Swift River Simulations 2.0 Maternal Newborn Practice Test

These questions are part of the practice quiz. Start practicing

• Which statement best defines preterm labor?
• In Scenario Action #1, which statement reflects an appropriate step in caring for the newborn?
• A G1P0 client who is 42 1/7 weeks gestation presents with suspected rupture of membranes but no contractions. What is the most appropriate initial management?
• Prolapse of the umbilical cord primarily threatens the fetus by causing which complication?
• Which action is not recommended during labor management with analgesia?
• A G2P1 at 36 weeks with gestational diabetes mellitus is undergoing scheduled weekly fetal surveillance testing. Which test is used?
• Which condition is a contraindication to breastfeeding?
• A G2P3 at 38 weeks with complete placenta previa diagnosed at 18 weeks presents with contractions and large amounts of bright red vaginal bleeding. The fetal heart rate baseline is 100/min with variability and late decelerations. What is the most likely diagnosis?
• What assessment is important when supporting breastfeeding?
• For Carly Madison's Scenario Action #4, which action is included?
• Which test is used to detect metabolic disorders in the newborn?
• Which sign indicates a good latch during breastfeeding?
• Which postpartum screening tool helps evaluate the mother's risk for postpartum depression?
• A primigravid client at 38 weeks following a motor vehicle crash presents with heavy bright red vaginal bleeding and a firm, board-like abdomen. External fetal monitoring shows a baseline FHR of 80/min with absent variability. What is the most likely diagnosis?
• Which obstetric condition is most characteristically associated with painless vaginal bleeding in the late second or third trimester?
• For a patient with gestational diabetes at 36 weeks undergoing weekly surveillance, where should she be monitored?
• Which action is NOT included in Carly Madison's Scenario Action #5?
• In Miranda Johnson's priority assignments, what is the priority designation for Airway, Breathing, Circulation?
• Which test is mentioned in Susie Smith's Scenario Action #5?
• In neonatal resuscitation, what is the correct initial sequence when the newborn is not breathing?
• In the same abruptio placentae scenario, what is the most appropriate immediate management step?
• A G2P0 at 24 weeks reports membranes may have ruptured about half an hour ago, but she is unsure. She has active fetal movement and no contractions. What is the most likely diagnosis?
• In postpartum mental health, what is the name of the condition characterized by mood swings, depression, and anxiety within weeks after birth?
• Early decelerations are most commonly caused by which mechanism?
• In placenta previa, which action should be avoided to minimize bleeding risk?
• What is the antidote for magnesium sulfate toxicity?
• In Susie Smith's priority assignments, which category is labeled as high priority?
• In Renee Workman's Scenario Action #2, which regimen describes a continuous IV magnesium sulfate infusion?
• Which nursing intervention promotes a firm uterus after delivery and prevents PPH?
• In Erin Corney's priority assignments, which item is identified as high priority in Maslow's Hierarchy of Needs?
• Which factor is associated with dystocia?
• In the initial assessment for suspected placental problems, which action is first?
• Which client concern is classified under Safety?
• Which condition is a complication of placental abruption?
• Which item listed under Erin Corney's Client Concerns is psychosocial?
• What represents a reassuring finding on a nonstress test?
• A Sue Brown, at approximately 28 weeks gestation, presents with a moderate amount of bright red vaginal bleeding and no prenatal care; fundal height measures 27 cm; fetal heart rate is 160/min; blood pressure is 98/62 mmHg. Which diagnosis best fits this presentation?
• Which fetal tracing pattern is associated with placental abruption in the scenario described?
• Which action signals corticosteroid use for fetal lung maturity in preterm labor management?
• Which action is NOT part of Jenny Smith's Scenario Action #3?
• In Erin Corney's client concerns, which option represents a physiological concern?
• In Scenario Action #5, which action is appropriate to perform before removing identification bands?
• Which instruction restricts hourly fluid intake to 125 mL/hr as part of Renee Workman's Scenario Action #2?
• Which factor is a major risk for neonatal respiratory distress syndrome?
• In Scenario Action #1, which action involves a cervix exam?
• In Susie Smith's Scenario Action #1, which action is listed third?
• Which fetal presentation is most favorable for vaginal delivery?
• Given the same presentation as above, where should the patient be admitted if labor is not progressing?
• Which domain is associated with Elimination in Maria Sanchez's client concerns?
• Which description accurately defines placenta previa?
• Which action is used to monitor bladder distention in Miranda Johnson's scenario?
• What action should be taken if uterine rupture is suspected during labor?
• Following blunt trauma in late pregnancy, which sign most strongly suggests placental abruption?
• Which statement correctly describes meconium passage timing?
