PN Maternal Newborn 2026

Question 1 of 60

PN Maternal Newborn 2026. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

• Potential Condition: Hypoglycemia
• Actions to Take: Perform heel stick blood glucose test, Initiate early feedings (or feed the newborn)
• Parameters to Monitor: Blood glucose level, Respiratory rate (or Temperature)

Question 2 of 60

A nurse is assisting with the care of a client who is at 15 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse identify and report as an indication of a potential complication of pregnancy? (Select all that apply.)

• Dry oral mucous membranes
• Poor skin turgor
• Urine dark yellow
• Weight loss of 2 kg (4.4 lb) in 1 month
• Hct 49%
• Sodium 132 mEq/L
• Urine specific gravity 1.035
• Heart rate 106/min
• Blood pressure 102/62 mm Hg
• BUN 18 mg/dL

Question 3 of 60

A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

• Apply antiembolism stockings before getting out of bed
• Have the client ambulate frequently
• Position the client with pillows under the knees
• Perform passive range-of-motion exercises every 12 hr

Question 4 of 60

A nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider?

• Glycosuria
• Non-pitting ankle edema
• Increased vaginal discharge
• Periodic lower back fatigue

Question 5 of 60

A nurse is collecting data from five newborns. The nurse should identify that which of the following newborns are at risk for hypoglycemia? (Select all that apply.) PN Maternal Newborn 2026

• A newborn who was born at 34 weeks of gestation
• A newborn who is formula-fed
• A newborn who has a respiratory rate of 50/min
• A newborn who weighs 4,366 g (9 lb 10 oz)
• A newborn whose mother has gestational diabetes

Question 6 of 60

A nurse is reinforcing teaching with a client who has hypothyroidism and desires to conceive. Which of the following complications should the nurse instruct the client that they are at an increased risk for?

• Goiter
• Spontaneous abortion
• Fetal macrosomia
• Neural tube defects

Question 7 of 60

A nurse is assisting a client who is in labor to the bathroom when the client reports a sudden gush of fluid. The nurse observes an umbilical cord protruding from the client’s vagina. Which of the following actions should the nurse take first?

• Loosely wrap the cord with a saline-saturated towel
• Apply an external fetal monitor on the client
• Administer oxygen 10 L/min via face mask
• Assist the client into a knee-chest position

Question 8 of 60

A nurse is assisting with planning care for a newborn who has a new prescription for phototherapy. Which of the following actions should the nurse plan to take?

• Apply lotion to the newborn’s skin every 4 hr while receiving therapy
• Cover the newborn’s eyes with an opaque mask during therapy
• Feed the newborn 15 mL (0.5 oz) of glucose water every 2 hr during therapy
• Discontinue the therapy if the newborn’s urine appears brown

Question 9 of 60

A nurse is assisting with the care of a client who is formula feeding their newborn and reports breast engorgement. Which of the following interventions should the nurse recommend?

• Taking a warm shower to allow breast milk to drain
• Using an electric breast pump to empty breasts
• Applying cold compresses to the breasts
• Allowing the newborn to suckle to relieve engorgement

Question 10 of 60

A nurse is collecting data from a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider?

• Decreased fetal movement
• Shortness of breath when lying flat
• Braxton Hicks contractions
• Bilateral lower extremity edema

Question 11 of 60

A nurse in an antepartum clinic is reinforcing teaching with a client who is pregnant and has a new prescription for oral ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

• “I will take this medication with a glass of milk.”
• “I will take this medication with a glass of orange juice.”
• “I will take this medication with my antacid.”
• “I will take this medication with my midday meal.”

Question 12 of 60

A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

• Firm fundus at midline
• Positive Homans’ sign PN Maternal Newborn 2026
• Lochia serosa
• Full, firm breasts

Question 13 of 60

A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

• Eat a slice of dry toast before getting out of bed
• Limit snacks between meals
• Drink 240 mL with each meal
• Have a high-fat snack before going to bed

Question 14 of 60

A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

• Check blood glucose levels
• Monitor for birth trauma/injury
• Assess for respiratory distress
• Maintain temperature stability

Question 15 of 60

A nurse is reinforcing teaching with a client who requests a diaphragm for contraception. Which of the following client statements indicates an understanding of the teaching?

• “I should replace my diaphragm every 5 years.”
• “I should leave my diaphragm in place for 2 hours after intercourse.”
• “I should inspect my diaphragm every month.”
• “I should have my diaphragm fit checked by my provider after every pregnancy.”

