Maternal Newborn Exam Questions with
Accurate Answers
A 16 year old client comes into the clinic because she thinks she might be
pregnant. Which of the following are presumptive signs of pregnancy?
a. Abdominal enlargement
b. Amenorrhea
c. Fatigue
d. Positive pregnancy test
e. Breast tenderness correct answer Amenorrhea
Fatigue
Breast tenderness
A 23 year old patient is recovering from a molar pregnancy when she states to the
nurse, "I can't wait to start trying to get pregnant again- I want a baby as soon as
possible." Which of the following is the most appropriate response by the nurse:
a. "Your medical team will support you with whatever you choose to do."
b. "You should wait at least 6 months before attempting to get pregnant again."
c. "As long as you consult with your OB, you are medically cleared to get pregnant
again."
d. "You will need to complete serial HCG testing and wait at least a year before
getting pregnant again." correct answer "You will need to complete serial HCG
testing and wait at least a year before getting pregnant again."
A 6 day postpartum patient tells you that she is experiencing extreme fatigue, loss
of appetite, and she does not feel a close bond with her newborn. Based on this
data, which of these conditions is this patient most likely experiencing?
a. Iron deficiency anemia
,b. Inadequate skin-to-skin contact
c. Postpartum depression
d. Sepsis correct answer Postpartum depression
A client checks into the labor and delivery unit for an eversion and the doctor has
Terbutaline prescribed. What is the reasoning behind the order for this
medication?
a. To relax the uterus to prevent preterm labor
b. To stimulate the uterus to help the baby turn into position
c. To stimulate the uterus to help the mom go into labor after the baby is put in
the correct position
d. To relax all muscles of the body to help minimize the mom's comfort while the
doctor rotates the baby correct answer To relax the uterus to prevent preterm
labor
A client is found to have polyhydramnios. Which of the following conditions is the
infant at risk for developing? (Select all that apply)
a. GI issues
b. Renal abnormalities
c. Neural tube defects
d. Diabetes
e. Low birth weight correct answer GI issues
Neural tube defects
Diabetes
,A mom with preeclampsia comes into the clinic and complains of dizziness. What
are some other important s/s to look for (select all that apply)
a. urine output of 40 for the last 3 hours
b. blurred vision
c. nausea
d. constipation
e. nonreactive nonstress test correct answer Urine output of 40 for the last 3
hours
Blurred vision
Nonreactive nonstress test
A mother in Labor and Delivery just delivered her baby via C-section. What are
some complications the nurse should be mindful of? Select all that apply
a. Increased chances of hemorrhaging
b. Brain damage
c. Possible incision infection
d. Loss of appetite correct answer Increased chances of hemorrhaging
Possible incision infection
A newborn born a minute ago has a central paleness, a floppy mouth, bradypnea,
vigorous cry, and flexed arms and legs. What is this newborn's first APGAR score?
a. 3
b. 4
c. 2
d. 5 correct answer 4
, A NICU nurse is helping stabilize an infant immediately following birth. She notes
acrocyanosis, weak cry, active movement, crying with stimulation, and a pulse
over 100 bpm. Based on these findings, what is the infant's APGAR score at this
time?
a. 8
b. 6
c. 10
d. 5 correct answer 8
A nurse at a prenatal clinic is caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
a. "This is due to an increase in blood volume."
b. "This is due to pressure from the uterus on the diaphragm."
c. "This is due to the weight of the uterus on the vena cava."
d. "This is due to increased cardiac output." correct answer "This is due to the
weight of the uterus on the vena cava."
A nurse if providing education to a client who is 2 hours postpartum and has a
perineal laceration. Which of the following information should the nurse include?
