CMS MATERNAL NEWBORN PROCTORED EXAM | MOST RECENT VERSION | 130 QUESTIONS WITH ACCURATE AND COMPREHENSIVE ANSWERS (CERTIFIED & VERIFIED

CMS MATERNAL NEWBORN PROCTORED EXAM | MOST RECENT VERSION | 130 QUESTIONS WITH ACCURATE AND COMPREHENSIVE ANSWERS (CERTIFIED & VERIFIED) A nurse in a clinic is reinforcing teaching with a client about her new prescription for MEDROXYPROGESTERONE. Which of the following information should the nurse include? -"You should increase your intake of calcium." -"Irregular vaginal spotting can occur." A nurse is reviewing the medical record of a client who reports indications of preterm labor. What are some risk factors for this condition? -UTI -Multifetal pregnancy -DM -Uterine abnormalities A client at 32 weeks gestation is in preterm labor. Which medication should the nurse anticipate to enhance fetal lung maturity? Betamethasone A nurse is assisting with the care of a client who is receiving nifedipine for preterm labor prevention. The nurse should monitor for what manifestation? Dizziness (orthostatic hypotension) A nurse is assisting with the care of a client who has a prescription for mag sulf. What are the contraindications? -Fetal distress -Vaginal bleeding -Dilation >6 A nurse is reinforcing discharge teaching with a client who had premature ruptured membranes at 26 weeks. What instructions should the nurse include? Keep a daily record of kick counts A nurse in the labor and delivery unit is assisting with a laboring client and applies an external monitor and taco transducer. FHR 140/min, contractions every 8 min for 30-40 seconds. 2cm dilated and 50% effected with fetus at -2 station. What phase of labor is the client in? First stage, latent phase A client experiences a large gush of fluid from her vagina while walking. What action should the nurse take first? Monitor FHR for distress A nurse is caring for client who is pregnant and states that her last mensural period was April 1. Which if the following is the client's estimated date of delivery? January 8 A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should the nurse interpret this information. -Client has delivered one newborn at term -Client has had two prior pregnancies -Client has one living A nurses is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? -Goodell's sign -Ballottement -Chadwick's sign A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? "This is due to the weight of the uterus on the large blood vessels." A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a pregnancy test. Which of the following information should the nurse provide to the client? "You should collect the urine from your first morning void." A nurse is reinforcing teaching with a group of clients about measures to relive backache during pregnancy. Which of the following measures should the nurse include? -Preform pelvic rock exercise everyday -Use proper body mechanics A nurse is caring for a client who is pregnant and reviewing clinical manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include? Vaginal bleeding A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? Eat crackers or plain toast before getting out of bed A nurse is discussing common discomforts of pregnancy with a client who is at 6 weeks of gestation. Which of the following findings should the nurse include? -Breast tenderness -Urinary frequency -Epistaxis A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? "It is normal to these feeling during the first few months of pregnancy" A nurse in a prenatal clinic is reinforcing education with a client who at 8 weeks of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? Dark green leafy vegetables A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider. 3.6 kg (8lbs) weight gain in the first trimester A nurse in a clinic is reinforcing instructions with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the neonate as a result of folic acid deficiency? Neural tube defects A nurse is reviewing a prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instructs the client to take the iron supplements with? OJ A nurse is assisting the charge nurse with reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? "I will continue my calcium supplements because I don't like milk." A nurse is reviewing findings of a client's biophysical profile (BPP) with the charge nurse. Which of the following variables should the nurse expect the test to include. -Fetal breathing movement -fetal tone -amniotic fluid volume A nurse is assisting with the care of a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should review which of the following tests to determine fetal lung maturity? Lecithin/sphingomyelin (L/S) ratio A nurse is assisting with the care of a client to is pregnant and undergoing a nonstress test. The nurse asks why the charge nurse is using a vibroacoustic stimulation device. Which of the following responses should the charge nurse make? "It awakens a sleeping fetus." A nurse is reinforcing teaching with a client who is pregnant about the amniocentesis procedure. Which of the follwing statements should the nurse make? "You should empty your bladder prior to the procedure." A nurse is assisting with the care of a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? -Decreased fetal movement -Intrauterine growth restriction -postmaturity A nurse in the emergency department is caring for a client who reports abrupt , sharp, right lower quadrant abdominal pain bright red vaginal bleeding. The client states she missed one mensural cycle and cannot be pregnant because she has an IUD. The nurse should suspect which of the following? ectopic pregnancy A nurse is assisting with the care of a client who has marginal abruptio placentae. Which of the following findings are risk factors? -Blunt abdominal trauma -Cocaine use -Cigarette smoking A nurse manager is reviewing ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which statement is an understanding of the teaching? A woman should avoid consuming undercooked meat during pregnancy A nurse is caring for a client who is 14 weeks gestation and has HG. Which are risk factors? -Obesity -Multifetal pregnancy -Younger than 30 A nurse is reviewing lab results for a client who had suspected HG. Which results should the nurse identify as a manifestation? Urine ketones are present A nurse is assisting in the care of a client who has sever preeclampsia and is recieving mag sulf. What are the indications of mag sulf toxicity? -RR <12/min -Urinary output <30ml/hour