CMS MATERNAL NEWBORN PRACTICE 2020 A ACTUAL
COMPLETE REAL EXAM QUESTIONS WITH VERIFIED
ANSWERS (CORRECT ANSWERS) ALREADY GRADED A+,
GUARANTEED SUCCESS| NEWEST EXAM | JUST RELEASED !!
A nurse is caring for a client who is at 20 wks of gestation and is in the clinic for a routine prenatal visit.
Which of the following findings in the data from the client's medical record should the nurse report to
the provider?
a. weight
b. fundal height
c. fetal heart rate
d. blood pressure - CORRECT ANSWERS-b. fundal height
the same as week of gestation; plus or minus 2 cm
A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid
supplements are necessary. The nurse should inform the client that the purpose of the folic acid
supplement is to do which of the following?
a. facilitate the storage of iron in the fetus liver
b. prevent certain kinds of birth defects
c. inhibit premature labor
d. aid in the absorption of other important nutrients - CORRECT ANSWERS-b. prevent certain
kinds of birth defects
A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation
suppression with a client who is bottle-feeding her newborn. Which of the following statements should
the nurse identify as an indication that the client understands the instructions?
a. "I will massage my breasts while I take a shower."
b. "I should wear an underwire bra during the day."
c. "I should use a breast pump several times a day to relieve discomfort."
d. "I will apply cold cabbage leaves to my breasts throughout the day." - CORRECT ANSWERS-
d. "I will apply cold cabbage leaves to my breasts throughout the day."
,Should also apply ice packs or cold compresses to her breasts, take mild analgesics and wear a well-
fitting and supportive bra.
A nurse is assisting with the care of a client who is at 40 wks of gestation and is in active labor. Which of
the following findings should the nurse report to the charge nurse?
a. maternal temperature of 37.5 C
b. contractions every 3 min
c. presence of bloody show
d. prolonged deceleration of FHR - CORRECT ANSWERS-d. prolonged deceleration of FHR
Because it can be a manifestation of an emergent condition, such as uterine rupture or umbilical cord
prolapse.
A client requests information about the use of a diaphragm for birth control. Which of the following
statements should the nurse make?
a. you will need to replace your diaphragm every 2 years
b. you can use an oil-based lubricant with your diaphragm
c. you should have a full bladder when you insert diaphragm
d. you should remove your diaphragm 1 hour after intercourse to clean it - CORRECT
ANSWERS-a. you will need to replace your diaphragm every 2 years
A nurse is caring or a newborn who is receiving phototherapy. Which of the following actions should the
nurse take? - CORRECT ANSWERS-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?
- CORRECT ANSWERS-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? -
CORRECT ANSWERS-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
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? - CORRECT
ANSWERS-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 2-8 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? - CORRECT ANSWERS-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
COMPLETE REAL EXAM QUESTIONS WITH VERIFIED
ANSWERS (CORRECT ANSWERS) ALREADY GRADED A+,
GUARANTEED SUCCESS| NEWEST EXAM | JUST RELEASED !!
A nurse is caring for a client who is at 20 wks of gestation and is in the clinic for a routine prenatal visit.
Which of the following findings in the data from the client's medical record should the nurse report to
the provider?
a. weight
b. fundal height
c. fetal heart rate
d. blood pressure - CORRECT ANSWERS-b. fundal height
the same as week of gestation; plus or minus 2 cm
A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid
supplements are necessary. The nurse should inform the client that the purpose of the folic acid
supplement is to do which of the following?
a. facilitate the storage of iron in the fetus liver
b. prevent certain kinds of birth defects
c. inhibit premature labor
d. aid in the absorption of other important nutrients - CORRECT ANSWERS-b. prevent certain
kinds of birth defects
A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation
suppression with a client who is bottle-feeding her newborn. Which of the following statements should
the nurse identify as an indication that the client understands the instructions?
a. "I will massage my breasts while I take a shower."
b. "I should wear an underwire bra during the day."
c. "I should use a breast pump several times a day to relieve discomfort."
d. "I will apply cold cabbage leaves to my breasts throughout the day." - CORRECT ANSWERS-
d. "I will apply cold cabbage leaves to my breasts throughout the day."
,Should also apply ice packs or cold compresses to her breasts, take mild analgesics and wear a well-
fitting and supportive bra.
A nurse is assisting with the care of a client who is at 40 wks of gestation and is in active labor. Which of
the following findings should the nurse report to the charge nurse?
a. maternal temperature of 37.5 C
b. contractions every 3 min
c. presence of bloody show
d. prolonged deceleration of FHR - CORRECT ANSWERS-d. prolonged deceleration of FHR
Because it can be a manifestation of an emergent condition, such as uterine rupture or umbilical cord
prolapse.
A client requests information about the use of a diaphragm for birth control. Which of the following
statements should the nurse make?
a. you will need to replace your diaphragm every 2 years
b. you can use an oil-based lubricant with your diaphragm
c. you should have a full bladder when you insert diaphragm
d. you should remove your diaphragm 1 hour after intercourse to clean it - CORRECT
ANSWERS-a. you will need to replace your diaphragm every 2 years
A nurse is caring or a newborn who is receiving phototherapy. Which of the following actions should the
nurse take? - CORRECT ANSWERS-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?
- CORRECT ANSWERS-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? -
CORRECT ANSWERS-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
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? - CORRECT
ANSWERS-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 2-8 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? - CORRECT ANSWERS-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
