RN MATERNAL NEWBORN PROCTORED ASSESSMENT 3.1 EXAM
ACTUAL 2026/2027 HIGH YIELD PRACTICE QUESTIONS AND STUDY
GUIDE ACCURATE EXAM COMPLETE REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
RELIABLE ANSWERS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+ |FULL REVISED RN MATERNAL
NEWBORN PROCTORED ASSESSMENT 3.1 APPROVED EXAM
|INSTANT DOWNLOAD PDF
Question 1
A nurse is assessing a client at 16 weeks gestation. Which finding is
considered a positive sign of pregnancy?
A) Positive pregnancy test
B) Fetal heartbeat visualized on ultrasound
C) Chadwick's sign
D) Quickening
CORRECT ANSWER: B) Fetal heartbeat visualized on ultrasound
Rationale: Positive signs of pregnancy provide direct evidence of the
fetus. These include fetal heart tones visualized or auscultated by
Doppler, fetal movement felt by the examiner, and ultrasound
visualization of the fetus. Probable signs include hCG detection,
Goodell's sign, Chadwick's sign, and ballottement. Presumptive signs
,are subjective symptoms like quickening, amenorrhea, and breast
tenderness.
Question 2
A client at 34 weeks with preeclampsia has a BP of 168/102 mm Hg,
2+ proteinuria, and reports epigastric pain. The nurse recognizes this
as:
A) Mild preeclampsia
B) Severe preeclampsia with severe features
C) Gestational hypertension
D) Chronic hypertension
CORRECT ANSWER: B) Severe preeclampsia with severe features
Rationale: Severe preeclampsia features include blood pressure
≥160/110 mm Hg, proteinuria ≥5 g/24 h or 3+ dipstick,
thrombocytopenia, renal insufficiency, impaired liver function
(indicated by epigastric pain), pulmonary edema, and cerebral or
visual symptoms. Epigastric pain specifically suggests liver
involvement.
Question 3
,A nurse is teaching a client about Rh sensitization prevention.
Which statements indicate understanding? (Select all that apply)
A) "If I am Rh-negative and my baby is Rh-positive, I need
RhoGAM"
B) "RhoGAM destroys fetal red blood cells in my circulation"
C) "I will receive RhoGAM at 28 weeks and again after delivery"
D) "RhoGAM is not needed after a miscarriage"
E) "Without RhoGAM, my next Rh-positive baby could have
hemolytic disease"
CORRECT ANSWER: A, C, E
Rationale: RhoGAM (Rh immune globulin) is administered to Rh-
negative mothers at 28 weeks gestation and within 72 hours after
delivery if the newborn is Rh-positive. It is also given after
miscarriage, abortion, or ectopic pregnancy. RhoGAM prevents
maternal antibody formation by binding to fetal Rh-positive RBCs,
not destroying them. Without RhoGAM, maternal antibodies can
cross the placenta in subsequent pregnancies and cause hemolytic
disease of the newborn.
Question 4
, A nurse is assessing a pregnant client at 24 weeks gestation who
reports sudden onset of severe abdominal pain and vaginal bleeding.
Which of the following is the priority nursing action?
A) Obtain a detailed sexual history from the client
B) Assess fetal heart tones and maternal vital signs
C) Prepare the client for discharge to home rest
D) Administer acetaminophen for pain management
E) Instruct the client to increase fluid intake
CORRECT ANSWER: B) Assess fetal heart tones and maternal
vital signs
Rationale: Severe abdominal pain and vaginal bleeding at 24 weeks
gestation are warning signs of potential complications such as
placental abruption, preterm labor, or miscarriage. The priority
nursing action is to assess fetal heart tones to determine fetal viability
and maternal vital signs to evaluate maternal stability and potential
shock. This assessment guides further interventions and determines
the urgency of provider notification.
Question 5
ACTUAL 2026/2027 HIGH YIELD PRACTICE QUESTIONS AND STUDY
GUIDE ACCURATE EXAM COMPLETE REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
RELIABLE ANSWERS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+ |FULL REVISED RN MATERNAL
NEWBORN PROCTORED ASSESSMENT 3.1 APPROVED EXAM
|INSTANT DOWNLOAD PDF
Question 1
A nurse is assessing a client at 16 weeks gestation. Which finding is
considered a positive sign of pregnancy?
A) Positive pregnancy test
B) Fetal heartbeat visualized on ultrasound
C) Chadwick's sign
D) Quickening
CORRECT ANSWER: B) Fetal heartbeat visualized on ultrasound
Rationale: Positive signs of pregnancy provide direct evidence of the
fetus. These include fetal heart tones visualized or auscultated by
Doppler, fetal movement felt by the examiner, and ultrasound
visualization of the fetus. Probable signs include hCG detection,
Goodell's sign, Chadwick's sign, and ballottement. Presumptive signs
,are subjective symptoms like quickening, amenorrhea, and breast
tenderness.
Question 2
A client at 34 weeks with preeclampsia has a BP of 168/102 mm Hg,
2+ proteinuria, and reports epigastric pain. The nurse recognizes this
as:
A) Mild preeclampsia
B) Severe preeclampsia with severe features
C) Gestational hypertension
D) Chronic hypertension
CORRECT ANSWER: B) Severe preeclampsia with severe features
Rationale: Severe preeclampsia features include blood pressure
≥160/110 mm Hg, proteinuria ≥5 g/24 h or 3+ dipstick,
thrombocytopenia, renal insufficiency, impaired liver function
(indicated by epigastric pain), pulmonary edema, and cerebral or
visual symptoms. Epigastric pain specifically suggests liver
involvement.
Question 3
,A nurse is teaching a client about Rh sensitization prevention.
Which statements indicate understanding? (Select all that apply)
A) "If I am Rh-negative and my baby is Rh-positive, I need
RhoGAM"
B) "RhoGAM destroys fetal red blood cells in my circulation"
C) "I will receive RhoGAM at 28 weeks and again after delivery"
D) "RhoGAM is not needed after a miscarriage"
E) "Without RhoGAM, my next Rh-positive baby could have
hemolytic disease"
CORRECT ANSWER: A, C, E
Rationale: RhoGAM (Rh immune globulin) is administered to Rh-
negative mothers at 28 weeks gestation and within 72 hours after
delivery if the newborn is Rh-positive. It is also given after
miscarriage, abortion, or ectopic pregnancy. RhoGAM prevents
maternal antibody formation by binding to fetal Rh-positive RBCs,
not destroying them. Without RhoGAM, maternal antibodies can
cross the placenta in subsequent pregnancies and cause hemolytic
disease of the newborn.
Question 4
, A nurse is assessing a pregnant client at 24 weeks gestation who
reports sudden onset of severe abdominal pain and vaginal bleeding.
Which of the following is the priority nursing action?
A) Obtain a detailed sexual history from the client
B) Assess fetal heart tones and maternal vital signs
C) Prepare the client for discharge to home rest
D) Administer acetaminophen for pain management
E) Instruct the client to increase fluid intake
CORRECT ANSWER: B) Assess fetal heart tones and maternal
vital signs
Rationale: Severe abdominal pain and vaginal bleeding at 24 weeks
gestation are warning signs of potential complications such as
placental abruption, preterm labor, or miscarriage. The priority
nursing action is to assess fetal heart tones to determine fetal viability
and maternal vital signs to evaluate maternal stability and potential
shock. This assessment guides further interventions and determines
the urgency of provider notification.
Question 5
