MATERNAL NEWBORN EXAM
QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES
GRADED A+ FOR 2026 ASSURED
EXCEL!!
1. A nurse working in Labor and Delivery is ordered to give Misoprostol 25 mg to induce labor.
Available tablets are 100 mg. How many tablets should be administered?
A. 0.25 tablets
B. 1 tablet
C. 2 tablets
D. 4 tablets
CORRECT ANSWER: A — 0.25 tablets
RATIONALE:
Medication calculation:
25𝑚𝑔
= 0.25
100𝑚𝑔
The patient requires one-quarter of a tablet.
EXAM TIP:
Desired dose ÷ Available dose = Amount to give.
2. Which Leopold Maneuver determines the presenting part of the fetus?
A. First maneuver
B. Second maneuver
C. Third maneuver
D. Fourth maneuver
CORRECT ANSWER: C — Third maneuver
, RATIONALE:
The third Leopold maneuver identifies the fetal presenting part by palpating the area above the
symphysis pubis.
MEMORY TIP:
• 1st: Fundus — fetal position
• 2nd: Sides — fetal back
• 3rd: Presenting part
• 4th: Descent/engagement
3. A newborn assessment reveals the following findings. Which are abnormal? Select all that
apply.
A. Acrocyanosis
B. Visible jaundice
C. Respiratory rate 47/min
D. Heart rate 93 bpm
E. AP ratio 1:1
CORRECT ANSWERS: B and D
RATIONALE:
Visible jaundice:
• Jaundice immediately after birth is abnormal and may indicate pathology.
Heart rate 93 bpm:
• Normal newborn HR: 110–160 bpm
Other findings:
• Acrocyanosis is normal during transition.
• RR 30–60 is normal.
• AP diameter 1:1 is expected.
EXAM TIP:
Newborn normal HR = 110–160
, 4. What does a rapid decrease in fetal heart rate usually indicate?
A. Cord compression
B. Head compression
C. Placental insufficiency
CORRECT ANSWER: A — Cord compression
RATIONALE:
Rapid drops in FHR are variable decelerations, caused by umbilical cord compression.
MEMORY TIP:
Variable = Vascular cord problem
5. Normal fetal heart rate range is:
A. 100–150 bpm
B. 110–160 bpm
C. 90–150 bpm
CORRECT ANSWER: B — 110–160 bpm
RATIONALE:
The expected baseline fetal heart rate is 110–160 bpm.
6. Which immunization/medication is given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine
CORRECT ANSWER: A — Vitamin K
RATIONALE:
Newborns have low vitamin K levels, increasing bleeding risk. Vitamin K prevents hemorrhagic
disease.
EXAM TIP:
Vitamin K = prevents bleeding
QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES
GRADED A+ FOR 2026 ASSURED
EXCEL!!
1. A nurse working in Labor and Delivery is ordered to give Misoprostol 25 mg to induce labor.
Available tablets are 100 mg. How many tablets should be administered?
A. 0.25 tablets
B. 1 tablet
C. 2 tablets
D. 4 tablets
CORRECT ANSWER: A — 0.25 tablets
RATIONALE:
Medication calculation:
25𝑚𝑔
= 0.25
100𝑚𝑔
The patient requires one-quarter of a tablet.
EXAM TIP:
Desired dose ÷ Available dose = Amount to give.
2. Which Leopold Maneuver determines the presenting part of the fetus?
A. First maneuver
B. Second maneuver
C. Third maneuver
D. Fourth maneuver
CORRECT ANSWER: C — Third maneuver
, RATIONALE:
The third Leopold maneuver identifies the fetal presenting part by palpating the area above the
symphysis pubis.
MEMORY TIP:
• 1st: Fundus — fetal position
• 2nd: Sides — fetal back
• 3rd: Presenting part
• 4th: Descent/engagement
3. A newborn assessment reveals the following findings. Which are abnormal? Select all that
apply.
A. Acrocyanosis
B. Visible jaundice
C. Respiratory rate 47/min
D. Heart rate 93 bpm
E. AP ratio 1:1
CORRECT ANSWERS: B and D
RATIONALE:
Visible jaundice:
• Jaundice immediately after birth is abnormal and may indicate pathology.
Heart rate 93 bpm:
• Normal newborn HR: 110–160 bpm
Other findings:
• Acrocyanosis is normal during transition.
• RR 30–60 is normal.
• AP diameter 1:1 is expected.
EXAM TIP:
Newborn normal HR = 110–160
, 4. What does a rapid decrease in fetal heart rate usually indicate?
A. Cord compression
B. Head compression
C. Placental insufficiency
CORRECT ANSWER: A — Cord compression
RATIONALE:
Rapid drops in FHR are variable decelerations, caused by umbilical cord compression.
MEMORY TIP:
Variable = Vascular cord problem
5. Normal fetal heart rate range is:
A. 100–150 bpm
B. 110–160 bpm
C. 90–150 bpm
CORRECT ANSWER: B — 110–160 bpm
RATIONALE:
The expected baseline fetal heart rate is 110–160 bpm.
6. Which immunization/medication is given shortly after birth?
A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine
CORRECT ANSWER: A — Vitamin K
RATIONALE:
Newborns have low vitamin K levels, increasing bleeding risk. Vitamin K prevents hemorrhagic
disease.
EXAM TIP:
Vitamin K = prevents bleeding
