Question 1
Maternal Newborn Exam 2026. What maternal behavior would the nurse expect to see in a patient who had a vaginal birth three days ago?
- The patient requests that the nurse change the infant’s diaper.
- The patient asks the nurse assistant to hand her the telephone.
- The patient is talking to her partner about planning a family beach trip.
- ✅ The patient gets out of bed to change the infant’s diaper.
Question 22
The nurse is caring for a baby who was recently circumcised and is changing his diaper. The nurse notices that the Vaseline gauze dressing is partially saturated with active, fresh bleeding is visible under the gauze. The baby is very fussy and appears to be in pain. Which of the following actions is the nurse’s highest priority at this time?
- Swaddle the infant securely and take to his mother for feeding.
- Call the parents to explain their son’s return will be delayed.
- Notify provider immediately.
- ✅ Apply gentle pressure to the bleeding site with a sterile gauze.
Question 23
A nurse is teaching a new mother who is breastfeeding methods to relieve breast engorgement. The nurse evaluates the teaching as effective when the patient makes which statement?
- ✅ “I will encourage the baby to breastfeed every 2 hours during this time.”
- “I will avoid bras so my breasts can expand to fill with milk.”
- “I will avoid running warm water over my breasts.”
- “I will feed my baby every four hours to prevent overproduction of milk.”
Question 24
A patient had a vaginal birth 45 minutes ago. The patient pushes her call button and states “a grapefruit sized clot just came out of my vagina and I feel blood between my legs.” When the nurse enters the patient’s room, which action should she take first?
- Apply a non-rebreather at 10L/min.
- Weigh the blood soaked items.
- ✅ Massage the fundus and assess lochia.
- Call the healthcare provider.
Question 25
A newborn male received phytonadione (Vitamin K) at birth. Forty-eight hours after the injection, which of the following assessments indicate the medication had the desired effect?
- ✅ minimal bleeding after his circumcision
- no jaundice observed
- heart rate has been within normal limits
- caput observed at birth, has resolved
Question 26
A married postpartum patient who has just given birth to her fourth child asks the nurse for information about a bilateral salpingectomy (fallopian tube removal). What should the nurse include in the teaching plan for this patient?
- “Tubal ligations can be easily reversed if you decide to have another child.”
- ✅ “You should expect no change in your hormones following the procedure.”
- “This is a great method to reduce the risk of STI’s.”
- “This is an excellent choice. Tubal ligations are always 100% effective.”
Question 27
A patient comes into the family planning clinic and requests a prescription for oral birth control pills (OCPs). Which patient assessment finding would prevent the healthcare provider from writing this prescription?
- Irregular menstrual cycles
- ✅ Hypertension
- Asthma
- Age thirty-three years old
Question 28
A nurse receiving change of shift report learns that one of her babies has a positive Coombs test. What does this mean?
- This baby is at risk for hemorrhagic disease of the newborn.
- ✅ This baby is at higher risk for developing hyperbilirubinemia.
- The baby will need Rhogam before discharge.
- This baby should be in contact isolation for at least 3 days after birth.
Question 29
A nurse is performing a newborn assessment and notices a small dimple on the sacral area. The infant has a normal neurological assessment and moves all extremities. What does the nurse suspect that the dimple indicates?
- spina bifida with myelomeningocele
- normal spinal closure
- omphalocele
- ✅ spina bifida occulta
Question 30
A patient had a vaginal birth 30 minutes ago. The baby weighed 10 pounds. The patient’s fundus is firm at the umbilicus (u/u). The patient was just catheterized for 400 ml of clear yellow urine but is having continuous bright, red, vaginal bleeding. What is the cause of this bleeding?
- Retained amniotic sack
- Hypovolemic shock
- Uterine atony
- ✅ Cervical laceration
Question 31
A jaundiced newborn has been started on phototherapy. What care is appropriate while this baby is undergoing this therapy?
- Encourage use of formula until bilirubin levels begin to decrease.
- Keep neonate in a prone position while under bili-lights
- Encourage skin-to-skin while baby is under the bili-lights.
- ✅ Turn bili-lights off when drawing blood for laboratory studies.
Question 32
A patient asks a nurse what are some of the benefits of breastfeeding for women. What is the best response by the nurse?
- Increases weight gain
- ✅ Decreases risk of heart disease
- Increases postpartum bleeding
- Decreases maternal role attainment
Question 33
A postpartum patient who has a fourth degree laceration asks the nurse, “What is the most severe complication that could occur due to my laceration?” What is the most appropriate response by the nurse? Maternal Newborn Exam 2026
- ✅ Infection
- Sterilization
- Dysuria
- Amenorrhea
Question 37
An adolescent informs the office nurse that she is sexually active and wants some type of birth control. Which birth control method is the best option for this client?
