term for when a baby lies sideways across the womb?
• True or false: A prolonged deceleration can occur due to maternal heart rate changes.
• What is the term used to describe the breech position where the baby's legs are folded flat against the head?
• Should oxytocin be stopped if the contraction duration exceeds 90 seconds or if the contraction intensity pressure is above 90 mm Hg?
• Why might a preterm newborn struggle to maintain thermoregulation?
• What does a variable deceleration of fetal heart rate typically indicate?
• Which of the following nursing interventions should be performed for late decelerations of fetal heart rate?
• What is a significant benefit of completing an Apgar score for a newborn?
• Which condition increases the risk of apnea in preterm infants?
• What type of labor is considered best for administering an epidural?
• What treatment options may be necessary following a postpartum headache?
• True or False: Vasospasms that contribute to poor perfusion can lead to gestational hypertension.
• What is a serious complication that can arise from postpartum hemorrhage?
• What characteristic should a nurse expect the stool of a preterm newborn with necrotizing enterocolitis to look like?
• What type of treatment is erythromycin when used on newborns?
• Which combination of features indicate non-reassuring FHR patterns?
• True or False: The use of oxytocin can lead to fetal and maternal distress.
• Can an epidural or spinal analgesia lead to the inability to bear down or cause changes in heart rate?
• Which of the following is an approved first-line antihypertensive for use during pregnancy?
• A postpartum headache is most commonly a result of what?
• What term describes labor that is rapid and short in duration?
• True or false: The number one cause of postpartum hemorrhage is uterine atony.
• What is the method used to continuously record the heartbeat of the fetus during labor?
• What is the dose of carboprost (Hemabate) for treating postpartum hemorrhage?
• True or false: It is normal for a little bleeding to occur at the stump site when the stump falls off.
• Select all that apply: Which of the following are risk factors for postpartum hemorrhage?
• Which medication is commonly used to induce labor?
• What is one possible consequence of a newborn suffering from cold stress?
• What is the term for low mood and mild depressive symptoms that are transient and self-limited?
• What might doctors recommend if ultrasound examinations show a fetus is large for gestational age?
• What is an effective method of treating fetal distress?
• True or False: FHR patterns can be classified as either reassuring or non-reassuring.
• Which of the following conditions is a potential complication for an LGA newborn?
• Who is considered high risk for gestational hypertension?
• True or False: Infants born preterm have a higher mortality rate during the neonatal period compared to those born full term.
• What physiological response is referred to as a cascade of events caused by a newborn's need to increase core temperature?
• Which of the following are symptoms of eclampsia?
• What amount of oxytocin is typically administered following a postpartum hemorrhage?
• What does an increase in maternal vital signs indicate during labor?
• Which of the following are contributing factors for postpartum hemorrhage? (Select all that apply)
• True or false: A weight of 9 pounds at birth qualifies as macrosomia.
• What is one method nurses use to prevent cold stress in the term newborn?
• What is a common sign that a fetus is in distress?
• What term is used to describe persistent low blood pressure that may occur after postpartum hemorrhage?
• Which nursing intervention is NOT part of the LION mnemonic for managing variable decelerations?
• Newborns who are SGA often have difficulty with which of the following?
• Which of the following are signs of an infection in the belly button area?
• What contraindication exists for administering methylergonovine (Methergine) postpartum?
• Which heart rate condition could be indicated by Apgar score observations?
• What serious condition is characterized by seizures during pregnancy due to high blood pressure?
• What effect does Cytotec have in the context of labor?
• Which of the following is a common symptom of a newborn experiencing hypoglycemia?
• What is a primary nursing consideration when caring for a newborn diagnosed with necrotizing enterocolitis?
• What is the average gestational weight of a newborn born at 37 weeks?
• True or False: Informed consent is required for the use of oxytocin during labor.
• Which of the following values indicates fetal bradycardia?
• What is the expected minimum Apgar score for a newborn one minute after birth?
• What is the main reason for monitoring fetal heart rate patterns during labor?
• Which of the following instructions should a nurse give a mother when bathing her newborn regarding the umbilical cord?
