Maternity CJE EXAM QUESTIONS AND
CORRECT ANSWERS
Question 1
The nurse receives an order to administer brexanolone 30 mcg/kg/hr IV over 4 hours
to a client diagnosed with postpartum depression that weighs 209 pounds. Available
is brexanolone 100 mg/100 mL of normal saline. At what rate will the nurse program
the pump? Round answer to nearest whole number.
Correct Answer
3 ml/hr
Question 2
The nurse cares for a 32-week gestation pregnant client reporting painless bleeding.
The nurse assesses the client's vital signs and fetal heart rate which are within normal
limits. The client's abdomen is soft and non-tender. Which intervention should the
nurse perforg next?
Correct Answer
An abdominal ultrasound
Question 3
• Ferrous sulfate 325 mg PO BID • Regular diet with increased fluids • Activity as
tolerated • Oxycodone 1 tablet PO every 4-6 hours PRN pain
The nurse cares for a client who is three days postpartum and has not had a bowel
movement. The client had a cesarean section, has a history of chronic constipation,
and reports the abdomen is hard, slightly painful, and distended. In reviewing the
health care provider's orders, which data causes the most concern for the nurse?
Correct Answer
The pain medication ordered at this point in recovery.
Page 1 of 16
,Question 4
The nurse assesses a client for presumptive signs of pregnancy. Which signs are
considered presumptive signs of pregnancy? Select all that apply.
Correct Answer
Quickening, Fatigue and Amenorrhea
Question 5
Weight: 245 lb.
• Height: 5'5*
• BMI: 41
The health care provider enters postoperative orders for the client.
Click to highlight the order that prompts the nurse to follow up with the health care
provider. Select one option.
Correct Answer
Hysterosalpingography to assess tubal patency" — requires nurse follow-up with
the provider.
Question 6
The nurse plans a home visit with a client who delivered a baby four days ago. The
client reports that she is so "tired" and sometimes gets "teary-eyed." The nurse
provides instruction to the client. Which statement, if made by the client, indicates an
optimal understanding of instruction?
Correct Answer
"I know it is normal to be sad or tired after the birth of a baby."
Question 7
The nurse prepares to administer the hepatitis B vaccine to the newborn client. Which
action should the nurse take first?
Correct Answer
Verify the identification band on the baby matches the mother.
Page 2 of 16
, Question 8
G2P1, 37 weeks gestation client admitted for induction related to preeclampsia with
severe features. Assessment reveals client complaints of dizziness and blurry vision,
+2 pitting edema to bilateral lower extremities, deep tendon reflexes +3 withoút
clonus to bilateral upper and lower extremities, headache rated 4/10, all other
assessment WNL. External contraction and fetal heart rate monitors applied. FHR with
moderate variability, baseline FHR 140 beats/min.
Seizure precautions in place. IV access obtained x2. Magnesium sulfate initiated per
protocol. Beta blocker administered for BP control. Oxytocin in lactated Ringer's
solution initiated per protocol. Cervical assessment indicates 2 cm dilated and 50%
effacedClient assessment stable. Complaints of fatigue, DTR +2 without clonus,
headache rated 2/10. Client experiencing contractions every 10-15 minutes lasting
45-60 seconds. Client indicates contractions are unc
Correct Answer
The nurse knows the client's progression of labor is slowed by the administration of
magnesium sulfate. As a result, the oxytocin will most likely need to be increased.
Question 9
A client in labor is undergoing continuous monitoring for fetal heart rate and uterine
activity. The nurse detects late decelerations on the fetal monitor.
Which assessment finding concerns the nurse most?
Correct Answer
The intravenous access device is infiltrated.
Question 10
The nurse on the postpartum/recovery floor has received report on her assigned
clients. Which client should the nurse assess first?
Correct Answer
A client status-post Cesarean section 4 hours ago delivering twins; requesting to
ambulate for first time since surgery.