• A G3P1 at 39 5/7 weeks with spontaneous rupture of membranes, cervix 4 cm dilated and 80% effaced, vertex presentation at 0 station, with mild contractions. If there is no cervical change after 1–2 hours, what is the most appropriate management?
• Which exposure is most strongly linked to placental abruption?
• A G1P0 at 33 weeks presents with severe headache, blurred vision, and fatigue. BP 168/98, proteinuria +2, reflexes 4+, clonus present, edema, and intermittent epigastric pain. What is the diagnosis?
• In this preeclampsia scenario, which findings are most consistent with the diagnosis?
• For Jesse Harris, which item is considered high priority?
• Which action supports maternal oxygenation during Miranda Johnson's Scenario Action #3?
• In Scenario Action #1 for Jesse Harris, which action should be performed?
• Which domain is associated with pain in Maria Sanchez's client concerns?
• Which domain appears under Maria Sanchez's Client Concerns as Physiological?
• During phototherapy treatment for a newborn, which nursing action is appropriate when the baby needs to feed?
• Which action is specific to newborn care in Miranda Johnson's scenario Action #4?
• In Jenny Smith's Scenario Action #1, which action involves education for the client?
• Which action is included in the magnesium sulfate management plan?
• In labor, what are late decelerations typically indicative of?
• Name a common cause of neonatal jaundice in the first 24 hours that is typically not severe.
• Newborn metabolic screening for metabolic diseases is commonly performed using which specimen?
• What is the standard newborn vitamin supplement given at birth?
• Which intervention best supports newborn feeding with minimal disturbance?
• Which screening assesses a newborn's hearing?
• Which medication is used to prevent seizures in preeclampsia as described in Renee Workman's materials?
• Name two signs that would prompt immediate action if a prolapsed umbilical cord is suspected.
• Which fetal heart rate pattern during labor is usually associated with head compression and is typically benign?
• To maintain newborn thermoregulation in a stable environment, which action is appropriate?
• Which stage of lochia is described as the first postpartum discharge?
• Which lab value is routinely used to assess anemia in the postpartum period?
• Which area is noted as low priority in Susie Smith's Urgent vs Nonurgent classification?
• Continuing with the 32-week scenario, what is the next step in management?
• What does the BUBBLE-HEE postpartum assessment stand for?
• In magnesium sulfate therapy, which action should be taken if the respiratory rate falls below 12 breaths per minute?
• Which statement reflects the educational message in Maria Sanchez's Scenario Action #1?
• Which item should be kept near the newborn for suctioning the mouth and nose?
• Which neonatal condition presents with tachypnea, grunting, nasal flaring, and chest retractions due to delayed clearance of fetal lung fluid?
• Which instruction is appropriate for a patient with pelvic rest during pregnancy?
• A G1P0 client at 30 weeks with twin pregnancy admitted to the antepartum unit for treatment of preterm labor experiences SROM after admission; she states that it feels like something is coming out and a loop of the umbilical cord is visible at the vaginal entrance. What is the most likely diagnosis?
• Which intervention is used to relax uterine contractions in preterm labor?
• For Scenario Action #2, which action is specifically aimed at assessing miscarriage progression?
• What is the key practice to promote bonding and breastfeeding in the first hours after birth?
• Which statement about postpartum blues is true?
• Which item is categorized as Health Promotion in Jenny Smith's Priority Assignments?
• What is the initial management step for a suspected placenta previa during labor?
• Which option corresponds to the high-priority safety focus for Maria Sanchez?
• Is variability in feeding frequency expected for newborns?
• Under Maria Sanchez's Priority Assignments, which area is high priority?
• In the immediate minutes after birth, which form of respiratory support is commonly used for many preterm infants?
• Which of the following is NOT a potential complication of preeclampsia?
• Meconium in amniotic fluid is typically described as which color?
• Which combination of tests is commonly used to confirm rupture of membranes in labor?
• During active labor at 39 weeks, a primigravida has a cervix dilated to 4 cm, 90% effaced, the fetus is vertex at -2 station. After ROM, a pulsating loop of cord is palpated below the fetal head and the fetal heart is 70/min. What is the most likely diagnosis?
• What is the immediate nursing action when a prolapsed umbilical cord is suspected?
• Which intervention is indicated for neonatal pain management?
• In Renee Workman's Scenario Action #1, which lab finding is reported?
• Which statement best describes preeclampsia?
• Prolapse of the umbilical cord is best described as which of the following?
• What is the recommended time frame to administer Rh immune globulin after birth for an Rh-negative mother with an Rh-positive baby?
• For Scenario Action #3, which action focuses on pain management?
• Which statement reflects appropriate follow-up planning after a high-risk pregnancy management plan?
• Meconium‑stained amniotic fluid is described as which color, and what risk may this pose to the newborn if aspirated?
• Which statement best reflects recognizing signs of overstimulation in a newborn?