Question 16 of 60

A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?

• Beef liver (or red meat/fortified cereals)
• Apples
• Milk
• White bread

Question 17 of 60

A nurse is collecting data from a client who is at 30 weeks of gestation and experiencing preterm labor. Which of the following medications should the nurse expect to administer to accelerate fetal lung maturity?

• Betamethasone
• Terbutaline
• Nifedipine
• Magnesium sulfate

Question 18 of 60

A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis. Which of the following actions should the nurse take?

• Apply petroleum jelly to the suppository
• Assist the client to a prone position
• Insert the suppository 5 cm (2 in)
• Insert the suppository along the posterior vaginal wall

Question 19 of 60

A nurse is reviewing laboratory results for a client who is at 34 weeks of gestation and has gestational hypertension. Which of the following findings indicates the client is developing preeclampsia?

• Elevated WBC count
• Decreased creatinine
• Decreased lactate dehydrogenase
• Elevated BUN (or Proteinuria/Elevated AST/ALT)

Question 20 of 60

A nurse is reinforcing teaching with a client about the use of a transcutaneous electrical nerve stimulation (TENS) device for back pain during labor. Which of the following information should the nurse include?

• TENS is contraindicated for clients who have gestational diabetes
• TENS eliminates pain during a contraction
• TENS is most useful during the third stage of labor
• TENS intensity is manually increased during a contraction

Question 21 of 60

A nurse is collecting data from an adolescent during a routine prenatal visit at 26 weeks of gestation. Which of the following statements by the adolescent indicates they have accepted the pregnancy?

• “I am upset that I will have to quit school in a few weeks when the baby comes.”
• “My partner says they want to help, but we didn’t plan for this baby.”
• “My parents will probably end up raising the baby since I’m so young.”
• “I really miss drinking soda, but I know it’s better for the baby.”

Question 22 of 60

Click to highlight the findings that require follow-up.

• Gestational age 30 weeks
• Apgar score 7 at 1 min
• Fine crackles present in all lung fields
• Murmur present
• Temperature 36.4°C (axillary)

Question 23 of 60

Which of the following findings in the newborn’s electronic medical record are risk factors for potential complications? (Select all that apply.)

• Gestational age
• Maternal GBS status
• Apgar scores
• Temperature
• Heart rate

Question 24 of 60

Complete the following sentence by using the lists of options.

• The newborn is at highest risk for developing hyperbilirubinemia due to Coombs positive status / Rh incompatibility.

Question 25 of 60

Drag words from the choices below to fill in each blank in the following sentence.

• The nurse should plan to assess temperature and swaddle the newborn.

Question 26 of 60

For each potential instruction, click to specify if the instruction is appropriate or inappropriate.

• Keep the newborn’s neck in a straight position: Appropriate
• Ensure the newborn’s legs are straight: Inappropriate
• Drape the newborn’s back with a blanket: Appropriate
• Place the newborn prone on the birth parent’s chest: Inappropriate
• Turn the newborn’s head to one side: Appropriate

Question 27 of 60

Select the statements that indicate an understanding of the teaching.

• “I should cover my baby’s head with a hat.”
• “I should dry my baby thoroughly after their bath.”
• “I should place my baby away from windows and drafts.”

Question 28 of 60

A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?

• “Place your baby in the bassinet in your room by the bed when you use the bathroom.”
• “Make sure anyone caring for or transporting your baby is wearing an identification badge.”
• “Carry your baby in your arms when you go for a walk in the hallway.”
• “Keep your baby’s identification bands placed in the drawer of the bassinet.”

Question 29 of 60

A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

• “I should position the retainer clip at the level of my baby’s armpits.”
• “I will place my baby in a forward-facing seat until they are 1 year old.”
• “I can place a thick blanket behind my baby’s back in the harness.”
• “I will position the car seat at a 90-degree angle.”

Question 30 of 60

A nurse is caring for a client who is at 37 weeks of gestation. The nurse should understand that which of the following findings can indicate a prenatal complication in this client?

• Blurred vision
• Shortness of breath
• Leukorrhea
• Non-pitting ankle edema PN Maternal Newborn 2026

Question 31 of 60

A nurse is reinforcing discharge teaching about home safety with a client who is postpartum. Which of the following positions should the nurse instruct the client to place their newborn in the crib?

• Supine
• Prone
• Side-lying
• Right lateral

Question 32 of 60

A nurse is caring for a client who is pregnant and tests positive for syphilis. Which of the following medications is a contraindication during pregnancy?

