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Exam (elaborations)

CMS Maternal Newborn Proctored Exam 2026: 84 Updated Questions & Detailed Answers

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Prepare for the CMS Maternal Newborn Proctored Exam with this updated 2026 study guide. Includes 84 practice questions covering prenatal care, labor & delivery, postpartum care, newborn assessment, and common complications—complete with correct and detailed answers to help you succeed. 1. A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? - ANSWER-"This is due to the weight of the uterus on the large blood vessels." 2. A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a pregnancy test. Which of the following information should the nurse provide to the client? - ANSWER-"You should collect the urine from your first morning void." 3. A nurse is reinforcing teaching with a group of clients about measures to relive backache during pregnancy. Which of the following measures should the nurse include? - ANSWER--Preform pelvic rock exercise everyday -Use proper body mechanics 4. A nurse is caring for a client who is pregnant and reviewing clinical manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include? - ANSWER-Vaginal bleeding 5. A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? - ANSWER-Eat crackers or plain toast before getting out of bed 6. A nurse is discussing common discomforts of pregnancy with a client who is at 6 weeks of gestation. Which of the following findings should the nurse include? - ANSWER--Breast tenderness -Urinary frequency -Epistaxis 7. A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? - ANSWER-"It is normal to these feeling during the first few months of pregnancy" 8. A nurse in a prenatal clinic is reinforcing education with a client who at 8 weeks of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? - ANSWER-Dark green leafy vegetables 9. A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider. - ANSWER-3.6 kg (8lbs) weight gain in the first trimester

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CMS Maternal Newborn Proctored Exam
Updated 2026 Questions With Correct Detailed
Answers

1. A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing
episodes of hypotension. The client asks the nurse what causes these episodes. Which of
the following responses should the nurse make? - ANSWER-"This is due to the weight of
the uterus on the large blood vessels."

2. A nurse in a clinic receives a phone call from a client whose period is 1 week late and
requests a pregnancy test. Which of the following information should the nurse provide to
the client? - ANSWER-"You should collect the urine from your first morning void."

3. A nurse is reinforcing teaching with a group of clients about measures to relive backache
during pregnancy. Which of the following measures should the nurse include? -
ANSWER--Preform pelvic rock exercise everyday
-Use proper body mechanics

4. A nurse is caring for a client who is pregnant and reviewing clinical manifestations of
complications the client should promptly report to the provider. Which of the following
complications should the nurse include? - ANSWER-Vaginal bleeding

5. A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the
morning. Which of the following information should the nurse include? - ANSWER-Eat
crackers or plain toast before getting out of bed

6. A nurse is discussing common discomforts of pregnancy with a client who is at 6 weeks
of gestation. Which of the following findings should the nurse include? - ANSWER--
Breast tenderness
-Urinary frequency
-Epistaxis

7. A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy
about being pregnant. Which of the following responses should the nurse make? -
ANSWER-"It is normal to these feeling during the first few months of pregnancy"

8. A nurse in a prenatal clinic is reinforcing education with a client who at 8 weeks of
gestation. The client states that she does not like milk. Which of the following foods
should the nurse recommend as a good source of calcium? - ANSWER-Dark green leafy
vegetables

, 9. A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the
following clients' weight gain should the nurse report to the provider. - ANSWER-3.6 kg
(8lbs) weight gain in the first trimester

10. A nurse in a clinic is reinforcing instructions with a client of childbearing age about
recommended folic acid supplements. Which of the following defects can occur in the
neonate as a result of folic acid deficiency? - ANSWER-Neural tube defects

11. A nurse is reviewing a prescription for iron supplements with a client who is at 8 weeks
of gestation and has iron deficiency anemia. Which of the following beverages should the
nurse instructs the client to take the iron supplements with? - ANSWER-OJ

12. A nurse is assisting the charge nurse with reviewing postpartum nutrition needs with a
group of new mothers who are breastfeeding their newborns. Which of the following
statements by a member of the group indicates an understanding of the teaching? -
ANSWER-"I will continue my calcium supplements because I don't like milk."

13. A nurse is reviewing findings of a client's biophysical profile (BPP) with the charge
nurse. Which of the following variables should the nurse expect the test to include. -
ANSWER--Fetal breathing movement
-fetal tone
-amniotic fluid volume

14. A nurse is assisting with the care of a client who is in preterm labor and is scheduled to
undergo an amniocentesis. the nurse should review which of the following tests to
determine fetal lung maturity? - ANSWER-Lecithin/sphingomyelin (L/S) ratio

15. A nurse is assisting with the care of a client to is pregnant and undergoing a nonstress
test. The nurse asks why the charge nurse is using a vibroacoustic stimulation device.
Which of the following responses should the charge nurse make? - ANSWER-"It
awakens a sleeping fetus."

16. A nurse is reinforcing teaching with a client who is pregnant about the amniocentesis
procedure. Which of the following statements should the nurse make? - ANSWER-"You
should empty your bladder prior to the procedure."

17. A nurse is assisting with the care of a client who is pregnant and is to undergo a
contraction stress test (CST). Which of the following findings are indications for this
procedure? - ANSWER--Decreased fetal movement
-Intrauterine growth restriction
-post maturity

18. A nurse in the emergency department is caring for a client who reports abrupt , sharp,
right lower quadrant abdominal pain bright red vaginal bleeding. The client states she
missed one mensural cycle and cannot be pregnant because she has an IUD. The nurse
should suspect which of the following? - ANSWER-ectopic pregnancy

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