Download CMS MATERNAL NEWBORN PROCTORED EXAM LATEST 2025-2026 ACTUAL EXAM 100 QUESTIONS AND VERIF and more Exams Nursing in PDF only on Docsity!
CMS MATERNAL NEWBORN PROCTORED
EXAM LATEST 202 5 - 2026 ACTUAL EXAM 100
QUESTIONS AND VERIFIED ANSWERS
ALREADY GRADED A
A father seems nervous to help with care of the newborn what action should you take to promote bonding? - CORRECT ANSWER ✔✔Reinforce education about newborn care when father is present. A nurse is caring for a client who is in early pregnancy and is very talkative The nurse is having difficulty collecting data. How should then nurse handle the situation? - CORRECT ANSWER ✔✔Give the client time to express feelings A nurse is caring for a client who is 1 day pp. the nurse is checking for maternal adaptation and bonding. For which behaviors should the nurse intervene? - CORRECT ANSWER ✔✔- Demonstrate apathy when newborn cries
- Views behavior as uncooperative
Promoting family bonding with family and siblings. - CORRECT ANSWER ✔✔Encourage the exploration of newborns features A nurse is a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following demonstrates understanding? - CORRECT ANSWER ✔✔Condoms are used with water-soluble lubricants A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? - CORRECT ANSWER ✔✔"A water-soluble lubricant should be used with condoms" A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger indications to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following manifestations? - CORRECT ANSWER ✔✔Shortness of breath
client's estimated date of delivery? - CORRECT ANSWER ✔✔January 8 A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should the nurse interpret this information. - CORRECT ANSWER ✔✔-Client has delivered one newborn at term
- Client has had two prior pregnancies
- Client has one living A nurses is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? - CORRECT ANSWER ✔✔-Goodell's sign
- Ballottement
- Chadwick's sign A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of hypotension. The client asks the
nurse what causes these episodes. Which of the following responses should the nurse make? - CORRECT ANSWER ✔✔"This is due to the weight of the uterus on the large blood vessels." A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a pregnancy test. Which of the following information should the nurse provide to the client?
- CORRECT ANSWER ✔✔"You should collect the urine from your first morning void." A nurse is reinforcing teaching with a group of clients about measures to relive backache during pregnancy. Which of the following measures should the nurse include? - CORRECT ANSWER ✔✔-Preform pelvic rock exercise everyday
- Use proper body mechanics A nurse is caring for a client who is pregnant and reviewing clinical manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include? - CORRECT ANSWER ✔✔Vaginal bleeding
like milk. Which of the following foods should the nurse recommend as a good source of calcium? - CORRECT ANSWER ✔✔Dark green leafy vegetables A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider. - CORRECT ANSWER ✔✔3.6 kg (8lbs) weight gain in the first trimester A nurse in a clinic is reinforcing instructions with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the neonate as a result of folic acid deficiency? - CORRECT ANSWER ✔✔Neural tube defects A nurse is reviewing a prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instructs the client to take the iron supplements with? - CORRECT ANSWER ✔✔OJ
A nurse is assisting the charge nurse with reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? - CORRECT ANSWER ✔✔"I will continue my calcium supplements because I don't like milk." A nurse is reviewing findings of a client's biophysical profile (BPP) with the charge nurse. Which of the following variables should the nurse expect the test to include. - CORRECT ANSWER ✔✔-Fetal breathing movement
- fetal tone
- amniotic fluid volume A nurse is assisting with the care of a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should review which of the following tests to determine fetal lung maturity? - CORRECT ANSWER ✔✔Lecithin/sphingomyelin (L/S) ratio
mensural cycle and cannot be pregnant because she has an IUD. The nurse should suspect which of the following? - CORRECT ANSWER ✔✔ectopic pregnancy A nurse is assisting with the care of a client who has marginal abruptio placentae. Which of the following findings are risk factors? - CORRECT ANSWER ✔✔-Blunt abdominal trauma
- Cocaine use
- Cigarette smoking A nurse is assisting with the care for a client who is at 32 weeks gestation and has a placenta previa. The nurse notes that the client has been actively bleeding. Which of the following medications should the nurse anticipate being prescribed. - CORRECT ANSWER ✔✔Betamethasone
- to promote lung maturity A nurse at an antepartum clinic is caring for a client who is at 16 weeks gestation. The client reports continued nausea and vomiting and scant, prune colored discharge. She has experienced no weight loss and a fundal height larger than
expected. Which complications should the nurse expect? - CORRECT ANSWER ✔✔Hydatidiform mole
