RN MATERNAL NEWBORN TEST PAPER 2025/2026
QUESTIONS WITH ANSWERS RATED A+
✔✔Which of the following is a test for fetal lung maturity? - ✔✔An L/S ratio of 2:1
indicates fetal lung maturity (2.5:1 or 3:1 for a client who has diabetes mellitus).
✔✔A client who is undergoing a nonstress test asks a RN to explain why use an
acoustic vibration device. The RN states that the device is used to: - ✔✔Awaken the
sleeping fetus.
*If there is no fetal movement (fetus sleeping), vibroacoustic stimulation (sound source,
usually a laryngeal stimulator) is activated for 3 seconds on the maternal abdomen over
the fetal head to awaken a sleeping fetus
✔✔A nurse determines that a client who is pregnant needs further instructions about an
amniocentesis when the client states, - ✔✔"I need to have a full bladder for the
procedure to be done."
*An amniocentesis requires an empty bladder to prevent an inadvertent puncture from
occurring.
✔✔Which findings from a client who is pregnant should indicate to a nurse that the
client should undergo a contraction stress test (CST)? - ✔✔Decreased fetal movement,
Intrauterine growth restriction (IUGR), Postmaturity, Advanced maternal age, are all
findings that require interventions. Assessing fetal well-being by performing a CST
would be indicated.
✔✔Ectopic pregnancy - ✔✔Signs and symptoms of an ectopic pregnancy include
unilateral lower-quadrant abdominal pain with or without bleeding.
✔✔Hydatidiform mole - (gestational trophoblastic disease) a uterine size that increases
abnormally fast. The trophoblastic tissue causes - ✔✔Abnormally high levels of hCG
that result in excessive nausea and emesis. No fetus present on the ultrasound. Scant
or profuse dark brown or red vaginal bleeding that 1st occurs in the 2nd trimester,
usually around the 16th week of gestation.
✔✔Risk Factors for Abrutio Placenta - ✔✔Maternal hypertension, blunt abdominal
trauma, cocaine abuse, and cigarette smoking are risk factors for abruption placenta.
✔✔A client who is at 32 weeks gestation, is diagnosed with placenta previa & is actively
bleeding. The RN anticipates what medication to be ordered - ✔✔Corticosteroids
(Betamethasone) will be prescribed for fetal lung maturation if delivery of the fetus is
anticipated (cesarean birth).
,✔✔A client presents to L&D with stabbing abdominal pain, rigid abdomen and heavy,
bright red bleeding. The nurse is aware that these findings are - ✔✔Associated with
Abruptio placenta.
*Abruptio placenta is the sudden onset of intense localized uterine pain with bright red
vaginal bleeding. An abdomen that is both rigid and tender is also a common
assessment finding.
✔✔A nurse on the obstetrical unit admitted a client who is in labor. The client is HIV
status. The nurse is aware that... - ✔✔An episiotomy is contraindicated for clients who
are HIV+ due to the risk of maternal blood exposure. Also, the use of internal fetal
monitors, vacuum extraction, and forceps during labor should be avoided because of
the risk of fetal bleeding
✔✔A nurse in an antepartum clinic is providing care for a client. Which of the following
clinical findings are suggestive of TORCH? - ✔✔Symptoms of TORCH are flu-like in
presentation. They may include reports of joint pain, malaise, rash, and tender lymph
nodes.
✔✔A RN is caring for a client who is diagnosed with gonorrhea. Which medications
should the nurse anticipate the provider will prescribe? - ✔✔Ceftriaxone (Rocephin)
ordoxycycline (Vibramycin) orally for 7 days
✔✔Which of the following conditions has medications that can be prescribed as
prophylactic treatment during labor or immediately following delivery? - ✔✔Gonorrhea,
Chlamydia, HIV, Streptococcus ß-hemolytic, Group B
✔✔Magnesium sulfate - ✔✔Magnesium sulfate is an anticonvulsant that would be
prescribed for a client who is exhibiting signs and symptoms of severe preeclampsia as
evidenced by this client's elevated blood pressure and 3+ proteinuria.
✔✔A client at 14 weeks of gestation who is diagnosed with hyperemesis gravidarum.
Which of the following are risk factors for this client? - ✔✔Risk factors for hyperemesis
gravidarum include obesity, multifetal gestation, vitamin B deficiencies, and maternal
age less than 20.
✔✔A RN is administering magnesium sulfate IV to a client with severe preeclampsia for
seizure prophylaxis. Which indicate magnesium sulfate toxicity? - ✔✔Signs of
magnesium sulfate toxicity include the absence of patellar deep-tendon reflexes, urine
output less than 30 mL/hr, respirations less than 12/min, and a decreased level of
consciousness.
