MATERNITY PROCTORED NGN B
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ A nurse is reviewing the medical record of a client who is postpartum and
has preeclampsia. Which of the following lab results should the nurse report
to the provider?.
Answer: Platelets 50,000/mm3below range
◍ A nurse is preparing to administer oxytocin to a client who is postpartum
Which of the following findings is an indication for the administration of the
medication (Select all).
Answer: Flaccid uterusExcess vaginal bleeding
◍ Exhibit 1 :1000:Temperature 37.1° C (98.8° F) axillaryHeart rate
132/minRespiratory rate 52/min1400:Temperature 36.1° C (97° F)
axillaryHeart rate 142/minRespiratory rate 64/minExhibit 2:1000:Newborn
lying skin-to-skin with birthing parent.Breastfeeding every 2 to 4 hr for 20
to 30 min.Respirations easy and unlabored. Color pink with acrocyanosis
present.Two wet diapers since birth.1400:Newborn sleeping in crib, loosely
wrapped in one blanket. Moro reflex noted during assessment.Extremities
are mottled with acrocyanosis.Uric acid crystals noted in wet diaper.Exhibit
3:39 weeks of gestationSpontaneous vaginal birthApgar scores 9 at 1 min
and 9 at 5 min of ageMembranes ruptured 8 hr prior to birthMaternal Group
B streptococcus (GBS) culture negative (negative)Maternal urine drug
screen at 37 weeks of gestation negative (negative).
Answer: A nurse is assisting in the care of a newborn who is 24 hr oldThe
newborn is at greatest risk for developing "Hypoglycemia"as evidenced by
the newborns "temperature"
◍ A nurse is providing teaching about family planning to a client who has a
, new prescription for a diaphragm. Which of the following statements should
the nurse include in the teaching?.
Answer: "You should leave the diaphragm in place for at least 6 hrs after
intercourse"
◍ A nurse is teaching a client who is Rh negative about Rho(D) immune
globulin. Which of the following statements by the client indicates an
understanding of the teaching?.
Answer: " I will need this medication if I have an aminocentesis"
◍ A nurse in a woman health clinic is providing teaching about nutritional
intake to a client who is at 8 wks gestation. The nurse should instruct the
client to increase her daily intake of which of the following nutrients?.
Answer: Iron
◍ In nurse is reinforcing teaching with a client who is 9 weeks of gestation and
reports frequent episodes of nausea and vomiting which of the following
instructions should the nurse include?
A. Eat foods that are served hot
B. Drink 360ML a fluid during meal times
C. Consume small meals frequently each day
D. eat a high protein snack before getting out of bed.
Answer: C. Consume small meals frequently each day
◍ A nurse is assisting in the care of a client who is 18 hour postpartum and has
a fourth degree perennial laceration the client reports a pain rating of four on
a scale from zero to 10 which of the following actions should the nurse take
(select all that apply)-instruct the client to sit in high-fowlers position-the
use of witch Hazel pads-give the client ice packs-have the client take a water
sitz bath-encourage the client to practice relaxation techniques.
Answer: -the use of witch Hazel pads-give the client ice packs-have the
client take a water sitz bath-encourage the client to practice relaxation
techniques
◍ A nurse is assisting in the care of a newborn who is receiving phototherapy
which of the following actions should the nurse take?
, A. Reposition the newborn every four hours
B. Feed the newborn 30ML of glucose water four times per day
C. Apply a thin layer of lotion to the newborn skin
D. Place an opaque mask over the newborn's eyes.
Answer: D. Place an opaque mask over the newborn's eyes
◍ A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior position. The client is dilated to 8 cm and reports back
pain. Which of the following actions should the nurse take?.
Answer: Apply sacral counterpressure
◍ A nurse is planning care for a client who is in labor and is requesting
epidural anesthesia for pain control. Which of the following actions should
the nurse include in the plan of care?.
Answer: Monitor clients BP every 5 mins following the first dose of
anesthetic solution
◍ A nurse is preparing to reinforce teaching for a client who is pregnant and
has opioid use disorder which of the following medications should the nurse
plan to include?