• Which test is used to monitor fetal oxygenation and placental function during labor?
• A pregnancy that extends beyond 42 weeks is described as what?
• Which action promotes initial bonding and breastfeeding initiation?
• Mood and Affect is categorized as which type of client concern?
• Which statement best reflects patient-centered communication about newborn care?
• Which action from Scenario Action #1 supports coping during contractions?
• Which essential newborn care practice involves keeping the baby warm, clean, and well nourished with routine vaccinations?
• Which of the following is listed as a physiological client concern for Jesse Harris?
• What is a common first-line pharmacologic method to augment labor when contractions are inadequate?
• Which action is appropriate for acute laceration management?
• Which postpartum tear requires episiotomy or perineal repair?
• Which scenario action is associated with early feeding cues for the newborn in Susie Smith's module?
• What is the primary assessment parameter used to diagnose postpartum hemorrhage?
• Which action targets bladder management during labor?
• What is the normal Apgar score range at 1 minute and at 5 minutes?
• Which client concern falls under Physiological: Gas Exchange?
• Which contraception is often recommended postpartum for breastfeeding mothers?
• Incentive spirometry after cesarean birth primarily helps prevent which complication?
• Which action best promotes bonding and warmth for a newborn immediately after birth?
• What is a common late sign of neonatal hypoglycemia?
• What is the initial recommended oxygen concentration for resuscitating a term infant with depressed respiration?
• Which caregiver statement best reflects recognizing newborn overstimulation?
• What weight change after birth is expected in the first days for a newborn?
• In placenta previa with bleeding, which action should be avoided?
• Which medication is commonly used to prevent seizures in preeclampsia?
• How often should a newborn be repositioned when undergoing phototherapy?
• During neonatal resuscitation at birth, which systems are targeted for rapid assessment and support?
• Abruptio placentae is defined as what event?
• Which symptom would strongly suggest placental abruption?
• In Scenario Action #2, which statement correctly describes meconium passage timing?
• In Renee Workman's Scenario Action #2, which intervention is a vaginal cervical ripening agent?
• What is the primary purpose of intrapartum fetal monitoring?
• In Miranda Johnson's Client Concerns, which item is categorized under Safety?
• Which is a physiological client concern for a newborn?
• Before performing a vaginal exam when placenta previa is suspected, what critical step should be taken?
• At approximately 28 weeks gestation with vaginal bleeding and no abdominal pain, which clinical feature is described?
• A G2P1 client at 32 weeks gestation reports decreased fetal movements over the last 3–4 hours and describes irregular mild contractions with low back and pelvic pain. What is the most likely diagnosis?
• In the same prolapse scenario, what is the most appropriate next step?
• In the BUBBLE-HEE postpartum assessment, which area assesses bowel function?
• Which postpartum assessment tool is specifically designed to screen for postpartum depression risk within the first year after birth?
• In a patient with preeclampsia, which condition could occur as a complication or reflection of the same pathophysiology?
• Intrapartum fetal monitoring is primarily used to evaluate fetal well-being and detect distress caused by what condition?
• Which action is a key sign to monitor after an epidural or during labor for possible hypotension?
• Placenta previa typically presents with which type of vaginal bleeding?
• What is the purpose of delayed cord clamping in term and preterm infants?
• Which statement describes the stool changes around day 4?
• What was the fetal heart rate in the 28-week bleeding case?
• Which action is recommended to promote newborn rest during care?
• In neonatal resuscitation, what is the preferred oxygen concentration for term infants with depressed respiration?
• In Rh incompatibility, which maternal-fetal combination necessitates the use of Rho(D) immune globulin after birth?
• Which statement accurately describes postpartum anemia assessment?
• In a patient around 28 weeks gestation with vaginal bleeding and no prenatal care, what is the most appropriate initial management?
• Which reflex should be observed to assess newborn feeding readiness?
• Which action is most directly used to confirm a suspected lower-extremity venous thrombus?
• What is the primary purpose of neonatal resuscitation training in obstetric care?
• In the placental abruption scenario, which fetal heart tracing pattern is described?
• Name two risk factors for uterine atony after delivery.
• What sign suggests effective milk transfer during a feeding?
• Which statement indicates an improper latch?
• During phototherapy, which newborn parameter should be closely monitored?
• Which contraception is often recommended postpartum for breastfeeding mothers?
• Which practice supports assessment of breastfeeding technique?
• Which action is NOT part of Jenny Smith's Scenario Action #1?
• Postpartum hemorrhage is most commonly caused by which condition?
• What is NAS used for in neonatal care?
• Which action helps quantify maternal blood loss during evaluation?
• A primigravida at 37 weeks with decreased fetal movement has a prescription for routine fetal surveillance testing. Which test is most appropriate for initial fetal surveillance?
