NUR 211 Maternal Newborn

Fall 2023: 1R8

Exam questions will be composed from Antepartum, Intrapartum, Postpartum and Newborn materials. Below are
the following categories that will be on the exam. Refer to all provided materials on the topical outline (texts,
videos, worksheets, powerpoints, lecture notes, voice-over lectures, homework, etc.) to ensure you cover all
categories; all materials are fair game to test.

Exam Details when Testing in Classroom Setting

● Turn OFF mobile devices. Remove watch and leave with personal belongings.
● Wear your school ID where it can be seen.
● You may use one pen or pencil.
● The instructor will provide you with a piece of scratch paper.
○ Place your name at the top of the paper.
○ Return scratch paper to instructor PRIOR to leaving the testing area.
● Leave all belongings on the wall closest to the entrance of the room.
● Open Google Chrome or Firefox
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 ● Open ATI
● The questions move forward AND backward; you WILL have the option to return to a question.
● The exam will begin at 9:00 am in room 5015
○ You will receive 140 minutes to complete the exam.
○ Be on time.
● 56 questions/60 points
○ 2 Select all that apply questions
○ 1 Next Gen question
○ Multiple Choice questions
○ Math Calculation Questions
● The exam will end at approximately 11:20 am
● Meet in our usual classroom after the exam.
○ Exam 2 review

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 NUR 211 Maternal Newborn
Exam 2 Blueprint
Topics
Vaginal Birth after Cesarean (VBAC) (1 point)
● What is a VBAC?
● Who is a candidate for a VBAC delivery?
Therapeutic Communication: Dysfunctional Labor (1 point)
● Therapeutic Communication
● Dysfunctional Labor
Umbilical Cord Assessment (1 point)
● Umbilical Cord assessment after delivery: Expected findings
General Newborn Question: Next Gen Question (5 points)
● Normal Newborn Vital Signs (Temp. RR. HR)
● Signs of Hyperbilirubinemia
● Signs/symptoms of Respiratory distress
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 ● Newborn Fontanel Assessment: Expected (normal) findings
● Assessment of Caput Succedaneum
● Newborn Assessment: Expected (normal) findings of Anogenital
● Newborn Nutrition: Breastfeeding
● What is follow-up care?
Small for Gestational Age (SGA): Plan of Care Question (1 point)
● Expected Findings
● Nursing Care
● Common Complications
Birth of Newborn: Priority Nursing Action Question (1 point)
● Newborn: RN priority actions immediately after delivery of newborn
VEAL CHOP Question (1 point)
● VEAL CHOP
● Description of a Variable deceleration

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 ● Description of a Early deceleration
● Description of a Acceleration
● Description of a Late deceleration
Episiotomy (1 point)
● Assessment of a Episiotomy
● Signs and symptoms of (Episiotomy) infection (REEDA)
● Signs and symptoms of a Vaginal Hematoma
● What does ‘Gaping’ mean? How does it relate to assessment of the episiotomy?
Leopold’s Maneuver (1 point)
● What is Leopold’s Maneuver?
● Why does the RN perform Leopold’s Maneuver?
● How is Leopold's Maneuver performed?
● Who is a candidate for an External Cephalic Version (ECV)?
● Who is NOT a candidate for an External Cephalic Version (ECV)?

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 Normal Vital Sign alterations: Postpartum
● Expected/Normal Vital Sign alterations in the postpartum period
Subinvolution: Select all that apply question (1 point)
● What is subinvolution of the uterus
● List the MANY reasons why subinvolution might occur in postpartum
● Signs and symptoms of subinvolution
● Priority nursing intervention
Lactation Suppression: Select all that apply question (1 point)
● Breast care education for postpartum clients who DO NOT plan to breastfeed
Galactosemia Question (1 point)
● What is Galactosemia? Pathophysiology?
● How is it treated?
● What can occur if Galactosemia is not treated?
● What is hemoccult testing?

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 Cleft lip and palate Question (1 point)
● What is a cleft lip and palate?
● Teach: Feeding methods
● What is nasogastric feeding?
● What is a gastrostomy feeding?
Esophageal Atresia/Tracheoesophageal Fistula Question (1 point)
● What is a Esophageal Atresia/Tracheoesophageal Fistula
● Nursing care of a baby with Esophageal Atresia/Tracheoesophageal Fistula
Myelomeningocele Question (1 point)
● 3 types of Spina Bifida:
○ Spina Bifida Occulta
○ Meningocele
○ Myelomeningocele
● Nursing care of a newborn with Myelomeningocele
Phototherapy Question (1 point)
● What is Hyperbilirubinemia?
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 ● Why does Hyperbilirubinemia occur in newborns?
● What is phototherapy? Also known as a ‘Bili light’
● Why is Phototherapy utilized in newborns with Hyperbilirubinemia?
● Assessment of the newborn that is under phototherapy
Neonatal Abstinence Syndrome Question (1 point)
● What is Neonatal Abstinence Syndrome?
● Expected findings of a newborn diagnosed with Neonatal Abstinence Syndrome
● Nursing care of a newborn diagnosed with Neonatal Abstinence Syndrome
Newborn Hypoglycemia Question (1 point)
● Signs/Identification of newborn hypoglycemia
● Newborn: Expected lab values after birth
● List newborns that are high risk for hypoglycemia
● Newborn hypoglycemia: RN interventions
● Normal newborn weight, length

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 ● Acrocyanosis
APGAR Scoring (1 point)
● You will be provided a short scenario and must determine the Apgar score
Preterm Newborn & Thermogenesis (1 point)
● What is another name for adipose tissue?
● What is Brown fat/Brown adipose tissue?
● Brown adipose tissue development in the preterm newborn versus term newborn
● Axillary vs Rectal temperature in newborn. Which method is preferred?
● Types of newborn heat loss (Conduction, Evaporation, etc)
Priority Nursing Question (1 point)
● What is Respiratory Distress Syndrome
● Signs of Respiratory Distress Syndrome
● What are intercostal retractions?
● What does it mean when a newborn experiences intercostal retractions?

