RN Proctored Maternal
Newborn Form A,B &C
2023/2024 LATEST
UPDATE GRADED A+
1) A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The
client reports sore nipples. Which of the following actions should the nurse take?
a. Have the client limit the length of breastfeeding to 5 min per breast
b. Assess the newborn’s latch while breastfeeding
c. Instruct the client to wait 4 hours between daytime feedings
d. Offer supplemental formula between the newborn’s feedings
2) A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal
head retract against the client’s perineum immediately following emergence. Which ofthe
following actions should the nurse take?
a. Assess fetal position using Leopold maneuvers
b. Apply pressure to the client’s suprapubic area
c. Reposition the client in the left lateral position
d. Empty the bladder using crede maneuver
3) A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour
ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk
for which of the following conditions
a. Ectopic pregnancy
b. Postpartum Hemorrhage
c. Incompetent cervix
d. Hyperemesis gravidarum
4) A nurse is assessing a client who is at 37 weeks gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
a. I have been seeing spots this morning
b. My feet are really swollen today
c. I didn’t have lunch today, but I had breakfast this morning
d. It burns when I urinate
5) A nurse is caring for a client who is in the second stage of labor. Which of the following
manifestations should the nurse expect?
a. The client expels the placenta
b. The client delivers the newborn
c. The client begins having regular contractions
, d. The client experiences gradual dilation of the cervix
35. A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an
ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the
fetal heart beat. Which of the following terms should the nurse use to document this finding?
a. Goodell’s sign
b. Funic soufflé
c. Hegar’s sign
d. Quickening
36. A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the
nurse assess first?
a. A client who is at 36 weeks of gestation and reports back pain following intercourse
b. A client who is at 10 weeks of gestation and reports frequent urination
c. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers
d. A client who is at 8 weeks of gestation and reports severe vomiting
37. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the
fetal heart rate during the prenatal visit?
a. A client who has a crown-rump length of 7 weeks of gestation
b. A client who has an ultrasound that confirms a molar pregnancy
c. A client who has felt quickening for the first time
d. A client who has a positive urine pregnancy test 1 week after missed menses
38. A nurse is assessing a newborn who is 2 hours old. Which of the following findings should the nurse
report to the provider?
a. Transient nystagmus
b. Overlapping sutures with molding
c. Single transverse palmar crease bilaterally
d. Lanugo on the pinna of the ears
39. A nurse is reviewing the laboratory report of a client who is 24 hrs postpartum vaginal delivery. The
client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of the following actions should
the nurse take?
a. Prepare the client for a blood transfusion
b. Initiate IV access for isotonic solution with an 18-gauge catheter
c. Administer an iron supplement to the client
d. Instruct the client that the provider will check for placental fragments
40. A nurse is caring for a client who is at 24 weeks of gestation and has a glucose screening test result of
150 mg/dL. Which of the following actions should the nurse take?
a. Perform a urine screen for ketones
b. Repeat the glucose screening test in 15 min to verify results
c. Schedule the client for a 3 hr oral glucose tolerance test
d. Determine if the client has fasted
,41. A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation.
Which of the following findings should indicate to the nruse the need for further diagnostic testing?
a. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in
response to fetal movement within a 40-min testing period
b. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client
c. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in
duration within a 10-min testing period
d. Three fetal movements perceived by the client in a 20-min testing period
42. A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue
the oxytocin if which of the following occurs?
a. Six contractions in 10 min
b. Nonrepetitive early decelerations
c. Moderate variability of the fetal heart rate
d. Contractions last 60 seconds
43. A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for
which of the following findings as an adverse effect?
a. Decreased ability to bear down
b. Uterine hyper-stimulation
c. Fetal bradycardia
d. Maternal hypertension
44. A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should
the nurse report to the provider?
a. Bulging fontanels
b. Subconjunctival hemorrhage
c. Milia
d. Caput succedaneum
45. A nurse is caring for a client who is 1 day postpartum following the birth of her first baby. The
client’s partner states, “I’ve been having nightmares that we are homeless and the baby is starving.”
Which of the following is an appropriate response by the nurse?
a. This is just the beginning of the worrying you will do as a parent
b. I know you’re worried, but everything is going to be okay
c. What do you think it will be like to be responsible for a baby?
d. Why would you worry about being homeless when you have a good job?
