1
4. Suppose E.G. follows her partner’s wishes and
BSN 2_ P1 WEEK 5 POST TEST
NUR 195_Care of Mother and Child Adolescent
(Well Client)
—-----------------------------------------------------------------------
GENERAL INSTRUCTIONS:
Shade only those that apply to each question on your
answer sheet.
Read the question carefully and choose the best answer.
STRICTLY NO ERASURES.
—-----------------------------------------------------------------------
1.E.G., 30 years of age, shows the nurse the birth plan
that she has drafted. Which statement by her would help
assure the nurse that she has a workable plan? 14.1
A. “I’ve written down everything I need to have to make
labor a success.”
B. “I didn’t include anything my partner wanted; I’m the
one having the baby.”
C. “My birthing parent strongly suggested I ask for
morphine like they did, so I’m going to add that.”
D. “I’ve tried to keep it flexible because I know
circumstances can change.
RATIONALE:The nurse recognizes that the statement
that best ensures a workable birth plan is
keeping the plan “flexible.” Rigid expectations can lead
to disappointment and anxiety.
The partner’s wishes are considered.
2.E.G. asks the nurse which type of exercise is best to
strengthen her perineal muscles in anticipation of birth.
Which of the following recommendations is safest and
most effective? 14.2
A. Walk or jog 20 minutes daily at a fairly rapid pace.
B. Squat or tailor sit for 15 minutes out of every day.
C. Periodically bear down as hard as possible while
holding her breath.
D. Lift both of her legs into the air while she lies on her
back.
RATIONALE:The nurse should suggest squatting or
tailor sitting to tighten perineal muscles.
Tightening and relaxing them (Kegel exercises) would
also strengthen them. The nurse should not recommend
vigorous exercise and bearing down forcefully as these
actions carry safety risks.
3. E.G.’s sister-in-law has referred her to a website that
outlines the Lamaze method for labor and birth. What is
the guiding principle of Lamaze childbirth? 14.3
A.. Pain can be interrupted before it registers in the brain
as pain.
B. Labor contractions are rooted in psychology, not
physiology.
C. “Brown pain”–like labor contractions is unlike other
forms of pain.
D. Labor contractions can be eliminated by learned mind
control techniques.
RATIONALE: The Lamaze philosophy is based on the
gate control theory of pain perception, which
states that pain sensations can be interrupted. This
philosophy does not deny the reality of
pain or the inevitability of pain during labor.
decides on a hospital birth. What would be an advantage
of hospital birth that can be cited to patients considering
this birth setting? 14.5
A. She can give birth in a sterile environment.
B. Both labor and childbirth can generally be pain-free.
C. Extended high-risk newborn care is available.
D. Hospital care costs are lower than other settings.
RATIONALE: The nurse should emphasize that
emergency care is more readily available in a hospital
setting than in other birth settings. Childbirth is not pain
free, and the cost of present-day
hospital stays is typically high. Hospitals, like all birth
settings, are not sterile
environments.
5.This newborn, like all newborns, is in danger of losing
body heat by conduction. The nurse is taking action to
ensure that the newborn’s body temperature is
maintained to protect their health and comfort. Under
which condition is heat loss by conduction most likely to
occur? 18.1
A. A fan is operating in the room
B. The newborn is wet from amniotic fluid at birth.
C. The newborn’s cap slips off the head.
D. The nurse places the newborn on a scale that has not
been prewarmed.
RATIONALE:The nurse is aware that conduction is the
transfer of body heat to a cold object that
touches the infant. Each of the other factors can result in
heat loss, but none involves heat
loss by conduction.
6.A Moro reflex is the single best assessment of
neurologic ability in a newborn. Unit protocols should
specify what action for eliciting a Moro reflex in the
newborn?18.2
A. Turn the newborn onto their abdomen and see if they
can turn their head.
B. Make a sharp noise, such as clapping your hands.
C. Lift the head while the newborn is supine and allow it
to fall back 1 in.
D. Gently shake newborn’s bassinette until they respond
by flailing out their arms
RATIONALE: The nurse should lift the baby’s head and
allow it to fall back 1 in. to elicit a Moro reflex. This action
best initiates a Moro reflex. Making a noise or shaking a
crib is less effective way to test the reflex.
7.Which of the following is an alternative method used in
childbirth for pain management and relaxation?
A) Epidural anesthesia
B) Induction of labor
C) Lamaze breathing techniques
D) Cesarean section
rationale:Lamaze breathing techniques are a popular
alternative method for managing pain and promoting
relaxation during childbirth. These techniques involve
slow, controlled breathing patterns that help the mother
cope with contractions and reduce anxiety.
8.Which of the following alternative methods of childbirth
focuses on deep relaxation and controlled breathing to
manage pain during labor?

