RN MATERNAL EXAM REVIEW 2026
DETAILED QUESTIONS AND SOLVED
SOLUTIONS
◉Following a precipitous labor, a postpartum client has a
continuous trickling of bright red blood from her vagina. Her uterus
is firm and her vital signs are within normal limits. The nurse
determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.. Answer: B. Laceration on the cervix
◉A new mother asks the nurse about an area of swelling on her
baby's head near the posterior fontanel that lies across the suture
line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no
problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is
absorbed.". Answer: A. "This is called caput succedaneum. It will
absorb and cause no problems."
,◉The parents of a male newborn have signed an informed consent
for circumcision. What priority intervention should the nurse
implement upon completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets.. Answer: C. Place
petrolatum gauze dressing on the site.
◉The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a
chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia. Answer: D. Hypoglycemia
◉A primipara at 20-weeks gestation is scheduled for an ultrasound.
In preparing the client for the procedure, the nurse should explain
that the primary reason for conducting this diagnostic study is to
obtain which information?
A. Sex and size of the infant.
, B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration.. Answer: B. Fetal growth and
gestational age.
◉A 38-week primigravida is admitted to labor and delivery after a
non-reactive stress test (NST). The nurse begins a contraction stress
test (CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations.. Answer: D. A pattern of fetal
late decelerations.
◉In determining the one minute Apgar score of a male infant the
nurse asses a heart rate of 120 per min....respiration.. He has a loud
cry with stimualtion, good muscle tone, color is acrocyanotic . What
should the nurse assign?
A. 7
B. 8
C. 9
D. 10. Answer: C. 9
DETAILED QUESTIONS AND SOLVED
SOLUTIONS
◉Following a precipitous labor, a postpartum client has a
continuous trickling of bright red blood from her vagina. Her uterus
is firm and her vital signs are within normal limits. The nurse
determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.. Answer: B. Laceration on the cervix
◉A new mother asks the nurse about an area of swelling on her
baby's head near the posterior fontanel that lies across the suture
line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no
problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is
absorbed.". Answer: A. "This is called caput succedaneum. It will
absorb and cause no problems."
,◉The parents of a male newborn have signed an informed consent
for circumcision. What priority intervention should the nurse
implement upon completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets.. Answer: C. Place
petrolatum gauze dressing on the site.
◉The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a
chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia. Answer: D. Hypoglycemia
◉A primipara at 20-weeks gestation is scheduled for an ultrasound.
In preparing the client for the procedure, the nurse should explain
that the primary reason for conducting this diagnostic study is to
obtain which information?
A. Sex and size of the infant.
, B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration.. Answer: B. Fetal growth and
gestational age.
◉A 38-week primigravida is admitted to labor and delivery after a
non-reactive stress test (NST). The nurse begins a contraction stress
test (CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations.. Answer: D. A pattern of fetal
late decelerations.
◉In determining the one minute Apgar score of a male infant the
nurse asses a heart rate of 120 per min....respiration.. He has a loud
cry with stimualtion, good muscle tone, color is acrocyanotic . What
should the nurse assign?
A. 7
B. 8
C. 9
D. 10. Answer: C. 9
