1|Page
MATERNITY CJE EXAMINATION COMPLETE VERIFIED
QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR JUST RELEASED
The nurse is monitoring the client who is receiving
magnesium sulfate for preeclampsia and is monitoring the
client every 30 minutes. Which finding indicates a need to
immediately contact the obstetrician?
A. Urinary output of 20mL
B. Deep tendon reflexes of 2+
C. Respirations of 10 breaths/minute
D. Hetal heart rate (FHR) of 116 beats/minute - Answer-C
If the respiration rate is less than 12 breaths/minute,
continuation of the medication needs to be reassessed.
The nurse receives report at the beginning of the shift
about a client with an intrauterine fetal demise. When
collecting data on assessment of the client, the nurse
expects to note which finding?
,2|Page
A. Intractable vomiting and dehydration
B. Elevated blood pressure and proteinuria
C. Uterine size greater than expected for gestational age
D. Regression of pregnancy symptoms and absence of
fetal heart tones - Answer-D
symptoms of fetal demise: decreased fetal movement,
unchanged or decreased fundal height, and absent fetal
heart tones
Immediately after delivery of a newborn, the nurse
prepares to assist in the delivery of the placenta. What is
the appropriate action to deliver the placenta?
A. Pull on the umbilical cord
B. Instruct the mother to push during a uterine contraction
C. Place traction on the umbilical cord and pull on the
placenta as it enters the vaginal canal
D. Separate the placenta from the uterine wall using
forceps, and then allow the placenta to deliver
spontaneously - Answer-B
,3|Page
Pulling on the cord or placing traction can cause it to
break, making the placenta harder to deliver.
Using forceps to separate the placenta may cause
beeding.
A client tells the nurse that she is really worried about
knowing how to care for her firstborn child. The nurse
would identify which priority problem for this patient?
A. Inability to cope
B. Lack of knowledge
C. Ineffective grieving
D. Lowered self-esteem - Answer-B
Lack of knowledge indicates lack of information or
psychomotor ability concerning a skill, condition, or
treatment.
The nurse is monitoring the status of a client in labor who
is experiencing hypotonic uterine dysfunction. The nurse
interprets that which findings are consistent with this type
of dysfunctional labor?
, 4|Page
A. Contractions weaken during the active stage of labor
B. Contractions become inefficient or stop during the
active stage of labor
C. Contractions are painful and are ineffective in causing
cervical dilation
D. The client is experiencing frequent contractions that are
ineffective in causing effacement to progress
E. The client initially makes normal progress into the active
stage of labor and then contractions weaken - Answer-A,
B, E
Options C and D are characteristics od hypertonic uterine
dysfunction
The nurse is collecting data during an assessment and
notes that the fundus feels soft and spongy. Which nursing
actions are most appropriate initially? Select all that apply.
A. Massage the fundus gently
B. Encourage the mother to ambulate
C. Notify the HCP
D. Observe for increased vaginal bleeding or clots
MATERNITY CJE EXAMINATION COMPLETE VERIFIED
QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR JUST RELEASED
The nurse is monitoring the client who is receiving
magnesium sulfate for preeclampsia and is monitoring the
client every 30 minutes. Which finding indicates a need to
immediately contact the obstetrician?
A. Urinary output of 20mL
B. Deep tendon reflexes of 2+
C. Respirations of 10 breaths/minute
D. Hetal heart rate (FHR) of 116 beats/minute - Answer-C
If the respiration rate is less than 12 breaths/minute,
continuation of the medication needs to be reassessed.
The nurse receives report at the beginning of the shift
about a client with an intrauterine fetal demise. When
collecting data on assessment of the client, the nurse
expects to note which finding?
,2|Page
A. Intractable vomiting and dehydration
B. Elevated blood pressure and proteinuria
C. Uterine size greater than expected for gestational age
D. Regression of pregnancy symptoms and absence of
fetal heart tones - Answer-D
symptoms of fetal demise: decreased fetal movement,
unchanged or decreased fundal height, and absent fetal
heart tones
Immediately after delivery of a newborn, the nurse
prepares to assist in the delivery of the placenta. What is
the appropriate action to deliver the placenta?
A. Pull on the umbilical cord
B. Instruct the mother to push during a uterine contraction
C. Place traction on the umbilical cord and pull on the
placenta as it enters the vaginal canal
D. Separate the placenta from the uterine wall using
forceps, and then allow the placenta to deliver
spontaneously - Answer-B
,3|Page
Pulling on the cord or placing traction can cause it to
break, making the placenta harder to deliver.
Using forceps to separate the placenta may cause
beeding.
A client tells the nurse that she is really worried about
knowing how to care for her firstborn child. The nurse
would identify which priority problem for this patient?
A. Inability to cope
B. Lack of knowledge
C. Ineffective grieving
D. Lowered self-esteem - Answer-B
Lack of knowledge indicates lack of information or
psychomotor ability concerning a skill, condition, or
treatment.
The nurse is monitoring the status of a client in labor who
is experiencing hypotonic uterine dysfunction. The nurse
interprets that which findings are consistent with this type
of dysfunctional labor?
, 4|Page
A. Contractions weaken during the active stage of labor
B. Contractions become inefficient or stop during the
active stage of labor
C. Contractions are painful and are ineffective in causing
cervical dilation
D. The client is experiencing frequent contractions that are
ineffective in causing effacement to progress
E. The client initially makes normal progress into the active
stage of labor and then contractions weaken - Answer-A,
B, E
Options C and D are characteristics od hypertonic uterine
dysfunction
The nurse is collecting data during an assessment and
notes that the fundus feels soft and spongy. Which nursing
actions are most appropriate initially? Select all that apply.
A. Massage the fundus gently
B. Encourage the mother to ambulate
C. Notify the HCP
D. Observe for increased vaginal bleeding or clots