(Select all that apply)
a. Use a perineal squeeze bottle to cleanse the perineum
b. Sit on the perineum while resting in bed
c. Apply a topical anesthetic cream or spray to the perineum
d. Wipe the perineum thoroughly with a back and forth motion
e. Apply cold or ice packs to the perineum correct answer Use a perineal squeeze
bottle to cleanse the perineum
Accurate Answers
A 16 year old client comes into the clinic because she thinks she might be
pregnant. Which of the following are presumptive signs of pregnancy?
a. Abdominal enlargement
b. Amenorrhea
c. Fatigue
d. Positive pregnancy test
e. Breast tenderness correct answer Amenorrhea
Fatigue
Breast tenderness
A 23 year old patient is recovering from a molar pregnancy when she states to the
nurse, "I can't wait to start trying to get pregnant again- I want a baby as soon as
possible." Which of the following is the most appropriate response by the nurse:
a. "Your medical team will support you with whatever you choose to do."
b. "You should wait at least 6 months before attempting to get pregnant again."
c. "As long as you consult with your OB, you are medically cleared to get pregnant
again."
d. "You will need to complete serial HCG testing and wait at least a year before
getting pregnant again." correct answer "You will need to complete serial HCG
testing and wait at least a year before getting pregnant again."
A 6 day postpartum patient tells you that she is experiencing extreme fatigue, loss
of appetite, and she does not feel a close bond with her newborn. Based on this
data, which of these conditions is this patient most likely experiencing?
a. Iron deficiency anemia
,b. Inadequate skin-to-skin contact
c. Postpartum depression
d. Sepsis correct answer Postpartum depression
A client checks into the labor and delivery unit for an eversion and the doctor has
Terbutaline prescribed. What is the reasoning behind the order for this
medication?
a. To relax the uterus to prevent preterm labor
b. To stimulate the uterus to help the baby turn into position
c. To stimulate the uterus to help the mom go into labor after the baby is put in
the correct position
d. To relax all muscles of the body to help minimize the mom's comfort while the
doctor rotates the baby correct answer To relax the uterus to prevent preterm
labor
A client is found to have polyhydramnios. Which of the following conditions is the
infant at risk for developing? (Select all that apply)
a. GI issues
b. Renal abnormalities
c. Neural tube defects
d. Diabetes
e. Low birth weight correct answer GI issues
Neural tube defects
Diabetes
,A mom with preeclampsia comes into the clinic and complains of dizziness. What
are some other important s/s to look for (select all that apply)
a. urine output of 40 for the last 3 hours
b. blurred vision
c. nausea
d. constipation
e. nonreactive nonstress test correct answer Urine output of 40 for the last 3
hours
Blurred vision
Nonreactive nonstress test
A mother in Labor and Delivery just delivered her baby via C-section. What are
some complications the nurse should be mindful of? Select all that apply
a. Increased chances of hemorrhaging
b. Brain damage
c. Possible incision infection
d. Loss of appetite correct answer Increased chances of hemorrhaging
Possible incision infection
A newborn born a minute ago has a central paleness, a floppy mouth, bradypnea,
vigorous cry, and flexed arms and legs. What is this newborn's first APGAR score?
a. 3
b. 4
c. 2
d. 5 correct answer 4
, A NICU nurse is helping stabilize an infant immediately following birth. She notes
acrocyanosis, weak cry, active movement, crying with stimulation, and a pulse
over 100 bpm. Based on these findings, what is the infant's APGAR score at this
time?
a. 8
b. 6
c. 10
d. 5 correct answer 8
A nurse at a prenatal clinic is caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
a. "This is due to an increase in blood volume."
b. "This is due to pressure from the uterus on the diaphragm."
c. "This is due to the weight of the uterus on the vena cava."
d. "This is due to increased cardiac output." correct answer "This is due to the
weight of the uterus on the vena cava."
A nurse if providing education to a client who is 2 hours postpartum and has a
perineal laceration. Which of the following information should the nurse include?
(Select all that apply)
a. Use a perineal squeeze bottle to cleanse the perineum
b. Sit on the perineum while resting in bed
c. Apply a topical anesthetic cream or spray to the perineum
d. Wipe the perineum thoroughly with a back and forth motion
e. Apply cold or ice packs to the perineum correct answer Use a perineal squeeze
bottle to cleanse the perineum