✔✔Which of the following classifications of heart disease is the client symptomatic with
marked limitations on physical activity? - ✔✔The classification system will guide the
, provider in the management of cardiovascular disease. Clients exhibiting symptoms
with marked limitations on physical activity are in Class III.
✔✔Client is diagnosed w/ mitral valve prolapse. The ECG reveals tachyarrhythmias.
Which medication should the RN anticipate the PCP will prescribe? - ✔✔Propranolol
(Inderal) is prescribed to treat arrhythmias.
✔✔A client who is prescribed terbutaline (Brethine) 0.25 mg subcutaneously. Which of
the following is an adverse effect of this medication? - ✔✔Maternal tachycardia is a
normal adverse effect that will decrease over time.
✔✔A client at 32 weeks gestation, is diagnosed with preterm labor. Which medication
should the PCP prescribe to hasten fetal lung maturity? - ✔✔Betamethasone
(Celestone) a glucocorticoid that is given to clients in preterm labor to hasten surfactant
production.
✔✔Uterine contractions and cervical changes that occur between 20 and 37 weeks of
gestation - ✔✔Preterm labor
✔✔Premature rupture of membranes - ✔✔Spontaneous rupture of the amniotic
membranes, 1 hr or more prior to the onset of true labor
✔✔Preterm premature rupture of membranes - ✔✔pontaneous rupture of membranes
after 20 weeks of gestation and prior to 37 weeks of gestation
✔✔Chorioamnionitis - ✔✔Infection of the amniotic membranes
✔✔A client who is prescribed magnesium sulfate. The nurse recognizes that which of
the following is a contraindication for use of this medication - ✔✔Acute fetal distress,
cervical dilation > 6 cm, vaginal bleeding, and severe pregnancy-induced hypertension
are complications that are contraindicated by the use of magnesium sulfate to stop
labor.
*They require immediate delivery of the fetus.
✔✔True contractions - ✔✔True contractions do not go away with hydration or walking.
Instead, they are regular in frequency, duration, and intensity, and become stronger with
walking.
✔✔Braxton Hicks contractions - ✔✔Decrease with hydration and walking.
✔✔Fetal descent - ✔✔Is the downward movement of the fetus in the birth canal.
✔✔Rupture of membranes - ✔✔is when the amniotic membranes rupture and allow the
amniotic fluid to escape.
QUESTIONS WITH ANSWERS RATED A+
✔✔Which of the following is a test for fetal lung maturity? - ✔✔An L/S ratio of 2:1
indicates fetal lung maturity (2.5:1 or 3:1 for a client who has diabetes mellitus).
✔✔A client who is undergoing a nonstress test asks a RN to explain why use an
acoustic vibration device. The RN states that the device is used to: - ✔✔Awaken the
sleeping fetus.
*If there is no fetal movement (fetus sleeping), vibroacoustic stimulation (sound source,
usually a laryngeal stimulator) is activated for 3 seconds on the maternal abdomen over
the fetal head to awaken a sleeping fetus
✔✔A nurse determines that a client who is pregnant needs further instructions about an
amniocentesis when the client states, - ✔✔"I need to have a full bladder for the
procedure to be done."
*An amniocentesis requires an empty bladder to prevent an inadvertent puncture from
occurring.
✔✔Which findings from a client who is pregnant should indicate to a nurse that the
client should undergo a contraction stress test (CST)? - ✔✔Decreased fetal movement,
Intrauterine growth restriction (IUGR), Postmaturity, Advanced maternal age, are all
findings that require interventions. Assessing fetal well-being by performing a CST
would be indicated.
✔✔Ectopic pregnancy - ✔✔Signs and symptoms of an ectopic pregnancy include
unilateral lower-quadrant abdominal pain with or without bleeding.
✔✔Hydatidiform mole - (gestational trophoblastic disease) a uterine size that increases
abnormally fast. The trophoblastic tissue causes - ✔✔Abnormally high levels of hCG
that result in excessive nausea and emesis. No fetus present on the ultrasound. Scant
or profuse dark brown or red vaginal bleeding that 1st occurs in the 2nd trimester,
usually around the 16th week of gestation.
✔✔Risk Factors for Abrutio Placenta - ✔✔Maternal hypertension, blunt abdominal
trauma, cocaine abuse, and cigarette smoking are risk factors for abruption placenta.
✔✔A client who is at 32 weeks gestation, is diagnosed with placenta previa & is actively
bleeding. The RN anticipates what medication to be ordered - ✔✔Corticosteroids
(Betamethasone) will be prescribed for fetal lung maturation if delivery of the fetus is
anticipated (cesarean birth).