A. Diazepam
B. Methadone
C. Naltrexone
D. Disulfiram.
Answer: B. Methadone
◍ A nurse is collecting data from a newborn who is 8 hours old which of the
following findings should the nurse report to the provider?
A. Vernix and the skin folds
B. Positive moro reflex
C. Apneic episode of 10 seconds
D. Apical heart rate of 90/min while crying.
Answer: D. Apical heart rate of 90/min while crying
◍ A nurse is caring for a client who is in labor and reports increasing rectal
pressure. She is experiencing contractions 2-3 mins apart, each lasting 80-90
, sec, and vaginal exam reveal the cervix is dilated to 9 cm. The nurse should
identify the client is in which phase of labor?.
Answer: Transition
◍ A school nurse is providing teaching to an adolescent about levonorgestrel
contraception. Which of the following information should the nurse include
in the teaching?.
Answer: " You should take the medication within 72 hrs following
unprotected intercourse"
◍ A nurse is assessing a newborn who is 12 hr old. Which of the following
manifestation requires intervention by the nurse?.
Answer: Substernal chest retractions while sleeping
◍ A nurse is collecting data from a 28 year old client who is requesting a
prescription for an oral contraceptive which of the following information in
the client's history should the nurse identify as a contraindication for the use
of oral contraceptives?
A. History of mononucleosis one year ago
B. Frequent headaches with visual changes
C. Reports of occasional heartburn and evening
D. You regular menstrual cycles with dysmenorrhea.
Answer: B. Frequent headaches with visual changes
◍ A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates
her uterus to the right above the umbilicus which of the following
interventions should the nurse perform?.
Answer: Assist the client to empty her bladder
◍ A nurse is teaching a client who is pregestational type 1 diabetes mellitus
about management during pregnancy. Which of the following statements by
the client indicates an understanding of the teaching?.
Answer: " I will continue taking my insulin if I experience nausea and
vomiting"
◍ A nurse is planning care for a client who is in labor and is to have
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ A nurse is reviewing the medical record of a client who is postpartum and
has preeclampsia. Which of the following lab results should the nurse report
to the provider?.
Answer: Platelets 50,000/mm3below range
◍ A nurse is preparing to administer oxytocin to a client who is postpartum
Which of the following findings is an indication for the administration of the
medication (Select all).
Answer: Flaccid uterusExcess vaginal bleeding
◍ Exhibit 1 :1000:Temperature 37.1° C (98.8° F) axillaryHeart rate
132/minRespiratory rate 52/min1400:Temperature 36.1° C (97° F)
axillaryHeart rate 142/minRespiratory rate 64/minExhibit 2:1000:Newborn
lying skin-to-skin with birthing parent.Breastfeeding every 2 to 4 hr for 20
to 30 min.Respirations easy and unlabored. Color pink with acrocyanosis
present.Two wet diapers since birth.1400:Newborn sleeping in crib, loosely
wrapped in one blanket. Moro reflex noted during assessment.Extremities
are mottled with acrocyanosis.Uric acid crystals noted in wet diaper.Exhibit
3:39 weeks of gestationSpontaneous vaginal birthApgar scores 9 at 1 min
and 9 at 5 min of ageMembranes ruptured 8 hr prior to birthMaternal Group
B streptococcus (GBS) culture negative (negative)Maternal urine drug
screen at 37 weeks of gestation negative (negative).
Answer: A nurse is assisting in the care of a newborn who is 24 hr oldThe
newborn is at greatest risk for developing "Hypoglycemia"as evidenced by
the newborns "temperature"
◍ A nurse is providing teaching about family planning to a client who has a
, new prescription for a diaphragm. Which of the following statements should
the nurse include in the teaching?.
Answer: "You should leave the diaphragm in place for at least 6 hrs after
intercourse"
◍ A nurse is teaching a client who is Rh negative about Rho(D) immune
globulin. Which of the following statements by the client indicates an
understanding of the teaching?.
