MATERNAL NEWBORN PROCTORED RETAKE
2019 GRADED A
LATEST VERSION UPDATED APRIL 2023
CONTAINING DIFFERENT VERSIONS WITH
QUESTIONS AND VERIFIED ANSWERS ALREADY
GRADED A
1. A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth.
Which of the following clinical findings should the nurse identify as an indication of
postpartum infection?
a. Unilateral breast pain
b. Stretch marks
c. Lochia alba
d. WBC 12,000
2. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the
following findings should the nurse report to the provider? a. Blood glucose 110
b. DTR 2+
c. Urine protein 3+
d. Hemoglobin 13
3. A nurse is providing teaching about the expected effects of magnesium sulfate to a client
who is at 28 weeks gestation and has preeclampsia. Which of the following responses
by the nurse is appropriate?
a. “This medication increases cardiac output”
b. “This medication improves tissue perfusion.”
c. “This medication stabilizes the fetal heart rate.”
d. “This medication prevents seizures”
4. A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?
a. “You will have dilation and effacement of the cervix”
b. “Your contractions will become temporarily regular”
c. “You will have bloody show.”
d. “Your contractions will become more intense when walking.”
,5. A nurse manager is revising a maternal unit policy to ensure the proper identification of
newborns. Which of the following should the nurse include in the policy? a. Check the
newborn’s identification using the crib card.
b. Replace the infant’s identification band after his name has been recorded.
c. Require visitors to wear an identification band.
d. Obtain an imprint of the infant’s feet prior to taking him to the nursery.
6. A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which
of the following actions should the nurse take? a. Apply an ice pack to the incision cite.
b. Replace the surgical dressing.
c. Administer 500 mL LR IV bolus
d. Evaluate Urinary Output.
7. A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures should
the nurse include in the teaching?
a. Wear nipple shields during the feeding.
b. Use a breast binder for 2 days.
, c. Use plastic-lines breast pads.
d. Apply cabbage leaves after feedings
8. A nurse is calculating the estimated date of birth using Nagele’s rule for a client who is
pregnant and whose last menstrual cycle started June 21. Which of the following is the
estimated date of delivery in the next year? a. March 14
b. March 21
c. March 28
d. April 4
9. A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which
of the following actions should the nurse take?
a. Inform the client that the law requires her to name the fetus.
b. Limit the amount of time the fetus is in the client’s room.
c. Instruct the client that an autopsy should be performed within 24 hours.
d. Prepare the client for what to expect the fetus to look like.
10. A nurse is observing an adolescent client who is offering her newborn a bottle while he is
lying in the bassinet. When the nurse offers to pick the newborn up and place him in the
client’s arms, the mother states, “No, the baby is too tired to be held.” Which of the
following actions should the nurse take?
a. Demonstrate how to hold the newborn and allow the client to practice
b. Persuade the client to breastfeed the newborn to promote bonding.
c. Offer to take the newborn to the nursery to finish his feeding.
d. Insist that the mother pick up the newborn to feed him.
11. A nurse is caring for a client who is in labor. Which of the following findings should
prompt the nurse to reassess the client?
a. Intense contractions lasting 45-60 seconds
b. An urge to have a bowel movement during contractions
c. A sense of excitement and warm, flushed skin
d. Progressive sacral discomfort during contractions
12. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the following findings should the nurse report to the provider? a. Hemoglobin
14.8
b. Urine protein concentration 200mg/24hr
c. Creatinine 0.8
d. Platelet count 60,000
13. A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant.
Which of the following actions should the nurse take?
a. Lay the tape measure horizontally over the middle of the client’s abdomen
b. Place the client in a left-lateral position to obtain the measurement.
c. Ensure that the client has a full bladder before taking the measurement
d. Measure from the upper border of the symphysis pubic to the upper border of
the fundus.
14. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation.
