Maternal Newborn Exam Questions Comprehensive 2026
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The nurse on a postpartum unit is preparing 4 clients for discharge. It would
be MOST important for the nurse to refer which of the following clients for
home care?
a. A 15 year old primipara who delivered a 7 lb male 2 days ago
b. An 18 year old multipara who delivered a 9 lb female by c-section 2 days ago
c. A 20 year old multipara who delivered 1 day ago and is complaining of
cramping
d. A 22 year old who delivered by c-section and is complaining of burning on
urination
A 22 year old who delivered by c-section and is complaining of burning on urination
The nurse teaches a primigravid woman how to measure the frequency of
uterine contractions. The nurse should explain to the client that the frequency
of uterine contractions is determined by which of the following?
a. By timing from the beginning of one contraction to the end of the next
contraction
b. By timing from the beginning of one contraction to the end of the same
contraction
c. By the number of contractions that occur within a given period of time
d. By the strength of the contraction at its peak
By the number of contractions that occur within a given period of time
Which of the following are presumptive signs of pregnancy? (Select all that
apply)
a. Positive pregnancy test
b. Enlarged breasts
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c. Urinary frequency
d. Braxton Hicks contractions
e. Fetal heart tones heard by the provider
f. Amenorrhea
Enlarged breasts
Urinary frequency
Amenorrhea
Which of the following is the priority during the third stage of labor for the
mother?
a. Educating the mother
b. Pain management
c. Skin to skin contact
d. Adequate tissue perfusion
Adequate tissue perfusion
Which fetal presentation is optimal for vaginal delivery?
a. Military
b. Brow
c. Vertex
d. Face
Vertex
A woman in labor starts to exhibit late decels on the EFM, what actions should
the nurse take? Select all that apply
a. Give 02
b. Turn patient on left side
c. Put patient in Trendelenburg position
d. Decrease IV fluids
e. Raise the pt.s feet above the level of her heart
Give O2
Turn patient on left side
A woman comes in for her 18 week ultrasound. The provider notes an
abnormality with the umbilical cord where the blood vessels travel
unprotected from the placenta to the umbilical cord. The nurse knows this
disorder is known as:
a. Placenta Accreta
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b. Velamentous Cord Insertion
c. Abruptio Placentae
d. Uterine Rupture
Velamentous Cord Insertion
A nurse is performing a newborn assessment on a 24 hour old newborn.
Which of the following should the nurse report to the provider?
a. cross eyed appearance
b. body temperature of 37.0 C
c. Yellow appearance of the skin
d. large anterior fontanelle
Yellow appearance of the skin
A patient is 12 weeks pregnant and her nurse is performing an assessment to
locate the position of her fundus. At what location should it be found?
a. Just below the xiphoid process
b. At the symphysis pubis
c. At the umbilicus
d. Between the symphysis pubis and umbilicus
At the symphysis pubis
Upon assessment of a laboring patient, a nurse gathers the following
information: cervical dilation of 5 cm, contractions every 5 minutes and
moderate in strength along with some feelings of restlessness. What stage of
labor is her patient in?
a. Second Stage
b. First Stage - Transition Phase
c. Third Stage
d. First Stage - Active Phase
First Stage- Active Phase
A nurse if providing education to a client who is 2 hours postpartum and has a
perineal laceration. Which of the following information should the nurse
include? (Select all that apply)
a. Use a perineal squeeze bottle to cleanse the perineum
b. Sit on the perineum while resting in bed
c. Apply a topical anesthetic cream or spray to the perineum