NCC-MATERNAL NEWBORN EXAM 2025 WITH 100%
ACCURATE ANSWERS
1. A nurse is teaching a client who is at 10 weeks gestation about an
abdominal ultrasound in the first trimester. What information should the
nurse include in the teaching?
You will need to have a full bladder during the ultrasound
You will experience uterine cramping during the ultrasound
The ultrasound will determine the length of your cervix
You will have a non-stress test prior to the ultrasound
2. What is the purpose of using vibroacoustic stimulation during a nonstress
test?
To elicit fetal activity
To monitor maternal heart rate
To measure maternal blood pressure
To assess uterine contractions
3. A nurse is caring for a client at 26 weeks of gestation and reports
constipation. How should the nurse respond?
You should have one glass of wine after dinner
You should walk for at least 30 min/day
You should be on bed rest for the rest of your pregnancy
4. What laboratory values should the nurse obtain for a client experiencing
moderate bright red vaginal bleeding during labor?
,Electrolyte panel
Hemoglobin and hematocrit levels
, Blood glucose levels
Coagulation profile
5. Nurse admits client in labor and experiencing moderate bright red
vaginal bleeding. which of the following actions should the nurse take?
place spiral electrode on fetal presenting part
perform vaginal exam to determine cervical dilation
prepare client for transvaginal ultrasound
obtain blood samples for baseline
6. If a nurse observes that a pregnant client at 35 weeks gestation has a
urine output of 20 mL/hr, what should be the nurse's immediate action?
Document the finding and continue monitoring.
Encourage the client to drink more fluids.
Reassure the client that this is a normal finding.
Notify the healthcare provider for further evaluation.
7. What would be the EDD for a patient with an LMP of July 8?
October 15
April 1
October 1
April 15
8. The nurse is performing a non-stress test for a pregnant client. After 20
minutes, the nurse observes the following: fetal heart rate 125 beats per
minute, moderate variability, no fetal heart rate accelerations or
decelerations. The nurse should:
, Perform vibroacoustic stimulation. Observe the fetal heart rate
for an additional 20 minutes.
Perform a contraction stress test.
Prepare the client for cesarean delivery.
Order an amniocentesis.
9. The nurse is developing a teaching plan for a client who is 30 weeks
pregnant. The client needs to report to her provider immediately if she
develops:
Upset stomach
Hemorrhoids
Feet edema
Face edema
10. Why should a nurse clarify the prescription for a vaginal exam in a
patient with placenta previa?
A vaginal exam can cause tearing of the placenta and increase
the risk of bleeding.
A vaginal exam is safe if performed gently.
A vaginal exam is necessary to monitor fetal heart rate.
A vaginal exam helps assess cervical dilation.
11. Why is daily weight considered the most reliable indicator of fluid and
electrolyte status in clients with severe pre-eclampsia?
Daily weight is only relevant in the postpartum period.
Daily weight reflects changes in fluid retention and loss,
providing a clear indication of fluid and electrolyte balance.
Daily weight is less reliable than urine output measurements.
ACCURATE ANSWERS
1. A nurse is teaching a client who is at 10 weeks gestation about an
abdominal ultrasound in the first trimester. What information should the
nurse include in the teaching?
You will need to have a full bladder during the ultrasound
You will experience uterine cramping during the ultrasound
The ultrasound will determine the length of your cervix
You will have a non-stress test prior to the ultrasound
2. What is the purpose of using vibroacoustic stimulation during a nonstress
test?
To elicit fetal activity
To monitor maternal heart rate
To measure maternal blood pressure
To assess uterine contractions
3. A nurse is caring for a client at 26 weeks of gestation and reports
constipation. How should the nurse respond?
You should have one glass of wine after dinner
You should walk for at least 30 min/day
You should be on bed rest for the rest of your pregnancy
4. What laboratory values should the nurse obtain for a client experiencing
moderate bright red vaginal bleeding during labor?
,Electrolyte panel
Hemoglobin and hematocrit levels
, Blood glucose levels
Coagulation profile
5. Nurse admits client in labor and experiencing moderate bright red
vaginal bleeding. which of the following actions should the nurse take?
place spiral electrode on fetal presenting part
perform vaginal exam to determine cervical dilation
prepare client for transvaginal ultrasound
obtain blood samples for baseline
6. If a nurse observes that a pregnant client at 35 weeks gestation has a
urine output of 20 mL/hr, what should be the nurse's immediate action?
Document the finding and continue monitoring.
Encourage the client to drink more fluids.
Reassure the client that this is a normal finding.
Notify the healthcare provider for further evaluation.
7. What would be the EDD for a patient with an LMP of July 8?
October 15
April 1
October 1
April 15
8. The nurse is performing a non-stress test for a pregnant client. After 20
minutes, the nurse observes the following: fetal heart rate 125 beats per
minute, moderate variability, no fetal heart rate accelerations or
decelerations. The nurse should:
, Perform vibroacoustic stimulation. Observe the fetal heart rate
for an additional 20 minutes.
Perform a contraction stress test.
Prepare the client for cesarean delivery.
Order an amniocentesis.
9. The nurse is developing a teaching plan for a client who is 30 weeks
pregnant. The client needs to report to her provider immediately if she
develops:
Upset stomach
Hemorrhoids
Feet edema
Face edema
10. Why should a nurse clarify the prescription for a vaginal exam in a
patient with placenta previa?
A vaginal exam can cause tearing of the placenta and increase
the risk of bleeding.
A vaginal exam is safe if performed gently.
A vaginal exam is necessary to monitor fetal heart rate.
A vaginal exam helps assess cervical dilation.
11. Why is daily weight considered the most reliable indicator of fluid and
electrolyte status in clients with severe pre-eclampsia?
Daily weight is only relevant in the postpartum period.
Daily weight reflects changes in fluid retention and loss,
providing a clear indication of fluid and electrolyte balance.
Daily weight is less reliable than urine output measurements.
