CMS MATERNAL NEWBORN PROCTORED EXAM
LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is reinforcing teaching about preventing urinary tract infections with a client who is at 25 weeks of gestation. Which of the following instructions should the nurse include?
- you should perform Kegel exercises four times per day
- you should empty your bladder before you go to bed at night
- you should wipe from back to front after urinating
- you should wear underwear made from nylon - ANSWER- b. you
should empty your bladder before you go to bed at night
A nurse is caring for a client who is 48 hr postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider?
- warm, tender area on the calf
- orthostatic hypotension
- moderate loch rubra
- dysuria
- cracked nipples - ANSWER- a. warm, tender area on the calf
- dysuria
- cracked nipples
- / 4
A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse plan to include as the priority immediately following a seizure?
- initiate an IV line with an 18-gauge needle
- insert an indwelling urinary catheter
- Administer oxygen via facemask at 10L/min
- monitor the client during magnesium sulfate therapy - ANSWER- c.
Administer oxygen via facemask at 10L/min
A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider?
- tinnitus
- proteinuria 3+
- increased urine output
- respiratory rat 10/min - ANSWER- d. respiratory rat 10/min
A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching?
- I should not receive this medication while I am breastfeeding
- I will need monthly injections of this medication
- I am likely to gain weight while taking this medication
- I should limit my calcium intake while taking this medication -
ANSWER- c. I am likely to gain weight while taking this medication 2 / 4
A nurse is assisting with the care of a client who is pregnant and has preeclampsia. While the nurse is collecting data, the client has a seizure.Which of the following actions should the nurse take first?
- monitor fetal heart tones
- Measure the client's blood pressure.
- Insert indwelling urinary catheter
- turn the client on their side - ANSWER- d. turn the client on their side
A nurse is reinforcing education about the prevention of newborn abduction with a client who recently gave birth. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
- I can carry my baby back to the nursery in my arms.
- An alarm will sound if someone removes my baby's safety device
- The nurse is not required to show their identification when taking my
- I can leave my baby in the bassinet while I take a shower. -
baby back to the nursery
ANSWER- b. An alarm will sound if someone removes my baby's safety device
A nurse in a postpartum unit is caring for a client who has endometritis and is 48 hr postpartum following a cesarean birth. Which of the following findings should the nurse anticipate?
- WBC 8,000/mm3
- Erythrocyte sedimentation rate 3 / 4
- Respiratory rate 18/min
- heart rate 110/min - ANSWER- d. heart rate 110/min
A nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following findings should the nurse report to the provider?
- Flushed skin
- Respiratory rate 22/min
- absent deep-tendon reflexes
- urinary output 35 mL/hr - ANSWER- c. absent deep-tendon reflexes
a nurse in an antepartum clinic is reviewing laboratory test results for a group of clients. The nurse should notify the provider of which of the following results?
- Hemoglobin 14 g/dL
- WBC count 14,000/mm3
- Hematocrit 31 %
- Platelets 200,000/mm3 - ANSWER- c. Hematocrit 31 %
A nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication?
- fundus is palpable at 2 cm above the umbilicus
- Temperature is 38 C
- Lochia increases after breastfeeding
- / 4