Maternal Newborn Nursing Exam Questions and Answers, Exams of Advanced Education

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PROCTORED EXAM: RN MATERNAL

NEWBORN, 2025/2026 WITH

CORRECT/ACCURATE ANSWERS

a nurse is receiving laboratory results for a term newborn who is 24 hr old. which of the following results require intervention by the nurse - CORRECT ANSWERS- ftlucose 20 mg/dL a nurse is assessing a client following an amniocentesis. which of the following findings should the nurse recognize as complications? select all that apply - CORRECT ANSWERS- amniotitis UTI leakage of amniotic fluid preterm labor a nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. the nurse should instruct the newly licensed nurse to don gloves for which of the following procedures - CORRECT ANSWERS- performing a newborns initial bath a nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2 months of pregnancy. which of the following statements by

the client indicates an understanding of the teaching - CORRECT ANSWERS- "I will count baby kicks every other day" a nurse is caring for four newborns. which of the following newborns should the nurse assess first - CORRECT ANSWERS- a newborn who has nasal flaring a nurse is reviewing the electronic medical record of a postpartum client. the nurse should identify that which of the following factors places the client at risk for infection - CORRECT ANSWERS- meconium stained fluid a nurse is caring for a client who is 4 hr postpartum and is experiencing hypovolemic shock. which of the following actions should the nurse take - CORRECT ANSWERS- insert a second using 22 gauge IV Catheter a nurse is teaching a client who is 28 weeks of gestation and not up to date on current immunization. which of the following immunizations should the nurse inform the client to anticipate receiving following birth - CORRECT ANSWERS- human papilloma virus (HPV) a nurse is caring for a newborn who is 24 hr old. which of the following laboratory findings should the nurse report to the provider - CORRECT ANSWERS- WBC count 32,

ANSWERS- "great mil can be stored in a deep freezer for 12 months" a nurse on a postpartum unit caring for four clients. which of the following client should receive rh immunoglobulin to prevent rh- immunization - CORRECT ANSWERS- an Rh negative mother who has an Rh positive infant a nurse is reviewing signs of effective breathing with a fluent who is 5 days postpartum. which of the following information should the nurse include in the teaching? - CORRECT ANSWERS- "you should feel a tugging sensation when the baby is sucking" a nurse is caring for an infant who has signs of neonatal abstinence syndrome. which of the following actions should the nurse take? - CORRECT ANSWERS- initiate seizure precautions a nurse is teaching a client who is at 41 weeks of gestation about a non stress test. which of the following information should the nurse include in the teaching - CORRECT ANSWERS- "this test will confirm fetal lung maturity" a nurse on the labor and delivery unit is assessing four clients. which of the following clients is a candidate for an induction of labor with misoprostol? - CORRECT ANSWERS- a client who has gestational diabetes mellitus

a nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. which of the following findings should the nurse report to the provider? - CORRECT ANSWERS- urinary output 20 mL/hr (should be 30 mL/hr) a nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0-10. which of the following actions should the nurse take? - CORRECT ANSWERS- assist the client with patterned paced breathing a nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborns mouth and nose. identify the sequence the nurse should follow when performing suction with a bulb syringe - CORRECT ANSWERS- 1= compress the bulb syringe 2= place the bulb syringe in the newborns mouth 3= use the bulb syringe to suction the newborns nose 4= assess the newborn for reflex bradycardia a community health nurse is providing education on gestational diabetes to a group of clients who are pregnant when discussing risk factors. which of the following ethnicities should the nurse identify as having the lowest incidence of DM? - CORRECT ANSWERS- - non hispanic white American a nurse is assessing a client who is at 37 weeks of gestation. which of the following statement by the client requires immediate

take? - CORRECT ANSWERS- plan a snug dressing on the clients nipple when not breastfeeding a nurse is assessing a preterm nebonq who is at 32 weeks of gestation. which of the following findings should the nurse expect

