RN MATERNAL NEWBORN ONLINE PRACTICE
2026 B QUESTIONS AND ANSWERS 100%
CORRECT!!
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight 3,515
g (7 lb 12 oz)Apgar scores 8 at 1 min and 9 at 5 minMaternal history of methadone use
during pregnancy.
1100:Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on
pacifier but breastfeeds poorly. Increased muscle tone with moderate to severe tremors
when disturbed. Hyperactive Moro reflex noted. Mottled skin noted on extremities.
Frequent sneezing. Several loose stools today.
Maternal urine toxicology screen: positive for opiates (negative)
The nurse is planning to contact the provider regarding the newborn's status. Which of
the following prescriptions regarding the newborn should the nurse anticipate? -
ANSWER Administer scheduled doses of oral morphine.
Maintain a low-stimulus environment.
Initiate neonatal abstinence syndrome (NAS) scoring.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa.
Which of the following actions should the nurse take? - ANSWER Initiate continuous
external fetal monitoring.
A nurse is providing education about family bonding to guardians who recently adopted
a newborn. The nurse should make which of the following suggestions to aid the
family's 7-year-old child in accepting the new family member? - ANSWER Obtain a gift
from the newborn to present to the sibling.
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take? - ANSWER Schedule an ultrasound.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the client's
head to one side, which of the following actions should the nurse take immediately after
the seizure? - ANSWER Administer oxygen via a nonrebreather mask.
, A nurse is teaching a client who is in preterm labor about terbutaline. Which of the
following statements by the client indicates an understanding of the teaching? -
ANSWER "I will have blood tests because my potassium might decrease."
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include
in the teaching? - ANSWER "I can administer oxytocin 4 hours after the insertion of the
medication."
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect? - ANSWER
Reports increased urinary output.
A nurse is caring for a client who is pregnant and is at the end of their first trimester.
The nurse should place the Doppler ultrasound stethoscope in which of the following
locations to begin assessing for the fetal heart tones (FHT)? - ANSWER Just above the
symphysis pubis.
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about
the blotchy hyperpigmentation on their forehead. Which of the following actions should
the nurse take? - ANSWER Explain to the client this is an expected occurrence.
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following findings should the nurse identify as a
risk factor for the development of preeclampsia? - ANSWER Pregestational diabetes
mellitus
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy
for newborn safety. Which of the following client statements indicates an understanding
of the teaching? - ANSWER "The person who comes to take my baby's pictures will be
wearing a photo identification badge."
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation
and has a prescription for betamethasone. Which of the following statements should the
nurse make about the indication for medication administration? - ANSWER "This
medication stimulates fetal lung maturity."
A nurse is planning care for a client who is 2 hr postpartum. Which of the following
interventions should the nurse plan to implement during the taking-hold phase of
2026 B QUESTIONS AND ANSWERS 100%
CORRECT!!
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight 3,515
g (7 lb 12 oz)Apgar scores 8 at 1 min and 9 at 5 minMaternal history of methadone use
during pregnancy.
1100:Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on
pacifier but breastfeeds poorly. Increased muscle tone with moderate to severe tremors
when disturbed. Hyperactive Moro reflex noted. Mottled skin noted on extremities.
Frequent sneezing. Several loose stools today.
Maternal urine toxicology screen: positive for opiates (negative)
The nurse is planning to contact the provider regarding the newborn's status. Which of
the following prescriptions regarding the newborn should the nurse anticipate? -
ANSWER Administer scheduled doses of oral morphine.
Maintain a low-stimulus environment.
Initiate neonatal abstinence syndrome (NAS) scoring.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa.
Which of the following actions should the nurse take? - ANSWER Initiate continuous
external fetal monitoring.
A nurse is providing education about family bonding to guardians who recently adopted
a newborn. The nurse should make which of the following suggestions to aid the
family's 7-year-old child in accepting the new family member? - ANSWER Obtain a gift
from the newborn to present to the sibling.
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take? - ANSWER Schedule an ultrasound.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the client's
head to one side, which of the following actions should the nurse take immediately after
the seizure? - ANSWER Administer oxygen via a nonrebreather mask.
, A nurse is teaching a client who is in preterm labor about terbutaline. Which of the
following statements by the client indicates an understanding of the teaching? -
ANSWER "I will have blood tests because my potassium might decrease."
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include
in the teaching? - ANSWER "I can administer oxytocin 4 hours after the insertion of the
medication."
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect? - ANSWER
Reports increased urinary output.
A nurse is caring for a client who is pregnant and is at the end of their first trimester.
The nurse should place the Doppler ultrasound stethoscope in which of the following
locations to begin assessing for the fetal heart tones (FHT)? - ANSWER Just above the
symphysis pubis.
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about
the blotchy hyperpigmentation on their forehead. Which of the following actions should
the nurse take? - ANSWER Explain to the client this is an expected occurrence.
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following findings should the nurse identify as a
risk factor for the development of preeclampsia? - ANSWER Pregestational diabetes
mellitus
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy
for newborn safety. Which of the following client statements indicates an understanding
of the teaching? - ANSWER "The person who comes to take my baby's pictures will be
wearing a photo identification badge."
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation
and has a prescription for betamethasone. Which of the following statements should the
nurse make about the indication for medication administration? - ANSWER "This
medication stimulates fetal lung maturity."
A nurse is planning care for a client who is 2 hr postpartum. Which of the following
interventions should the nurse plan to implement during the taking-hold phase of
