CJE MATERNITY PRACTICE EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔A client with gestational diabetes is undergoing a non-stress test at 34 weeks
gestation. Fetal heart beat is 144 beats / min. The client is instructed to mark the fetal
monitor paper by pressing each time the baby moves. After 20 mins the nurse evaluates
the fetal monitor strip
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two fetal heart accelerations of 15 beats/ min x 15 seconds are recorded
D. No FHR late decelerations occur in response to fetal movement - ✔✔C. Two FHR
accelerations of 15 beats/minute x 15 seconds are recorded.
✔✔A newborn who was a breech presentation is admitted to the nursery. Which
assessment procedure is a priority for the nurse to perform? - ✔✔Babinski's reflex.
✔✔The nurse is assessing a 38-week gestation newborn infant immediately following a
vaginal birth. Which assessment finding best indicates that the infant is transitioning well
to extrauterine life? - ✔✔Cries vigorously when stimulated.
✔✔A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the
nurse plan to include in this client's nursing care plan? - ✔✔Monitor Blood pressure,
pulse, and respirations q4h.
✔✔What goal is most important for the nurse to include in the plan of care for a client
with gestational diabetes? - ✔✔Restrict carbohydrate intake.
✔✔The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as an objective signs of
depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
,C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance. - ✔✔A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
✔✔The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - ✔✔A. Terbutaline (Brethine) 0.25
mg subcutaneously q15 minutes x 3
✔✔In preparing a gravid client for a triple screen analysis, which action should the
nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen. - ✔✔A. Prepare to draw blood for
analysis.
✔✔During a routine first trimester prenatal exam, a pregnant client tells the nurse that
she has noticed an increase in vaginal discharge that is white, thin, and watery. What
action should the nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam. - ✔✔A. Inform her that this is a
normal physiological change.
✔✔Following a precipitous labor, a postpartum client has a continuous trickling of bright
red blood from her vagina. Her uterus is firm and her vital signs are within normal limits.
The nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder. - ✔✔B. Laceration on the cervix
✔✔A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
, D. "This is called cephalhematome. It can cause jaundice as it is absorbed." - ✔✔A.
"This is called caput succedaneum. It will absorb and cause no problems."
✔✔The parents of a male newborn have signed an informed consent for circumcision.
What priority intervention should the nurse implement upon completion of the
circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets. - ✔✔C. Place petrolatum gauze dressing
on the site.
✔✔The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - ✔✔D. Hypoglycemia
✔✔A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the
client for the procedure, the nurse should explain that the primary reason for conducting
this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration. - ✔✔B. Fetal growth and gestational age.
✔✔A 38-week primigravida is admitted to labor and delivery after a non-reactive stress
test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin)
infusion. Which finding is most important for the nurse to report to the healthcare
provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - ✔✔D. A pattern of fetal late decelerations.
✔✔In determining the one minute Apgar score of a male infant the nurse asses a heart
rate of 120 per min....respiration.. He has a loud cry with stimualtion, good muscle tone,
color is acrocyanotic . What should the nurse assign?
A. 7
B. 8
C. 9
D. 10 - ✔✔C. 9
ANSWERS SURE A+
✔✔A client with gestational diabetes is undergoing a non-stress test at 34 weeks
gestation. Fetal heart beat is 144 beats / min. The client is instructed to mark the fetal
monitor paper by pressing each time the baby moves. After 20 mins the nurse evaluates
the fetal monitor strip
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two fetal heart accelerations of 15 beats/ min x 15 seconds are recorded
D. No FHR late decelerations occur in response to fetal movement - ✔✔C. Two FHR
accelerations of 15 beats/minute x 15 seconds are recorded.
✔✔A newborn who was a breech presentation is admitted to the nursery. Which
assessment procedure is a priority for the nurse to perform? - ✔✔Babinski's reflex.
✔✔The nurse is assessing a 38-week gestation newborn infant immediately following a
vaginal birth. Which assessment finding best indicates that the infant is transitioning well
to extrauterine life? - ✔✔Cries vigorously when stimulated.
✔✔A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the
nurse plan to include in this client's nursing care plan? - ✔✔Monitor Blood pressure,
pulse, and respirations q4h.
✔✔What goal is most important for the nurse to include in the plan of care for a client
with gestational diabetes? - ✔✔Restrict carbohydrate intake.
✔✔The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as an objective signs of
depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
,C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance. - ✔✔A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
✔✔The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - ✔✔A. Terbutaline (Brethine) 0.25
mg subcutaneously q15 minutes x 3
✔✔In preparing a gravid client for a triple screen analysis, which action should the
nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen. - ✔✔A. Prepare to draw blood for
analysis.
✔✔During a routine first trimester prenatal exam, a pregnant client tells the nurse that
she has noticed an increase in vaginal discharge that is white, thin, and watery. What
action should the nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam. - ✔✔A. Inform her that this is a
normal physiological change.
✔✔Following a precipitous labor, a postpartum client has a continuous trickling of bright
red blood from her vagina. Her uterus is firm and her vital signs are within normal limits.
The nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder. - ✔✔B. Laceration on the cervix
✔✔A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
, D. "This is called cephalhematome. It can cause jaundice as it is absorbed." - ✔✔A.
"This is called caput succedaneum. It will absorb and cause no problems."
✔✔The parents of a male newborn have signed an informed consent for circumcision.
What priority intervention should the nurse implement upon completion of the
circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets. - ✔✔C. Place petrolatum gauze dressing
on the site.
✔✔The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - ✔✔D. Hypoglycemia
✔✔A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the
client for the procedure, the nurse should explain that the primary reason for conducting
this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration. - ✔✔B. Fetal growth and gestational age.
✔✔A 38-week primigravida is admitted to labor and delivery after a non-reactive stress
test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin)
infusion. Which finding is most important for the nurse to report to the healthcare
provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - ✔✔D. A pattern of fetal late decelerations.
✔✔In determining the one minute Apgar score of a male infant the nurse asses a heart
rate of 120 per min....respiration.. He has a loud cry with stimualtion, good muscle tone,
color is acrocyanotic . What should the nurse assign?
A. 7
B. 8
C. 9
D. 10 - ✔✔C. 9