46. A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4
days ago. The nurse should instruct the client to contact the provider for which of the following findings?
a. The newborn’s cord stump is still attached after 1 week
b. The newborn has fewer than four wet diapers in 24 hr
c. The newborn has loose stools
d. The newborn sleeps 16 hr a day
47. A nurse is caring for a newborn. Which of the following assessment findings should indicate to the
nurse that suctioning of the nasopharynx is needed?
a. The newborn is beginning to cough
b. The newborn’s respiratory rate is irregular
c. The newborn’s pulse oximetry is 91%
, d. The newborn’s respiratory rate is 32/min
48. A nurse is performing a physical examination of a term newborn upon admission to the nursery. In
which order should the nurse perform the following assessments? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all the steps.) – PUT THEM IN ORDER
Observe the newborn’s respirations
Auscultate the newborn’s heart rate
Auscultate the newborn’s abdomen
Test the newborn’s reflexes
49. A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her
first pregnancy. Which of the following statements by the client indicates understanding of the teaching?
a. I will plan to have a blood test when quickening occurs
b. I will feel movement at about 16 to 20 weeks
c. I will begin scheduling appointments every 2 weeks
d. I will take two ibuprofen capsules for the discomfort
6) A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The
client reports sore nipples. Which of the following actions should the nurse take?
a. Have the client limit the length of breastfeeding to 5 min per breast
b. Assess the newborn’s latch while breastfeeding
c. Instruct the client to wait 4 hours between daytime feedings
d. Offer supplemental formula between the newborn’s feedings
7) A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal
head retract against the client’s perineum immediately following emergence. Which ofthe
following actions should the nurse take?
a. Assess fetal position using Leopold maneuvers
b. Apply pressure to the client’s suprapubic area
c. Reposition the client in the left lateral position
d. Empty the bladder using crede maneuver
8) A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour
ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk
for which of the following conditions
a. Ectopic pregnancy
b. Postpartum Hemorrhage
c. Incompetent cervix
d. Hyperemesis gravidarum
9) A nurse is assessing a client who is at 37 weeks gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
a. I have been seeing spots this morning
b. My feet are really swollen today
c. I didn’t have lunch today, but I had breakfast this morning
d. It burns when I urinate
10) A nurse is caring for a client who is in the second stage of labor. Which of the following
manifestations should the nurse expect?
a. The client expels the placenta
b. The client delivers the newborn
c. The client begins having regular contractions
Newborn Form A,B &C
2023/2024 LATEST
UPDATE GRADED A+
1) A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The
client reports sore nipples. Which of the following actions should the nurse take?
a. Have the client limit the length of breastfeeding to 5 min per breast
b. Assess the newborn’s latch while breastfeeding
c. Instruct the client to wait 4 hours between daytime feedings
d. Offer supplemental formula between the newborn’s feedings
2) A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal
head retract against the client’s perineum immediately following emergence. Which ofthe
following actions should the nurse take?
a. Assess fetal position using Leopold maneuvers
b. Apply pressure to the client’s suprapubic area
c. Reposition the client in the left lateral position
d. Empty the bladder using crede maneuver
3) A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour
ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk
for which of the following conditions
a. Ectopic pregnancy
b. Postpartum Hemorrhage
c. Incompetent cervix
d. Hyperemesis gravidarum
4) A nurse is assessing a client who is at 37 weeks gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
a. I have been seeing spots this morning
b. My feet are really swollen today
c. I didn’t have lunch today, but I had breakfast this morning
d. It burns when I urinate
5) A nurse is caring for a client who is in the second stage of labor. Which of the following
manifestations should the nurse expect?
a. The client expels the placenta
b. The client delivers the newborn
c. The client begins having regular contractions
, d. The client experiences gradual dilation of the cervix
35. A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an
ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the
fetal heart beat. Which of the following terms should the nurse use to document this finding?
a. Goodell’s sign
b. Funic soufflé
c. Hegar’s sign
d. Quickening
36. A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the
nurse assess first?
a. A client who is at 36 weeks of gestation and reports back pain following intercourse
b. A client who is at 10 weeks of gestation and reports frequent urination
c. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers
d. A client who is at 8 weeks of gestation and reports severe vomiting
37. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the
fetal heart rate during the prenatal visit?
a. A client who has a crown-rump length of 7 weeks of gestation
b. A client who has an ultrasound that confirms a molar pregnancy
c. A client who has felt quickening for the first time
d. A client who has a positive urine pregnancy test 1 week after missed menses
38. A nurse is assessing a newborn who is 2 hours old. Which of the following findings should the nurse
report to the provider?
