NEWBORN CMS
PROCTORED LATEST
EXAM 2024-2025
LATEST UPDATE 2025
WHAT TO FIND IN THIS EXAM
➢ CASE STUDIES NGN STYLE QUESTIONS
➢ BUTTERFLY QUESTION WITH ANSWERS
➢ QUESTIONS WITH MULTI CHOICES AND ANSWERS
➢ VERIFIED ANSWERS WELL EXPLAINED
,Question:
A nurse is caring for a newborn. The nurse should obtain informed consent before
taking which of the following actions?
A. administering erythromycin ophthalmic ointment
B. conducting a newborn hearing screening
C. giving the hepatitis B vaccine
D. screening for critical congenital heart disease
Correct Answer: C. giving the hepatitis B vaccine
Rationale:
The hepatitis B vaccine is a vaccine that requires informed consent from the
parent or guardian before it is administered to the newborn. Vaccines are
considered a medical intervention that requires patient or parental agreement.
Question:
A nurse is caring for an adolescent who is in the second trimester of pregnancy.
The client states, "I've gotten used to the idea of this pregnancy. It will be fun to
have a little baby around the house." Which of the following is the appropriate
response by the nurse?
A. "Babies are not fun. They're a lot of work."
B. "I'm so glad to see you're happy about the baby."
C. "How are your parents reacting to the pregnancy?"
D. "Tell me how you think your life will be after the baby is born."
Correct Answer: D. "Tell me how you think your life will be after the baby is
born."
Rationale:
This response opens up a dialogue that allows the adolescent to explore her
thoughts and feelings about her life after the baby arrives. It encourages a deeper
,discussion of her expectations and preparedness for the changes that come with
parenthood.
Question:
A postpartum nurse is caring for a client who is 4 hours postpartum and has a
painful third-degree perineal laceration. Which of the following interventions
should the nurse take?
A. prepare to initiate a warm water sitz bath for the client's perineum
B. encourage the client to sit on a soft pillow
C. apply cold ice packs to the client's perineum
D. administer an acetaminophen suppository rectally
Correct Answer: C. apply cold ice packs to the client's perineum
Rationale:
Cold ice packs are the most effective in the first 24 hours following a perineal
laceration to reduce swelling and provide pain relief. Ice helps numb the area and
reduces inflammation.
Question:
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an
episode of dizziness after lying on her back on the couch. Which of the following
actions should the nurse take?
A. request a prescription for preeclampsia laboratory studies
B. advise the client to lie on her side
C. request an ultrasound to evaluate fetal wellbeing
D. advise the client to add a calcium supplement to her diet
Correct Answer: B. advise the client to lie on her side
Rationale:
The dizziness is likely caused by supine hypotension syndrome, where the weight
, of the uterus compresses the inferior vena cava when the client is lying on her
back. Advising the client to lie on her side will alleviate the pressure and improve
circulation.
Question:
A nurse is caring for a client who is in labor and is receiving an infusion of
oxytocin. The nurse should monitor the client for which of the following potential
adverse effects?
A. diarrhea
B. thromboembolism
C. fetal asphyxia
D. oliguria
Correct Answer: C. fetal asphyxia
Rationale:
Oxytocin can cause fetal asphyxia if it results in excessive uterine contractions,
leading to decreased oxygen supply to the fetus. Monitoring for signs of fetal
distress is essential when administering oxytocin.
Question:
A nurse is providing education to a client who is 4 weeks postpartum and is
breastfeeding. The client asks about expected weight loss. Which of the following
responses should the nurse make?
A. "Losing 2.2 pounds each month would be acceptable"
B. "Losing 4.4 pounds each month would be acceptable"
C. "Losing 5.5 pounds each month would be acceptable"
D. "Losing 6.6 pounds each month would be acceptable"
Correct Answer: A. "Losing 2.2 pounds each month would be acceptable"