MATERNAL NEWBORN PROCTORED EXAM
60+ (Updated for 2026) Exam Prep Pack | A+ Questions & Verified Answers
100% Guarantee Pass
📋 DOCUMENT SUMMARY 60 Qs
This maternal newborn proctored exam 2026 focuses on high-risk pregnancy and postpartum
complications, specifically covering placenta previa, nonstress test interpretation, rubella and strep
infections, postpartum hemorrhage, and magnesium sulfate administration. The exam questions are
primarily multiple-choice and scenario-based, testing students' knowledge of clinical decision-making and
prioritization. By answering these questions , students will practice identifying and managing maternal
and newborn complications, including hypovolemic shock, postpartum hemorrhage, and fetal heart rate
monitoring.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
patient bleeding with placenta previa
CORRECT ANSWER
avoid vaginal exam
RATIONALE: Performing a vaginal exam on a patient with placenta previa poses a significant risk of triggering heavy
bleeding, as the exam can irritate the fragile placenta and separate it from the uterus. This risk is particularly high in cases
of placenta previa, making a vaginal exam contraindicated in order to avoid exacerbating the condition and potentially
causing life-threatening hemorrhage.
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, QUESTION 2
during nonstress test, FHR is 130 w/o accelerations
CORRECT ANSWER
when to use an acoustic stim on abdomen for 3 seconds
RATIONALE: A nonstress test is used to assess fetal well-being by tracking the absence or presence of fetal heart rate
(FHR) accelerations in response to fetal movement. Since the FHR is 130 without accelerations, an acoustic stimulator is
used to stimulate the fetus, which can induce an acceleration in FHR, thereby assessing fetal well-being and response to
stimulation.
QUESTION 3
mom is rubella non-immune
positive for beta hemolytic strep
blood is type O negative
CORRECT ANSWER
give client rubella immunization after delivery
RATIONALE: The correct answer is "give client rubella immunization after delivery" because the mother is non-immune to
rubella, which poses a risk to her unborn baby if she were to contract the virus during pregnancy, making vaccination after
delivery a crucial preventive measure. This approach also avoids exposing the baby to the risk of rubella during pregnancy,
given the mother's non-immune status.
QUESTION 4
client with polyhydramnios
CORRECT ANSWER
baby might have GI anomalies
RATIONALE: Polyhydramnios, a condition characterized by an excessive amount of amniotic fluid, is often associated with
fetal anomalies, particularly those affecting the gastrointestinal (GI) system, as these can impede the fetal swallowing of
amniotic fluid, leading to its accumulation. Therefore, a client with polyhydramnios might have GI anomalies, as these are a
common underlying cause of this condition.
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, QUESTION 5
adverse effect of mag sulfate
CORRECT ANSWER
feeling of warmth throughout the body
RATIONALE: Magnesium sulfate can cause a sensation of warmth or flushing throughout the body as a result of
vasodilation, a primary effect of the drug on blood vessels, leading to increased blood flow and heat distribution. This side
effect is often described as a feeling of warmth, which is a direct consequence of the vasodilatory action of magnesium
sulfate on the cardiovascular system.
QUESTION 6
low back pain during latent phase of labor
CORRECT ANSWER
apply counter pressure to lower back during contractions
RATIONALE: Applying counter pressure to the lower back during contractions helps to alleviate low back pain in the latent
phase of labor by redistributing the body's weight and reducing the strain on the lower back muscles, thereby providing
temporary relief and comfort. This technique is particularly effective during the latent phase when the uterus is contracting
irregularly and the pelvis is not yet fully open, allowing the pressure to build up and cause discomfort in the lower back.
QUESTION 7
first trimester sign/symptom to report to provider
CORRECT ANSWER
swelling of the face
RATIONALE: Swelling of the face is a symptom that warrants reporting to a healthcare provider in the first trimester
because it can be an indication of preeclampsia, a potentially life-threatening condition characterized by high blood pressure
and organ damage. This symptom stands out as particularly concerning because it can occur earlier in pregnancy, and
prompt medical evaluation is essential to rule out any underlying complications and ensure the health of both the mother
and the fetus.
QUESTION 8
first trimester sono teaching
CORRECT ANSWER
will need a full bladder for exam
RATIONALE: A full bladder is required for first trimester sono exams because it helps to displace the bowel and other
abdominal organs, allowing for better visualization of the uterus and fetus. This is crucial during the first trimester when the
uterus is still relatively small and can be easily obscured by other structures, making a full bladder essential for obtaining
clear ultrasound images.
