Maternal newborn nursing certification review Exam
MATERNAL NEWBORN NURSING CERTIFICATION REVIEW EXAM
NEWEST 2025/2026 COMPLETE ALL 170 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+||ALREADY
GRADED A+
A newborn whose mother was poorly controlled, diabetic during the third
trimester is at risk for
A. Hypercalcemia.
B. Magnesium deficiency.
C. Polycythemia.
C. Polycythemia.
Anti-retro therapy should be recommended to all HIV infected pregnant women,
regardless of whether symptomatic to reduce what
A. Rate of perinatal transmission.
B. The development of maternal symptoms.
C. Transmission of the disease to allow breast-feeding.
A. Rate of perinatal transmission.
The mother of a newborn who is 12 hours of age is concerned that both her
babies eyes look irritated and swollen. The appropriate response to the mother is.
A. This is an expected response to the eye treatment and it usually clears in 24 to
48 hours.
B. This is most likely a sign of infection acquired during the delivery process
C. There is nothing to worry about baby is fine.
A. This is an expected response to eye treatment and it usually clears in 24 to 48
hours
The infant of a mother with an untreated chlamydia infection during pregnancy is
at risk to develop
A. Anemia.
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, Maternal newborn nursing certification review Exam
B. Microcephaly.
C. Ophthalmia neonatorum
C. Ophthalmia neonatorum
After a vacuum extraction, the term neonate is at risk for hypovolemic shock due
to.
A. Caput succedaneum
B. Cephalo hematoma neonatorium
C. Subgaleal hematoma.
C. Subgaleal hematoma.
The fetal heart rate tracing reflects
A. Late Decelerations
B. Prolonged accelerations.
C. Variable decelerations.
A. Late decelerations.
Magnesium sulfate is mainly excreted through the
A. Intestines.
B. Kidneys.
C. Liver.
B. Kidneys.
A giant nevus is most concerning of the congenital pigmented Navi because it
A. Is that risk for malignant transformation?
B. Is often associated with hearing loss.
C. Confirms diagnosis of McCune-Albright syndrome
A. A risk of malignant transformation.
Which test should be obtained to distinguish swallowed material blood from the
neonatal blood
A. Apt
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, Maternal newborn nursing certification review Exam
B. Duffy.
C. Kleihauer Betke
A. Apt
The underlying ethical legal principle for requiring informed consent for
procedures is
A. Autonomy.
B. Justice.
C. Right to privacy.
A. Autonomy.
The best treatment for breast and engorgement is?
A. Breast-feeding the infant frequently
B. Manual expression.
C. Pumping and feeding the infant.
A. Breast-feeding the infant frequently.
Which of the following is a predisposing factor for onset of engorgement 24 to 48
hours later than average
A. Cesarean birth
B. Epidural anesthesia
C. Premature delivery
Cesarean birth
When determining what products to use for newborn bathing and skin care, the
nurse should know that
A. Chlorahexadine has been proven effective for reducing bacterial colonization
for 24 hours.
B. Cleansers with alkaline pH and minimal dice and perfumes are good choices.
C. Preservation and perfume, free emollient creams are appropriate
C. Preservation and perfume, free emollient creams are appropriate
3|Page
, Maternal newborn nursing certification review Exam
The hallmark of HELLP syndrome is
A. Disseminated intravascular coagulation (DIC)
B. Homolysis. (microangiopathic hemolytic anemia.)
C. Platelet count of 75,000.
B. Homolysis.( microangiopathic hematologic anemia.)
The hormone that is responsible for postpartum constipation is
A. Estrogen.
B. Oxytocin.
C. Progesterone.
C. Progesterone.
Which neonatal reflexes considered a survival behavior
A. Moro
B. Sucking
C. Tonic neck
B. Sucking.
Nutritional requirements for the breast-feeding patient should increase by
A. 300 KCAL
B. 500 K Cal
C. 700 kcal.
B. 500 kcal.
When looking at a fetal heart rate, the most important characteristic to determine
the absence of metabolic acidemia is
A. Absence of late decelerations.
B. Baseline rate within normal range.
C. Presence of moderate variability.
C. Presence of moderate variability.
After delivery, a newborn exhibits limp, lower arm and hand. The birth was
complicated by shoulder dystocia. The expected diagnosis is.
