Maternal Newborn Proctored Exam (Samuel Merritt University) Practice Questions

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• Diaphragmatic with chest retraction.
• Deep with a regular rhythm.
• Chest breathing with nasal flaring.
• Abdominal with synchronous chest movements.

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• Only happens as the result of a forceps or vacuum delivery.
• Will gradually absorb over the first few months of life.
• Will increase the risk for jaundice due to bleeding under the periosteum.
• May occur with spontaneous vaginal birth as a result of the pressure against the maternal bony pelvis.

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• At least twice, 1 minute and 5 minutes after birth.
• Every 15 minutes during the newborn's first hour after birth.
• Once by the obstetrician, just after the birth.
• Only if the newborn is in obvious distress.

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• Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract, and it promotes normal clotting factors to develop sooner.
• Most mothers have a diet deficient in vitamin K, which results in the infant being deficient.
• Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection.
• The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.

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• Place eye shields over the newborn's closed eyes.
• Change the newborn's position every 4 hours.
• Limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.
• Apply an oil-based lotion to the newborn's skin to prevent drying and cracking.

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• "The baby should not have loose bedding on their crib.”.
• "Keep the infant away from secondhand smoke.”.
• "Prevent exposure to people with upper respiratory tract infections.”.
• "Have the baby sleep on his or her belly to prevent aspiration.”. —

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• Has at least 4 wet diapers per day with the number increasing for each day of life during the first week.
• Gains 1 to 2 ounces per week.
• Sleeps for 6 hours at a time between feedings.
• Has at least one breast milk stool every 24 hours.

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• Reduces her fluid intake for 24 hours.
• Uses her breast pump whenever she feels engorged.
• Skips feedings to let her sore breasts rest.
• Breastfeeds her infant every 2-3 hours.

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• Infants fed on formula should be started on solid food sooner than breastfed infants.
• If infants are weaned from breast milk before 12 months, they should receive cow's milk, not formula.
• After 6 months, mothers should shift from breast milk to cow's milk.
• Infants should be given only human milk for the first 6 months of life.

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• It reduces the risk of osteoporosis.
• They have a decreased risk of breast cancer.
• It is an effective method of birth control for up to 12 months.
• It may enhance postpartum weight loss.