Trusted by thousands of students and professionals worldwide Page 3 of 18
60+ (Updated for 2026) Exam Prep Pack | A+ Questions & Verified Answers
100% Guarantee Pass
📋 DOCUMENT SUMMARY 60 Qs
This maternal newborn proctored exam 2026 focuses on high-risk pregnancy and postpartum
complications, specifically covering placenta previa, nonstress test interpretation, rubella and strep
infections, postpartum hemorrhage, and magnesium sulfate administration. The exam questions are
primarily multiple-choice and scenario-based, testing students' knowledge of clinical decision-making and
prioritization. By answering these questions , students will practice identifying and managing maternal
and newborn complications, including hypovolemic shock, postpartum hemorrhage, and fetal heart rate
monitoring.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
patient bleeding with placenta previa
CORRECT ANSWER
avoid vaginal exam
RATIONALE: Performing a vaginal exam on a patient with placenta previa poses a significant risk of triggering heavy
bleeding, as the exam can irritate the fragile placenta and separate it from the uterus. This risk is particularly high in cases
of placenta previa, making a vaginal exam contraindicated in order to avoid exacerbating the condition and potentially
causing life-threatening hemorrhage.
Trusted by thousands of students and professionals worldwide Page 1 of 18
, QUESTION 2
during nonstress test, FHR is 130 w/o accelerations
CORRECT ANSWER
when to use an acoustic stim on abdomen for 3 seconds
RATIONALE: A nonstress test is used to assess fetal well-being by tracking the absence or presence of fetal heart rate
(FHR) accelerations in response to fetal movement. Since the FHR is 130 without accelerations, an acoustic stimulator is
used to stimulate the fetus, which can induce an acceleration in FHR, thereby assessing fetal well-being and response to
stimulation.
QUESTION 3
mom is rubella non-immune
positive for beta hemolytic strep
blood is type O negative
CORRECT ANSWER
give client rubella immunization after delivery
RATIONALE: The correct answer is "give client rubella immunization after delivery" because the mother is non-immune to
rubella, which poses a risk to her unborn baby if she were to contract the virus during pregnancy, making vaccination after
delivery a crucial preventive measure. This approach also avoids exposing the baby to the risk of rubella during pregnancy,
given the mother's non-immune status.
QUESTION 4
client with polyhydramnios
CORRECT ANSWER
baby might have GI anomalies
RATIONALE: Polyhydramnios, a condition characterized by an excessive amount of amniotic fluid, is often associated with
fetal anomalies, particularly those affecting the gastrointestinal (GI) system, as these can impede the fetal swallowing of
amniotic fluid, leading to its accumulation. Therefore, a client with polyhydramnios might have GI anomalies, as these are a
common underlying cause of this condition.
Trusted by thousands of students and professionals worldwide Page 2 of 18
, QUESTION 5
adverse effect of mag sulfate
CORRECT ANSWER
feeling of warmth throughout the body
RATIONALE: Magnesium sulfate can cause a sensation of warmth or flushing throughout the body as a result of
vasodilation, a primary effect of the drug on blood vessels, leading to increased blood flow and heat distribution. This side
effect is often described as a feeling of warmth, which is a direct consequence of the vasodilatory action of magnesium
sulfate on the cardiovascular system.
QUESTION 6
low back pain during latent phase of labor
CORRECT ANSWER
apply counter pressure to lower back during contractions
RATIONALE: Applying counter pressure to the lower back during contractions helps to alleviate low back pain in the latent
phase of labor by redistributing the body's weight and reducing the strain on the lower back muscles, thereby providing
temporary relief and comfort. This technique is particularly effective during the latent phase when the uterus is contracting
irregularly and the pelvis is not yet fully open, allowing the pressure to build up and cause discomfort in the lower back.
QUESTION 7
first trimester sign/symptom to report to provider
CORRECT ANSWER
swelling of the face
RATIONALE: Swelling of the face is a symptom that warrants reporting to a healthcare provider in the first trimester
because it can be an indication of preeclampsia, a potentially life-threatening condition characterized by high blood pressure
and organ damage. This symptom stands out as particularly concerning because it can occur earlier in pregnancy, and
prompt medical evaluation is essential to rule out any underlying complications and ensure the health of both the mother
and the fetus.
QUESTION 8
first trimester sono teaching
CORRECT ANSWER
will need a full bladder for exam
RATIONALE: A full bladder is required for first trimester sono exams because it helps to displace the bowel and other
abdominal organs, allowing for better visualization of the uterus and fetus. This is crucial during the first trimester when the
uterus is still relatively small and can be easily obscured by other structures, making a full bladder essential for obtaining
clear ultrasound images.
Trusted by thousands of students and professionals worldwide Page 3 of 18
