PN Maternal Newborn Online Practice 2026 A,
maternal newborn proctored exam prep latest
update 2026
1. A nurse is performing fundal massage for a client who has uterine atony and
postpartum hemorrhage. Which of the following actions should the nurse take
when performing this procedure?
Massage the fundus in a circular motion with one hand while
supporting the back with the other hand
Use one hand to stabilize the lower uterine segment while
massaging the fundus with the other hand
Apply firm pressure on the fundus with both hands until it becomes
firm and contracted
Rub the fundus vigorously with one hand until it becomes hard and
expels clots
2. A pregnant patient presents with low hemoglobin and hematocrit levels.
What nursing intervention should be prioritized to address this issue?
Schedule a follow-up appointment for blood tests.
Encourage increased physical activity.
Provide education on iron-rich foods and supplements.
Advise the patient to reduce fluid intake.
3. What technique should a nurse encourage a client to use during the active
phase of labor to enhance comfort?
Taking pain medication
Walking around the room
, Relaxing breathing techniques
Listening to music
4. Describe the importance of administering phytonadione to newborns and
the rationale for the chosen route of administration.
Phytonadione is administered intramuscularly to prevent vitamin K
deficiency and related bleeding disorders in newborns.
Phytonadione is administered intravenously to treat infections in
newborns.
Phytonadione is given orally to enhance absorption of nutrients in
newborns.
Phytonadione is given subcutaneously to promote faster healing in
newborns.
5. Why is it important for a postpartum client to report drainage from the
newborn's umbilical cord?
It shows that the cord is drying properly.
It is necessary for the baby's growth.
It may indicate an infection or complication that needs medical
attention.
It is a normal part of healing.
6. A newborn presents with moderate jaundice. After assessing bilirubin levels,
they are found to be elevated. What should the nurse prioritize next in the
care plan?
Initiate phototherapy as per protocol.
Administer a blood transfusion immediately.
Schedule a follow-up appointment in one week.
Increase the newborn's feeding frequency.
,7. If a patient with pelvic inflammatory disease does not respond to ceftriaxone
treatment, what would be the next appropriate step in management?
Increase the dosage of ceftriaxone.
Refer the patient for surgical intervention immediately.
Consider alternative antibiotics such as doxycycline or
metronidazole.
Switch to a non-antibiotic treatment.
8. The nurse is evaluating a new mother's understanding of successful
breastfeeding. Which of the new mother's statements indicates a need for
further instruction?
"Once I'm making enough milk, I will probably be able to hear my
baby swallowing."
"My breasts will feel less firm after I breastfeed my baby."
"I should be breastfeeding my baby a maximum of seven times in 24
hours."
"Five days after my baby is born, she should be producing at least six
wet diapers each day."
9. What position should a pregnant client adopt to prevent supine hypotension?
I will lie flat on my back
I will sit upright in a chair
I will lie on my left side with my head elevated on a pillow
I will lie on my right side with my legs straight
10. You are assessing a newborn infant and notice the following clinical
manifestations: limited movement of the arm, crepitus over the right clavicle,
and absence of the Moro reflex on the right side. What birth injury do you
, suspect?
Parietal linear fracture
Brachial plexus injury
Phrenic nerve injury
Clavicular fracture
11. Why is it important for a nurse to avoid pinning a newborn's sleeve to their
shirt?
It is a common practice in all hospitals.
Pinning can restrict movement and cause discomfort or injury.
It prevents the newborn from scratching their face.
It helps in keeping the newborn warm.
12. Describe the technique used for performing a fundal massage in postpartum
care.
The technique involves lifting the uterus to assess its size.
The technique involves pressing down on the abdomen with both
hands to check for pain.
The technique involves applying ice packs to the abdomen.
The technique involves placing one hand on the uterus and using
the other hand to massage the fundus in a circular motion.
13. Why is it important to use a firm mattress in a newborn's crib?
A firm mattress reduces the risk of suffocation and promotes safe
sleep for the newborn.
A firm mattress helps the baby sleep longer.