Answer: " I will need this medication if I have an aminocentesis"
◍ A nurse in a woman health clinic is providing teaching about nutritional
intake to a client who is at 8 wks gestation. The nurse should instruct the
client to increase her daily intake of which of the following nutrients?.
Answer: Iron
◍ In nurse is reinforcing teaching with a client who is 9 weeks of gestation and
reports frequent episodes of nausea and vomiting which of the following
instructions should the nurse include?
A. Eat foods that are served hot
B. Drink 360ML a fluid during meal times
C. Consume small meals frequently each day
D. eat a high protein snack before getting out of bed.
Answer: C. Consume small meals frequently each day
◍ A nurse is assisting in the care of a client who is 18 hour postpartum and has
a fourth degree perennial laceration the client reports a pain rating of four on
a scale from zero to 10 which of the following actions should the nurse take
(select all that apply)-instruct the client to sit in high-fowlers position-the
use of witch Hazel pads-give the client ice packs-have the client take a water
sitz bath-encourage the client to practice relaxation techniques.
Answer: -the use of witch Hazel pads-give the client ice packs-have the
client take a water sitz bath-encourage the client to practice relaxation
techniques
◍ A nurse is assisting in the care of a newborn who is receiving phototherapy
which of the following actions should the nurse take?
, A. Reposition the newborn every four hours
B. Feed the newborn 30ML of glucose water four times per day
C. Apply a thin layer of lotion to the newborn skin
D. Place an opaque mask over the newborn's eyes.
Answer: D. Place an opaque mask over the newborn's eyes
◍ A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior position. The client is dilated to 8 cm and reports back
pain. Which of the following actions should the nurse take?.
Answer: Apply sacral counterpressure
◍ A nurse is planning care for a client who is in labor and is requesting
epidural anesthesia for pain control. Which of the following actions should
the nurse include in the plan of care?.
Answer: Monitor clients BP every 5 mins following the first dose of
anesthetic solution
◍ A nurse is preparing to reinforce teaching for a client who is pregnant and
has opioid use disorder which of the following medications should the nurse
plan to include?
A. Diazepam
B. Methadone
C. Naltrexone
D. Disulfiram.
Answer: B. Methadone
◍ A nurse is collecting data from a newborn who is 8 hours old which of the
following findings should the nurse report to the provider?
A. Vernix and the skin folds
B. Positive moro reflex
C. Apneic episode of 10 seconds
D. Apical heart rate of 90/min while crying.
Answer: D. Apical heart rate of 90/min while crying
◍ A nurse is caring for a client who is in labor and reports increasing rectal
pressure. She is experiencing contractions 2-3 mins apart, each lasting 80-90
, sec, and vaginal exam reveal the cervix is dilated to 9 cm. The nurse should
identify the client is in which phase of labor?.
Answer: Transition
◍ A school nurse is providing teaching to an adolescent about levonorgestrel
contraception. Which of the following information should the nurse include
in the teaching?.
Answer: " You should take the medication within 72 hrs following
unprotected intercourse"
◍ A nurse is assessing a newborn who is 12 hr old. Which of the following
manifestation requires intervention by the nurse?.
Answer: Substernal chest retractions while sleeping
◍ A nurse is collecting data from a 28 year old client who is requesting a
prescription for an oral contraceptive which of the following information in
the client's history should the nurse identify as a contraindication for the use
of oral contraceptives?
A. History of mononucleosis one year ago
B. Frequent headaches with visual changes
C. Reports of occasional heartburn and evening
D. You regular menstrual cycles with dysmenorrhea.
Answer: B. Frequent headaches with visual changes
◍ A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates
her uterus to the right above the umbilicus which of the following
interventions should the nurse perform?.
Answer: Assist the client to empty her bladder
◍ A nurse is teaching a client who is pregestational type 1 diabetes mellitus
about management during pregnancy. Which of the following statements by
the client indicates an understanding of the teaching?.
Answer: " I will continue taking my insulin if I experience nausea and
vomiting"
◍ A nurse is planning care for a client who is in labor and is to have
