Walden University – Advanced Maternal-newborn Nursing Exam I
Walden University | NURS 6551 Advanced Maternal-
Newborn Nursing – Exam I (Test Bank + Answer Key +
Rationales)
Question 1
A pregnant client presents with bright red vaginal
bleeding that is painless. Which condition is most likely?
A. Abruptio placentae
B. Uterine rupture
C. Placenta previa
D. Vasa previa
Rationale: Placenta previa occurs when the placenta
covers the cervical os and presents with painless,
bright red bleeding.
Question 2
Which assessment finding is most consistent
with abruptio placentae?
A. Painless bleeding
B. Rigid abdomen with severe pain
,Walden University – Advanced Maternal-newborn Nursing Exam I
C. No uterine tenderness
D. Gradual onset bleeding
Rationale: Abruptio placentae involves premature
separation of the placenta and presents as a painful
obstetric emergency with a rigid uterus.
Question 3
Cerclage placement is MOST appropriate for which
patient?
A. First pregnancy at 38 weeks
B. History of multiple miscarriages due to cervical
insufficiency
C. Active labor patient
D. Placenta previa diagnosis
Rationale: Cerclage is indicated for women with
cervical incompetence, typically with a history of
recurrent pregnancy loss.
, Walden University – Advanced Maternal-newborn Nursing Exam I
Question 4
Which symptom in a pregnant patient is a priority
indicator of severe pre-eclampsia?
A. Mild edema
B. Right upper quadrant abdominal pain
C. Fatigue
D. Frequent urination
Rationale: RUQ pain suggests liver involvement and
signals worsening pre-eclampsia requiring immediate
intervention.
Question 5
The second stage of labor begins when the patient:
A. Experiences regular contractions
B. Reaches 7 cm dilation
C. Is fully dilated and begins pushing
D. Delivers the placenta
Rationale: Stage two begins at full cervical dilation (10
cm) and ends with delivery of the infant.
Walden University | NURS 6551 Advanced Maternal-
Newborn Nursing – Exam I (Test Bank + Answer Key +
Rationales)
Question 1
A pregnant client presents with bright red vaginal
bleeding that is painless. Which condition is most likely?
A. Abruptio placentae
B. Uterine rupture
C. Placenta previa
D. Vasa previa
Rationale: Placenta previa occurs when the placenta
covers the cervical os and presents with painless,
bright red bleeding.
Question 2
Which assessment finding is most consistent
with abruptio placentae?
A. Painless bleeding
B. Rigid abdomen with severe pain
,Walden University – Advanced Maternal-newborn Nursing Exam I
C. No uterine tenderness
D. Gradual onset bleeding
Rationale: Abruptio placentae involves premature
separation of the placenta and presents as a painful
obstetric emergency with a rigid uterus.
Question 3
Cerclage placement is MOST appropriate for which
patient?
A. First pregnancy at 38 weeks
B. History of multiple miscarriages due to cervical
insufficiency
C. Active labor patient
D. Placenta previa diagnosis
Rationale: Cerclage is indicated for women with
cervical incompetence, typically with a history of
recurrent pregnancy loss.
, Walden University – Advanced Maternal-newborn Nursing Exam I
Question 4
Which symptom in a pregnant patient is a priority
indicator of severe pre-eclampsia?
A. Mild edema
B. Right upper quadrant abdominal pain
C. Fatigue
D. Frequent urination
Rationale: RUQ pain suggests liver involvement and
signals worsening pre-eclampsia requiring immediate
intervention.
Question 5
The second stage of labor begins when the patient:
A. Experiences regular contractions
B. Reaches 7 cm dilation
C. Is fully dilated and begins pushing
D. Delivers the placenta
Rationale: Stage two begins at full cervical dilation (10
cm) and ends with delivery of the infant.