,✔✔A client presents to L&D with stabbing abdominal pain, rigid abdomen and heavy,
bright red bleeding. The nurse is aware that these findings are - ✔✔Associated with
Abruptio placenta.
*Abruptio placenta is the sudden onset of intense localized uterine pain with bright red
vaginal bleeding. An abdomen that is both rigid and tender is also a common
assessment finding.
✔✔A nurse on the obstetrical unit admitted a client who is in labor. The client is HIV
status. The nurse is aware that... - ✔✔An episiotomy is contraindicated for clients who
are HIV+ due to the risk of maternal blood exposure. Also, the use of internal fetal
monitors, vacuum extraction, and forceps during labor should be avoided because of
the risk of fetal bleeding
✔✔A nurse in an antepartum clinic is providing care for a client. Which of the following
clinical findings are suggestive of TORCH? - ✔✔Symptoms of TORCH are flu-like in
presentation. They may include reports of joint pain, malaise, rash, and tender lymph
nodes.
✔✔A RN is caring for a client who is diagnosed with gonorrhea. Which medications
should the nurse anticipate the provider will prescribe? - ✔✔Ceftriaxone (Rocephin)
ordoxycycline (Vibramycin) orally for 7 days
✔✔Which of the following conditions has medications that can be prescribed as
prophylactic treatment during labor or immediately following delivery? - ✔✔Gonorrhea,
Chlamydia, HIV, Streptococcus ß-hemolytic, Group B
✔✔Magnesium sulfate - ✔✔Magnesium sulfate is an anticonvulsant that would be
prescribed for a client who is exhibiting signs and symptoms of severe preeclampsia as
evidenced by this client's elevated blood pressure and 3+ proteinuria.
✔✔A client at 14 weeks of gestation who is diagnosed with hyperemesis gravidarum.
Which of the following are risk factors for this client? - ✔✔Risk factors for hyperemesis
gravidarum include obesity, multifetal gestation, vitamin B deficiencies, and maternal
age less than 20.
✔✔A RN is administering magnesium sulfate IV to a client with severe preeclampsia for
seizure prophylaxis. Which indicate magnesium sulfate toxicity? - ✔✔Signs of
magnesium sulfate toxicity include the absence of patellar deep-tendon reflexes, urine
output less than 30 mL/hr, respirations less than 12/min, and a decreased level of
consciousness.
✔✔Which of the following classifications of heart disease is the client symptomatic with
marked limitations on physical activity? - ✔✔The classification system will guide the
, provider in the management of cardiovascular disease. Clients exhibiting symptoms
with marked limitations on physical activity are in Class III.
✔✔Client is diagnosed w/ mitral valve prolapse. The ECG reveals tachyarrhythmias.
Which medication should the RN anticipate the PCP will prescribe? - ✔✔Propranolol
(Inderal) is prescribed to treat arrhythmias.
✔✔A client who is prescribed terbutaline (Brethine) 0.25 mg subcutaneously. Which of
the following is an adverse effect of this medication? - ✔✔Maternal tachycardia is a
normal adverse effect that will decrease over time.
✔✔A client at 32 weeks gestation, is diagnosed with preterm labor. Which medication
should the PCP prescribe to hasten fetal lung maturity? - ✔✔Betamethasone
(Celestone) a glucocorticoid that is given to clients in preterm labor to hasten surfactant
production.
✔✔Uterine contractions and cervical changes that occur between 20 and 37 weeks of
gestation - ✔✔Preterm labor
✔✔Premature rupture of membranes - ✔✔Spontaneous rupture of the amniotic
membranes, 1 hr or more prior to the onset of true labor
✔✔Preterm premature rupture of membranes - ✔✔pontaneous rupture of membranes
after 20 weeks of gestation and prior to 37 weeks of gestation
✔✔Chorioamnionitis - ✔✔Infection of the amniotic membranes
✔✔A client who is prescribed magnesium sulfate. The nurse recognizes that which of
the following is a contraindication for use of this medication - ✔✔Acute fetal distress,
cervical dilation > 6 cm, vaginal bleeding, and severe pregnancy-induced hypertension
are complications that are contraindicated by the use of magnesium sulfate to stop
labor.
*They require immediate delivery of the fetus.
✔✔True contractions - ✔✔True contractions do not go away with hydration or walking.
Instead, they are regular in frequency, duration, and intensity, and become stronger with
walking.
✔✔Braxton Hicks contractions - ✔✔Decrease with hydration and walking.
✔✔Fetal descent - ✔✔Is the downward movement of the fetus in the birth canal.
✔✔Rupture of membranes - ✔✔is when the amniotic membranes rupture and allow the
amniotic fluid to escape.
