RN MATERNAL NEWBORN ONLINE
PRACTICE B PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ A nurse is caring for a newborn.he nurse reviews the assessment findings
and determines the findings are consistent with which of the following birth
complications?For each assessment finding, click to specify if the findings is
consistent with a clavicle fracture or Erb-Duchenne paralysis. Each finding
may support more than one condition.Birth historyArm
movementCrepitusWrist flexionPalmar grasp reflexMoro reflex.
Answer: Clavicle Fracture: -crepitus-moro reflex -palmer grasp
Erb-Duchenne: -wrist flexion-palmer graspWhen analyzing cues the nurse
should identify that clavicle fracture is associated with the birth of a large
for gestational age newborn who had a vacuum assisted birth.
Manifestations of a clavicle fracture include the presence of crepitus over
the fractured bone with decreased movement and an absent moro reflex in
the affected arm. The newborn retains the presence of a palmar grasp
reflex.When analyzing cues the nurse should identify that Erb-Duchenne
paralysis is the result of mechanical trauma to the spinal cord during a
difficult birth. This complication is more likely to occur during the birth of a
large for gestational age newborn and during a forceps or vacuum assisted
birth. Manifestations of Erb-Duchenne paralysis include a limp arm with
absent spontaneous movement and absent moro reflex. The affected
shoulder and arm are adducted and internally rotated with the wrist and
fingers flexed. This results in a characteristic upwards positioning of the
palm towards the back. The palmar grasp reflex is present because the
paralysis is limited to the muscles in the upper arm.
,◍ A nurse is caring for a client who is pregnant.Which of the following actions
are the nurse's priorities?Select the 4 actions that the nurse should take
immediately. Assess cervical dilation.Administer a bolus of IV fluids.Insert
an indwelling urinary catheter.Reposition the client to their side.Apply
oxygen at 10 to 12 L/min by nonrebreather mask.Elevate the client's
legs.Evaluate the client's pain level.Temperature 37.1° C (98.8° F)Heart rate
72/min Respiratory rate 16/min Blood pressure 128/76 mm Hg Oxygen
saturation 96%1415:Heart rate 90/min Respiratory rate 20/min Blood
pressure 92/50 mm Hg Oxygen saturation 96%Client received epidural
anesthesia for reports of a pain level of 7 on a scale of 0 to 10 from uterine
contractions.Contractions occurring every 4 to 5 min, lasting 60 seconds,
palpate moderate.FHR: Baseline 135/min, average variability, accelerations
present, no decelerations noted.Oxyto.
Answer: -administer a bolus of IV fluids -reposition the client to their side
-apply O2 at 10 to 12 L/min by non rebreather mask -elevate clients
legsAdminister a bolus of IV fluids is correct. A priority intervention that
the nurse should perform when using the urgent vs. nonurgent approach to
client care is to address the client's hypotension and fetal bradycardia and
minimal variability. The nurse should plan to administer a bolus of IV fluids
to increase the client's blood volume and improve uterine and intervillous
space blood flow. Reposition the client to their side is correct. A priority
intervention that the nurse should perform when using the urgent vs.
nonurgent approach to client care is to address the fetal bradycardia and
minimal variability caused by decreased uteroplacental perfusion. The nurse
should plan to turn the client to their side to increase cardiac output and
improve uterine and intervillous space blood flow. Elevate the client's legs is
correct. A priority intervention that the nurse should perform when using the
urgent vs. nonurgent approach to client care is to address the client's
hypotension and fetal bradycardia and minimal variability. Elevating the
client's legs will promote blood return to the heart and increase cardiac
output. This action will improve uterine and intervillous space blood flow.
Apply oxygen at 10 to 12 L/min by nonrebreather mask is correct. A priority
, intervention that the nurse should perform when using the urgent vs.
nonurgent approach to client care is to address the fetal bradycardia and
minimal variability caused by decreased uteroplacental perfusion. The nurse
should plan to administer oxygen via nonrebreather mask to increase
maternal circulating oxygen levels and improve oxygen transfer through the
intervillous spaces to the fetus.Assess cervical dilation is inc
◍ A nurse is collecting data from a 28 year old client who is requesting a
prescription for an oral contraceptive. Which of the following information in
the clients history should the nurse identify as a contraindication for the use
of oral contraceptives?History of mononucleosis 1 year agoFrequent
headaches with visual changesReports of occasional heartburn in the
eveningIrregular menstrual cycles with dysmenorrhea.
Answer: Frequent headaches with visual changes
◍ A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic tests?Biophysical
profileAmniocentesisCordocentesisKleihauer-Betke test.
Answer: Biophysical profile - A positive contraction stress test indicates that
further evaluation of the fetus is necessary. A biophysical profile will
provide further evaluation with a real-time ultrasound.A cordocentesis is
used to identify fetal blood type and RBC when there is a risk of isoimmune
hemolytic anemia. The Kleihauer-Betke test is used to determine the amount
of fetal blood in the maternal circulation when there is a risk of
Rh-isoimmunization. An amniocentesis is used to determine lung maturity,
detect congenital anomalies, and diagnose fetal hemolytic disease.
◍ A nurse is reinforcing teaching with a client who is trying to become
pregnant. Which of the following foods should the nurse recommend as the
best source of folate?1 cup cooked spinachOne medium apple240 mL (8 oz)
2% milkOne large hard-boiled egg.