A firm mattress is easier to clean.
maternal newborn proctored exam prep latest
update 2026
1. A nurse is performing fundal massage for a client who has uterine atony and
postpartum hemorrhage. Which of the following actions should the nurse take
when performing this procedure?
Massage the fundus in a circular motion with one hand while
supporting the back with the other hand
Use one hand to stabilize the lower uterine segment while
massaging the fundus with the other hand
Apply firm pressure on the fundus with both hands until it becomes
firm and contracted
Rub the fundus vigorously with one hand until it becomes hard and
expels clots
2. A pregnant patient presents with low hemoglobin and hematocrit levels.
What nursing intervention should be prioritized to address this issue?
Schedule a follow-up appointment for blood tests.
Encourage increased physical activity.
Provide education on iron-rich foods and supplements.
Advise the patient to reduce fluid intake.
3. What technique should a nurse encourage a client to use during the active
phase of labor to enhance comfort?
Taking pain medication
Walking around the room
, Relaxing breathing techniques
Listening to music
4. Describe the importance of administering phytonadione to newborns and
the rationale for the chosen route of administration.
Phytonadione is administered intramuscularly to prevent vitamin K
deficiency and related bleeding disorders in newborns.
Phytonadione is administered intravenously to treat infections in
newborns.
Phytonadione is given orally to enhance absorption of nutrients in
newborns.
Phytonadione is given subcutaneously to promote faster healing in
newborns.
5. Why is it important for a postpartum client to report drainage from the
newborn's umbilical cord?
It shows that the cord is drying properly.
It is necessary for the baby's growth.
It may indicate an infection or complication that needs medical
attention.
It is a normal part of healing.
6. A newborn presents with moderate jaundice. After assessing bilirubin levels,
they are found to be elevated. What should the nurse prioritize next in the
care plan?
Initiate phototherapy as per protocol.
Administer a blood transfusion immediately.
Schedule a follow-up appointment in one week.
Increase the newborn's feeding frequency.
,7. If a patient with pelvic inflammatory disease does not respond to ceftriaxone
treatment, what would be the next appropriate step in management?
Increase the dosage of ceftriaxone.
Refer the patient for surgical intervention immediately.
Consider alternative antibiotics such as doxycycline or
metronidazole.
Switch to a non-antibiotic treatment.
8. The nurse is evaluating a new mother's understanding of successful
breastfeeding. Which of the new mother's statements indicates a need for
further instruction?
"Once I'm making enough milk, I will probably be able to hear my
baby swallowing."
"My breasts will feel less firm after I breastfeed my baby."
"I should be breastfeeding my baby a maximum of seven times in 24
hours."
"Five days after my baby is born, she should be producing at least six
wet diapers each day."
9. What position should a pregnant client adopt to prevent supine hypotension?
I will lie flat on my back
I will sit upright in a chair
I will lie on my left side with my head elevated on a pillow
I will lie on my right side with my legs straight
10. You are assessing a newborn infant and notice the following clinical
manifestations: limited movement of the arm, crepitus over the right clavicle,
and absence of the Moro reflex on the right side. What birth injury do you
, suspect?
Parietal linear fracture
Brachial plexus injury
Phrenic nerve injury
Clavicular fracture
11. Why is it important for a nurse to avoid pinning a newborn's sleeve to their
shirt?
It is a common practice in all hospitals.
Pinning can restrict movement and cause discomfort or injury.
It prevents the newborn from scratching their face.
It helps in keeping the newborn warm.
12. Describe the technique used for performing a fundal massage in postpartum
care.
The technique involves lifting the uterus to assess its size.
The technique involves pressing down on the abdomen with both
hands to check for pain.
The technique involves applying ice packs to the abdomen.
The technique involves placing one hand on the uterus and using
the other hand to massage the fundus in a circular motion.
13. Why is it important to use a firm mattress in a newborn's crib?
A firm mattress reduces the risk of suffocation and promotes safe
sleep for the newborn.
A firm mattress helps the baby sleep longer.
A firm mattress is easier to clean.