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 ● What is Vernix caseosa?
● What is Newborn Pseudostrabismus? Is it concerning?
Phototherapy and Safety Question (1 point)
● What is Hyperbilirubinemia?
● List reasons WHY a newborn would experience hyperbilirubinemia.
● What is Hemolytic Jaundice of the newborn?
● What is the cause of Hemolytic Jaundice of the newborn?
● What is fluorescent phototherapy? Also known as ‘Bili lights’/phototherapy.
● How should the RN dress the baby under fluorescent phototherapy?
● Nursing interventions: Safety regarding a baby under fluorescent phototherapy
Erythroblastosis Fetalis: Labs (1 point)
● What is Erythroblastosis Fetalis?
● What is the pathophysiology of Rh incompatibility?
● When a baby is born with Erythroblastosis Fetalis, which lab value(s) will be most
altered?
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 Postmature versus Preterm Findings Question (1 point)
● What is a Postmature infant/newborn?
● Postmature infant/newborn: Expected assessment findings
● Assessment of gestational age: New Ballard Score
● Watch the video and compare to the New Ballad Score worksheet below:
○ Video: https://youtu.be/vH4WiqUhQSM
○ Worksheet: https://www.researchgate.net/figure/New-Ballard-score-Reprinted-
with-permission-from-Ballard-JL-Khoury-JC-Wedig-K-et-al_fig1_275622493
Breastfeeding Suggestions Question (1 point)
● Client education: Breastfeeding
● What is a nipple-shield? Why would a breastfeeding mother use a nipple-shield?
Newborn Reflexes
● Make a list of newborn reflexes
● How does the RN elicit/test each reflex
● Expected/normal response of each reflex
Breast Milk Question (1 point)
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 ● When should a woman expect to begin producing Colostrum?
● When should a woman expect to begin producing Breast Milk?
Patent Ductus Arteriosus (PDA) Question (1 point)
● What is a Patent Ductus Arteriosus (PDA)?
● RN assessment of a PDA
Fundal Assessment Question (1 point)
● Where should the RN locate the fundus immediately after delivery of placenta?
● Where should the RN locate the fundus one hour after delivery of placenta?
● The fundus should decrease in size by ___ centimeters every ____ hours?
Delegation Question (1 point)
● Tasks a Doula can perform.
Placement of Electronic Fetal Monitor Question (1 point)
● Placement of external fetal monitor based on Leopold’s maneuvers
Hysterosalpingogram Question (1 point)

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 ● Hysterosalpingogram
○ What is this test?
○ How is it performed?
○ Why is it performed?
○ What will the results reveal?
Phases of Maternal Role Attainment Question (1 point)
● What are the Phases of Maternal Role Attainment?
● Characteristics of each phase.
Labor Question (1 point)
● Stages of labor
● Phases of the first stage of labor
○ Characteristics of each phase
● Bowel movement (rectal pressure) sensation during labor--what does it mean?
● What is bloody show during labor?
Postpartum Preeclampsia Question (1 point)
● RN assessment of a client with Preeclampsia in the postpartum period

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 Postpartum Hemorrhage Question (1 point)
● Which postpartum clients are at highest risk for a postpartum hemorrhage?
Carboprost Question (1 point)
● How do you know this medication is working?
● Side effects of this drug
Lochia Question (1 point)
● When does menstruation resume after having a baby?
○ Lactating clients
○ Non-lactating clients
Magnesium Question (1 point)
● Signs and symptoms of Magnesium Toxicity
● Magnesium Toxicity: Precipitating factors
● How are deep tendon reflexes (DTRs) graded?
● What is expected/normal hourly urine output?
Contraception: Female Condom Question (1 point)

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 ● Educate a client on how to use and remove a female condom.
Contraception Question (1 point)
● Intrauterine Device (IUD)
● Bilateral Tubal Ligation
● Birth control pills (Combined & Progestin-only)
Ectopic Pregnancy Question (1 point)
● Signs and Symptoms of an Ectopic Pregnancy
Expected physician order Question (1 point)
● Cervical Cerclage: What is it and why would we perform this?
● Amniocentesis: What is it and why would we perform this?
● Nonstress Test (NST): What is it and why would we perform this?
● Dilation and curettage: What is it and why would we perform this?
● Signs & symptoms: Spontaneous Abortion
RN Recognition Question (1 point)

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 ● Postpartum ‘Baby Blues’
● Postpartum Depression
Amniotic Fluid Embolism Question (1 point)
● Signs and symptoms
Mastitis Question (1 point)
● What is Mastitis?
● S/s of Mastitis
● Nursing diagnosis related to Mastitis
● Priority nursing actions when client has Mastitis
Math Questions
● Calculating Pitocin (units and milliunits per minute to ml/hour)
○ Helpful video from your math modules: Calculate Pitocin and Magnesium Sulphate Drip
Rate in Nursing School 2022

● Complete Practice Problem Set # 1 and Set #2, Module 7

○ Trust me. Just do it.
○ Remember, these modules are located under your graduating brightspace page.

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