• Nonstress testing is an antepartum evaluation that primarily assesses fetal well‑being by detecting what?
• Which action is NOT part of Jenny Smith's Scenario Action #2?
• Immediately after birth, what should be done if the newborn is not breathing?
• In Susie Smith's Scenario Action #4, which step is included?
• Which statement about TTN is true?
• In Scenario Action #4, which statement reflects a safety or crisis guideline?
• A G4P2 client at 38 weeks presents with a small amount of watery, green vaginal discharge for about an hour and contractions for 3 hours. Fetal heart rate is 128/min with moderate variability; cervix is 5 cm dilated, 80% effaced, and +1 vertex; watery green vaginal fluid with no odor; SROM confirmed by tests. What is the most likely description of the amniotic fluid?
• In Miranda Johnson's priority assignments, which category is labeled High priority under Urgent vs nonurgent?
• Which action helps keep the newborn warm during postnatal care?
• Which action aligns with newborn assessment in the immediate postpartum period?
• Which respiratory support is commonly used for preterm infants in the first minutes after birth?
• Which fetal monitoring test assesses fetal oxygenation and placental function during labor?
• Delayed cord clamping increases placental transfusion, improving which neonatal attributes?
• In the same presentation as above (38 weeks, SROM, contractions), what is the appropriate course of action?
• What is the first-line antibiotic for maternal GBS prophylaxis during labor?
• What is the expected progression of lochia in the postpartum period?
• In a fetal tracing for a suspected placental abruption, which pattern is most concerning?
• Which statement demonstrates inclusive language in a patient interview?
• Which measure helps prevent neonatal cold stress immediately after birth?
• Which condition is characterized by new-onset headache, visual changes, upper abdominal pain, and elevated blood pressure after 20 weeks' gestation?
• From Scenario Action #2, which action is appropriate for supporting the labor partner?
• Which finding suggests a problematic latch during a feeding?
• Which symptom combination is commonly present in preeclampsia with severe features?
• Which symptom is characteristic of severe preeclampsia and often prompts escalation of care?
• Which action is emphasized when placenta previa is suspected to ensure safe evaluation?
• For a patient with preeclampsia, what is the recommended inpatient setting?
• Which presentation is most favorable for vaginal delivery?
• Which newborn symptom listed would most likely indicate a feeding issue or infection risk?
• For Carly Madison's Scenario Action #5, which instruction is included?
• What is the recommended maternal position to optimize oxygenation when placental problems are suspected?
• Which antibiotic is listed as a first-line option for maternal GBS prophylaxis during labor?
• Which postpartum care is common after cesarean birth to prevent pulmonary complications?
• Which postpartum assessment evaluates uterine involution?
• In placental abruption with signs of fetal distress, what is the most immediate management step?
• Which medication is administered to promote fetal lung maturity in preterm labor management?
• What is a typical normal newborn blood glucose range?
• A pregnancy that has reached 42 weeks of gestation without birth is called what?
• In Scenario Action #3, which action best supports keeping the newborn warm?
• Which domain is designated as a low priority in Susie Smith's priority assignments?
• A G1P0 client at 38 weeks presents with sudden onset of severe abdominal pain and a large amount of bright red vaginal bleeding after cocaine use; abdomen is rigid and tender; external monitor shows a fetal heart rate of 60/min. What is the diagnosis?
• Where is the uterus typically located immediately after delivery?
• In the scenario of suspected preterm PROM at 24 weeks, what is the appropriate initial action?
• Which intervention is performed for the newborn in Miranda Johnson's scenario?
• Which of the following is considered a high-priority concern in newborn assessment?
• Which action supports evaluation and treatment of suspected lower-extremity deep vein thrombosis?
• Which action is listed as part of Susie Smith's Scenario Action #3?
• Which option correctly identifies the high-priority aspect for Maria Sanchez?
• Which statement about anticoagulation safety is appropriate to share with a patient starting heparin?
• In Carly Madison's priority framework, which area is designated as high priority?
• Preterm prelabor rupture of membranes is defined as spontaneous rupture of membranes before which gestational threshold?
• What is essential when transferring a newborn with suspected respiratory complications to the NICU?
• What is the primary use of dinoprostone in obstetric management?
• In the setting of umbilical cord prolapse with SROM and a visible cord, what is the most appropriate immediate action?
• Meconium aspiration syndrome is a serious pulmonary condition resulting from what?
• Which stage of labor is defined as the onset of regular contractions to complete dilation?
• In the prolapsed umbilical cord scenario, what is the immediate plan of care?
• In Renee Workman's priority assignments, which domain is designated as Low priority alongside Airway/Breathing/Circulation?
• For a patient with placenta previa at 38 weeks who is bleeding, what is the recommended management step?