RN MATERNAL NEWBORN ONLINE PRACTICE
EXAM 2025 COMPREHENSIVE QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
◉ A nurse is caring for a client who is 32 weeks of gestation and has
gonorrhea. The nurse should identify that the client is at an increased
risk for which of the following complications? Answer: Premature
rupture of membranes
The nurse should identify that a client who is pregnant and has
gonorrhea is at an increased risk for premature rupture of membranes,
chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine growth
restriction.
◉ A nurse is performing a vaginal examination on a client who is in
labor and observes the umbilical cord protruding from the vagina. After
calling for assistance, which of the following actions should the nurse
take? Answer: Insert two gloved fingers into the vagina and apply
upward pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the
vagina toward the cervix, exerting upward pressure onto the presenting
part to relieve umbilical cord compression and increase oxygenation to
the fetus.
,◉ A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a nonstress test. Which of the following instructions
should the nurse include? Answer: "You should press the handheld
button when you feel your baby move."
The nurse should instruct the client to press the handheld button when
the fetus moves. This action will mark the fetal monitor tracing with the
client's reports of fetal movement. This will assist in the interpretation of
the nonstress test to determine if it is reactive or nonreactive.
◉ A charge nurse on a labor and delivery unit is teaching a newly
licensed nurse how to perform Leopold maneuvers. Which of the
following images indicates the first step of Leopold maneuvers? Answer:
3rd picture.
Evidence-based practice indicates the nurse should perform this step first
when performing Leopold maneuvers. During this step, the nurse
palpates the client's abdomen with the palms to determine which fetal
part is in the uterine fundus. This step also identifies the lie (transverse
or longitudinal) and presentation (cephalic or breech) of the fetus.
◉ A nurse in a provider's office is reviewing the medical record of a
client who is in the first trimester of pregnancy. Which of the following
findings should the nurse identify as a risk factor for the development of
preeclampsia? Answer: Pregestational diabetes mellitus
, Pregestational diabetes mellitus increases a client's risk for the
development of preeclampsia. Other risk factors include preexisting
hypertension, renal disease, systemic lupus erythematosus, and
rheumatoid arthritis.
◉ A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse
report to the provider? Answer: Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected
reference range and could indicate complications. Therefore, this finding
should be reported to the provider.
◉ A nurse is performing a physical assessment of a newborn upon
admission to the nursery. Which of the following manifestations should
the nurse expect? (SATA) Answer: Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
◉ A nurse is caring for a client who is at 38 weeks of gestation. Which
of the following actions should the nurse take prior to applying an
external transducer for fetal monitoring? Answer: Perform Leopold
maneuvers.
EXAM 2025 COMPREHENSIVE QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
◉ A nurse is caring for a client who is 32 weeks of gestation and has
gonorrhea. The nurse should identify that the client is at an increased
risk for which of the following complications? Answer: Premature
rupture of membranes
The nurse should identify that a client who is pregnant and has
gonorrhea is at an increased risk for premature rupture of membranes,
chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine growth
restriction.
◉ A nurse is performing a vaginal examination on a client who is in
labor and observes the umbilical cord protruding from the vagina. After
calling for assistance, which of the following actions should the nurse
take? Answer: Insert two gloved fingers into the vagina and apply
upward pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the
vagina toward the cervix, exerting upward pressure onto the presenting
part to relieve umbilical cord compression and increase oxygenation to
the fetus.
,◉ A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a nonstress test. Which of the following instructions
should the nurse include? Answer: "You should press the handheld
button when you feel your baby move."
The nurse should instruct the client to press the handheld button when
the fetus moves. This action will mark the fetal monitor tracing with the
client's reports of fetal movement. This will assist in the interpretation of
the nonstress test to determine if it is reactive or nonreactive.
◉ A charge nurse on a labor and delivery unit is teaching a newly
licensed nurse how to perform Leopold maneuvers. Which of the
following images indicates the first step of Leopold maneuvers? Answer:
3rd picture.
Evidence-based practice indicates the nurse should perform this step first
when performing Leopold maneuvers. During this step, the nurse
palpates the client's abdomen with the palms to determine which fetal
part is in the uterine fundus. This step also identifies the lie (transverse
or longitudinal) and presentation (cephalic or breech) of the fetus.
◉ A nurse in a provider's office is reviewing the medical record of a
client who is in the first trimester of pregnancy. Which of the following
findings should the nurse identify as a risk factor for the development of
preeclampsia? Answer: Pregestational diabetes mellitus
, Pregestational diabetes mellitus increases a client's risk for the
development of preeclampsia. Other risk factors include preexisting
hypertension, renal disease, systemic lupus erythematosus, and
rheumatoid arthritis.
◉ A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse
report to the provider? Answer: Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected
reference range and could indicate complications. Therefore, this finding
should be reported to the provider.
◉ A nurse is performing a physical assessment of a newborn upon
admission to the nursery. Which of the following manifestations should
the nurse expect? (SATA) Answer: Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
◉ A nurse is caring for a client who is at 38 weeks of gestation. Which
of the following actions should the nurse take prior to applying an
external transducer for fetal monitoring? Answer: Perform Leopold
maneuvers.