Answer: 1 cup cooked spinach
◍ A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr
PRACTICE B PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ A nurse is caring for a newborn.he nurse reviews the assessment findings
and determines the findings are consistent with which of the following birth
complications?For each assessment finding, click to specify if the findings is
consistent with a clavicle fracture or Erb-Duchenne paralysis. Each finding
may support more than one condition.Birth historyArm
movementCrepitusWrist flexionPalmar grasp reflexMoro reflex.
Answer: Clavicle Fracture: -crepitus-moro reflex -palmer grasp
Erb-Duchenne: -wrist flexion-palmer graspWhen analyzing cues the nurse
should identify that clavicle fracture is associated with the birth of a large
for gestational age newborn who had a vacuum assisted birth.
Manifestations of a clavicle fracture include the presence of crepitus over
the fractured bone with decreased movement and an absent moro reflex in
the affected arm. The newborn retains the presence of a palmar grasp
reflex.When analyzing cues the nurse should identify that Erb-Duchenne
paralysis is the result of mechanical trauma to the spinal cord during a
difficult birth. This complication is more likely to occur during the birth of a
large for gestational age newborn and during a forceps or vacuum assisted
birth. Manifestations of Erb-Duchenne paralysis include a limp arm with
absent spontaneous movement and absent moro reflex. The affected
shoulder and arm are adducted and internally rotated with the wrist and
fingers flexed. This results in a characteristic upwards positioning of the
palm towards the back. The palmar grasp reflex is present because the
paralysis is limited to the muscles in the upper arm.
,◍ A nurse is caring for a client who is pregnant.Which of the following actions
are the nurse's priorities?Select the 4 actions that the nurse should take
immediately. Assess cervical dilation.Administer a bolus of IV fluids.Insert
an indwelling urinary catheter.Reposition the client to their side.Apply
oxygen at 10 to 12 L/min by nonrebreather mask.Elevate the client's
legs.Evaluate the client's pain level.Temperature 37.1° C (98.8° F)Heart rate
72/min Respiratory rate 16/min Blood pressure 128/76 mm Hg Oxygen
saturation 96%1415:Heart rate 90/min Respiratory rate 20/min Blood
pressure 92/50 mm Hg Oxygen saturation 96%Client received epidural
anesthesia for reports of a pain level of 7 on a scale of 0 to 10 from uterine
contractions.Contractions occurring every 4 to 5 min, lasting 60 seconds,
palpate moderate.FHR: Baseline 135/min, average variability, accelerations
present, no decelerations noted.Oxyto.
Answer: -administer a bolus of IV fluids -reposition the client to their side
-apply O2 at 10 to 12 L/min by non rebreather mask -elevate clients
legsAdminister a bolus of IV fluids is correct. A priority intervention that
the nurse should perform when using the urgent vs. nonurgent approach to
client care is to address the client's hypotension and fetal bradycardia and
minimal variability. The nurse should plan to administer a bolus of IV fluids
to increase the client's blood volume and improve uterine and intervillous
space blood flow. Reposition the client to their side is correct. A priority
intervention that the nurse should perform when using the urgent vs.
nonurgent approach to client care is to address the fetal bradycardia and
minimal variability caused by decreased uteroplacental perfusion. The nurse
should plan to turn the client to their side to increase cardiac output and
improve uterine and intervillous space blood flow. Elevate the client's legs is
correct. A priority intervention that the nurse should perform when using the
urgent vs. nonurgent approach to client care is to address the client's
hypotension and fetal bradycardia and minimal variability. Elevating the
client's legs will promote blood return to the heart and increase cardiac
output. This action will improve uterine and intervillous space blood flow.
Apply oxygen at 10 to 12 L/min by nonrebreather mask is correct. A priority
, intervention that the nurse should perform when using the urgent vs.
nonurgent approach to client care is to address the fetal bradycardia and
minimal variability caused by decreased uteroplacental perfusion. The nurse
should plan to administer oxygen via nonrebreather mask to increase
maternal circulating oxygen levels and improve oxygen transfer through the
intervillous spaces to the fetus.Assess cervical dilation is inc
◍ A nurse is collecting data from a 28 year old client who is requesting a
prescription for an oral contraceptive. Which of the following information in
the clients history should the nurse identify as a contraindication for the use
of oral contraceptives?History of mononucleosis 1 year agoFrequent
headaches with visual changesReports of occasional heartburn in the
eveningIrregular menstrual cycles with dysmenorrhea.
Answer: Frequent headaches with visual changes
◍ A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic tests?Biophysical
profileAmniocentesisCordocentesisKleihauer-Betke test.
Answer: Biophysical profile - A positive contraction stress test indicates that
further evaluation of the fetus is necessary. A biophysical profile will
provide further evaluation with a real-time ultrasound.A cordocentesis is
used to identify fetal blood type and RBC when there is a risk of isoimmune
hemolytic anemia. The Kleihauer-Betke test is used to determine the amount
of fetal blood in the maternal circulation when there is a risk of
Rh-isoimmunization. An amniocentesis is used to determine lung maturity,
detect congenital anomalies, and diagnose fetal hemolytic disease.
◍ A nurse is reinforcing teaching with a client who is trying to become
pregnant. Which of the following foods should the nurse recommend as the
best source of folate?1 cup cooked spinachOne medium apple240 mL (8 oz)
2% milkOne large hard-boiled egg.
Answer: 1 cup cooked spinach
◍ A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr
