MATERNAL AND NEWBORN NURSING EXAM 2025 – 2026
PREGNANCY, LABOR, POSTPARTUM & NEWBORN CARE
QUESTIONS AND ANSWERS
All answers are in BOLD, The answer comes first then the Question.
Assist to empty her bladder
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration. The client's
temperature is 37.8C (100F), and her fundus is firm and slightly deviated to the right. The client reports a gush
of blood when she ambulates and no bowel movement since delivery. Which action should the nurse take?
This will resolve within 3-6 weeks without treatment
A nurse is assessing a 2 day old newborn and notes an egg shaped, edematous bluish discoloration that does not
cross the suture line. What is the nurse's response?
Limited abduction of one hip
A nurse is assessing a newborn for congenital hip dysplasia. What finding should the nurse expect?
Place ice packs on your breasts
A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. What
instructions should the nurse include in the teaching?
Abundant lanugo
A nurse is caring for a newborn who is premature at 30 weeks of gestation. What finding should the nurse
expect?
Place the newborn directly on the client's chest
A nurse is caring for a newborn immediately following delivery. What action should the nurse take first?
Tonic Neck
A nurse is testing the reflexes of a newborn to assess neurologic maturity. What reflex is the nurse assessing
when she quickly and gently turns the newborn's head to one side?
slow trickle of bright vaginal bleeding and a firm fundus
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. Which finding should the
nurse monitor to identify a cervical laceration?
0.25 ml
A nurse is preparing to administer morphine oral solution 0.04mg/kg to a newborn who weighs 2.5kg. The
amount available is morphine oral solution 0.4mg/mL. How many mL should the nurse administer? (Round the
answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
, Erythromycin ophthalmic ointment
Which eye medication should the nurse administer to the newborn within 1 to 2 hr of delivery?
9
A nurse is assessing a newborn 1 min after birth and notes a heart rate of 136/min, respiratory rate of 36/min,
well flexed extremities, responding to stimuli with a cry, and blue hands and feet. What Apgar score should the
nurse assign to the newborn?
continue routine monitoring
A nurse is assessing a 12 hour old newborn and notes a respiratory rate of 44/min with shallow respirations and
periods of apnea lasting up to 10 seconds. What action should the nurse take?
Betamethasone
A nurse in labor and delivery is providing care for a client who is in preterm labor at 32 weeks of gestation.
What medication should the nurse anticipate the provider will prescribe to hasten fetal lung maturity?
RR less than 12/min, urinary output less than 30 ml/hr, decreased LOC
Identify 3 s/s that indicate magnesium sulfate toxicity
orange juice
A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation
and has iron deficiency anemia. What beverage should the nurse instruct the client to take the iron supplements
with?
neural tube defects
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. What
defect can occur in the fetus or neonate as a result of folic acid deficiency?
shortness of breath
A nurse is instructing a client who is taking an oral contraceptive about the danger signs to report to her
provider. The nurse determines the client understands the teaching when the client states the need to report
this is due to the weight of the uterus on the vena cava
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal
hypotension. The client asks the nurse what causes these episodes. What response should the nurse make?
Goodell's sign, ballottement, Chadwicks sign
probable signs of pregnancy
Jan 8
A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which is
the client's estimated date of delivery
respiratory rate
PREGNANCY, LABOR, POSTPARTUM & NEWBORN CARE
QUESTIONS AND ANSWERS
All answers are in BOLD, The answer comes first then the Question.
Assist to empty her bladder
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration. The client's
temperature is 37.8C (100F), and her fundus is firm and slightly deviated to the right. The client reports a gush
of blood when she ambulates and no bowel movement since delivery. Which action should the nurse take?
This will resolve within 3-6 weeks without treatment
A nurse is assessing a 2 day old newborn and notes an egg shaped, edematous bluish discoloration that does not
cross the suture line. What is the nurse's response?
Limited abduction of one hip
A nurse is assessing a newborn for congenital hip dysplasia. What finding should the nurse expect?
Place ice packs on your breasts
A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. What
instructions should the nurse include in the teaching?
Abundant lanugo
A nurse is caring for a newborn who is premature at 30 weeks of gestation. What finding should the nurse
expect?
Place the newborn directly on the client's chest
A nurse is caring for a newborn immediately following delivery. What action should the nurse take first?
Tonic Neck
A nurse is testing the reflexes of a newborn to assess neurologic maturity. What reflex is the nurse assessing
when she quickly and gently turns the newborn's head to one side?
slow trickle of bright vaginal bleeding and a firm fundus
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. Which finding should the
nurse monitor to identify a cervical laceration?
0.25 ml
A nurse is preparing to administer morphine oral solution 0.04mg/kg to a newborn who weighs 2.5kg. The
amount available is morphine oral solution 0.4mg/mL. How many mL should the nurse administer? (Round the
answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
, Erythromycin ophthalmic ointment
Which eye medication should the nurse administer to the newborn within 1 to 2 hr of delivery?
9
A nurse is assessing a newborn 1 min after birth and notes a heart rate of 136/min, respiratory rate of 36/min,
well flexed extremities, responding to stimuli with a cry, and blue hands and feet. What Apgar score should the
nurse assign to the newborn?
continue routine monitoring
A nurse is assessing a 12 hour old newborn and notes a respiratory rate of 44/min with shallow respirations and
periods of apnea lasting up to 10 seconds. What action should the nurse take?
Betamethasone
A nurse in labor and delivery is providing care for a client who is in preterm labor at 32 weeks of gestation.
What medication should the nurse anticipate the provider will prescribe to hasten fetal lung maturity?
RR less than 12/min, urinary output less than 30 ml/hr, decreased LOC
Identify 3 s/s that indicate magnesium sulfate toxicity
orange juice
A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation
and has iron deficiency anemia. What beverage should the nurse instruct the client to take the iron supplements
with?
neural tube defects
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. What
defect can occur in the fetus or neonate as a result of folic acid deficiency?
shortness of breath
A nurse is instructing a client who is taking an oral contraceptive about the danger signs to report to her
provider. The nurse determines the client understands the teaching when the client states the need to report
this is due to the weight of the uterus on the vena cava
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal
hypotension. The client asks the nurse what causes these episodes. What response should the nurse make?
Goodell's sign, ballottement, Chadwicks sign
probable signs of pregnancy
Jan 8
A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which is
the client's estimated date of delivery
respiratory rate
