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RN Maternal Newborn 2023 Exam

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Exam Details

Title RN Maternal Newborn 2023 Exam

Type Nursing

Category RN Nursing Exams

Subcategory GENERAL Exams

Domain Maternal & Newborn (General RN)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 15

Year 2025

Duration 160 min

Questions 10

Pass Score 90%

Difficulty Intermediate

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1 :
A nurse is caring for a newborn Immediately following birth.

Medical History

Vacuum-assisted vaginal birth

Maternal history of positive group B streptococcus B-hemolytic Mother received two doses of ampicillin IV bolus during labor

The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is Improving, or an Indication that the client's condition is worsening.

Options	Unrelated to diagnosis	Sign of potential improvement	Sign of potential worsening condition
Muscle tone: flaccid
Respiration effort: good cry
Reflex irritability: cry
Color Consistent with genetic background
Heart rate 140/min
Axillary temperature 36.3° C(97.4°F)

Hint : ⚠️Focus on tone and temperature as key indicators of sepsis progression.

Correct Answers

Muscle tone: flaccid [ Sign of potential worsening condition ]
Respiration effort: good cry [ Sign of potential improvement ]
Reflex irritability: cry [ Sign of potential improvement ]
Color Consistent with genetic background [ Unrelated to diagnosis ]
Heart rate 140/min [ Unrelated to diagnosis ]
Axillary temperature 36.3° C(97.4°F) [ Sign of potential worsening condition ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.

Medical History

Gravida 1 with a multifetal pregnancy

Admitted with excessive vomiting for the past 48 hr and weight loss of 2.3 kg (5lb) over 2 days

The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.

Options	Unrelated to Diagnosis	Sign of Potential Improvement	Sign of Potential Worsening Condition
Urinary output 40 ml/hr
3+ ketones
Heart rate 100/min
WBC count 10000/mm3
Urine specific gravity 1.050
Urine pH 5

Hint : 💧Think about hydration status when judging if the condition is improving or worsening.

Correct Answers

Urinary output 40 ml/hr [ Sign of Potential Improvement ]
3+ ketones [ Sign of Potential Worsening Condition ]
Heart rate 100/min [ Sign of Potential Improvement ]
WBC count 10000/mm3 [ Unrelated to Diagnosis ]
Urine specific gravity 1.050 [ Sign of Potential Worsening Condition ]
Urine pH 5 [ Sign of Potential Improvement ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36hr old.

Nurses Notes

Term newborn birthed via spontaneous vaginal delivery at 39 weeks of gestation.

Apgar 9/9 at 5-minute score.

Breastfeeding 3 to 4 times per day.

Newborn has voided once since birth and has not passed meconium stool since birth

Which of the following findings should the nurse report to the provider?Select all that apply

Answer Options

Coombs test result

Glucose level

Head assessment finding

Intake and output

Respiratory rate

Heart rate

Mucous membrane assessment

Sclera color

Hint : 👶Think about elimination and jaundice as early red flags in newborns.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 :
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa.

Physical Examination

Fundal height: 33cm

Fetal heart rate: 174/min

Moderate amount of bright red vaginal bleeding

Abdomen soft to palpation and without tenderness

Which of the following assessment findings requires immediate follow-up?Select all that apply

Answer Options

Fetal heart rate

Fundal height

Hgb

Hct

Platelet count

Vaginal bleeding

WBC count

Hint : 🚨Look at what shows acute compromise for both fetus and mother.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 :
A nurse is caring for a term newborn who is 48 hr old.

Medical History

Maternal histury of opioid use during pregnancy.

Precipitous vaginal birth at 39 eveeks of gestation

The nurse assessing the newborn 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.

Options	Unrelated to Diagnosis	Sign of Potential Improvement	Sign of Potential Worsening Condition
Transient strabismus
Respiratory rate 70/min
Continuous high-pitched cry
Regurgitation
Loose stools

Hint : 🎵Listen for abnormal cry patterns to detect worsening withdrawal.

Correct Answers

Transient strabismus [ Unrelated to Diagnosis ]
Respiratory rate 70/min [ Sign of Potential Worsening Condition ]
Continuous high-pitched cry [ Sign of Potential Worsening Condition ]
Regurgitation [ Unrelated to Diagnosis ]
Loose stools [ Unrelated to Diagnosis ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 :
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

Yellow exudate will form at the surgical site in 24 hours

The plastibell will be removed 4 hours after the procedure

Make sure the newborn’s diaper is snug

Notify the provider if the end of your baby’s penis appears dark red

Hint : 👀Pay attention to signs of impaired blood flow after circumcision.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

7 :
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?

Move the client onto their hands and knees

Press firmly on the client’s suprapubic area

Assist the client in pulling their knees toward their abdomen

Apply pressure to the client’s fundus

Hint : 🦴Think of the maneuver that opens the pelvic outlet to relieve shoulder entrapment.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

8 :
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

This medication increases cardiac output

This medication stabilizes the fetal heart rate

The medication improves tissue perfusion

The medication prevents seizures

Hint : ⚡Think about the dangerous complication preeclampsia can progress into without medication.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

9 :
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal message. Which of the following actions should the nurse take?

Administer 500 ml lactated Ringer's IV bolus

Replace the surgical dressing

Apply an ice pack to the incision site

Evaluate urinary output

Hint : 🚰Check what could be interfering mechanically with uterine contraction and bleeding control.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

10 :
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

I will receive a series of three immunisations and each one sill be a month apart

I should avoid becoming pregnant for at least 1 month following the immunisation

I should avoid breastfeeding for 2 weeks following the immunization

I will report joint pain that develops after the immunization to my provider immediately

Hint : 📅Think about family planning after receiving a live vaccine.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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Ans

1 : A nurse is caring for a newborn Immediately following birth.

Correct Answers

2 : A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.

Correct Answers

3 : A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36hr old.

Answer Options

4 : A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa.

Answer Options

5 : A nurse is caring for a term newborn who is 48 hr old.

Correct Answers

6 : A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

7 : A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?

8 : A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

9 : A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal message. Which of the following actions should the nurse take?

10 : A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

1 :
A nurse is caring for a newborn Immediately following birth.

2 :
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.

3 :
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36hr old.

4 :
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa.

5 :
A nurse is caring for a term newborn who is 48 hr old.

6 :
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

7 :
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?

8 :
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

9 :
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal message. Which of the following actions should the nurse take?

10 :
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?