A) Epidural anesthesia
B) Bradley (Partner-Coached) Method
C) Cesarean section
D) Induction of labor
rationale: The Bradley Method, also known as the
Partner-Coached Method, emphasizes deep relaxation
and controlled breathing techniques to manage pain
during labor. This method encourages active
involvement of the birth partner, providing continuous
support and coaching throughout the birthing process
9.Which childbirth preparation technique encourages
women to embrace their sensuality and view childbirth
as a natural expression of femininity?
A) Hypnobirthing
B) The Lamaze Philosophy
C) Psychosexual Method
D) Dick-Read Method
rationale: the Psychosexual Method encourages women
to embrace their sensuality during pregnancy and
childbirth, viewing the birthing experience as a natural
expression of femininity.
10.Which of the following childbirth methods is known for
its emphasis on understanding the fear-tension-pain
cycle and promoting a more relaxed birthing experience?
A) The Dick-Read Method
B) Cesarean section
C) Hypnobirthing
D) Epidural anesthesia
Rationale:
A) The Dick-Read Method is known for understanding
the fear-tension-pain cycle and emphasizes creating a
relaxed and comfortable birthing experience.
11.Which of the following is the primary purpose of a
newborn assessment tool?
A.Diagnosing potential health issues
B. Monitoring the baby's growth and development
C. Assessing the mother's health post-delivery
D. Evaluating the nursing staff's performance
RATIONALE : The primary purpose of a newborn
assessment tool is to monitor the baby's physical and
physiological development shortly after birth. It helps
healthcare professionals identify any potential health
issues and track the newborn's progress over time.
12.Which vital signs are typically included in a newborn
assessment tool?
a) Blood pressure, heart rate, and respiratory rate
b) Temperature, blood pressure, and oxygen saturation
c) Temperature, heart rate, and respiratory rate
d) Blood glucose level, heart rate, and oxygen saturation
Rationale: Vital signs such as temperature, heart rate,
and respiratory rate are commonly included in a
newborn assessment tool. These parameters provide
crucial information about the baby's overall health and
well-being.
13.Why is it essential to assess the newborn's weight
using the assessment tool?
A. To determine the baby's gestational age
B. To assess neurological development
2
C. To identify signs of cardiac anomalies
D. To evaluate maternal weight gain during pregnancy
RATIONALE:Assessing the newborn's weight is
important as it helps determine the baby's gestational
age, especially if the exact gestational age is uncertain.
This information aids in providing appropriate care and
assessing the baby's growth and development.
14.Which component of the newborn assessment tool is
used to assess the baby's skin color?
A. APGAR score
B. Ballard score
C. Brazelton Neonatal Behavioral Assessment Scale
(BNBAS)
D. Neonatal Skin Condition Score
Rationale: The Ballard score is used to assess the
baby's skin color, along with other physical and
neuromuscular characteristics. It helps estimate the
newborn's gestational age based on these assessments.
15.What does the APGAR score assess in a newborn?
A. Muscle tone, reflex irritability, and respiratory effort
B. Body weight, head circumference, and length
C. Maternal emotional response to the baby
D. Mother's bonding and attachment to the baby
Rationale: The APGAR score evaluates the newborn's
muscle tone, reflex irritability, and respiratory effort. It is
performed at one and five minutes after birth to quickly
assess the baby's overall condition and need for
immediate medical attention.
16.A childbirth educator is providing a class to expectant
parents. Which of the following would be the primary
focus of the educator's teachings?
a) Postpartum recovery and self-care
b) Newborn care and feeding techniques
c) Labor and delivery techniques
d) Contraceptive methods for after childbirth
Rationale: The primary focus of childbirth educators is to
prepare expectant parents for labor and delivery. They
provide information on various labor positions, breathing
techniques, pain management options, and coping
strategies during childbirth.
17.A childbirth educator is using role-playing exercises
to teach expectant parents about different labor
scenarios. What is the benefit of using role-playing in
childbirth education?
A. To provide hands-on practice of medical procedures
B. To help parents understand childbirth techniques
C. To demonstrate the benefits of water birth
D. To involve birth partners actively during labor
Rationale: Role-playing exercises in childbirth education
help expectant parents gain a better understanding of
various labor scenarios and childbirth techniques. It
allows them to practice and visualize potential situations
they may encounter during labor and delivery.
18.Which of the following statements is true regarding
exercise during pregnancy?
A. Exercise during pregnancy is not recommended as it
may harm the baby.
B. Pregnant women should avoid all forms of exercise to

