75 SAMPLE QUESTIONS FOR MATERNAL-NEWBORN CJE EXAM |
COMPLETE STUDY GUIDE, EXAM REVIEW QUESTIONS AND ANSWERS
2026/2027
Overview of the Maternal Newborn CJE
Exam Focus Areas
The Maternal Newborn CJE emphasizes clinical judgment and application in various scenarios.
Major topic areas include: Antepartum Care, Intrapartum (Labor & Delivery), Postpartum
Recovery, Newborn Assessment & Care, Maternal-Newborn Complications, Medications in
Maternity/Newborn, Patient & Family Education, and Clinical Safety, Prioritization & Delegation.
Each topic area is designed to assess the nurse's ability to apply knowledge in real-world
situations, ensuring safe and effective care for mothers and newborns.
Understanding the nuances of each area is crucial for success on the exam, as questions will
often require critical thinking and prioritization skills.
The exam format includes multiple choice, SATA (Select All That Apply), prioritization, case-based
scenarios, fill-in-the-blank, and drag-and-drop questions.
Question Formats
The exam features a variety of question types to assess different levels of understanding and
application.
Multiple Choice: Standard questions with one correct answer among several options.
SATA (Select All That Apply): Questions where multiple answers may be correct, testing
comprehensive knowledge.
Prioritization: Scenarios where the nurse must determine the order of actions based on patient
safety and clinical guidelines.
Case-based: Questions that present a clinical scenario requiring the next best action.
Fill-in-the-blank: Often used for dosage calculations or lab interpretations, requiring precise
knowledge.
Sample Questions and Rationales
Antepartum Questions (1-15)
Q1: A 34-week pregnant client with headache, blurred vision, and epigastric pain should have
the nurse notify the healthcare provider first due to signs of preeclampsia.
Q2: Newborn assessment reveals respiratory distress signs (nasal flaring, grunting, retractions)
that require immediate reporting.
Q3: In postpartum care, a client feeling faint when standing indicates a potential safety concern,
prioritizing their assessment.
Q4: Dosage calculation for Ampicillin based on weight demonstrates the importance of accurate
medication administration.
Q5: A blood glucose level of 36 mg/dL in a newborn necessitates feeding as the first-line
treatment for hypoglycemia.
Intrapartum Questions (16-30)
Q16: Late decelerations on a fetal monitor require immediate intervention by turning the
mother to the left side and applying oxygen to improve placental perfusion.
Q17: True labor is characterized by regular contractions and cervical dilation, distinguishing it
from false labor.
, Q18: The third stage of labor is defined as the delivery of the placenta, a critical phase in the
birthing process.
Q19: For a woman with ruptured membranes and variable decelerations, the priority action is to
assess fetal heart rate and maternal status.
Antepartum Questions
1. Question: A 10-week pregnant client complains of severe nausea, vomiting, and a weight loss of
6 lbs. Which condition is suspected?
Answer: A. Hyperemesis gravidarum
Rationale: Severe nausea and vomiting with significant weight loss (>5% of prepregnancy
weight) are indicative of hyperemesis gravidarum, not typical morning sickness.
2. Question: Which foods should be avoided during pregnancy? (SATA)
Answer: A, B, D
Rationale: Sushi, unpasteurized cheese, and deli meats pose risks of listeria and harmful
bacteria.
Intrapartum and Postpartum Questions
Question: Which statement by a new mother indicates correct understanding of breastfeeding?
Answer: C. “I’ll feed the baby 8–12 times every 24 hours.”
Rationale: Frequent feeding is essential for establishing milk supply and ensuring adequate
nutrition for the newborn.
Question: A nurse observes a newborn with nasal flaring, grunting, and retractions. What is the
priority action?
Answer: C. Administer oxygen
Rationale: These signs indicate respiratory distress; supporting oxygenation is the priority.
Key Concepts and Clinical Applications
Maternal Complications
Understanding complications such as preeclampsia, gestational diabetes, and hyperemesis
gravidarum is essential for early identification and intervention.
Preeclampsia: Symptoms include hypertension and proteinuria; management involves
monitoring and potential delivery.
Gestational Diabetes: Requires dietary management and monitoring of blood glucose levels to
prevent complications for both mother and baby.
Hyperemesis Gravidarum: Severe nausea and vomiting necessitate hydration and possible
medication to manage symptoms.
Case Study: A patient with severe nausea at 10 weeks may indicate hyperemesis gravidarum,
requiring careful assessment and intervention.
Newborn Assessment and Care
Newborn assessments focus on identifying signs of distress and ensuring proper care
immediately after birth.
Normal Findings: Heart rate, respiratory rate, and physical assessments should be within
expected ranges; deviations require further evaluation.
Common Issues: Acrocyanosis is normal, but nasal flaring and grunting indicate respiratory
distress.
Feeding Protocols: Early feeding is critical for newborns with low blood glucose levels to prevent
complications.
Illustration: A flowchart detailing the steps for newborn assessment can aid in quick decision-
making during clinical scenarios.
