Maternal Newborn CMS EXAM 2024-2025 QUESTIONS AND ANSWERS 100 % PASS SOLUTION
A+ GRADE
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should
identify that which of the following factors places the client at risk for an infection?
A. Placenta previa
B. Midline episiotomy
C. Gestational hypertension
D. Meconium-stained fluid - answer>>B. Midline episiotomy
A nurse in a provider's office is assessing a client at her first antepartum visit. The client states
that the first day of her last menstrual period was March 8. Use the Nagele's rule to calculate
the estimated date of delivery. (use the MMDD format with four numerals and no spaces or
punctuation.) - answer>>1215
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care?
A. Keep the newborn supine throughout treatment
B. Avoid using lotion or ointment on the newborn's skin
C. Measure the newborn's temperature every 8 hr
D. Dress the newborn in lightweight clothing - answer>>B. Avoid using lotion or ointment on the
newborn's skin
A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4
doses of dexamethasone 6 mg IM every 12-hr. Available is dexamethasone 10 mg/mL. How
many mL of dexamethasone should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use as trailing zero.) - answer>>0.6 mL
A nurse is caring for a client who is in labor and request nonpharmacological pain management.
Which of the following nursing actions promotes client comfort?
A. Applying fundal pressure during contractions
B. Having the client lie in a supine position
C. Assisting the client into a squatting position
,D. Encouraging the client to void every 6 hr - answer>>C. Assisting the client into a squatting
position
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment.
Which of the following laboratory tests should the nurse plan to conduct?
A. 1-hr glucose tolerance test
B. Blood type and Rh
C. Group B step culture
D. Rubella titer - answer>>A. 1-hr glucose tolerance test
A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect
which of the following laboratory values to increase?
A. RBC count
B. Fasting blood glucose
C. BUN
D. Bilirubin - answer>>A. RBC count
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of
the following adverse effects should the nurse include?
A. Chills
B. Urinary frequency
C. Tinnitus
D. Breast tenderness - answer>>D. Breast tenderness
A nurse in women's health clinic is obtaining a health history from a client. Which of the
following findings should the identify as increasing the client's risk for developing pelvic
inflammatory disease (PID)?
A. Frequent alcohol use
B. Chlamydial infection
C. Recurrent cystitis
,D. Use of oral contraceptives - answer>>B. Chlamydial infection
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the
following findings should the nurse expect?
A. Uterine tenderness
B. Scant lochia
C. Temperature 37.4 c (99.3 f)
D. WBC count 9,000/mm 3 - answer>>A. Uterine tenderness
A nurse is assessing a newborn who was born postterm. Which of the following findings should
the nurse expect?
A. Thin covering of fine hair on shoulders and back
B. Nails extending over tips of fingers
C. Pale, translucent skin
D. Large deposits of subcutaneous fat - answer>>B. Nails extending over tips of fingers
A nurse is caring for a client following an amniocentesis. The nurse should observe the client for
which of the following complications?
A. Hemorrhage
B. Hyperemesis
C. Proteinuria
D. Hypoxia - answer>>A. Hemorrhage
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical
manifestations should the nurse identify as a complication of this birth method?
A. Polycythemia
B. Hypoglycemia
C. Facial palsy
D. Bronchopulmonary dysplasia - answer>>C. Facial palsy
, A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a
candidate for an indication of labor with misoprostol?
A. A client who has placenta previa
B. A client who has gestational diabetes mellitus
C. A client who has a previous uterine incision
D. A client who has active genital herpes - answer>>B. A client who has gestational diabetes
mellitus
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following
findings should the nurse intervene?
A. Sternal retractions
B. Vernix caseosa
C. Acrocyanosis
D. Molding - answer>>A. Sternal retractions
A nurse is caring for a client who is 20 weeks of gestation and has trichomoniasis. Which of the
following findings should the nurse expect?
a. Thick white vaginal discharge
b. Malodorous discharge
c. Vulva lesions
d. Urinary frequency - answer>>b. Malodorous discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following locations
should the nurse
place the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
A+ GRADE
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should
identify that which of the following factors places the client at risk for an infection?
