RN Maternal Newborn Online Practice 2023.

Preparing for your RN Maternal Newborn exam in 2023? This exam is crucial for assessing your knowledge in maternal and newborn care, including topics like labor and delivery, postpartum care, and newborn assessment.

It’s normal to feel a bit anxious, but with consistent practice and the right study materials, you can approach the test with confidence.

Online practice is key to success, allowing you to familiarize yourself with the format and types of questions you’ll face. Practicing with realistic questions can help you strengthen your knowledge and boost your exam performance.

With Ulosca’s tailored study materials, you can engage with high-quality practice questions to confidently prepare for the exam!

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RN Maternal Newborn Online Practice 2023 Questions & Answers

Here are some sample questions to give you a head start! Remember, practice makes perfect, and with the right resources, like Ulosca, you can ace this exam. These questions are designed to challenge you, but don’t worry—answers and explanations are provided to help you learn and grow.

Question 1:
A nurse in the antepartum clinic is assessing a client’s adaptation to pregnancy. The client states, “I’m happy one minute and crying the next.” The nurse should interpret the client’s statement as an indication of which of the following?

A) Normal emotional fluctuation

B) Depression

C) Anxiety

D) Adjustment disorder

Answer: B) Depression
Explanation: It’s common for pregnancy to cause hormonal shifts that affect mood, but excessive mood swings and sadness can be a sign of depression, which requires attention and care.

Question 2:
A nurse is caring for a newborn who has transferred to the nursery 30 minutes after birth because of mild respiratory distress. Which of the following actions should the nurse take first?

A) Administer oxygen therapy

B) Assess respiratory rate and effort

C) Perform a chest x-ray

D) Call for respiratory therapy consultation

Answer: B) Assess respiratory rate and effort
Explanation: The first step in addressing respiratory distress is assessing the newborn’s vital signs and respiratory effort to gauge the severity and determine the appropriate interventions.

Question 3:
A nurse is admitting a client to the labor and delivery unit when the client states, “My water just broke.” Which of the following interventions is the nurse’s priority?

A) Assess fetal heart rate

B) Take the client’s vital signs

C) Check for meconium-stained amniotic fluid

D) Perform a vaginal exam

Answer: A) Assess fetal heart rate
Explanation: The first priority when the water breaks is to check the fetal heart rate to ensure there are no signs of distress, as the umbilical cord can become compressed when the amniotic sac ruptures.

Question 4:
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?

A) Normal blood pressure

B) Decreased fetal movement

C) History of gestational diabetes

D) Mild uterine contractions

Answer: B) Decreased fetal movement
Explanation: Decreased fetal movement is an indication for monitoring, as it may suggest fetal distress. Early detection of problems can help prevent further complications.

Question 5:
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?

A) Monitor the client’s deep tendon reflexes

B) Encourage the client to drink fluids

C) Measure the client’s blood pressure every 15 minutes

D) Administer oxygen if the client reports chest pain

Answer: A) Monitor the client’s deep tendon reflexes
Explanation: Magnesium sulfate is used to prevent seizures in preeclampsia. Monitoring deep tendon reflexes helps assess the risk of magnesium toxicity, a key part of patient safety.

Question 6:
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

A) Hypertension

B) Weight loss

C) Joint pain

D) Severe headaches

Answer: A) Hypertension
Explanation: Combined oral contraceptives can cause increased blood pressure, making it important to monitor for this adverse effect during use.

Question 7:
A nurse is observing a new guardian caring for their crying newborn who is bottle-feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?

A) Shaking the baby to calm it

B) Ignoring the baby’s cries to avoid reinforcing bad behavior

C) Holding the baby while feeding

D) Leaving the baby to cry it out for a few minutes

Answer: C) Holding the baby while feeding
Explanation: Holding the baby during feeding provides comfort and emotional support, fostering a positive bonding experience between the guardian and newborn.

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RN Maternal Newborn Online Practice 2023: Sample Questions & Answers

Ready for more? Here are 10 more practice questions for the RN Maternal Newborn 2023 exam. These questions will help you sharpen your knowledge and test your understanding of key topics.

Sample Question 1

A nurse is assessing a newborn immediately after birth. Which of the following assessments should the nurse perform first?

A) Check for any congenital anomalies

B) Obtain the Apgar score

C) Measure the newborn’s weight

D) Administer the vitamin K injection

Answer: B) Obtain the Apgar score
Explanation: The Apgar score is used to assess the newborn’s overall health right after birth. It includes measurements of heart rate, respiration, muscle tone, reflex response, and color.

Sample Question 2

A nurse is caring for a postpartum client who is experiencing heavy lochia. Which of the following actions should the nurse take first?