4|Page
MATERNAL NEWBORN NURSING CERTIFICATION REVIEW EXAM
NEWEST 2025/2026 COMPLETE ALL 170 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+||ALREADY
GRADED A+
A newborn whose mother was poorly controlled, diabetic during the third
trimester is at risk for
A. Hypercalcemia.
B. Magnesium deficiency.
C. Polycythemia.
C. Polycythemia.
Anti-retro therapy should be recommended to all HIV infected pregnant women,
regardless of whether symptomatic to reduce what
A. Rate of perinatal transmission.
B. The development of maternal symptoms.
C. Transmission of the disease to allow breast-feeding.
A. Rate of perinatal transmission.
The mother of a newborn who is 12 hours of age is concerned that both her
babies eyes look irritated and swollen. The appropriate response to the mother is.
A. This is an expected response to the eye treatment and it usually clears in 24 to
48 hours.
B. This is most likely a sign of infection acquired during the delivery process
C. There is nothing to worry about baby is fine.
A. This is an expected response to eye treatment and it usually clears in 24 to 48
hours
The infant of a mother with an untreated chlamydia infection during pregnancy is
at risk to develop
A. Anemia.
1|Page
, Maternal newborn nursing certification review Exam
B. Microcephaly.
C. Ophthalmia neonatorum
C. Ophthalmia neonatorum
After a vacuum extraction, the term neonate is at risk for hypovolemic shock due
to.
A. Caput succedaneum
B. Cephalo hematoma neonatorium
C. Subgaleal hematoma.
C. Subgaleal hematoma.
The fetal heart rate tracing reflects
A. Late Decelerations
B. Prolonged accelerations.
C. Variable decelerations.
A. Late decelerations.
Magnesium sulfate is mainly excreted through the
A. Intestines.
B. Kidneys.
C. Liver.
B. Kidneys.
A giant nevus is most concerning of the congenital pigmented Navi because it
A. Is that risk for malignant transformation?
B. Is often associated with hearing loss.
C. Confirms diagnosis of McCune-Albright syndrome
A. A risk of malignant transformation.
Which test should be obtained to distinguish swallowed material blood from the
neonatal blood
A. Apt
2|Page
, Maternal newborn nursing certification review Exam
B. Duffy.
C. Kleihauer Betke
A. Apt
The underlying ethical legal principle for requiring informed consent for
procedures is
A. Autonomy.
B. Justice.
C. Right to privacy.
A. Autonomy.
The best treatment for breast and engorgement is?
A. Breast-feeding the infant frequently
B. Manual expression.
C. Pumping and feeding the infant.
A. Breast-feeding the infant frequently.
Which of the following is a predisposing factor for onset of engorgement 24 to 48
hours later than average
A. Cesarean birth
B. Epidural anesthesia
C. Premature delivery
Cesarean birth
When determining what products to use for newborn bathing and skin care, the
nurse should know that
A. Chlorahexadine has been proven effective for reducing bacterial colonization
for 24 hours.
B. Cleansers with alkaline pH and minimal dice and perfumes are good choices.
C. Preservation and perfume, free emollient creams are appropriate
C. Preservation and perfume, free emollient creams are appropriate
3|Page
, Maternal newborn nursing certification review Exam
The hallmark of HELLP syndrome is
A. Disseminated intravascular coagulation (DIC)
B. Homolysis. (microangiopathic hemolytic anemia.)
C. Platelet count of 75,000.
B. Homolysis.( microangiopathic hematologic anemia.)
The hormone that is responsible for postpartum constipation is
A. Estrogen.
B. Oxytocin.
C. Progesterone.
C. Progesterone.
Which neonatal reflexes considered a survival behavior
A. Moro
B. Sucking
C. Tonic neck
B. Sucking.
Nutritional requirements for the breast-feeding patient should increase by
A. 300 KCAL
B. 500 K Cal
C. 700 kcal.
B. 500 kcal.
When looking at a fetal heart rate, the most important characteristic to determine
the absence of metabolic acidemia is
A. Absence of late decelerations.
B. Baseline rate within normal range.
C. Presence of moderate variability.
C. Presence of moderate variability.
After delivery, a newborn exhibits limp, lower arm and hand. The birth was
complicated by shoulder dystocia. The expected diagnosis is.
4|Page