• What is the recommended normal baseline fetal heart rate range?
• Which condition is contraindicated for an epidural or spinal analgesia?
• At which gestational age is a newborn considered preterm?
• What is the goal of hydration following an autologous blood patch?
• Which step is NOT part of the proper use of a female condom?
• What feeding issue is a common expectation for preterm newborns?
• When should a nurse apply continuous fetal monitoring after administering epidural or spinal analgesia?
• What is the term used for a fetus or infant who is larger than expected for their age and gender?
• What is external cephalic version (ECV) primarily intended to do?
• Which of the following is NOT a characteristic of reassuring FHR patterns?
• Upon palpation of the abdomen, which behavior indicates that a preterm newborn is in pain?
• What is the gestational age range for a late preterm newborn?
• What are some adverse effects associated with oxytocin use?
• What is not a typical management strategy for a patient with gestational hypertension?
• What are some possible etiologies of a prolonged deceleration?
• What should happen if umbilical cord prolapse occurs during childbirth?
• True or false: If the fundus is midline but boggy, the nurse should massage the fundus.
• Which of the following indicates a serious side effect of magnesium sulfate?
• True or false: Early decelerations occur simultaneously with contractions and are considered a normal finding.
• What indicates that glucose testing may be necessary for a newborn?
• Which of the following statements is true about the care of the umbilical cord stump?
• What is the first step a nurse should take if a mother complains of a headache post-delivery?
• How is the Apgar score useful immediately after birth?
• What condition is preterm infants particularly at risk for due to underdeveloped blood vessels in the brain?
• Which of the following is a symptom of postpartum depression?
• Which of the following complications can occur with oxytocin administration?
• What term describes babies with a birth weight below the 10th percentile for their gestational age?
• What position should a mother be placed in to alleviate variable decelerations of fetal heart rate?
• How is the Apgar score determined shortly after birth?
• True or False: Methyldopa is considered safe during breastfeeding due to its low presence in breast milk.
• What term is used to describe six contractions in a ten-minute period?
• What condition puts preterm babies at risk for respiratory distress syndrome?
• What is one benefit of magnesium sulfate?
• What nursing intervention is critical for a woman experiencing postpartum hemorrhage with signs of shock?
• Which intervention would NOT be beneficial in managing nausea in pregnancy?
• What does oliguria indicate in relation to preeclampsia?
• Which of the following is a sign of magnesium toxicity?
• True or false: It is normal for the umbilical cord stump to ooze a little before it falls off.
• Which of the following represents an expected side effect of magnesium sulfate treatment?
• True or false: A nurse should encourage skin-to-skin contact of the newborn with the mother to help minimize the risk of hypothermia.
• What is postpartum depression often characterized by?
• True or False: Administration of magnesium sulfate in women with preterm labor leads to inhibition of uterine contractions.
• True or False: Pregnancy can lead to increased sensitivity to odors that trigger nausea and vomiting.
• Which of the following is considered the best breathing technique during labor?
• What is the role of epideral anaesthesia during labor?
• What is a primary goal of nursing interventions during oxytocin administration?
• True or False: Oxytocin and misoprostol can lead to hypotension.
• True or False: Most breech babies are born by caesarean section.
• What is the primary purpose of using nifedipine in obstetric care?
• What is typically the main focus of examination for a newborn who is LGA shortly after birth?
• What nursing intervention is essential for monitoring the condition of a newborn with necrotizing enterocolitis?
• What is a common symptom shared between postpartum depression and postpartum blues?
• True or False: Preterm delivery is the leading cause of neonatal and childhood morbidity.
• Is an elevated temperature a possible reaction to an epidural or spinal analgesia?
• True or false: The cord stump should be pulled off if it looks like it will come off easily.
• True or False: The fetal effects of magnesium sulfate include decreased heart rate, variability, and hypotonia.
• In terms of Apgar scoring, which score is the best indicator of respiratory effectiveness in a newborn?
• What developmental issue can preterm infants face that relates directly to their brain's vascular development?