Labor and Delivery Management
Stages of Labor
COMPLETE STUDY GUIDE, EXAM REVIEW QUESTIONS AND ANSWERS
2026/2027
Overview of the Maternal Newborn CJE
Exam Focus Areas
The Maternal Newborn CJE emphasizes clinical judgment and application in various scenarios.
Major topic areas include: Antepartum Care, Intrapartum (Labor & Delivery), Postpartum
Recovery, Newborn Assessment & Care, Maternal-Newborn Complications, Medications in
Maternity/Newborn, Patient & Family Education, and Clinical Safety, Prioritization & Delegation.
Each topic area is designed to assess the nurse's ability to apply knowledge in real-world
situations, ensuring safe and effective care for mothers and newborns.
Understanding the nuances of each area is crucial for success on the exam, as questions will
often require critical thinking and prioritization skills.
The exam format includes multiple choice, SATA (Select All That Apply), prioritization, case-based
scenarios, fill-in-the-blank, and drag-and-drop questions.
Question Formats
The exam features a variety of question types to assess different levels of understanding and
application.
Multiple Choice: Standard questions with one correct answer among several options.
SATA (Select All That Apply): Questions where multiple answers may be correct, testing
comprehensive knowledge.
Prioritization: Scenarios where the nurse must determine the order of actions based on patient
safety and clinical guidelines.
Case-based: Questions that present a clinical scenario requiring the next best action.
Fill-in-the-blank: Often used for dosage calculations or lab interpretations, requiring precise
knowledge.
Sample Questions and Rationales
Antepartum Questions (1-15)
Q1: A 34-week pregnant client with headache, blurred vision, and epigastric pain should have
the nurse notify the healthcare provider first due to signs of preeclampsia.
Q2: Newborn assessment reveals respiratory distress signs (nasal flaring, grunting, retractions)
that require immediate reporting.
Q3: In postpartum care, a client feeling faint when standing indicates a potential safety concern,
prioritizing their assessment.
Q4: Dosage calculation for Ampicillin based on weight demonstrates the importance of accurate
medication administration.
Q5: A blood glucose level of 36 mg/dL in a newborn necessitates feeding as the first-line
treatment for hypoglycemia.
Intrapartum Questions (16-30)
Q16: Late decelerations on a fetal monitor require immediate intervention by turning the
mother to the left side and applying oxygen to improve placental perfusion.
Q17: True labor is characterized by regular contractions and cervical dilation, distinguishing it
from false labor.
, Q18: The third stage of labor is defined as the delivery of the placenta, a critical phase in the
birthing process.
Q19: For a woman with ruptured membranes and variable decelerations, the priority action is to
assess fetal heart rate and maternal status.
Antepartum Questions
1. Question: A 10-week pregnant client complains of severe nausea, vomiting, and a weight loss of
6 lbs. Which condition is suspected?
Answer: A. Hyperemesis gravidarum
Rationale: Severe nausea and vomiting with significant weight loss (>5% of prepregnancy
weight) are indicative of hyperemesis gravidarum, not typical morning sickness.
2. Question: Which foods should be avoided during pregnancy? (SATA)
Answer: A, B, D
Rationale: Sushi, unpasteurized cheese, and deli meats pose risks of listeria and harmful
bacteria.
Intrapartum and Postpartum Questions
Question: Which statement by a new mother indicates correct understanding of breastfeeding?
Answer: C. “I’ll feed the baby 8–12 times every 24 hours.”
Rationale: Frequent feeding is essential for establishing milk supply and ensuring adequate
nutrition for the newborn.
Question: A nurse observes a newborn with nasal flaring, grunting, and retractions. What is the
priority action?
Answer: C. Administer oxygen
Rationale: These signs indicate respiratory distress; supporting oxygenation is the priority.
Key Concepts and Clinical Applications
Maternal Complications
Understanding complications such as preeclampsia, gestational diabetes, and hyperemesis
gravidarum is essential for early identification and intervention.
Preeclampsia: Symptoms include hypertension and proteinuria; management involves
monitoring and potential delivery.
Gestational Diabetes: Requires dietary management and monitoring of blood glucose levels to
prevent complications for both mother and baby.
Hyperemesis Gravidarum: Severe nausea and vomiting necessitate hydration and possible
medication to manage symptoms.
Case Study: A patient with severe nausea at 10 weeks may indicate hyperemesis gravidarum,
requiring careful assessment and intervention.
Newborn Assessment and Care
Newborn assessments focus on identifying signs of distress and ensuring proper care
immediately after birth.
Normal Findings: Heart rate, respiratory rate, and physical assessments should be within
expected ranges; deviations require further evaluation.
Common Issues: Acrocyanosis is normal, but nasal flaring and grunting indicate respiratory
distress.
Feeding Protocols: Early feeding is critical for newborns with low blood glucose levels to prevent
complications.
Illustration: A flowchart detailing the steps for newborn assessment can aid in quick decision-
making during clinical scenarios.
Labor and Delivery Management
Stages of Labor