• CORRECT ANSWERS- minimal arm recoil a nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. which of the following information should the nurse include - CORRECT ANSWERS- "synchronized breathing will be required during hypnosis" a nurse is assessing a client who is 6 hr postpartum and has endometritis. which of the following findings should the nurse expect? - CORRECT ANSWERS- uterine tenderness a nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. which of the following foods should the nurse recommended? - CORRECT ANSWERS- fortified milk a nurse is assessing a newborn following a forceps assisted birth. which of the following clinical manifestations should the nurse identify as a complication of the birth method - CORRECT ANSWERS- facial palsy

a nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. which of the following statement by client indicates an understanding of the teaching - CORRECT ANSWERS- "the medication could cause me to experience heart palpitations" a nurse is caring for a client who has hyperemeis gravidarum. which of the following laboratory tests should the nurse anticipate

• CORRECT ANSWERS- urine ketones a nurse is caring for a client who is in labor and requests non pharmacological pain management. which of the following nursing actions promotes client comfort - CORRECT ANSWERS- assisting the client into squatting position a nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. which of the following findings should the nurse expect? - CORRECT ANSWERS- malodorous discharge a nurse is caring for a client who is 14 weeks of gestation. at which of the following locations should the nurse place the doppler device when assessing the fetal heart rate? - CORRECT ANSWERS- midline 2-3cm in above the symphysis pubis - at 14 weeks AOG this is where to place the doppler probe to not FHT a nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. which of the following findings should the nurse report to the provider? - CORRECT ANSWERS- platelet count 60,000/mm

a charge nurse is teaching a group of staff nurses about fetal monitoring during labor. which of the following findings should the charge nurse instruct the staff members to report to the provider

• CORRECT ANSWERS- contraction durations of 95-100 seconds a nurse in a woman's health clinic is obtaining a health history from a client. which of the following findings should the nurse identify as increasing the clients risk for developing pelvic inflammatory pain - CORRECT ANSWERS- chlamydia infection a nurse is teaching a prenatal class about immunizations that newborns receive following birth. which of the following immunizations should the nurse include in the teaching? - CORRECT ANSWERS- hepatitis b a nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. the client asks the nurse which foods she should eat to ensure adequate calcium intake. the nurse should instruct the client that which of the following foods has the highest amount of calcium - CORRECT ANSWERS- 1 cup cooked broccoli a nurse in a providers office is assessing a client at her first antepartum visit. the client states that the first day of her last menstrual period was march 8th. use nageles rule to calculate the estimated date - CORRECT ANSWERS- December 15th

a nurse is caring for a client who is in the second stage of labor, which of the following manifestations should the nurse expect - CORRECT ANSWERS- the client delivers the newborn a nurse is assessing a client who is at 37 weeks of gestation. which of the following statements by the client requires immediate intervention by the nurse - CORRECT ANSWERS- it burns when I urinate a nurse is providing discharge teaching to a new parent about care seat safety. which of the following statements by the parent indicates an understanding of the teaching - CORRECT ANSWERS- "I should place the carseat rear facing until my baby is 12 months old" a nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? - CORRECT ANSWERS- the mother is Rh negative and the father is Rh positive a nurse on an antepartum unit is reviewing the medical records for four clients. which of the following clients should the nurse assess first - CORRECT ANSWERS- a client who has hyperemesis gravidarum and a sodium level of 110 mEq/L

a nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take - CORRECT ANSWERS- decrease maintenance IV solution infusion rate a nurse is planning care for a client who is pregnant and has HIV. which of the following actions should the nurse include in the plan of care? - CORRECT ANSWERS- administer a pneumococcal immunization to the newborn within 4 hr following birth a nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is postpartum and has a boggy uterus. for which of the following assessment findings should the nurse withhold the medication - CORRECT ANSWERS- blood pressure 142?92 mmHG a nurse is reviewing laboratory results for client who is pregnant. the nurse should expect which of the following laboratory values to increase? - CORRECT ANSWERS- RBC count a nurse is caring for four clients. for which of the following clients should the nurse auscultate the featl heart rate during the prenatal visit - CORRECT ANSWERS- a client who has felt quickening for the first time a nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 h4. available is dexamethasone 10 mg/dL. how many mL of

dexamethasone should the nurse administer per dose - CORRECT ANSWERS- 6 mg/10 mg x 1 mL= 0.6 mL per dose a nurse is planning care for a full term newborn who is receiving phototherapy. which of the following actions should the nurse include in the plan of care - CORRECT ANSWERS- avoid using lotion or ointment on the newborns skin