- Spermicide foam
- levonorgestrel (plan B)
- Cervical cap
- ✅ Birth control pills
Question 38
The intrapartum nurse should notify the NICU team for which abnormal assessment finding in a 1-hour old neonate born at 35 weeks?
- acrocyanosis
- respiratory crackles
- ✅ persistent expiratory grunting
- insufficient brown fat reserves
Question 39
A nurse is caring for a 5 pound baby girl. She was born by cesarean birth two hours earlier and is in the postpartum unit. The mother is sleeping. The baby is “jittery” and has a respiratory rate of 65. Which action should the nurse take first?
- ✅ Check the neonate’s blood glucose
- Administer oxygen.
- Move the neonate to a radiant warmer.
- Place the baby skin-to-skin with the sleeping mother.
Question 40
A patient complains of 4th degree laceration pain. The healthcare provider has ordered Morphine Sulfate 3 mg IV every 2 hours. How many milliliters should the nurse draw up to administer? Please see vial label below. (Numbers only in answer; Round to nearest tenth)
Answer: 0.3
Question 41
A patient who had a cesarean birth is receiving discharge education from her nurse. The nurse explains that the patient should be assessing her surgical site daily for:
Answer: edema, redness, and drainage
Question 42
A nurse is doing an assessment on a female newborn in the first hour following birth. The nurse needs to notify the provider if she observes head circumference of 39cm or jaundice of the face or eyes.
- irregular respirations, rate of 50/minute
- head circumference of 39cm
- bluish hands and feet
- edematous area at the crown of the head
- jaundice of the face or eyes
Question 43
Following her cesarean birth, the patient’s chart has orders for IV of Lactated Ringers to infuse at 200 mL/h. Using the gravity IV tubing set pictured below, the nurse should set the drip at 50 gtt/min? Calculate to the nearest whole number.
- 50
Question 44
A patient who gave birth last month and is breastfeeding complains of flu-like symptoms and has a painful, inflamed right breast. The symptoms the patient is experiencing are symptoms of Mastitis?
- Mastitis
- Chorioamnionitis
- Clogged duct
- Nipple thrush
Question 45
A nurse is admitting a small for gestational age baby to the nursery. Since the neonate has an average-size head and length, but weight is below the 10th percentile, we would expect normal brain development and would be classified as asymmetrical IUGR. Maternal Newborn Exam 2026
- normal / impaired / mildly altered
- bilateral IUGR / asymmetrical IUGR / symmetrical IUGR
Question 46
What finding are women who undergo a caesarean birth more likely to experience than women who have a vaginal birth?
- Cervical laceration
- Lochia
- Hemorrhoids
- Flatulence
- Chloasma
Question 47
A new father calls the obstetrician’s office to say his wife is very confused and agitated. The wife has been up all night pacing the floors, talking to herself and not caring for the baby. The new father asks the nurse what he should do. What is the most appropriate initial response by the nurse?
- I see she has an appointment in two days. Please make sure she keeps the appointment she has scheduled.
- Baby blues are common at this time and should pass in a few days. Encourage her to eat something.
- Your wife may be experiencing a psychiatric emergency. Do not leave your wife and baby alone.
- Your wife is experiencing sleep deprivation. Create a good sleep environment and let her rest.
Question 48
Which action should the nurse take to prevent inversion of the uterus in a patient who just gave birth?
- Utilize gentle pressure with the fist at the fundus.
- Have the patient void before the fundal massage.
- Position the patient on her back with knees flexed.
- Support the lower uterine segment during fundal massage.
Question 49
A nurse assuming care for a preterm infant notices an order for daily intravenous caffeine infusions. When receiving report on this infant, the nurse should expect to hear about which of the following?
- Recurrent hypoglycemia.
- Seizures.
- Apneic episodes.
- Narcotic withdrawal.
Question 50
A nurse is assessing a 2 hour old neonate that was born at 36 weeks gestation. The baby is in an open bassinet near the window in the mother’s room. During your assessment, the infant has a respiratory rate of 70, apical pulse 130, axillary temperature 36°C (97°F). Which immediate intervention should the nurse perform first?
- Supplement with 10mL formula.
- Place the newborn skin-to-skin.
- This is a normal assessment, so no action needed.
- Call the provider.
Question 51
A patient with endometritis has an order for 300mg Clindamycin IV q6h. The nurse determines that it is safe to run this dose over 60 minutes, using an infusion pump. The medication arrives from the pharmacy with this label. How many mL/h should the nurse set the pump on to infuse this medication?