A) Assess the client’s vital signs

B) Massage the fundus

C) Increase the client’s IV fluids

D) Administer a uterotonic medication

Answer: B) Massage the fundus
Explanation: Massaging the fundus helps to stimulate uterine contractions and reduce excessive bleeding, which is often a sign of uterine atony.

Sample Question 3

A nurse is assessing a newborn for signs of jaundice. Which of the following areas should the nurse assess first?

A) Abdomen

B) Palms of the hands

C) Sclera of the eyes

D) Soles of the feet

Answer: C) Sclera of the eyes
Explanation: The sclera of the eyes is the most reliable area to assess for jaundice in newborns, as it shows yellowing earliest.

Sample Question 4

A nurse is preparing a client for an amniotomy. Which of the following actions should the nurse take first?

A) Administer IV fluids

B) Perform a vaginal exam

C) Apply external fetal monitoring

D) Check the client’s temperature

Answer: C) Apply external fetal monitoring
Explanation: Before performing an amniotomy, external fetal monitoring should be applied to assess fetal heart rate and ensure there is no sign of fetal distress.

Sample Question 5

A nurse is caring for a client who is 6 hours postpartum and is experiencing heavy lochia and a boggy uterus. Which of the following actions should the nurse take first?

A) Massage the fundus

B) Administer oxytocin

C) Increase IV fluids

D) Elevate the client’s legs

Answer: A) Massage the fundus
Explanation: A boggy uterus indicates uterine atony, which can lead to excessive bleeding. Massaging the fundus stimulates uterine contractions and reduces bleeding.

Sample Question 6

A nurse is assessing a newborn’s respiratory status. Which of the following findings should the nurse immediately report to the healthcare provider?

A) Respiratory rate of 50 breaths per minute

B) Nasal flaring with mild intercostal retractions

C) Grunting with mild chest retractions

D) Cyanosis that resolves when crying

Answer: C) Grunting with mild chest retractions
Explanation: Grunting and chest retractions indicate respiratory distress and should be reported immediately, as they suggest the newborn is having difficulty breathing.

Sample Question 7

A nurse is providing discharge teaching for a new mother who is breastfeeding. Which of the following statements by the mother indicates a need for further teaching?

A) “I will feed my baby every 2 to 3 hours.”

B) “I should use a nipple shield if breastfeeding hurts.”

C) “I need to drink plenty of fluids to maintain my milk supply.”

D) “I will avoid using bottles for the first few weeks.”

Answer: B) “I should use a nipple shield if breastfeeding hurts.”
Explanation: While nipple shields can be helpful in certain cases, they should not be used as a routine solution for pain. If breastfeeding hurts, the mother should seek advice on proper latch techniques or consult a lactation consultant.

Sample Question 8

A nurse is caring for a postpartum client who has a 2nd-degree laceration. Which of the following actions should the nurse include in the plan of care?

A) Apply a perineal ice pack for the first 24 hours

B) Instruct the client to sit on a soft pillow for comfort

C) Encourage the client to apply heat to the perineum

D) Refrain from providing pain relief to avoid masking symptoms

Answer: A) Apply a perineal ice pack for the first 24 hours
Explanation: Ice packs help reduce swelling and discomfort after a laceration. Heat can be applied after the first 24 hours, but initially, ice is the most effective.

Sample Question 9

A nurse is caring for a newborn who was born via cesarean section. Which of the following actions should the nurse include in the plan of care to reduce the risk of respiratory complications?

A) Encourage early breastfeeding

B) Place the newborn in the supine position

C) Administer prophylactic antibiotics

D) Ensure the newborn is suctioned immediately after birth

Answer: A) Encourage early breastfeeding
Explanation: Early breastfeeding helps promote the clearance of lung fluid and supports overall respiratory function in newborns, especially those born via cesarean section.

Sample Question 10

A nurse is reviewing the discharge instructions with a new mother who is planning to return to work soon. Which of the following statements should the nurse include in the teaching?

A) “You should stop breastfeeding as soon as you return to work.”

B) “You can pump and store your milk for up to 24 hours.”

C) “It is safe to use formula while you are away from your baby.”

D) “You should introduce solid foods when you return to work.”

Answer: C) “It is safe to use formula while you are away from your baby.”
Explanation: Formula feeding is a safe alternative if the mother is returning to work. Breastfeeding and pumping are also good options, but formula is a viable option when breastfeeding is not possible.

RN Maternal Newborn Online Practice 2023: Conclusion

Preparing for the RN Maternal Newborn exam in 2023 can be manageable with the right tools. Consistent practice and the right study materials will help you feel confident on exam day. Ulosca’s tailored study resources ensure that you’re not just memorizing, but applying the knowledge in real scenarios.

Keep practicing and stay positive. Each practice question is a step closer to success. Let Ulosca.com be your go-to study partner throughout this journey—you’ve got this!

RN Maternal Newborn Online Practice 2023