RN MATERNAL NEWBORN ONLINE PRACTICE
COMPREHENSIVE EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS
◉ A nurse is assessing a newborn who is 12 hr old. Which of the
following manifestations requires intervention by the nurse?
a. Acrocyanosis of the extremities
b. Murmur at the left sternal border
c. Substernal chest retractions while sleeping
d. Positive Babinski reflex. Answer: c. Substernal chest retractions
while sleeping
Substernal chest retractions can indicate respiratory distress
syndrome in the newborn. This manifestation requires further
assessment and intervention by the nurse
◉ A nurse is assessing a client who has preeclampsia with severe
features. Which of the following manifestations should the nurse
expect?
a. 2+ deep tendon reflexes
b. Hypotension
,c. Polyuria
d. Blurred vision. Answer: d. Blurred vision
The nurse should identify that a client who has preeclampsia with
severe features can have arteriolar vasospasms and decreased blood
flow to the retina which can lead to visual disturbances, such as
blurred vision, double vision, or dark spots in the visual field.
◉ A nurse is speaking with a client who is trying to make a decision
about tubal ligation. The client asks, "What effects will this
procedure have on my sex life?" Which of the following responses
should the nurse make?
a. "I think that is something you should discuss with your doctor."
b. "This procedure should have no effect on your sexual performance
or adequacy."
c. "You'll be fine. I can't imagine you and your partner will have any
problems with sexual function."
d. "If this concerns you, perhaps you should reconsider and use
another form of contraception.". Answer: b. "This procedure should
have no effect on your sexual performance or adequacy."
The nurse is giving the client the information they are seeking.
Sexual function depends on various hormonal and psychological
,factors. Therefore, tubal occlusion should have no physiological
effect on sexual function.
◉ A nurse is assessing a client who has gestational diabetes mellitus
and is experiencing hyperglycemia. Which of the following findings
should the nurse expect?
a. Reports blurred vision
b. Diaphoresis
c. Shallow respirations
d. Reports increased urinary output. Answer: d. Reports increased
urinary output
Increased urinary output, nausea and vomiting, reports of thirst,
abdominal pain, constipation, drowsiness, and headaches are
manifestations of hyperglycemia. Other manifestations include weak
rapid pulse, fruity breath odor, urine positive for sugar and acetone,
and a blood glucose level greater than 200 mg/dL.
◉ A nurse is caring for a client who is pregnant and is at the end of
their first trimester. The nurse should place the Doppler ultrasound
stethoscope in which of the following locations to begin assessing
for the fetal heart tones (FHT)?
a. Just above the umbilicus
, b. Just above the symphysis pubis
c. The right lower quadrant
d. The left lower quadrant. Answer: d. Just above the symphysis
pubis
At the end of the first trimester of pregnancy, the client's uterus is
approximately the size of a grapefruit and is positioned low in the
pelvis slightly above the symphysis pubis. Therefore, the nurse
should begin assessing for FHT just above the symphysis pubis.
◉ A nurse is caring for a client who is at 22 weeks of gestation and
reports concern about the blotchy hyperpigmentation on their
forehead. Which of the following actions should the nurse take?
a. Tell the client to follow up with a dermatologist.
b. Explain to the client this is an expected occurrence.
c. Instruct the client to increase their intake of vitamin D.
d. Inform the client they might have an allergy to their skin care
products.. Answer: b. Explain to the client this is an expected
occurrence.
Chloasma, also referred to as the mask of pregnancy, is a blotchy,
brown hyperpigmentation of the skin over the cheeks, nose, and
forehead. It is seen most often in dark-skinned women and is caused
by an increase in melanotropin during pregnancy. This condition
COMPREHENSIVE EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS
◉ A nurse is assessing a newborn who is 12 hr old. Which of the
following manifestations requires intervention by the nurse?
a. Acrocyanosis of the extremities
b. Murmur at the left sternal border
c. Substernal chest retractions while sleeping
d. Positive Babinski reflex. Answer: c. Substernal chest retractions
while sleeping
Substernal chest retractions can indicate respiratory distress
syndrome in the newborn. This manifestation requires further
assessment and intervention by the nurse
◉ A nurse is assessing a client who has preeclampsia with severe
features. Which of the following manifestations should the nurse
expect?
a. 2+ deep tendon reflexes
b. Hypotension
,c. Polyuria
d. Blurred vision. Answer: d. Blurred vision
The nurse should identify that a client who has preeclampsia with
severe features can have arteriolar vasospasms and decreased blood
flow to the retina which can lead to visual disturbances, such as
blurred vision, double vision, or dark spots in the visual field.
◉ A nurse is speaking with a client who is trying to make a decision
about tubal ligation. The client asks, "What effects will this
procedure have on my sex life?" Which of the following responses
should the nurse make?
a. "I think that is something you should discuss with your doctor."
b. "This procedure should have no effect on your sexual performance
or adequacy."
c. "You'll be fine. I can't imagine you and your partner will have any
problems with sexual function."
d. "If this concerns you, perhaps you should reconsider and use
another form of contraception.". Answer: b. "This procedure should
have no effect on your sexual performance or adequacy."
The nurse is giving the client the information they are seeking.
Sexual function depends on various hormonal and psychological
,factors. Therefore, tubal occlusion should have no physiological
effect on sexual function.
◉ A nurse is assessing a client who has gestational diabetes mellitus
and is experiencing hyperglycemia. Which of the following findings
should the nurse expect?
a. Reports blurred vision
b. Diaphoresis
c. Shallow respirations
d. Reports increased urinary output. Answer: d. Reports increased
urinary output
Increased urinary output, nausea and vomiting, reports of thirst,
abdominal pain, constipation, drowsiness, and headaches are
manifestations of hyperglycemia. Other manifestations include weak
rapid pulse, fruity breath odor, urine positive for sugar and acetone,
and a blood glucose level greater than 200 mg/dL.
◉ A nurse is caring for a client who is pregnant and is at the end of
their first trimester. The nurse should place the Doppler ultrasound
stethoscope in which of the following locations to begin assessing
for the fetal heart tones (FHT)?
a. Just above the umbilicus
, b. Just above the symphysis pubis
c. The right lower quadrant
d. The left lower quadrant. Answer: d. Just above the symphysis
pubis
At the end of the first trimester of pregnancy, the client's uterus is
approximately the size of a grapefruit and is positioned low in the
pelvis slightly above the symphysis pubis. Therefore, the nurse
should begin assessing for FHT just above the symphysis pubis.
◉ A nurse is caring for a client who is at 22 weeks of gestation and
reports concern about the blotchy hyperpigmentation on their
forehead. Which of the following actions should the nurse take?
a. Tell the client to follow up with a dermatologist.
b. Explain to the client this is an expected occurrence.
c. Instruct the client to increase their intake of vitamin D.
d. Inform the client they might have an allergy to their skin care
products.. Answer: b. Explain to the client this is an expected
occurrence.
Chloasma, also referred to as the mask of pregnancy, is a blotchy,
brown hyperpigmentation of the skin over the cheeks, nose, and
forehead. It is seen most often in dark-skinned women and is caused
by an increase in melanotropin during pregnancy. This condition
