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TI RN Maternal Newborn Proctored Exam 2025
A
– Actual Exam Questions with Verified Answers
& Clinical Rationales | Graded A+
tudent Name:_________________________
S
Date:_______________
Time Limit:90 minutes
Total Questions:70
Instructions
his exam contains 70 questions, including multiple-choice (MCQ) and select-all-that-apply (SATA)
T
formats, covering prenatal, intrapartum, postpartum, breastfeeding, and newborn safety. Read
each question carefully and select the best answer(s). Correct answers are highlighted in yellow,
with rationales in red.
Prenatal Care (15 Questions)
1. M CQ
A pregnant client at 12 weeks gestation reports nausea and vomiting. What is the nurse’s best
recommendation?
a) Eat large meals to settle the stomach
b) Consume small, frequent meals
c) Avoid all fluids until vomiting stops
d) Take an over-the-counter antacid
Rationale:Small, frequent meals reduce nausea bypreventing an empty stomach, per ACOG
guidelines.
2. MCQ
A client at 20 weeks gestation has a blood pressure of 150/90 mmHg. What should the nurse
suspect?
a) Gestational diabetes
b) Preeclampsia
c) Iron-deficiency anemia
, ) Hyperemesis gravidarum
d
Rationale:Elevated blood pressure after 20 weekssuggests preeclampsia, a hypertensive
disorder, per ACOG guidelines.
3. SATA
Which interventions should the nurse include for a client with gestational diabetes? (Select all
that apply.)
a) Monitor blood glucose levels
b) Teach carbohydrate counting
c) Administer insulin without monitoring
d) Refer to a dietitian
Rationale:Monitoring glucose, teaching carbohydratecounting, and dietitian referral manage
gestational diabetes; unmonitored insulin is unsafe, per ADA guidelines.
4. MCQ
A client at 16 weeks gestation reports spotting. What is the nurse’s first action?
a) Administer pain medication
b) Assess for cramping or bleeding
c) Encourage bed rest without assessment
d) Schedule an elective ultrasound
Rationale:Spotting may indicate complications; assessingcramping or bleeding determines
urgency, per ACOG guidelines.
5. MCQ
A client asks about safe exercise during pregnancy. What should the nurse recommend?
a) Avoid all physical activity
b) Engage in moderate aerobic exercise
c) Perform high-intensity interval training
d) Restrict movement to walking only
Rationale:Moderate aerobic exercise is safe andbeneficial during pregnancy, per ACOG
guidelines.
6. MCQ
A client at 28 weeks gestation has a positive Group B Streptococcus (GBS) test. What should the
nurse expect?
a) No intervention needed
b) Antibiotics during labor
c) Immediate cesarean delivery
d) Oral antibiotics now
Rationale:GBS-positive clients receive intrapartumantibiotics to prevent neonatal infection,
per CDC guidelines.
7. SATA
Which findings indicate potential preeclampsia in a pregnant client? (Select all that apply.)
a) Blood pressure 160/100 mmHg
b) Proteinuria
c) Hypoglycemia
d) Epigastric pain
TI RN Maternal Newborn Proctored Exam 2025
A
– Actual Exam Questions with Verified Answers
& Clinical Rationales | Graded A+
tudent Name:_________________________
S
Date:_______________
Time Limit:90 minutes
Total Questions:70
Instructions
his exam contains 70 questions, including multiple-choice (MCQ) and select-all-that-apply (SATA)
T
formats, covering prenatal, intrapartum, postpartum, breastfeeding, and newborn safety. Read
each question carefully and select the best answer(s). Correct answers are highlighted in yellow,
with rationales in red.
Prenatal Care (15 Questions)
1. M CQ
A pregnant client at 12 weeks gestation reports nausea and vomiting. What is the nurse’s best
recommendation?
a) Eat large meals to settle the stomach
b) Consume small, frequent meals
c) Avoid all fluids until vomiting stops
d) Take an over-the-counter antacid
Rationale:Small, frequent meals reduce nausea bypreventing an empty stomach, per ACOG
guidelines.
2. MCQ
A client at 20 weeks gestation has a blood pressure of 150/90 mmHg. What should the nurse
suspect?
a) Gestational diabetes
b) Preeclampsia
c) Iron-deficiency anemia
, ) Hyperemesis gravidarum
d
Rationale:Elevated blood pressure after 20 weekssuggests preeclampsia, a hypertensive
disorder, per ACOG guidelines.
3. SATA
Which interventions should the nurse include for a client with gestational diabetes? (Select all
that apply.)
a) Monitor blood glucose levels
b) Teach carbohydrate counting
c) Administer insulin without monitoring
d) Refer to a dietitian
Rationale:Monitoring glucose, teaching carbohydratecounting, and dietitian referral manage
gestational diabetes; unmonitored insulin is unsafe, per ADA guidelines.
4. MCQ
A client at 16 weeks gestation reports spotting. What is the nurse’s first action?
a) Administer pain medication
b) Assess for cramping or bleeding
c) Encourage bed rest without assessment
d) Schedule an elective ultrasound
Rationale:Spotting may indicate complications; assessingcramping or bleeding determines
urgency, per ACOG guidelines.
5. MCQ
A client asks about safe exercise during pregnancy. What should the nurse recommend?
a) Avoid all physical activity
b) Engage in moderate aerobic exercise
c) Perform high-intensity interval training
d) Restrict movement to walking only
Rationale:Moderate aerobic exercise is safe andbeneficial during pregnancy, per ACOG
guidelines.
6. MCQ
A client at 28 weeks gestation has a positive Group B Streptococcus (GBS) test. What should the
nurse expect?
a) No intervention needed
b) Antibiotics during labor
c) Immediate cesarean delivery
d) Oral antibiotics now
Rationale:GBS-positive clients receive intrapartumantibiotics to prevent neonatal infection,
per CDC guidelines.
7. SATA
Which findings indicate potential preeclampsia in a pregnant client? (Select all that apply.)
a) Blood pressure 160/100 mmHg
b) Proteinuria
c) Hypoglycemia
d) Epigastric pain
