Maternal Newborn Exam Questions with
100% Correct Answers | Already Graded
A+
A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth-degree perineal laceration. The
nurse should contact the provider regarding which of the following
prescriptions? - ✔✔The nurse should not administer a rectal suppository or
enema to a client who has a fourth-degree perineal laceration. These can cause
separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn.
The prescription states, "Administer 5 mcg IM once today." Available is a 5 mL
vial with 10 mcg/mL. How many mL should the nurse administer? (Round the
answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.) - ✔✔STEP 8: Reassess to determine whether the amount to administer
makes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes
sense to administer 0.5 mL. The nurse should administer hepatitis B
immunoglobulin 0.5 mL IM.
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which
of the following instructions should the nurse include in the teaching? - ✔✔The
nurse should instruct the client to engage in 30 min of moderate exercise every
day to improve muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the
fetal monitor. Which of the following findings should the nurse identify as a
possible cause of the early decelerations? - ✔✔The nurse should identify fetal
head compression as a likely cause of the early decelerations on the fetal
monitor. Early decelerations are an expected fetal pattern caused by fetal head
compression due to uterine contractions, fundal pressure, and vaginal
examinations.
A nurse is caring for a client and her partner who have experienced a fetal
death. Which of the following actions should the nurse take? - ✔✔Take photos
of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn
(for example, photos, the newborn's ID bands, the newborn's hat, and the
newborn's blanket).
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of the following actions by the mother should the nurse
recognize as a positive parenting behavior? - ✔✔Lays the newborn across her
lap and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation
promotes a sense of security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority? - ✔✔Epigastric pain is a clinical
manifestation of preeclampsia and indicates hepatic involvement, which is an
urgent finding. Therefore, the nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which
of the following findings is an indication for the administration of the
medication? (Select all that apply.) - ✔✔Flaccid uterus is correct. Oxytocin
increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration
continues even when the uterus is contracted and firm. It will require repair by
the provider.
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
100% Correct Answers | Already Graded
A+
A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth-degree perineal laceration. The
nurse should contact the provider regarding which of the following
prescriptions? - ✔✔The nurse should not administer a rectal suppository or
enema to a client who has a fourth-degree perineal laceration. These can cause
separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn.
The prescription states, "Administer 5 mcg IM once today." Available is a 5 mL
vial with 10 mcg/mL. How many mL should the nurse administer? (Round the
answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.) - ✔✔STEP 8: Reassess to determine whether the amount to administer
makes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes
sense to administer 0.5 mL. The nurse should administer hepatitis B
immunoglobulin 0.5 mL IM.
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which
of the following instructions should the nurse include in the teaching? - ✔✔The
nurse should instruct the client to engage in 30 min of moderate exercise every
day to improve muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the
fetal monitor. Which of the following findings should the nurse identify as a
possible cause of the early decelerations? - ✔✔The nurse should identify fetal
head compression as a likely cause of the early decelerations on the fetal
monitor. Early decelerations are an expected fetal pattern caused by fetal head
compression due to uterine contractions, fundal pressure, and vaginal
examinations.
A nurse is caring for a client and her partner who have experienced a fetal
death. Which of the following actions should the nurse take? - ✔✔Take photos
of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn
(for example, photos, the newborn's ID bands, the newborn's hat, and the
newborn's blanket).
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of the following actions by the mother should the nurse
recognize as a positive parenting behavior? - ✔✔Lays the newborn across her
lap and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation
promotes a sense of security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority? - ✔✔Epigastric pain is a clinical
manifestation of preeclampsia and indicates hepatic involvement, which is an
urgent finding. Therefore, the nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which
of the following findings is an indication for the administration of the
medication? (Select all that apply.) - ✔✔Flaccid uterus is correct. Oxytocin
increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration
continues even when the uterus is contracted and firm. It will require repair by
the provider.
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
