MATERNAL-NEWBORN NURSING | CLINICAL JUDGMENT
MATERNAL-NEWBORN
NURSING FULL PRACTICE EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Scenario-based review | Print-friendly
SUPPORT EVERY BIRTH. SAFEGUARD EVERY NEW BEGINNING.
Independent educational practice | No publisher affiliation
,Exam Instructions
Suggested time: 120 minutes. Select the single best response. Complete all five sections before reviewing the answer key and rationales.
Clinical care must follow current orders, guidance, and facility policy.
Coverage: prenatal and high-risk care, labor and birth, postpartum recovery, newborn transition, family-centered care, prioritization,
medication safety, and clinical judgment.
This is an independently written educational resource, not an official HESI or NCLEX examination and not affiliated with any publisher or testing
organization.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
MATERNAL-NEWBORN NURSING | ORIGINAL PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
PRENATAL & HIGH-RISK CARE 1. A client at 11 weeks has persistent vomiting, orthostatic dizziness, and 5% weight
loss. Which prescription should the nurse anticipate?
A. Fluid restriction
B. High-dose diuretic
C. IV isotonic fluids with electrolyte assessment
D. Routine discharge without assessment
Answer: ______
PRENATAL & HIGH-RISK CARE 2. A pregnant client with iron-deficiency anemia asks how to take prescribed oral iron.
Which instruction is best?
A. Take it with a vitamin C source if tolerated
B. Take it with an antacid
C. Stop if stools darken
D. Take it with tea
Answer: ______
PRENATAL & HIGH-RISK CARE 3. A client at 30 weeks reports intense itching of the palms and soles, worse at night,
without a rash. What should the nurse recommend?
A. Restrict all dietary fat
B. Apply topical steroid and wait two weeks
C. Ignore it as normal stretching
D. Promptly contact the maternity clinician for assessment
Answer: ______
PRENATAL & HIGH-RISK CARE 4. A client with preeclampsia is receiving magnesium sulfate. Which finding most
strongly suggests toxicity?
A. Urine output 45 mL/hr
B. Absent deep-tendon reflexes and decreasing respirations
C. Warmth and flushing
D. Mild nausea
Answer: ______
PRENATAL & HIGH-RISK CARE 5. A client with severe preeclampsia begins convulsing. What is the nurse’s first action?
A. Restrain all limbs
B. Insert an object into the mouth
C. Leave to obtain the chart
D. Protect the client from injury, position laterally, and call for help
Answer: ______
MATERNAL-NEWBORN NURSING | ORIGINAL PRACTICE EXAM 3
MATERNAL-NEWBORN
NURSING FULL PRACTICE EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Scenario-based review | Print-friendly
SUPPORT EVERY BIRTH. SAFEGUARD EVERY NEW BEGINNING.
Independent educational practice | No publisher affiliation
,Exam Instructions
Suggested time: 120 minutes. Select the single best response. Complete all five sections before reviewing the answer key and rationales.
Clinical care must follow current orders, guidance, and facility policy.
Coverage: prenatal and high-risk care, labor and birth, postpartum recovery, newborn transition, family-centered care, prioritization,
medication safety, and clinical judgment.
This is an independently written educational resource, not an official HESI or NCLEX examination and not affiliated with any publisher or testing
organization.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
MATERNAL-NEWBORN NURSING | ORIGINAL PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
PRENATAL & HIGH-RISK CARE 1. A client at 11 weeks has persistent vomiting, orthostatic dizziness, and 5% weight
loss. Which prescription should the nurse anticipate?
A. Fluid restriction
B. High-dose diuretic
C. IV isotonic fluids with electrolyte assessment
D. Routine discharge without assessment
Answer: ______
PRENATAL & HIGH-RISK CARE 2. A pregnant client with iron-deficiency anemia asks how to take prescribed oral iron.
Which instruction is best?
A. Take it with a vitamin C source if tolerated
B. Take it with an antacid
C. Stop if stools darken
D. Take it with tea
Answer: ______
PRENATAL & HIGH-RISK CARE 3. A client at 30 weeks reports intense itching of the palms and soles, worse at night,
without a rash. What should the nurse recommend?
A. Restrict all dietary fat
B. Apply topical steroid and wait two weeks
C. Ignore it as normal stretching
D. Promptly contact the maternity clinician for assessment
Answer: ______
PRENATAL & HIGH-RISK CARE 4. A client with preeclampsia is receiving magnesium sulfate. Which finding most
strongly suggests toxicity?
A. Urine output 45 mL/hr
B. Absent deep-tendon reflexes and decreasing respirations
C. Warmth and flushing
D. Mild nausea
Answer: ______
PRENATAL & HIGH-RISK CARE 5. A client with severe preeclampsia begins convulsing. What is the nurse’s first action?
A. Restrain all limbs
B. Insert an object into the mouth
C. Leave to obtain the chart
D. Protect the client from injury, position laterally, and call for help
Answer: ______
MATERNAL-NEWBORN NURSING | ORIGINAL PRACTICE EXAM 3