Page 3 of 16
CORRECT ANSWERS
Question 1
The nurse receives an order to administer brexanolone 30 mcg/kg/hr IV over 4 hours
to a client diagnosed with postpartum depression that weighs 209 pounds. Available
is brexanolone 100 mg/100 mL of normal saline. At what rate will the nurse program
the pump? Round answer to nearest whole number.
Correct Answer
3 ml/hr
Question 2
The nurse cares for a 32-week gestation pregnant client reporting painless bleeding.
The nurse assesses the client's vital signs and fetal heart rate which are within normal
limits. The client's abdomen is soft and non-tender. Which intervention should the
nurse perforg next?
Correct Answer
An abdominal ultrasound
Question 3
• Ferrous sulfate 325 mg PO BID • Regular diet with increased fluids • Activity as
tolerated • Oxycodone 1 tablet PO every 4-6 hours PRN pain
The nurse cares for a client who is three days postpartum and has not had a bowel
movement. The client had a cesarean section, has a history of chronic constipation,
and reports the abdomen is hard, slightly painful, and distended. In reviewing the
health care provider's orders, which data causes the most concern for the nurse?
Correct Answer
The pain medication ordered at this point in recovery.
Page 1 of 16
,Question 4
The nurse assesses a client for presumptive signs of pregnancy. Which signs are
considered presumptive signs of pregnancy? Select all that apply.
Correct Answer
Quickening, Fatigue and Amenorrhea
Question 5
Weight: 245 lb.
• Height: 5'5*
• BMI: 41
The health care provider enters postoperative orders for the client.
Click to highlight the order that prompts the nurse to follow up with the health care
provider. Select one option.
Correct Answer
Hysterosalpingography to assess tubal patency" — requires nurse follow-up with
the provider.
Question 6
The nurse plans a home visit with a client who delivered a baby four days ago. The
client reports that she is so "tired" and sometimes gets "teary-eyed." The nurse
provides instruction to the client. Which statement, if made by the client, indicates an
optimal understanding of instruction?
Correct Answer
"I know it is normal to be sad or tired after the birth of a baby."
Question 7
The nurse prepares to administer the hepatitis B vaccine to the newborn client. Which
action should the nurse take first?
Correct Answer
Verify the identification band on the baby matches the mother.
Page 2 of 16
, Question 8
G2P1, 37 weeks gestation client admitted for induction related to preeclampsia with
severe features. Assessment reveals client complaints of dizziness and blurry vision,
+2 pitting edema to bilateral lower extremities, deep tendon reflexes +3 withoút
clonus to bilateral upper and lower extremities, headache rated 4/10, all other
assessment WNL. External contraction and fetal heart rate monitors applied. FHR with
moderate variability, baseline FHR 140 beats/min.
Seizure precautions in place. IV access obtained x2. Magnesium sulfate initiated per
protocol. Beta blocker administered for BP control. Oxytocin in lactated Ringer's
solution initiated per protocol. Cervical assessment indicates 2 cm dilated and 50%
effacedClient assessment stable. Complaints of fatigue, DTR +2 without clonus,
headache rated 2/10. Client experiencing contractions every 10-15 minutes lasting
45-60 seconds. Client indicates contractions are unc
Correct Answer
The nurse knows the client's progression of labor is slowed by the administration of
magnesium sulfate. As a result, the oxytocin will most likely need to be increased.
Question 9
A client in labor is undergoing continuous monitoring for fetal heart rate and uterine
activity. The nurse detects late decelerations on the fetal monitor.
Which assessment finding concerns the nurse most?
Correct Answer
The intravenous access device is infiltrated.
Question 10
The nurse on the postpartum/recovery floor has received report on her assigned
clients. Which client should the nurse assess first?
Correct Answer
A client status-post Cesarean section 4 hours ago delivering twins; requesting to
ambulate for first time since surgery.
Page 3 of 16
