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CMS Maternal Newborn Practice Questions With 100% Verified Answers

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CMS Maternal Newborn Practice Questions With 100% Verified Answers A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? - answerBlurred vision - indication of preeclampsia...

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  • September 29, 2024
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  • 2024/2025
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CMS Maternal Newborn Practice Questions
With 100% Verified Answers


A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal

examination. Which of the following findings should the nurse report to the provider? -

answer✔Blurred vision - indication of preeclampsia


Expected findings: non pitting ankle edema, 10 fetal movements in 2 hr, leg cramps

A nurse is caring or a newborn who is receiving phototherapy. Which of the following actions

should the nurse take? - answer✔Place an opaque mask over the newborn's eyes - to prevent

damage to the retinas




- Should remove mask for feedings

DO NOT apply a thin layer of lotion to the newborn's skin

A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting.

Which of the following findings should the nurse identify as an indication that the client has

hyperemesis gravidarum? - answer✔Ketonuria




Occurs due to the breakdown of fat secondary to malnutrition or starvation

, ©BRAINBARTER 2024/2025


Tachycardia and tachypnea due to dehydration

A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling

efforts. Which of the following neonatal data collection tools should the nurse expect to

complete? - answer✔Neonatal Abstinence Scoring System: exhibiting opioid withdrawal




Additional manifestations: restlessness, tremors, increased muscle tone, and an exaggerated

Moro reflex

- Apgar score: heart rate, respiratory rate, muscle tone, reflex irritability and skin color

- Newborn Hearing Screen should be completed before the newborn is discharged from the

hospital

- Critical Congenital Heart Disease screen should be completed 24- 28 hours following birth and

before the newborn is discharged from the hospital

A nurse is assisting in the care of a newborn immediately following birth. Which of the

following images should the nurse identify as an indication that the newborn has a

myelomeningocele? - answer✔Occurs when the neural tube fails to close, and the meninges and

spinal cord herniate

Occurs in the lumbar area and may be covered by a thin membranous sac

- Exstrophy of the bladder; occurs from abnormal development of the abdominal wall, symphysis

pubis and bladder ; visible in the suprapubic area and requires surgical intervention soon after

birth

, ©BRAINBARTER 2024/2025


- Omphalocel: occurs when abdominal organs herniate through the umbilical ring at the base of

the umbilical cord

- Cephalohematoma; collection of blood between the skull bone and its covering, the periosteum.

A cephalohematoma does not cross the suture lines of the newborn's skull and will

spontaneously resolve in 2-8 weeks

A nurse is collecting data from a newborn who is 8hr old. Which of the following findings

should the nurse report to the provider? - answer✔Apical heart rate of 90/min while crying -

normal range 110 - 160 for a newborn, heart rate of 80-100/min while asleep and up to 180/min

while crying

- Apneic episode of 20 seconds or less - normal; newborns respirations are normally shallow and

irregular

- Positive moro reflex present from birth up to 8 weeks

- Vernix in the skin folds - normal

A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn.

The client reports perineal pain of 6 on a scale from 0 to 10. The nurse also notes mild perineal

edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the

right. Which of the following actions is the nurse's priority?

a. administer analgesics

b. apply an ice pack to the perineum

c. assist the client with breastfeeding

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