A. Placenta previa
B. Midline episiotomy
C. Gestational hypertension
D. Meconium-stained fluid - answer>>B. Midline episiotomy
A nurse in a provider's office is assessing a client at her first antepartum visit. The client states
that the first day of her last menstrual period was March 8. Use the Nagele's rule to calculate
the estimated date of delivery. (use the MMDD format with four numerals and no spaces or
punctuation.) - answer>>1215
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care?
A. Keep the newborn supine throughout treatment
B. Avoid using lotion or ointment on the newborn's skin
C. Measure the newborn's temperature every 8 hr
D. Dress the newborn in lightweight clothing - answer>>B. Avoid using lotion or ointment on the
newborn's skin
A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4
doses of dexamethasone 6 mg IM every 12-hr. Available is dexamethasone 10 mg/mL. How
many mL of dexamethasone should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use as trailing zero.) - answer>>0.6 mL
A nurse is caring for a client who is in labor and request nonpharmacological pain management.
Which of the following nursing actions promotes client comfort?
A. Applying fundal pressure during contractions
B. Having the client lie in a supine position
C. Assisting the client into a squatting position
,D. Encouraging the client to void every 6 hr - answer>>C. Assisting the client into a squatting
position
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment.
Which of the following laboratory tests should the nurse plan to conduct?
A. 1-hr glucose tolerance test
B. Blood type and Rh
C. Group B step culture
D. Rubella titer - answer>>A. 1-hr glucose tolerance test
A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect
which of the following laboratory values to increase?
A. RBC count
B. Fasting blood glucose
C. BUN
D. Bilirubin - answer>>A. RBC count
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of
the following adverse effects should the nurse include?
A. Chills
B. Urinary frequency
C. Tinnitus
D. Breast tenderness - answer>>D. Breast tenderness
A nurse in women's health clinic is obtaining a health history from a client. Which of the
following findings should the identify as increasing the client's risk for developing pelvic
inflammatory disease (PID)?
A. Frequent alcohol use
B. Chlamydial infection
C. Recurrent cystitis
,D. Use of oral contraceptives - answer>>B. Chlamydial infection
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the
following findings should the nurse expect?
A. Uterine tenderness
B. Scant lochia
C. Temperature 37.4 c (99.3 f)
D. WBC count 9,000/mm 3 - answer>>A. Uterine tenderness
A nurse is assessing a newborn who was born postterm. Which of the following findings should
the nurse expect?
A. Thin covering of fine hair on shoulders and back
B. Nails extending over tips of fingers
C. Pale, translucent skin
D. Large deposits of subcutaneous fat - answer>>B. Nails extending over tips of fingers
A nurse is caring for a client following an amniocentesis. The nurse should observe the client for
which of the following complications?
A. Hemorrhage
B. Hyperemesis
C. Proteinuria
D. Hypoxia - answer>>A. Hemorrhage
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical
manifestations should the nurse identify as a complication of this birth method?
A. Polycythemia
B. Hypoglycemia
C. Facial palsy
D. Bronchopulmonary dysplasia - answer>>C. Facial palsy
, A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a
candidate for an indication of labor with misoprostol?
A. A client who has placenta previa
B. A client who has gestational diabetes mellitus
C. A client who has a previous uterine incision
D. A client who has active genital herpes - answer>>B. A client who has gestational diabetes
mellitus
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following
findings should the nurse intervene?
A. Sternal retractions
B. Vernix caseosa
C. Acrocyanosis
D. Molding - answer>>A. Sternal retractions
A nurse is caring for a client who is 20 weeks of gestation and has trichomoniasis. Which of the
following findings should the nurse expect?
a. Thick white vaginal discharge
b. Malodorous discharge
c. Vulva lesions
d. Urinary frequency - answer>>b. Malodorous discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following locations
should the nurse
place the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