- increased fundal height, elevated HCG W/ excessive N/V. Scant dark, discharge A nurse is assisting with the care of a client who has a diagnosis of ruptured ectopic pregnancy. What are the expected findings? - CORRECT ANSWER ✔✔Report of sever shoulder pain A nurse is admitting a client who has HIV and is in labor. What interventions are contraindicated? - CORRECT ANSWER ✔✔- Episiotomy
- Forceps
- Internal fetal monitoring A nurse is an antepartum clinic is collecting data on a client who has a TORCH infection. Which findings should the nurse expect? - CORRECT ANSWER ✔✔-Joint pain
- Malaise
- Rash
A nurse is caring for a client who is 14 weeks gestation and has HG. Which are risk factors? - CORRECT ANSWER ✔✔-Obesity
- Multifetal pregnancy
- Younger than 30 A nurse is reviewing lab results for a client who had suspected HG. Which results should the nurse identify as a manifestation? - CORRECT ANSWER ✔✔Urine ketones are present A nurse is assisting in the care of a client who has sever preeclampsia and is recieving mag sulf. What are the indications of mag sulf toxicity? - CORRECT ANSWER ✔✔-RR <12/min
- Urinary output <30ml/hour
- Decreased LOC
- Decreased deep tendon reflexes A nurse is assisting in the care of a client who is receiving mag sulf. What is the antidote? - CORRECT ANSWER ✔✔Calcium gluconate
A nurse is reviewing a new prescription for ferrous sulfate with a client at 12 weeks gestation. What statements would understand the teaching? - CORRECT ANSWER ✔✔I plan to drink more oj while taking this pill A nurse is reviewing the medical record of a client who reports indications of preterm labor. What are some risk factors for this condition? - CORRECT ANSWER ✔✔-UTI
- Multifetal pregnancy
- DM
- Uterine abnormalities A client at 32 weeks gestation is in preterm labor. Which medication should the nurse anticipate to enhance fetal lung maturity? - CORRECT ANSWER ✔✔Betamethasone A nurse is assisting with the care of a client who is receiving nifedipine for preterm labor prevention. The nurse should monitor for what manifestation? - CORRECT ANSWER ✔✔Dizziness (orthostatic hypotension)
A client experiences a large gush of fluid from her vagina while walking. What action should the nurse take first? - CORRECT ANSWER ✔✔Monitor FHR for distress A nurse is assisting with the care of a 40 week gestation experiencing contractions 3-5min and becoming stronger. Cervix dilated 3cm, 80% effected and - 1 station. Client requests pain medication. Which actions should the nurse take? - CORRECT ANSWER ✔✔-Breathing techniques
- Opioid analgesic
- Suggest cold application A client has been in labor for 12 hr and her membranes are intact. The MD has decided to preform and amniotomy the nurse needs to ensure what during a vaginal exam? - CORRECT ANSWER ✔✔Fetal engagement A nurse is assisting with the care of a client in active labor. When last examines 2hr ago, dilated 3cm 100% effaced with intact membranes and fetus at - 2 station. Client states her water broke and FHR is 80-85/min. The nurse observe clear fluid and a loop
of pulsating umbilical cord outside the vagina. What is the priority action? - CORRECT ANSWER ✔✔Apply finger pressure to the presenting part A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which statement should the nurse include? - CORRECT ANSWER ✔✔Auscultate the FHR immediately following the rupture of membranes A nurse is reinforcing teaching with a client about the benefits of internal fetal monitoring. What should the nutse include? - CORRECT ANSWER ✔✔-Detects abnormal fetal heart tones early
- Allows accurate readings despite maternal movement
- Measures contraction intensity A nurse is assisting with the care of a client in active labor. The nurse detects tachycardia and external fetal monitor. Which condition should the nurse identify as a potential cause - CORRECT ANSWER ✔✔maternal fever
A nurse is reinforcing teaching with a client who is 1 week pp and breastfeeding. Client reports breast engorgement. Which instruction should be given. - CORRECT ANSWER ✔✔Apply cold compress between feedings A nurse is reinforcing discharge instructions with a 4 week pp. What is a reason to contact MD?
- Sore nipples with cracks
- scant, nondorous white vaginal discharge
- Cramping during breastfeeding
- Decreases response to sextual activity - CORRECT ANSWER ✔✔Sore nipples with cracks A nurse is reinforcing discharge teaching with a pp C section client who reports urine leaking every time she sneezes or coughs. Which of the following interventions should the nurse suggest to the client? - CORRECT ANSWER ✔✔Kegel exercises A nurse on a pp unit is contributing to the plan of care with a client who has thrombophlebitis. What intervention should be
recommended? - CORRECT ANSWER ✔✔Measure leg circumference A nurse is reinforcing teaching with a client who is breastfeeding and has mastitis. Which of the following statements should the nurse make? - CORRECT ANSWER ✔✔Completely empty each breast at each feeding or use a pump A nurse is discussing risks factors for uti with a newly licensed nurse. Which risk factors should be included? - CORRECT ANSWER ✔✔-Epidural anesthesia
- Bladder cath
- Frequent pelvic exam
- UTI history A nurse is collecting date from a pp client who is exhibiting tearfulness, insomnia, lack of appetite, and sadness. What is the client experiancing? - CORRECT ANSWER ✔✔Postpartum blues