• Ceftriaxone
• Benzathine penicillin
• Azithromycin
• Tetracycline

Question 33 of 60

A nurse in a prenatal clinic is assisting a client who is scheduled to be screened for cervical cancer. The nurse should expect which of the following tests to be performed?

• Rapid plasma reagin
• Chorionic villus sampling
• Papanicolaou test
• Rectal culture

Question 34 of 60

A nurse is collecting a urine specimen for a female newborn. Identify the sequence the nurse should follow when collecting the specimen.

1. Allow the newborn’s genitalia to dry.
2. Press the adhesive side of the collection bag to the skin surrounding the genital region.
3. Place the newborn’s diaper back on.

Question 35 of 60

A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which of the following responses should the nurse make?

• “This test determines your ovulation status.”
• “This test detects the presence of endometriosis.”
• “This test detects the presence of cervical cancer.”
• “This test allows for the removal of uterine fibroids.”

Question 36 of 60

A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?

• Weigh the newborn’s wet diaper
• Auscultate the newborn’s bowel sounds
• Swaddle the newborn in a blanket
• Determine the newborn’s respiratory rate

Question 37 of 60

A nurse is reviewing the medical record of a client who is experiencing a postpartum hemorrhage. Which of the following findings should the nurse identify as a possible contraindication to the administration of methylergonovine?

• Preeclampsia
• Hypokalemia
• Asthma
• Hyponatremia

Question 38 of 60

A nurse is reinforcing teaching with a client who is postpartum concerning care of her newborn’s umbilical cord stump. Which of the following statements by the client indicates an understanding of the teaching?

• “I will fold my baby’s diaper down in front to keep the cord dry.”
• “I will apply alcohol to the skin around the cord with each diaper change.”
• “I will give my baby a tub bath every day to keep the cord clean.”
• “I will apply petroleum jelly to my baby’s cord twice per day.”

Question 39 of 60

A nurse is assisting with a pelvic examination of a client during their first prenatal visit. Which of the following actions should the nurse take?

• Ensure the client empties their bladder before the procedure
• Apply povidone-iodine to the perineum prior to bimanual exam
• Encourage the client to take deep, shallow breaths during the procedure
• Instruct the client to bear down when the speculum is inserted PN Maternal Newborn 2026

Question 40 of 60

A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of the following instructions regarding exercise during pregnancy should the nurse include?

• Exercise in a hot environment to promote sweating
• Maintain physical activity at a moderate level
• Increase heart rate to at least 160/min during workout
• Perform heavy weightlifting to maintain muscle tone

Question 41 of 60

Click to highlight the findings the nurse should report to the provider.

• Fundus boggy 2 fingerbreadths above the umbilicus and displaced to the right
• Large amount of lochia rubra with a 6 cm sized blood clot
• Blood pressure 100/52 mm Hg (or 91/50 mm Hg)
• Heart rate 118/min (or 128/min)
• Unable to urinate since birth

Question 42 of 60

Drag words from the choices below to fill in each blank in the following sentence.

• The client is at risk for developing postpartum hemorrhage.

Question 43 of 60

Complete the following sentence by using the lists of options.

• The nurse should first perform fundal massage followed by assisting the client to void / inserting an indwelling catheter.

Question 44 of 60

For each potential order, click to specify if the order is anticipated or not anticipated for the client.

• Insert an indwelling urinary catheter: Anticipated
• Administer uterotonic medication (oxytocin): Anticipated
• Obtain hemoglobin and hematocrit: Anticipated
• Obtain type and crossmatch: Anticipated
• Place in Trendelenburg position: Not Anticipated

Question 45 of 60

The nurse is preparing to administer the client’s IM injection. Which of the following actions should the nurse take first?

• Check the prescription for administration parameters / verify provider order
• Discuss the provider order with the RN
• Palpate the injection site
• Reinforce teaching about the medication with the client

Question 46 of 60

Which of the following findings indicate an improvement in the client’s condition? (Select all that apply.)

• Fundus firm at umbilicus
• Moderate amount of lochia with no clots
• Blood pressure 110/60 mm Hg
• Heart rate 100/min

Question 47 of 60

For each finding, click to specify whether the finding is unrelated to the client’s current diagnosis, an indication that the client’s condition is improving, or an indication that the client’s condition is worsening.