• True or False: Nausea and vomiting can be managed through dietary modifications in pregnant individuals.
• What condition is characterized by extreme confusion and loss of touch with reality after childbirth?
• How is fetal variability measured?
• Select all that apply: Which may indicate the need for immediate nursing intervention in postpartum hemorrhage?
• What type of precautions should a nurse implement for a preterm newborn with necrotizing enterocolitis?
• True or False: Drowsiness is expected with magnesium sulfate infusion.
• What is one approach suggested for managing hypotension during pregnancy?
• True or False: A nurse should assist the mother the first time she gets out of bed after labor.
• Which of the following signs may indicate fetal distress due to hypoxia?
• What is a defined characteristic of fetal tachycardia?
• What condition involves involuntary and rhythmic muscle contractions?
• What characterizes a complete breech presentation?
• What is the blood loss threshold for postpartum hemorrhage after a cesarean section?
• True or false: Uterine stimulants (uterotonics) reduce bleeding by contracting the uterus following a postpartum hemorrhage.
• What intervention should the nurse expect to implement for a hypoglycemic SGA newborn?
• What is the estimated percentage of mothers experiencing postpartum depression within the first year after birth?
• Which of the following is a therapeutic management approach for gestational hypertension?
• What is the weight range for a newborn classified as large for gestational age (LGA)?
• Which of the following is NOT a therapeutic management for magnesium sulfate?
• What does an early deceleration in fetal heart rate indicate?
• What blood pressure reading is indicative of severe preeclampsia?
• In Apgar scoring, what does a score of 2 for respirations represent?
• Which symptoms might indicate the need for further assessment after an epidural?
• What is the term for the presentation where the baby's buttocks or feet come out first during birth?
• True or false: Babies born weighing less than 5 pounds, 8 ounces are considered low birth weight.
• Which of the following medications is NOT classified as an antihypertensive?
• What potential outcome may occur if a mother experiences a brief episode of hypotension during labor?
• What describes an incomplete breech presentation?
• In the context of an Apgar score, what does a score of 1 for grimace indicate?
• During the care of a preterm newborn, what is crucial for the nurse to monitor regarding nutritional intake?
• Which of the following is a clinical manifestation of preeclampsia?
• True or False: Nifedipine, administered by mouth, is often the first treatment for delaying preterm labor.
• What condition might require specialized hospital care for vaginal birth?
• According to definitions, what amount of blood loss characterizes postpartum hemorrhage after a vaginal delivery?
• Select all that apply: Which nursing actions are appropriate for managing postpartum hemorrhage?
• True or false: Accelerations in the fetal heart rate indicate a healthy fetal and placental exchange.
• Which of the following is NOT a cause of prolonged deceleration?
• What is the recommended dosage of methylergonovine (Methergine) following a postpartum hemorrhage?
• Which obstetrical procedure applies pressure on the mother’s abdomen to turn the baby?
• What is the primary goal of treatment for a newborn with necrotizing enterocolitis?
• What is an expected finding with magnesium sulfate use that does not require an intervention?
• True or False: Strong food odors can help alleviate nausea during pregnancy.
• Should the administration of oxytocin be monitored closely during labor for potential risks, such as increased uterine activity?
• What does postpartum hemorrhage entail?
• What is the antidote for magnesium toxicity?
• Can bradycardia or tachycardia occur as a side effect of epidural or spinal analgesia?
• Which of the following can contribute to postpartum hemorrhage?
• What is the typical outcome when a baby is successfully turned from a breech or transverse position?
• When is external cephalic version (ECV) usually performed?
• Which condition is considered an early development of gestational hypertension?
• Is it necessary to stop oxytocin if there is no relaxation between contractions or if late/prolonged decelerations occur?
• Which of the following assessments is important for patients experiencing gestational hypertension?
• Which characteristic denotes persistent late decelerations?
• How is thrombocytopenia relevant to preeclampsia?
• What is the main purpose of monitoring for hypotension in a mother prior to epidural or spinal analgesia?
• In which scenario are captopril, enalapril, or quinapril to be considered for breastfeeding mothers?
