RN MATERNAL NEWBORN COMPREHENSIVE
EXAM 2026 QUESTIONS AND ANSWERS 100%
CORRECT
◉ a nurse is caring for a client who is 22 weeks of gestation and is HIV
positive. which of the following actions should the nurse take? Answer:
Report the client's condition to the local health department.
The nurse should report the condition to the local health department.
HIV is one of the conditions on the list of Nationally Notifiable
Infectious Conditions that is required to be reported.
◉ a nurse is providing teaching for a client who has a new prescription
for combined oral contraceptives. which of the following findings
should the nurse include as an adverse effect of this medication?
Answer: depression
The nurse should instruct the client that depression is a common adverse
effect of combined oral contraceptives. Other common adverse effects of
the medication include amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness.
◉ a nurse is providing teaching to a client who is at 40 weeks of
gestation and has a new prescription for misoprostol. Which of the
,following instructions should the nurse include in the teaching? Answer:
"I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose
of misoprostol. Oxytocin can be administered following misoprostol for
clients who have cervical ripening and have not begun labor.
◉ a nurse is caring for a prenatal client who has parvovirus b19(fifth
disease) which of the following actions should the nurse take? Answer:
schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the
fetus during the pregnancy to detect the possible development of fetal
hydrops. Also, the virus can cause miscarriage, intrauterine growth
restriction, fetal anemia, or stillbirth.
◉ a nurse is preparing to collect a blood specimen from a newborn via a
heel stick. which of the following techniques should the nurse use to
help minimize the pain of the procedure for the newborn? Answer:
place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective
technique to significantly decrease the newborn's pain level and anxiety.
The nurse should implement this technique before, during, and after the
procedure.
, ◉ a nurse is performing a vag examination on a client who is in labor
and observes the umbilical cord protruding from the vagina. after calling
for assistance, which of the following actions should the nurse take?
Answer: Insert two gloved fingers into the vagina and apply upward
pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the
vagina toward the cervix, exerting upward pressure onto the presenting
part to relieve umbilical cord compression and increase oxygenation to
the fetus.
◉ a nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. which of the following lab tests should
the nurse expect the provider to prescribe? Answer: kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test
for a client who has suspected placental abruption to determine if fetal
blood is in maternal circulation. This test is useful to determine if Rho-
(D) immune globulin therapy should be administered to a client who is
Rh-negative.
◉ a nurse is admitting a client who is in labor. the client admits to recent
cocaine use. for which of the following complications should the nurse
assess? Answer: abruptio placenta
EXAM 2026 QUESTIONS AND ANSWERS 100%
CORRECT
◉ a nurse is caring for a client who is 22 weeks of gestation and is HIV
positive. which of the following actions should the nurse take? Answer:
Report the client's condition to the local health department.
The nurse should report the condition to the local health department.
HIV is one of the conditions on the list of Nationally Notifiable
Infectious Conditions that is required to be reported.
◉ a nurse is providing teaching for a client who has a new prescription
for combined oral contraceptives. which of the following findings
should the nurse include as an adverse effect of this medication?
Answer: depression
The nurse should instruct the client that depression is a common adverse
effect of combined oral contraceptives. Other common adverse effects of
the medication include amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness.
◉ a nurse is providing teaching to a client who is at 40 weeks of
gestation and has a new prescription for misoprostol. Which of the
,following instructions should the nurse include in the teaching? Answer:
"I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose
of misoprostol. Oxytocin can be administered following misoprostol for
clients who have cervical ripening and have not begun labor.
◉ a nurse is caring for a prenatal client who has parvovirus b19(fifth
disease) which of the following actions should the nurse take? Answer:
schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the
fetus during the pregnancy to detect the possible development of fetal
hydrops. Also, the virus can cause miscarriage, intrauterine growth
restriction, fetal anemia, or stillbirth.
◉ a nurse is preparing to collect a blood specimen from a newborn via a
heel stick. which of the following techniques should the nurse use to
help minimize the pain of the procedure for the newborn? Answer:
place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective
technique to significantly decrease the newborn's pain level and anxiety.
The nurse should implement this technique before, during, and after the
procedure.
, ◉ a nurse is performing a vag examination on a client who is in labor
and observes the umbilical cord protruding from the vagina. after calling
for assistance, which of the following actions should the nurse take?
Answer: Insert two gloved fingers into the vagina and apply upward
pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the
vagina toward the cervix, exerting upward pressure onto the presenting
part to relieve umbilical cord compression and increase oxygenation to
the fetus.
◉ a nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. which of the following lab tests should
the nurse expect the provider to prescribe? Answer: kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test
for a client who has suspected placental abruption to determine if fetal
blood is in maternal circulation. This test is useful to determine if Rho-
(D) immune globulin therapy should be administered to a client who is
Rh-negative.
◉ a nurse is admitting a client who is in labor. the client admits to recent
cocaine use. for which of the following complications should the nurse
assess? Answer: abruptio placenta