• Temperature 38.3°C (101°F): Sign of potential worsening condition
• Lochia rubra moderate with foul odor: Sign of potential worsening condition
• Level of pain 2/10: Sign of potential improvement
• WBC count 18,000/mm³: Sign of potential worsening condition PN Maternal Newborn 2026

Question 48 of 60

The nurse is reinforcing teaching with the client about the prescribed medication (Methotrexate). Which of the following information should the nurse include? (Select all that apply.)

• Avoid alcohol consumption during therapy
• Avoid taking folic acid supplements
• Avoid prolonged exposure to sunlight
• Report severe abdominal pain immediately
• hCG levels will be measured weekly

Question 49 of 60

For each finding below, click to specify the information the nurse should include when reinforcing teaching with the client.

• Anemia (Iron Supplement / Ferrous Sulfate): This medication can cause dark, tarry stools.
• Nausea (Prochlorperazine / Antiemetic): This medication can cause dry mouth.

Question 50 of 60

Which of the following actions should the nurse take?

• Assist the client to change positions / Apply external fetal monitor / Notify the provider

Question 51 of 60

A nurse is reinforcing teaching about fetal movement counting with a client who is at 32 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching?

• “I should count my baby’s movements for 30 minutes every morning.”
• “I should notify my doctor if I feel fewer than 10 movements in a 2-hour period.”
• “I should lie on my back while I am counting my baby’s movements.”
• “I should call my doctor if the baby moves more than usual.”

Question 52 of 60

A nurse is caring for a client who is in the second stage of labor and has an epidural in place. The client reports feeling pressure and an urge to push. Which of the following actions should the nurse take?

• Instruct the client to hold their breath while pushing.
• Encourage the client to push only during contractions.
• Place the client in a high-Fowler’s position.
• Administer a bolus of IV fluids.

Question 53 of 60

A nurse is reviewing the laboratory results of a client who is at 12 weeks of gestation. The client’s Rubella titer is non-immune. Which of the following actions should the nurse plan to take?

• Administer the rubella vaccine immediately.
• Obtain a prescription to administer the rubella vaccine postpartum.
• Schedule the client for a rubella vaccine at 28 weeks of gestation.
• Instruct the client to avoid contacts with children until delivery.

Question 54 of 60

A nurse is assessing a full-term newborn 1 hr following birth. Which of the following physical findings is an indication of postmaturity?

• Abundant lanugo covering the back
• Smooth, pink skin with visible veins
• Leathery, cracked, and dry skin
• Well-developed vernix caseosa in skin folds

Question 55 of 60

A nurse is collecting data from a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse report to the provider?

• Saturated perineal pad in 15 minutes
• Temperature of 37.8°C (100°F)
• WBC count of 15,000/mm³
• Diuresis of 3,000 mL in 24 hr

Question 56 of 60

A nurse is assisting with the plan of care for a newborn undergoing a circumcision using a Plastibell device. Which of the following interventions should the nurse include in the plan of care?

• Apply petroleum jelly to the penis with each diaper change.
• Verify that the Plastibell ring will fall off naturally within 5 to 7 days.
• Wash the penis with soap and water at every diaper change.
• Gently pull off any plastic rim remaining after 3 days.

Question 57 of 60

A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include to help prevent nipple soreness?

• Wash the nipples with soap and water after each feeding.
• Ensure the newborn latches onto the nipple and a large portion of the areola.
• Limit feeding sessions to 5 minutes per breast.
• Pull the newborn away from the breast to break the suction. PN Maternal Newborn 2026

Question 58 of 60

A nurse is caring for a client who is at 38 weeks of gestation and experiencing active labor. The nurse notes variable decelerations on the fetal monitor strip. Which of the following actions should the nurse take first?

• Administer oxygen via nonrebreather mask.
• Change the client’s position to a side-lying position.
• Increase the rate of the primary IV infusion.
• Perform a vaginal examination to check for cord prolapse.

Question 59 of 60

A nurse is reinforcing discharge teaching with a parent of a newborn regarding safe sleeping practices. Which of the following instructions should the nurse include?

• “Place soft bumper pads around the inside of the crib.”
• “Keep stuffed animals in the crib to make the newborn comfortable.”
• “Dress your baby in a sleep sack instead of using loose blankets.”
• “Position your baby on their side to sleep.”

Question 60 of 60

A nurse is collecting data from a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider immediately?

• Painless, bright red vaginal bleeding
• Increased vaginal discharge
• Mild lower backache
• Dependent ankle edema at the end of the day