RN Maternal Newborn Online Practice
2025 B Exam Questions and Answers
|100% Solved
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight
3,515 g (7 lb 12 oz)Apgar scores 8 at 1 min and 9 at 5 minMaternal history of
methadone use during pregnancy.
1100:Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously
on pacifier but breastfeeds poorly. Increased muscle tone with moderate to severe
tremors when disturbed. Hyperactive Moro reflex noted. Mottled skin noted on
extremities. Frequent sneezing. Several loose stools today.
Maternal urine toxicology screen: positive for opiates (negative)
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,The nurse is planning to contact the provider regarding the newborn's status.
Which of the following prescriptions regarding the newborn should the nurse
anticipate? - ....ANSWER ...-Administer scheduled doses of oral morphine.
Maintain a low-stimulus environment.
Initiate neonatal abstinence syndrome (NAS) scoring.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta
previa. Which of the following actions should the nurse take? -
....ANSWER ...-Initiate continuous external fetal monitoring.
A nurse is providing education about family bonding to guardians who recently
adopted a newborn. The nurse should make which of the following suggestions to
aid the family's 7-year-old child in accepting the new family member? -
....ANSWER ...-Obtain a gift from the newborn to present to the sibling.
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.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
client's head to one side, which of the following actions should the nurse take
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, immediately after the seizure? - ....ANSWER ...-Administer oxygen via a
nonrebreather mask.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the
following statements by the client indicates an understanding of the teaching? -
....ANSWER ...-"I will have blood tests because my potassium might
decrease."
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."
A nurse is performing a newborn assessment. Which of the following images
should the nurse identify as an indication of spina bifida occulta? -
....ANSWER ...-External indications of this neural tube defect include a
dimpled area over the defect and the presence of a birthmark or hairy patch above
the area.
A nurse is planning discharge for a client who is 3 days postpartum. Which of the
following nonpharmacological interventions should the nurse include in the plan
of care for lactation suppression? - ....ANSWER ...-Apply cabbage leaves to
the breasts.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
2025 B Exam Questions and Answers
|100% Solved
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight
3,515 g (7 lb 12 oz)Apgar scores 8 at 1 min and 9 at 5 minMaternal history of
methadone use during pregnancy.
1100:Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously
on pacifier but breastfeeds poorly. Increased muscle tone with moderate to severe
tremors when disturbed. Hyperactive Moro reflex noted. Mottled skin noted on
extremities. Frequent sneezing. Several loose stools today.
Maternal urine toxicology screen: positive for opiates (negative)
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,The nurse is planning to contact the provider regarding the newborn's status.
Which of the following prescriptions regarding the newborn should the nurse
anticipate? - ....ANSWER ...-Administer scheduled doses of oral morphine.
Maintain a low-stimulus environment.
Initiate neonatal abstinence syndrome (NAS) scoring.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta
previa. Which of the following actions should the nurse take? -
....ANSWER ...-Initiate continuous external fetal monitoring.
A nurse is providing education about family bonding to guardians who recently
adopted a newborn. The nurse should make which of the following suggestions to
aid the family's 7-year-old child in accepting the new family member? -
....ANSWER ...-Obtain a gift from the newborn to present to the sibling.
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.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
client's head to one side, which of the following actions should the nurse take
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, immediately after the seizure? - ....ANSWER ...-Administer oxygen via a
nonrebreather mask.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the
following statements by the client indicates an understanding of the teaching? -
....ANSWER ...-"I will have blood tests because my potassium might
decrease."
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."
A nurse is performing a newborn assessment. Which of the following images
should the nurse identify as an indication of spina bifida occulta? -
....ANSWER ...-External indications of this neural tube defect include a
dimpled area over the defect and the presence of a birthmark or hairy patch above
the area.
A nurse is planning discharge for a client who is 3 days postpartum. Which of the
following nonpharmacological interventions should the nurse include in the plan
of care for lactation suppression? - ....ANSWER ...-Apply cabbage leaves to
the breasts.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
