MATERNAL NEWBORN 2023 B
Complete Unabridged Exam Study Guide
Comprehensive Resource with Multi-Format Answer Validations
Directions: This study guide contains all 60 questions from the Maternal Newborn Online Practice 2023 B
examination. It has been formatted specifically for clinical review, high-yield memorization, and structured study.
1. Postpartum Complication Assessment
A nurse is caring for a client who is 3 days postpartum. Complete the diagram by specifying what conditions the
client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
CORRECT SOLUTION
Potential Condition: Endometritis
Actions to Take:
• Plan to administer IV antibiotics.
• Obtain a culture of vaginal fluid using a sterile swab.
Parameters to Monitor:
• Lochia amount and odor
• Temperature
2. Reportable Prenatal Findings
A nurse is caring for a client who is pregnant. Which of the following findings should the nurse report to the
provider? (Findings requiring immediate follow-up):
CORRECT SOLUTION
• Temperature 38.3 °C (101 °F)
• Client reports, "I've been cramping and have had low back pain since yesterday. It burns when I urinate."
• Vaginal examination reveals cervix is 2 cm dilated and 80% effaced.
3. Universal Newborn Screening
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which
of the following statements should the nurse include in the teaching?
CORRECT SOLUTION
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen."
Maternal Newborn Online Practice 2023 B Study Guide Page 1 of 13
, 4. Cultural Beliefs in Postpartum Care
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the nurse include in the plan of care?
CORRECT SOLUTION
Protect the client's head and feet from cold air.
5. Contraction Stress Test Follow-Up
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse
should plan to prepare the client for which of the following diagnostic tests?
CORRECT SOLUTION
Biophysical profile
6. Dosage Calculation: Magnesium Sulfate
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g
magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr?
CORRECT SOLUTION
50 mL/hr
7. Preeclampsia Interventions
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via
continuous IV infusion. Which of the following interventions should the nurse include in the plan?
CORRECT SOLUTION
Monitor the FHR (fetal heart rate) continuously.
8. Newborn Assessment Finding Requiring Intervention
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the
nurse?
CORRECT SOLUTION
Substernal chest retractions while sleeping
Maternal Newborn Online Practice 2023 B Study Guide Page 2 of 13
Complete Unabridged Exam Study Guide
Comprehensive Resource with Multi-Format Answer Validations
Directions: This study guide contains all 60 questions from the Maternal Newborn Online Practice 2023 B
examination. It has been formatted specifically for clinical review, high-yield memorization, and structured study.
1. Postpartum Complication Assessment
A nurse is caring for a client who is 3 days postpartum. Complete the diagram by specifying what conditions the
client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
CORRECT SOLUTION
Potential Condition: Endometritis
Actions to Take:
• Plan to administer IV antibiotics.
• Obtain a culture of vaginal fluid using a sterile swab.
Parameters to Monitor:
• Lochia amount and odor
• Temperature
2. Reportable Prenatal Findings
A nurse is caring for a client who is pregnant. Which of the following findings should the nurse report to the
provider? (Findings requiring immediate follow-up):
CORRECT SOLUTION
• Temperature 38.3 °C (101 °F)
• Client reports, "I've been cramping and have had low back pain since yesterday. It burns when I urinate."
• Vaginal examination reveals cervix is 2 cm dilated and 80% effaced.
3. Universal Newborn Screening
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which
of the following statements should the nurse include in the teaching?
CORRECT SOLUTION
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen."
Maternal Newborn Online Practice 2023 B Study Guide Page 1 of 13
, 4. Cultural Beliefs in Postpartum Care
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the nurse include in the plan of care?
CORRECT SOLUTION
Protect the client's head and feet from cold air.
5. Contraction Stress Test Follow-Up
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse
should plan to prepare the client for which of the following diagnostic tests?
CORRECT SOLUTION
Biophysical profile
6. Dosage Calculation: Magnesium Sulfate
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g
magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr?
CORRECT SOLUTION
50 mL/hr
7. Preeclampsia Interventions
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via
continuous IV infusion. Which of the following interventions should the nurse include in the plan?
CORRECT SOLUTION
Monitor the FHR (fetal heart rate) continuously.
8. Newborn Assessment Finding Requiring Intervention
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the
nurse?
CORRECT SOLUTION
Substernal chest retractions while sleeping
Maternal Newborn Online Practice 2023 B Study Guide Page 2 of 13