reduce the risk of complications.
C. Moderate exercise during pregnancy is generally safe
and beneficial for both the mother and the baby.
D. Exercise during pregnancy is only suitable for women
who were athletes before getting pregnant.
Rationale: Moderate exercise during pregnancy is
generally considered safe and can provide various
benefits, such as improved cardiovascular health,
reduced risk of gestational diabetes, better mood, and
enhanced muscle tone.
19. During which trimester should pregnant women be
cautious about exercises that involve lying flat on their
backs?
A. First trimester
B. Second trimester
C. Third trimester
D. Throughout the entire pregnancy
Rationale: Pregnant women should avoid exercises that
involve lying flat on their backs during the third trimester.
20.Which reflex involves the baby's toes fan out and curl
when the sole of their foot is stroked?
A. Moro reflex
B. Rooting reflex
C. Babinski reflex
D. Grasp reflex
Rationale: The Babinski reflex is elicited when the sole
of the baby's foot is strokeUntil what age does the grasp
reflex typically persist in newborns?
A. 1 month
B. 3 months
C. 6 months
D. 9 months
Rationale: The grasp reflex is typically present in
newborns and persists until around 3 months of age. As
the baby's voluntary control of their hand movements
develops, the grasp reflex gradually disappears.d from
the heel to the toes. In response, the toes fan out and
curl upward.
21. The newborn had Apgar scores of 6 at 1 minute and
8 at 5 minutes after birth. Which of the following are the
five areas assessed with Apgar scoring?
A. Heart rate, respiratory effort, muscle tone, reflex
irritability, and color
B. Respiratory rate, abdominal tone, reflexes, color, and
head circumference
C. Color, breathing rate, cry, amount of brown fat, and
response to loud noise
D. Abdominal tone, persistence, reflexes, blood
pressure, and response to pain
22. I.R. has milia on the nose. What teaching point given
by the nurse to his parents. would constitute a quality
and safety risk?
A. “These will disappear on their own, so you don’t need
to take any action.”
B. “Wash your baby the same way that the nurse first
taught you.”
C. “Try to gently scratch off thesel spots in a few days.”
D. “Make sure that you keep your baby bundled warmly.”
23. Celine is preparing to take her new daughter home
and has asked an unlicensed care provider when her
3
baby’sdried umbilical cord will fall off. The nurse should
confirm that the care provider has stated what time?
A. Day 1
B. Days 2 to 3
C. Days 6 to 10
D. Day 30
24. Which non-pharmacological intervention can help
manage pain during childbirth?
A) Intravenous pain medication
B) Spinal anesthesia
C) Lamaze breathing techniques
D) Antibiotics
Rationale: Lamaze breathing techniques are a
non-pharmacological approach to pain management
during childbirth. These techniques involve deep
breathing and relaxation exercises, helping the mother
cope with labor pain and reduce stress and tension.
25.Which of the following interventions is commonly
used to manage pain during childbirth?
A) Epidural anesthesia
B) Breastfeeding
C) Listening to music
D) Watching a movie
Rationale: Epidural anesthesia is a popular and effective
method for pain management during childbirth. It
involves the administration of local anesthetics into the
epidural space, providing pain relief while allowing the
mother to remain conscious and alert during the delivery
process.
26. What is the rationalѐ of the Non-separation of
newborn and mother for early breastfeeding?
A. Protects Infant from dying because of infection
B. Prevents hyponatremia
C. Prevents hypoglycemia
D. Prevents Brain Hemorrhage
RATIONALE: Keeping the mother and baby in
uninterrupted skin-to-skin contact prevents hypothermia,
hypoglycemia and sepsis, increases colonization with
protective bacterial flora and improved breastfeeding
initiation and exclusivity
27-30.
SITUATION: A patient and her husband present at the
maternity hospital. She is 26 years old, gravida 2
para 1 and at term. Her antenatal course has been
normal and her routine observations on
admission are also normal. The fetal presentation is
cephalic with 2/5 of the fetal head
palpable above the pelvic brim. The membranes rupture
spontaneously and her cervix is
found to be 5 cm dilated on vaginal examination. The
patient is relaxed and does not find her
contractions painful. She is admitted to the labor ward
she is already in the active phase of the
first stage of labor. Her husband is asked to wait outside
the labor ward. It is suggested that
he go home for a while as the infant is unlikely to be
born during the next 5 or 6 hours.
 4
27. What is the fetal presentation in this case?

A) Breech
B) Cephalic
C) Transverse
D) Vertex

28. What stage of labor is the patient currently in?

A) Latent phase
B) Active phase
C) Transition phase
D) Second stage

29. Why is the patient's husband asked to go home for a

while?

A) The baby is in a breech presentation.

B) The patient is in the latent phase of labor.
C) The patient is not finding her contractions painful.
D) The patient's cervix is fully dilated.

30. What percentage of the fetal head is palpable above

the pelvic brim in this case?

A) 1/5
B) 2/5
C) 3/5
D) 4/5