Maternal Newborn 3.0 Test Questions and Answers 2026–
2027
A nurse is assessing a client on the first postpartum day. Findings include fundus firm and
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one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small
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clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions
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should the nurse take? <CORRECT ANSWER>Ask the client when she last voided
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A nurse is preparing to administer naloxone to a newborn. Which of the following conditions
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can require administration of this medication? <CORRECT ANSWER>IV narcotics administered
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to the mother during labor
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A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction
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of labor. Which of the following statements should the nurse make? <CORRECT ANSWER>An
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epidural given too early can prolong labor
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A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the
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following instructions should the nurse provide the client? <CORRECT ANSWER>You should
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eat some crackers before rising from bed in the morning
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A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
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following situations should the nurse administer Rh(D) Immune Globulin? <CORRECT
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ANSWER>At 28 weeks of gestion
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A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm
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labor. Which of the following clinical manifestations in the newborn indicates toxicity due to
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the magnesium sulfate therapy? <CORRECT ANSWER>Respiratory depression
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A nurse is caring for a newborn who was born to a client who has a narcotic use disorder.
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Which of the following nursing actions should the nurse identify as a contraindication for
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the care of the newborn? <CORRECT ANSWER>Frequent stimulation
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, Maternal Newborn 3.0 Test Questions and Answers 2026–
2027
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
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information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
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following position should the nurse document in the medical record? <CORRECT
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ANSWER>Vertex
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A nurse is caring for a client who desires an intrauterine device (IUD) for contraception.
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Which of the following findings is a contraindication for the use of this device? <CORRECT
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ANSWER>Menorrhagia
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A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of
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the following actions should the nurse include in the plan of care? <CORRECT
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ANSWER>Check the cervix prior to analgesic administration
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A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole.
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Which of the following instructions should the nurse provide to the client about the
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treatment plan? <CORRECT ANSWER>You and your partner need to take the medication and
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use a condom during intercourse until cultures are negative
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A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
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hypoglycemia? <CORRECT ANSWER>A newborn who is large for gestational age
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A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
perineal pad has a large amount of lochia rubra with several clots. Which of the following
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
actions should the nurse take first? <CORRECT ANSWER>Massage the fundus
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A nurse is caring for a client whose membranes have ruptured and is in active labor. The
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fetal monitor tracing reveals late decelerations. Which of the following actions should the
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nurse take first? <CORRECT ANSWER>Turn the client onto her left side
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2027
A nurse is assessing a client on the first postpartum day. Findings include fundus firm and
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
should the nurse take? <CORRECT ANSWER>Ask the client when she last voided
bb bb bb bb bb bb bb bb bb bb bb bb
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
can require administration of this medication? <CORRECT ANSWER>IV narcotics administered
bb bb bb bb bb bb bb bb bb bb
to the mother during labor
bb bb bb bb bb
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
of labor. Which of the following statements should the nurse make? <CORRECT ANSWER>An
bb bb bb bb bb bb bb bb bb bb bb bb bb
epidural given too early can prolong labor
bb bb bb bb bb bb bb
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following instructions should the nurse provide the client? <CORRECT ANSWER>You should
bb bb bb bb bb bb bb bb bb bb bb
eat some crackers before rising from bed in the morning
bb bb bb bb bb bb bb bb bb bb
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following situations should the nurse administer Rh(D) Immune Globulin? <CORRECT
bb bb bb bb bb bb bb bb bb bb
ANSWER>At 28 weeks of gestion
bb bb bb bb bb
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
labor. Which of the following clinical manifestations in the newborn indicates toxicity due to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the magnesium sulfate therapy? <CORRECT ANSWER>Respiratory depression
bb bb bb bb bb bb bb
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Which of the following nursing actions should the nurse identify as a contraindication for
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the care of the newborn? <CORRECT ANSWER>Frequent stimulation
bb bb bb bb bb bb bb bb
, Maternal Newborn 3.0 Test Questions and Answers 2026–
2027
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following position should the nurse document in the medical record? <CORRECT
bb bb bb bb bb bb bb bb bb bb bb
ANSWER>Vertex
bb
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Which of the following findings is a contraindication for the use of this device? <CORRECT
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ANSWER>Menorrhagia
bb
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the following actions should the nurse include in the plan of care? <CORRECT
bb bb bb bb bb bb bb bb bb bb bb bb bb
ANSWER>Check the cervix prior to analgesic administration
bb bb bb bb bb bb bb
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Which of the following instructions should the nurse provide to the client about the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
treatment plan? <CORRECT ANSWER>You and your partner need to take the medication and
bb bb bb bb bb bb bb bb bb bb bb bb bb
use a condom during intercourse until cultures are negative
bb bb bb bb bb bb bb bb bb
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
hypoglycemia? <CORRECT ANSWER>A newborn who is large for gestational age
bb bb bb bb bb bb bb bb bb bb
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
perineal pad has a large amount of lochia rubra with several clots. Which of the following
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
actions should the nurse take first? <CORRECT ANSWER>Massage the fundus
bb bb bb bb bb bb bb bb bb bb
A nurse is caring for a client whose membranes have ruptured and is in active labor. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
fetal monitor tracing reveals late decelerations. Which of the following actions should the
bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse take first? <CORRECT ANSWER>Turn the client onto her left side
bb bb bb bb bb bb bb bb bb bb bb