Which of the following recommendations should the nurse make to help relieve this
common discomfort of pregnancy?
a. Include 18g/day of fiber in the diet
2019 GRADED A
LATEST VERSION UPDATED APRIL 2023
CONTAINING DIFFERENT VERSIONS WITH
QUESTIONS AND VERIFIED ANSWERS ALREADY
GRADED A
1. A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth.
Which of the following clinical findings should the nurse identify as an indication of
postpartum infection?
a. Unilateral breast pain
b. Stretch marks
c. Lochia alba
d. WBC 12,000
2. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the
following findings should the nurse report to the provider? a. Blood glucose 110
b. DTR 2+
c. Urine protein 3+
d. Hemoglobin 13
3. A nurse is providing teaching about the expected effects of magnesium sulfate to a client
who is at 28 weeks gestation and has preeclampsia. Which of the following responses
by the nurse is appropriate?
a. “This medication increases cardiac output”
b. “This medication improves tissue perfusion.”
c. “This medication stabilizes the fetal heart rate.”
d. “This medication prevents seizures”
4. A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?
a. “You will have dilation and effacement of the cervix”
b. “Your contractions will become temporarily regular”
c. “You will have bloody show.”
d. “Your contractions will become more intense when walking.”
,5. A nurse manager is revising a maternal unit policy to ensure the proper identification of
newborns. Which of the following should the nurse include in the policy? a. Check the
newborn’s identification using the crib card.
b. Replace the infant’s identification band after his name has been recorded.
c. Require visitors to wear an identification band.
d. Obtain an imprint of the infant’s feet prior to taking him to the nursery.
6. A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which
of the following actions should the nurse take? a. Apply an ice pack to the incision cite.
b. Replace the surgical dressing.
c. Administer 500 mL LR IV bolus
d. Evaluate Urinary Output.
7. A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures should
the nurse include in the teaching?
a. Wear nipple shields during the feeding.
b. Use a breast binder for 2 days.
, c. Use plastic-lines breast pads.
d. Apply cabbage leaves after feedings
8. A nurse is calculating the estimated date of birth using Nagele’s rule for a client who is
pregnant and whose last menstrual cycle started June 21. Which of the following is the
estimated date of delivery in the next year? a. March 14
b. March 21
c. March 28
d. April 4
9. A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which
of the following actions should the nurse take?
a. Inform the client that the law requires her to name the fetus.
b. Limit the amount of time the fetus is in the client’s room.
c. Instruct the client that an autopsy should be performed within 24 hours.
d. Prepare the client for what to expect the fetus to look like.
10. A nurse is observing an adolescent client who is offering her newborn a bottle while he is
lying in the bassinet. When the nurse offers to pick the newborn up and place him in the
client’s arms, the mother states, “No, the baby is too tired to be held.” Which of the
following actions should the nurse take?
a. Demonstrate how to hold the newborn and allow the client to practice
b. Persuade the client to breastfeed the newborn to promote bonding.
c. Offer to take the newborn to the nursery to finish his feeding.
d. Insist that the mother pick up the newborn to feed him.
11. A nurse is caring for a client who is in labor. Which of the following findings should
prompt the nurse to reassess the client?
a. Intense contractions lasting 45-60 seconds
b. An urge to have a bowel movement during contractions
c. A sense of excitement and warm, flushed skin
d. Progressive sacral discomfort during contractions
12. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the following findings should the nurse report to the provider? a. Hemoglobin
14.8
b. Urine protein concentration 200mg/24hr
c. Creatinine 0.8
d. Platelet count 60,000
13. A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant.
Which of the following actions should the nurse take?
a. Lay the tape measure horizontally over the middle of the client’s abdomen
b. Place the client in a left-lateral position to obtain the measurement.
c. Ensure that the client has a full bladder before taking the measurement
d. Measure from the upper border of the symphysis pubic to the upper border of
the fundus.
14. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation.
Which of the following recommendations should the nurse make to help relieve this
common discomfort of pregnancy?
a. Include 18g/day of fiber in the diet
