lOMoAR cPSD| 16310474
OB: Maternal New born CMS Exam
Review with Verified Solutions |
100% Pass | Graded A+
, l
Obstetrics: Maternal Newborn Clinical Management
System CMS Fall 2025 – 2026 OB: Maternal Newborn
CMS Exam Review with Verified Solutions | 100% Pass |
Graded A+ |
LAB VALUES - Answer>> FHR: 110-160
RESP: 30-60
BP: 60 or or 50
Temp: 36.7-37.2
Hgb: 14-24
Hct: 44-64% Glucose: 40-
60
platelet count: 150000-300000
What medication to give for chlamydia? - Answer>>
amoxicillin
When performing amniocentesis, what do you give and do? -
Answer>> give rhogam
- need rh0 immune globulin
- need to have empty bladder
- assess FHR
, lOMoAR cPSD| 16310474
A nurse is collecting data from a client who is at 36 weeks of
gestation during a prenatal examination. Which of the following
findings should the nurse report
to the provider? - Answer>> Blurred vision - indication
of preeclampsia
Expected findings: non pitting ankle edema, 10 fetal
movements in 2 hr, leg cramps
A nurse is caring or a newborn who is receiving phototherapy. Which
of the following actions should the nurse take? - Answer>> Place
an opaque mask over the newborn's eyes - to prevent damage to the
retinas
- Should remove mask for feedings
DO NOT apply a thin layer of lotion to the newborn's skin
A nurse is caring for a client who is at 11 weeks of gestation and
reports frequent vomiting. Which of the following findings should the
nurse identify as an indication that the client has hyperemesis
gravidarum? - Answer>> Ketonuria
Occurs due to the breakdown of fat secondary to malnutrition or
starvation
Tachycardia and tachypnea due to dehydration
A nurse is caring for a newborn who has a high-pitched cry and does
not respond to consoling efforts. Which of the following neonatal
data collection tools should the nurse expect to complete? -
Answer>> Neonatal Abstinence Scoring System: exhibiting opioid
withdrawal
Additional manifestations: restlessness, tremors, increased muscle
tone, and an exaggerated Moro reflex - Apgar score: heart rate,
respiratory rate, muscle tone, reflex irritability and skin color
- Newborn Hearing Screen should be completed before the
newborn is discharged from the hospital - Critical Congenital Heart
Disease screen should be completed 24- 28 hours following birth
and before the newborn is discharged from the hospital
, lOMoAR cPSD| 16310474
A nurse is assisting in the care of a newborn immediately following
birth. Which of the following images should the nurse identify as an
indication that the newborn has a myelomeningocele? - Answer>>
Occurs when the neural tube fails to close, and the meninges and
spinal cord herniate
Occurs in the lumbar area and may be covered by a thin
membranous sac
- Exstrophy of the bladder; occurs from abnormal development
of the abdominal wall, symphysis pubis and bladder ; visible in the
suprapubic area and requires surgical intervention soon after birth -
Omphalocel: occurs when abdominal organs herniate through the
umbilical ring at the base of the umbilical cord
- Cephalohematoma; collection of blood between the skull bone
and its covering, the periosteum. A cephalohematoma does not
cross the suture lines of
the newborn's skull and will spontaneously resolve in 28 weeks
A nurse is collecting data from a newborn who is 8hr old. Which of
the following findings should the nurse report to the provider? -
Answer>> Apical heart rate of
90/min while crying - normal range 110 - 160 for a newborn, heart
rate of 80-100/min while asleep and up to 180/min while crying
- Apneic episode of 20 seconds or less - normal; newborns
respirations are normally shallow and irregular
- Positive moro reflex present from birth up to 8 weeks- Vernix in
the skin folds - normal
A nurse is caring for a client 6 hr after a vaginal birth who is going to
breastfeed her newborn. The client reports perineal pain of 6 on a
scale from 0 to 10. The nurse also notes mild perineal edema and
ecchymosis, with a fundus that is 2 cm above the umbilicus with
deviation to the right. Which of the following actions is the nurse's
priority?
a. administer analgesics
b. apply an ice pack to the perineum
c. assist the client with breastfeeding
d. help the client ambulate to the toilet - Answer>> d.