• Fetal variability that is classified as marked is defined as greater than what bpm?
• When should a nurse assess for respiratory depression after administering anesthesia?
• What are the contraindications for using carboprost (Hemabate) postpartum?
• What action is generally advised for allowing the umbilical cord area to dry?
• Is it true that an epidural or spinal analgesia can decrease gastric emptying, leading to nausea and vomiting?
• At what gestational age is a newborn considered early preterm?
• True or False: Fetal distress is a common complication of labor.
• What does fetal distress refer to during childbirth?
• What is a common concern with a transverse baby during pregnancy?
• Which of the following is a contraindication for the use of oxytocin?
• During contractions, is it true that the fetus receives less oxygen and perfusion, indicating the need to stop oxytocin?
• What is an autologous blood patch used for?
• After delivery, what will a large for gestational age (LGA) baby be carefully examined for?
• Which pain management method is appropriate for a client in the second stage of labor?
• True or False: Non-reassuring FHR patterns indicate a potentially bad condition for the fetus.
• What percentage of mothers experiences postpartum blues within the first two weeks after giving birth?
• What serious gastrointestinal problem primarily affects premature babies due to inflammation of intestinal tissue?
• True or False: Weakness is a side effect of magnesium sulfate treatment that requires intervention.
• Which of the following conditions would exclude a patient from using oxytocin?
• What is the correct dosage of misoprostol (Cytotec) administered post postpartum hemorrhage?
• What is the primary purpose of newborn eye prophylaxis?
• True or False: Reassuring FHR patterns indicate a good fetal condition.
• Which assessment should a nurse perform before an epidural?
• When does gestational hypertension typically begin?
• Which of the following nursing assessments is essential when administering oxytocin?
• Which of the following is a nursing consideration with the use of oxytocin?
• Which of the following nursing actions is part of the "O" in the LION mnemonic for abnormal fetal heart rate patterns?
• In the Apgar score, what does the letter "A" represent?
• If a baby is in breech position at 36 weeks, what procedure is typically offered to the mother?
• Why might a preterm newborn with necrotizing enterocolitis experience abdominal distention?
• Select all that apply: Which signs and symptoms indicate postpartum hemorrhage?
• True or False: Infants experiencing cold stress show an increased activity level.
• Is it true that an epidural or spinal analgesia may inhibit bowel and bladder elimination sensations?
• Which intervention is essential if a nurse observes late decelerations in fetal heart rate?
• What condition is defined by high blood pressure during pregnancy without protein in the urine?
• True or False: Monitoring is crucial during the use of oxytocin due to potential compromise of uteroplacental exchange.
• True or False: Most babies that initially lie sideways early in pregnancy turn themselves head-down by the final trimester.
• Which of the following complications is most concerning for a preterm newborn in the NICU?
• Which of the following is a sensible dietary adjustment for managing hypotension during pregnancy?
• Which factor might indicate a family predisposition to gestational hypertension?
• What is one lab value that healthcare providers monitor in patients with gestational hypertension?
• True or False: The only cure for gestational hypertension is delivering the baby.
• Which score in the Apgar scale indicates an absence of muscle tone?
• Which condition is indicated by hypotension during postpartum hemorrhage?
• What is the minimum time criteria for defining a prolonged deceleration?
• What does a score of 0 for activity in an Apgar score signify?
• Does an epidural and spinal analgesia include a combination of narcotics such as fentanyl and lidocaine?
• True or false: Newborns are unable to shiver as a means of increasing heat production; they increase their activity level instead.
• True or false: A prolonged deceleration is defined as a fetal heart rate dropping below baseline for greater than 3 minutes.
• Which of the following is a sign of cold stress in a newborn?
• True or false: Prolonged maternal hypotension is harmful to a fetus and is generally associated with nausea and vomiting for the mother.
• What fetal variability classification indicates that the fetal heart rate is undetectable?
• True or False: There is a very small risk of umbilical cord prolapse with a transverse baby.
• What does a score of 1 for pulse in an Apgar score indicate?