a. Transient nystagmus
b. Overlapping sutures with molding
c. Single transverse palmar crease bilaterally
d. Lanugo on the pinna of the ears
39. A nurse is reviewing the laboratory report of a client who is 24 hrs postpartum vaginal delivery. The
client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of the following actions should
the nurse take?
a. Prepare the client for a blood transfusion
b. Initiate IV access for isotonic solution with an 18-gauge catheter
c. Administer an iron supplement to the client
d. Instruct the client that the provider will check for placental fragments
40. A nurse is caring for a client who is at 24 weeks of gestation and has a glucose screening test result of
150 mg/dL. Which of the following actions should the nurse take?
a. Perform a urine screen for ketones
b. Repeat the glucose screening test in 15 min to verify results
c. Schedule the client for a 3 hr oral glucose tolerance test
d. Determine if the client has fasted
,41. A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation.
Which of the following findings should indicate to the nruse the need for further diagnostic testing?
a. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in
response to fetal movement within a 40-min testing period
b. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client
c. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in
duration within a 10-min testing period
d. Three fetal movements perceived by the client in a 20-min testing period
42. A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue
the oxytocin if which of the following occurs?
a. Six contractions in 10 min
b. Nonrepetitive early decelerations
c. Moderate variability of the fetal heart rate
d. Contractions last 60 seconds
43. A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for
which of the following findings as an adverse effect?
a. Decreased ability to bear down
b. Uterine hyper-stimulation
c. Fetal bradycardia
d. Maternal hypertension
44. A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should
the nurse report to the provider?
a. Bulging fontanels
b. Subconjunctival hemorrhage
c. Milia
d. Caput succedaneum
45. A nurse is caring for a client who is 1 day postpartum following the birth of her first baby. The
client’s partner states, “I’ve been having nightmares that we are homeless and the baby is starving.”
Which of the following is an appropriate response by the nurse?
a. This is just the beginning of the worrying you will do as a parent
b. I know you’re worried, but everything is going to be okay
c. What do you think it will be like to be responsible for a baby?
d. Why would you worry about being homeless when you have a good job?
46. A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4
days ago. The nurse should instruct the client to contact the provider for which of the following findings?
a. The newborn’s cord stump is still attached after 1 week
b. The newborn has fewer than four wet diapers in 24 hr
c. The newborn has loose stools
d. The newborn sleeps 16 hr a day
47. A nurse is caring for a newborn. Which of the following assessment findings should indicate to the
nurse that suctioning of the nasopharynx is needed?
a. The newborn is beginning to cough
b. The newborn’s respiratory rate is irregular
c. The newborn’s pulse oximetry is 91%
, d. The newborn’s respiratory rate is 32/min
48. A nurse is performing a physical examination of a term newborn upon admission to the nursery. In
which order should the nurse perform the following assessments? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all the steps.) – PUT THEM IN ORDER
Observe the newborn’s respirations
Auscultate the newborn’s heart rate
Auscultate the newborn’s abdomen
Test the newborn’s reflexes
49. A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her
first pregnancy. Which of the following statements by the client indicates understanding of the teaching?
a. I will plan to have a blood test when quickening occurs
b. I will feel movement at about 16 to 20 weeks
c. I will begin scheduling appointments every 2 weeks
d. I will take two ibuprofen capsules for the discomfort
6) A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The
client reports sore nipples. Which of the following actions should the nurse take?
a. Have the client limit the length of breastfeeding to 5 min per breast
b. Assess the newborn’s latch while breastfeeding
c. Instruct the client to wait 4 hours between daytime feedings
d. Offer supplemental formula between the newborn’s feedings
7) A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal
head retract against the client’s perineum immediately following emergence. Which ofthe
following actions should the nurse take?
a. Assess fetal position using Leopold maneuvers
b. Apply pressure to the client’s suprapubic area
c. Reposition the client in the left lateral position
d. Empty the bladder using crede maneuver
8) A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour
ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk
for which of the following conditions
a. Ectopic pregnancy
b. Postpartum Hemorrhage
c. Incompetent cervix
d. Hyperemesis gravidarum
9) A nurse is assessing a client who is at 37 weeks gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
a. I have been seeing spots this morning
b. My feet are really swollen today
c. I didn’t have lunch today, but I had breakfast this morning
d. It burns when I urinate
10) A nurse is caring for a client who is in the second stage of labor. Which of the following
manifestations should the nurse expect?
a. The client expels the placenta
b. The client delivers the newborn
c. The client begins having regular contractions