OB: Maternal New born CMS Exam
Review with Verified Solutions |
100% Pass | Graded A+
, l
Obstetrics: Maternal Newborn Clinical Management
System CMS Fall 2025 – 2026 OB: Maternal Newborn
CMS Exam Review with Verified Solutions | 100% Pass |
Graded A+ |
LAB VALUES - Answer>> FHR: 110-160
RESP: 30-60
BP: 60 or or 50
Temp: 36.7-37.2
Hgb: 14-24
Hct: 44-64% Glucose: 40-
60
platelet count: 150000-300000
What medication to give for chlamydia? - Answer>>
amoxicillin
When performing amniocentesis, what do you give and do? -
Answer>> give rhogam
- need rh0 immune globulin
- need to have empty bladder
- assess FHR
, lOMoAR cPSD| 16310474
A nurse is collecting data from a client who is at 36 weeks of
gestation during a prenatal examination. Which of the following
findings should the nurse report
to the provider? - Answer>> Blurred vision - indication
of preeclampsia
Expected findings: non pitting ankle edema, 10 fetal
movements in 2 hr, leg cramps
A nurse is caring or a newborn who is receiving phototherapy. Which
of the following actions should the nurse take? - Answer>> Place
an opaque mask over the newborn's eyes - to prevent damage to the
retinas
- Should remove mask for feedings
DO NOT apply a thin layer of lotion to the newborn's skin
A nurse is caring for a client who is at 11 weeks of gestation and
reports frequent vomiting. Which of the following findings should the
nurse identify as an indication that the client has hyperemesis
gravidarum? - Answer>> Ketonuria
Occurs due to the breakdown of fat secondary to malnutrition or
starvation
Tachycardia and tachypnea due to dehydration
A nurse is caring for a newborn who has a high-pitched cry and does
not respond to consoling efforts. Which of the following neonatal
data collection tools should the nurse expect to complete? -
Answer>> Neonatal Abstinence Scoring System: exhibiting opioid
withdrawal
Additional manifestations: restlessness, tremors, increased muscle
tone, and an exaggerated Moro reflex - Apgar score: heart rate,
respiratory rate, muscle tone, reflex irritability and skin color
- Newborn Hearing Screen should be completed before the
newborn is discharged from the hospital - Critical Congenital Heart
Disease screen should be completed 24- 28 hours following birth
and before the newborn is discharged from the hospital
, lOMoAR cPSD| 16310474
A nurse is assisting in the care of a newborn immediately following
birth. Which of the following images should the nurse identify as an
indication that the newborn has a myelomeningocele? - Answer>>
Occurs when the neural tube fails to close, and the meninges and
spinal cord herniate
Occurs in the lumbar area and may be covered by a thin
membranous sac
- Exstrophy of the bladder; occurs from abnormal development
of the abdominal wall, symphysis pubis and bladder ; visible in the
suprapubic area and requires surgical intervention soon after birth -
Omphalocel: occurs when abdominal organs herniate through the
umbilical ring at the base of the umbilical cord
- Cephalohematoma; collection of blood between the skull bone
and its covering, the periosteum. A cephalohematoma does not
cross the suture lines of
the newborn's skull and will spontaneously resolve in 28 weeks
A nurse is collecting data from a newborn who is 8hr old. Which of
the following findings should the nurse report to the provider? -
Answer>> Apical heart rate of
90/min while crying - normal range 110 - 160 for a newborn, heart
rate of 80-100/min while asleep and up to 180/min while crying
- Apneic episode of 20 seconds or less - normal; newborns
respirations are normally shallow and irregular
- Positive moro reflex present from birth up to 8 weeks- Vernix in
the skin folds - normal
A nurse is caring for a client 6 hr after a vaginal birth who is going to
breastfeed her newborn. The client reports perineal pain of 6 on a
scale from 0 to 10. The nurse also notes mild perineal edema and
ecchymosis, with a fundus that is 2 cm above the umbilicus with
deviation to the right. Which of the following actions is the nurse's
priority?
a. administer analgesics
b. apply an ice pack to the perineum
c. assist the client with breastfeeding
d. help the client ambulate to the toilet - Answer>> d.