- 50
Question 57
A nurse is caring for a patient who is in the second stage of labor. The patient received meperidine 100 mg IV 1 hr ago. The nurse notes the baby is limp and has a respiratory rate of 24/min. Which medication should the nurse have available for the patient?
- Vitamin K
- Hepatitis B vaccine
- Naloxone
- Epinephrine
- Caffeine citrate
Question 57
This first-time mom delivers a 7-pound term infant vaginally with no complications. Apgar scores are 9 at one and five minutes. What is the priority nursing activity during the first 30 minutes following delivery?
- administering Hepatitis B and ophthalmic antibiotics to the newborn
- assisting the mother with obtaining a successful latch
- assist with swaddling the newborn in the bassinet
- assessing for bilateral response of the major newborn reflexes
Question 58
Postpartum women should avoid pregnancy for at least one month after receiving which of the following immunizations?
- Hepatitis B
- Tetanus, diphtheria, and pertussis (Tdap)
- Influenza (Flu)
- Measles, mumps, and rubella (MMR)
Question 59
A client gives birth to a baby at a local health care facility. The nurse observes that the infant is fussy and is moving her hands to her mouth and sucking on her hand and fingers. The nurse can interpret these newborn actions and educate the patient that the newborn is:
- is attempting to self-console
- displaying feeding cues
Question 60
An infant with a tracheoesophageal fistula is carefully examined to identify other embryonic teratogenic that may have occurred in the same stage of development. Which body systems need to be examined? Select all that apply.
- musculoskeletal
- nervous
- gastrointestinal
- cardiac
- genitourinary
Question 61
A patient with a history of high blood pressure is experiencing a postpartum hemorrhage 18 hours after giving birth. The patient has already received (oxytocin) Pitocin and (misoprostol) Cytotec per standing orders. Which medication would be appropriate to recommend to the provider when calling with an SBAR? Maternal Newborn Exam 2026
- Carboprost Tromethamine (Hemabate)
- Methylergonovine (Methergine)
- Morphine sulfate
- Magnesium sulfate
Question 62
A patient who recently migrated to this country refuses to take a shower on her first day following a vaginal birth. Which initial response by the nurse is the most appropriate?
- Ask the family to tell the patient that she must take a shower before going home.
- Assist the patient to the bathroom and utilize the shower chair to prevent a fall.
- Ensure that the patient understands that hygiene is a priority in the hospital.
- Ask the patient about the cultural practices for newly delivered women in her country.
Question 63
Which of the following assessment findings would be most indicative that a 2 day old premature neonate is developing necrotizing enterocolitis?
- Jaundice.
- Axillary temperature 96.9.
- Abdominal distention.
- Respiratory rate of 50.
Question 64
The newborn nursery nurse suspects a newborn of having neonatal abstinence syndrome. What assessment finding would best support this with the diagnosis?
- tremors and high pitched cry
- positive tonic neck reflex
- cyanotic discoloration of the hands and feet
- vigorous organized feeding
Question 65
A patient is concerned she may be developing a blocked milk duct in her right breast. The nurse should educate the patient to do which of the following?
- Avoid breastfeeding from the right breast.
- Apply a cold cabbage leaf at least 30 minutes before each feeding.
- Breastfeed from the left breast only for the next 24 hours.
- Apply warm compresses and gently massage the affected area.
- Express colostrum and apply to the affected area after every feeding.
Question 66
The nurse should recognize there is a risk for pathologic newborn jaundice in which of the following scenarios?
- The mother is O+ and the newborn is A+
- The mother is AB- and the newborn is O+
- The mother is B- and the newborn is O+
- The mother is A+ and the newborn is A- Maternal Newborn Exam 2026
Question 67
A baby girl weighing 9 pounds is born at 37.6 weeks to a patient with gestational diabetes. What nursing intervention is most effective in stabilizing the newborn’s blood glucose levels?
- Administer weight-appropriate dose of glucose gel as soon as possible after birth.
- Transfer baby to newborn nursery within first 30 minutes after birth for observation
- Obtain heel-stick blood glucose reading on baby prior to breastfeeding.
- Position baby skin-to-skin with mother within first 5 minutes after birth.
Question 69
Which assessment causes the nurse to suspect the onset of sepsis in a newborn?
- Axillary temperature of 99 (F)
- WBC 20,000mm3
- Intercostal retractions
- Hyperreflexia
Question 70
The intrapartum nurse should call for an emergency pediatric evaluation for which of the following assessments in a newly delivered term male?
- rooting reflex not currently present
- urinary meatus located on ventral side of penis
- bowel sounds auscultated in chest
- cephalohematoma noted over right parietal bone
