Maternal–Newborn 3.0 Test | Nursing Questions &
Correct Answers | Comprehensive Exam Review
(2026 Update)
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A nurse is caring for a client who is in active labor and just had an amniotomy performed by
the provider. Which of the following findings indicates a need for further evaluation?
Select all that apply.
Amniotic fluid is stained with meconium
Minimal FHR variability
A change in the fetal station from 0 to +2
An abrupt decrease in the FHR below the baseline
Stronger and more frequent uterine contractions
Amniotic fluid is stained with meconium is correct. This is an unexpected finding that
requires further evaluation. Meconium-stained amniotic fluid can indicate fetal distress.
Minimal FHR variability is correct. This is an unexpected finding that requires further
evaluation. Minimal or absent variability can indicate fetal metabolic acidemia or hypoxemia
at the time it is observed.
An abrupt decrease in the FHR below the baseline is correct. This is an unexpected finding
that requires further evaluation. This finding indicates a variable deceleration, which is a
manifestation of cord compression.
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A nurse in the newborn nursery is caring for a newborn who has jaundice. Which of the
following actions should the nurse take to determine if the jaundice is pathologic?
Determine the newborn's age in hours.
Perform a New Ballard Score assessment.
Blanch the skin to assess for a yellow hue.
Request a prescription to obtain a blood specimen for a bilirubin level.
Determine the newborn's age in hours.
The nurse should first confirm the newborn's age in hours to determine if the jaundice is
pathologic or physiologic. Jaundice that appears within the first 24 hr of birth is pathologic
and jaundice that occurs after 24 hr is physiologic.
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