CMS CERTIFICATION EXAM QUESTIONS
AND VERIFIED ANSWERS 2026
▶ What symptom should the client report to the provider?. Answer: vaginal
bleeding
▶ What would a breastfeeding client say that indicates an understanding of
nutritional teaching?. Answer: I will continue my calcium supplements
because I don't like milk
▶ Nonstress test (NST). Answer: A noninvasive procedure that monitors
response of the FHR to fetal movement
▶ Procedure of NST. Answer: A Doppler transducer and a tocotransducer
are attached externally to a cleint's abdomen to obtain tracing strips. The
client pushes a button attached to the monitor whenever she feels a fetal
movement, which is then noted on the tracing
▶ What should the nurse include in teaching about nausea during the first
trimester?. Answer: Eat crackers or plain toast before getting out of bed
▶ Higher levels of hCG. Answer: Can indicate multifetal pregnancy,
ectopic pregnancy, hydatidiform mole, or a genetic abnormality such as
Down Syndrome
, ▶ Lower levels of hCG. Answer: Might suggest a miscarriage or ectopic
pregnancy
▶ A client who is at 8 weeks of gestation tells the nurse that she isn't sure
she is happy about being pregnant. What should the nurse say in
response?. Answer: It is normal to have these feelings during the first few
months of pregnancy
▶ Disadvantages of an NST. Answer: High rate of false nonreactive
results with the fetal movement response blunted by sleep cycles of the
fetus, fetal immaturity, maternal medications, and nicotine use disorder
▶ Nagele's rule. Answer: Take the first day of the woman's last menstrual
cycle, subtract 3 months, and then add 7 days and 1 year
▶ Reasons for an NST. Answer: Decreased fetal movement, intrauterine
growth restriction, postmaturity, gestational diabetes mellitus, gestational
hypertension, maternal chronic hypertension, history of previous fetal
demise, advanced maternal age, sickle cell disease, and isoiummunization
▶ Gravidity. Answer: number of pregnancies
▶ Interpretation of NST findings. Answer: Reactive if FHR is a normal
baseline rate with moderate variability, accelerate at least 15/min for at
least 15 seconds and occurs two or more times during a 20 minute period.
Nonreactive if does not demonstrate at least two qualifying accelerations in
a 20-min window
AND VERIFIED ANSWERS 2026
▶ What symptom should the client report to the provider?. Answer: vaginal
bleeding
▶ What would a breastfeeding client say that indicates an understanding of
nutritional teaching?. Answer: I will continue my calcium supplements
because I don't like milk
▶ Nonstress test (NST). Answer: A noninvasive procedure that monitors
response of the FHR to fetal movement
▶ Procedure of NST. Answer: A Doppler transducer and a tocotransducer
are attached externally to a cleint's abdomen to obtain tracing strips. The
client pushes a button attached to the monitor whenever she feels a fetal
movement, which is then noted on the tracing
▶ What should the nurse include in teaching about nausea during the first
trimester?. Answer: Eat crackers or plain toast before getting out of bed
▶ Higher levels of hCG. Answer: Can indicate multifetal pregnancy,
ectopic pregnancy, hydatidiform mole, or a genetic abnormality such as
Down Syndrome
, ▶ Lower levels of hCG. Answer: Might suggest a miscarriage or ectopic
pregnancy
▶ A client who is at 8 weeks of gestation tells the nurse that she isn't sure
she is happy about being pregnant. What should the nurse say in
response?. Answer: It is normal to have these feelings during the first few
months of pregnancy
▶ Disadvantages of an NST. Answer: High rate of false nonreactive
results with the fetal movement response blunted by sleep cycles of the
fetus, fetal immaturity, maternal medications, and nicotine use disorder
▶ Nagele's rule. Answer: Take the first day of the woman's last menstrual
cycle, subtract 3 months, and then add 7 days and 1 year
▶ Reasons for an NST. Answer: Decreased fetal movement, intrauterine
growth restriction, postmaturity, gestational diabetes mellitus, gestational
hypertension, maternal chronic hypertension, history of previous fetal
demise, advanced maternal age, sickle cell disease, and isoiummunization
▶ Gravidity. Answer: number of pregnancies
▶ Interpretation of NST findings. Answer: Reactive if FHR is a normal
baseline rate with moderate variability, accelerate at least 15/min for at
least 15 seconds and occurs two or more times during a 20 minute period.
Nonreactive if does not demonstrate at least two qualifying accelerations in
a 20-min window
