Maternal Newborn Health Promotion and
Maintenance Exam 2026 Questions and
Answers
1. A nurse provided discharge teaching to new parents on how to care for their
newborn following circumcision. Which of the following statements by the parents
indicates the need for further clarification?
Select one:
a. "The circumcision will heal completely within a couple of weeks."
b. "I should not remove the yellow exudate on the end of the penis."
c. "I can give him a tub bath in two days."
d. "I will clean his penis with each diaper change." - Correct answer-Answer: C.
The newborn should not be immersed in water until the circumcision has healed
and the umbilical cord has detached. The circumcision should heal within two
weeks.
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,2. A nurse is discussing the use of condoms with a female client. Which of the
following statements by client represents a need for further teaching?
Select one:
a. "My partner should leave an empty space at the tip."
b. "I can use spermicidal gels or creams to increase effectiveness."
c. "My partner will put the condom on while his penis is erect."
d. "I will remove the condom 30 minutes after intercourse." - Correct answer-
Answer: D. To avoid any semen spillage onto the vulva or the vaginal area, the
condom must be removed the same time as the penis. To do that the condom rim
should be held in place while the penis is withdrawn from the vagina.
3. A client reports awaking from sleep by contractions that are occurring every five
minutes and lasting 30-40 seconds. Which of the following questions should the
nurse ask to assess for true labor versus false labor?
Select one:
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, a. "Have you noticed any bloody show or fluid coming from your vagina?"
b. "Have you felt fetal movement over the last 24 hours?"
c. "What happens to your contractions when you move about?"
d. "When did your contractions begin?" - Correct answer-Answer: A. Vaginal
discharge of blood or fluid may indicate cervical dilation, and potentially rupture
of membranes. False labor is characterized by painless, irregular, and intermittent
contractions that decrease in frequency, duration, and intensity with walking or
position changes. Contractions are felt in the lower back or above the umbilicus
and often stop with comfort measures (like oral hydration). There is usually no
vaginal discharge with false labor.
4. The client who is scheduled for a nonstress test (NST) asks the nurse to explain
the purpose of the test. Which of the following is the correct response?
Select one:
a. The purpose of the NST is to determine fetal breathing.
b. The purpose of the NST is to assess the fetal CNS.
c. The purpose of the NST is to determine fetal lie.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Maintenance Exam 2026 Questions and
Answers
1. A nurse provided discharge teaching to new parents on how to care for their
newborn following circumcision. Which of the following statements by the parents
indicates the need for further clarification?
Select one:
a. "The circumcision will heal completely within a couple of weeks."
b. "I should not remove the yellow exudate on the end of the penis."
c. "I can give him a tub bath in two days."
d. "I will clean his penis with each diaper change." - Correct answer-Answer: C.
The newborn should not be immersed in water until the circumcision has healed
and the umbilical cord has detached. The circumcision should heal within two
weeks.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,2. A nurse is discussing the use of condoms with a female client. Which of the
following statements by client represents a need for further teaching?
Select one:
a. "My partner should leave an empty space at the tip."
b. "I can use spermicidal gels or creams to increase effectiveness."
c. "My partner will put the condom on while his penis is erect."
d. "I will remove the condom 30 minutes after intercourse." - Correct answer-
Answer: D. To avoid any semen spillage onto the vulva or the vaginal area, the
condom must be removed the same time as the penis. To do that the condom rim
should be held in place while the penis is withdrawn from the vagina.
3. A client reports awaking from sleep by contractions that are occurring every five
minutes and lasting 30-40 seconds. Which of the following questions should the
nurse ask to assess for true labor versus false labor?
Select one:
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, a. "Have you noticed any bloody show or fluid coming from your vagina?"
b. "Have you felt fetal movement over the last 24 hours?"
c. "What happens to your contractions when you move about?"
d. "When did your contractions begin?" - Correct answer-Answer: A. Vaginal
discharge of blood or fluid may indicate cervical dilation, and potentially rupture
of membranes. False labor is characterized by painless, irregular, and intermittent
contractions that decrease in frequency, duration, and intensity with walking or
position changes. Contractions are felt in the lower back or above the umbilicus
and often stop with comfort measures (like oral hydration). There is usually no
vaginal discharge with false labor.
4. The client who is scheduled for a nonstress test (NST) asks the nurse to explain
the purpose of the test. Which of the following is the correct response?
Select one:
a. The purpose of the NST is to determine fetal breathing.
b. The purpose of the NST is to assess the fetal CNS.
c. The purpose of the NST is to determine fetal lie.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
