RN MATERNAL NEWBORN ACTUAL EXAM
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ postpartum breastfeeding teaching . Answer: •Milk production occurs
3-4 days postpartum. Breast will feel firm and heavy. Continue to feed
newborn on demand during this period.
•breast should feel softer - indicates newborn has emptied breast milk.
•baby should appear content after feedings. May not be effectively
emptying breasts during feedings if still rooting, sucking on hands, or
crying.
•newborn should void 6-8 times per day and at least 3 stools per day.
◉ Pregestational type 1 DM management during pregnancy teaching. .
Answer: •Continue taking insulin during illness to prevent hypoglycemic
and hyperglycemic episodes.
•goal: maintain fasting blood glucose between 60 and 99 mg/dL.
•avoid exercise during hypERglycemia and when positive ketones are
present.
•avoid snacks and foods that are high in refined sugar.
, ◉ Idiopathic thrombocytopenia purpura (ITP) . Answer: •a bleeding
disorder in which the immune system destroys platelets. This can lead to
easy or excessive bruising and bleeding.
•decreased platelet count.
◉ When to assess Apgar score . Answer: •1 minute following birth and
again at 5 mins.
◉ explain early decelerations . Answer: •benign. no interventions
necessary.
•occurs due to compresson of the fetal head during contractions, vaginal
exams, and pushing during second stage of labor.
◉ carboprost med for postpartum hemorrhage adverse effects . Answer:
•can cause hypertension b/c it is a vasoconstrictor.
•fever.
•diarrhea.
◉ Phases of labor . Answer: •*Latent phase* of labor is characterized by
cervical dilation of 0 to 3 cm and contractions every 5-30 minutes, each
lasting 30-45 seconds.
•*Active phase* of labor is characterized by cervical dilation of 4 to 7
cm and contractions every 3 to 5 mins, each lasting 40 to 70 seconds.
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ postpartum breastfeeding teaching . Answer: •Milk production occurs
3-4 days postpartum. Breast will feel firm and heavy. Continue to feed
newborn on demand during this period.
•breast should feel softer - indicates newborn has emptied breast milk.
•baby should appear content after feedings. May not be effectively
emptying breasts during feedings if still rooting, sucking on hands, or
crying.
•newborn should void 6-8 times per day and at least 3 stools per day.
◉ Pregestational type 1 DM management during pregnancy teaching. .
Answer: •Continue taking insulin during illness to prevent hypoglycemic
and hyperglycemic episodes.
•goal: maintain fasting blood glucose between 60 and 99 mg/dL.
•avoid exercise during hypERglycemia and when positive ketones are
present.
•avoid snacks and foods that are high in refined sugar.
, ◉ Idiopathic thrombocytopenia purpura (ITP) . Answer: •a bleeding
disorder in which the immune system destroys platelets. This can lead to
easy or excessive bruising and bleeding.
•decreased platelet count.
◉ When to assess Apgar score . Answer: •1 minute following birth and
again at 5 mins.
◉ explain early decelerations . Answer: •benign. no interventions
necessary.
•occurs due to compresson of the fetal head during contractions, vaginal
exams, and pushing during second stage of labor.
◉ carboprost med for postpartum hemorrhage adverse effects . Answer:
•can cause hypertension b/c it is a vasoconstrictor.
•fever.
•diarrhea.
◉ Phases of labor . Answer: •*Latent phase* of labor is characterized by
cervical dilation of 0 to 3 cm and contractions every 5-30 minutes, each
lasting 30-45 seconds.
•*Active phase* of labor is characterized by cervical dilation of 4 to 7
cm and contractions every 3 to 5 mins, each lasting 40 to 70 seconds.
