2025/2026
MATERNITY
NURSING
Final Exam Practice
Questions And
Answers 2025/2026
Latest Update 100%
Verified
,A Client At 28 Weeks Gestation Is Admitted To The Labor And Birth Unit. Which Test Would Most Likely
Be Used To Assess The Client's Comprehensive Fetal Status?
a) Ultrasound For Physical Structure
b) Nonstress Test (NST)
c) Biophysical Profile (BPP)
d) Amniocentesis - ✔✔Answer C.
Biophysical Profile Is A Comprehensive Test That Would Be Used To Assess The Client's Fetal Status At 28
Weeks Gestation. Ultrasound For Physical Structure Is Limited To Identifying The Growth And
Development Of The Fetus, And Does Not Assess For Other Parameters Of Fetal Well-Being. Women
With A High-Risk Factor Will Probably Begin Having Nsts At 30-32 Weeks Gestation And At Frequent
Intervals For The Remainder Of The Pregnancy. Amniocentesis Late In Pregnancy Is Used To Test For
Lung Maturity, Not Overall Fetal Status In Labor, And When Performed Earlier It Is Used To Test For
Specific Disorders.
3rd Trimester Screening - ✔✔Answer To Determine Whether Intrauterine Env't Continues To Be
Supportive To Fetus (Vs FTS And STS Focused On Detecting Anomalies)
-Timing Of Birth For Uteroplacental Insufficiency (Gradual Loss Of Placental Fn => Inadequate Nutrient
Delivery => IUGR => Subsequent Compromised Respiratory Fn => Fetal Hypoxia)
-NST, CST, BPP. **Teach 3rd Trimester Moms How To Detect Moments And To Report/Monitor Any
Decrease (Want 6/2h; Dec May Be Due To Dec'd Placental Perfusion)
BPP - ✔✔Answer Real Time U/S Imaging To Determine Current And Comprehensive Fetal Well-
Being Via A Detailed Ass't Of Physical And Physiological Characteristics (Normal Vs Abnormal
Biophysical Responses To Stimuli)
-Noninvasive, Dynamic; Assesses Breathing Movements, Movement, Tone, AFV, HR, Normal Biophysical
Activities Which Indicate Normal CNS Fn(Ex Hypoxia Should Result In Inc'd Movement, Tachycardia,
Altered Muscle Tone)
-Done W/O NST Score Out Of 8 Vs Ww NST Out Of 10
AFV - ✔✔Answer Look At Fluid Pocket Volumes To Determine Amniotic Fluid Volume And Crowding
Of Fetal Limbs Vs Floating Etc
,FTS (1st Trimester Screening) - ✔✔Answer Screens For Fetal Aneuploidy (Down Syndrome And
Trisomy 18)
-U/S Examination Of Nuchal Translucency (NT) + Maternal Serum Biomarkers (PAPP-A, Beta-Hcg)
-Recommended That Women Also Do Neural Tube Defect (NTD) Screen At 18-22w U/S
-Limitation To Screening: 5% False +, Lack Of Availability In Some Centres
PAPP-A - ✔✔Answer Maternal Serum Biomarker (In FTS)
-Lower In Down Syndrome Pregnancy
Beta-Hcg - ✔✔Answer Maternal Serum Biomarker (In FTS)
-Higher In Down Syndrome Pregnancy
NT - ✔✔Answer Nuchal Translucency:
U/S Msmt Of Fluid At Nape Of Neck Bw 11-14w Gestation To Identify Abnormalities
-Fluid Collection > 2.5 Mm = Abnormal, >3 Mm = Genetic Disorder/Physical Anomaly
STS (2nd Trimester Screening) - ✔✔Answer Detect Fetal Anomalies (Ntds)
-Maternal Serum Alpha Fetoprotein (MSAFP) Produced X Fetal Liver And Detected In Mother's Serum
When High Levels Bw 14-34 Weeks; MSAFP If To Identify Need For More Definitive Procedures Via
Amniocentesis And U/S
-Can Also Use Amniotic Fluid AFP To Dx Ntds (As Follow Up For Elevated Maternal Levels)
-Triple Marker Test: MSAFP, Unconjugated Estradiol, Hcg Along With Maternal Age (16-18 Weeks)
-Low MSAFP= Down Syndrome, High=NTD
IPS - ✔✔Answer Integrated Prenatal Screening
-FTS + STS Serum Screening +/- NT
-Superior Testing Method
, -PAPP-A And NT In FTS And Quad Screen In STS
Amniocentesis - ✔✔Answer AF Contains Fetal Cells
-Possible After Week 14
-For Genetic Testing, Congenital Anomalies (NTD), Pulmonary Maturity, Dx Of Fetal Hemolytic Dz,
Meconium (Fetal Stress)
Meconium In AF In Intrapartum Period - ✔✔Answer -Normal Physiological Fn Occurring W/ Maturity
(Uncommon Bw 23-24 Weeks, Inc'd Incidence >38w)
-Result Of Hypoxia-Induced Peristalsis And Sphincter Relaxation
-May Be Sequel To Cord Compression-Induced Vaginal Stimulation In Mature Fetus
**Thick Fresh Meconium Passed For 1st Time In Late Labour + Nonrememdiable Severe Variable Or Late
FHR Decelerations = Ominous Sign
CVS - ✔✔Answer 10-13 Weeks Gestation
-Removal Of Small Tissue Specimen From Fetal Portion Of Placenta For Genetic Testing
-Danger Of Abortion/Miscarriage, ROM, Chorioamnionitis, Fetmomaternal Hemorrhage (Careful With Rh
- Moms!!, Give Immunoglobulin To Avoid Isoimmunization)
Fetal Response To Hypoxia - ✔✔Answer Clinical Basis For Antepartum Testing With EFM
-Redistribution Of Blood Flow Favouring Vital Organs, Dec'd Total Oxygen Consumption, Switch To
Anaerobic Glycolysis (Supports Survival For 30 Mins W/O Decompensation).
-Prolonged Asphyxia/Sustained Hypoxemia: Dec CO, Dec Arterial BP, Dec'd Perfusion Of Heart And Brain
And Characteristic FHR Pattern
NST - ✔✔Answer Non-Stress Test
-FHR Accelerations In Response To Movement (Blunted FHR Response Can Be Due To Hypoxia, Acidosis,
Medications, Sleep, Congenital Anomalies)
-Easy, Quick, Outpatient Setting
MATERNITY
NURSING
Final Exam Practice
Questions And
Answers 2025/2026
Latest Update 100%
Verified
,A Client At 28 Weeks Gestation Is Admitted To The Labor And Birth Unit. Which Test Would Most Likely
Be Used To Assess The Client's Comprehensive Fetal Status?
a) Ultrasound For Physical Structure
b) Nonstress Test (NST)
c) Biophysical Profile (BPP)
d) Amniocentesis - ✔✔Answer C.
Biophysical Profile Is A Comprehensive Test That Would Be Used To Assess The Client's Fetal Status At 28
Weeks Gestation. Ultrasound For Physical Structure Is Limited To Identifying The Growth And
Development Of The Fetus, And Does Not Assess For Other Parameters Of Fetal Well-Being. Women
With A High-Risk Factor Will Probably Begin Having Nsts At 30-32 Weeks Gestation And At Frequent
Intervals For The Remainder Of The Pregnancy. Amniocentesis Late In Pregnancy Is Used To Test For
Lung Maturity, Not Overall Fetal Status In Labor, And When Performed Earlier It Is Used To Test For
Specific Disorders.
3rd Trimester Screening - ✔✔Answer To Determine Whether Intrauterine Env't Continues To Be
Supportive To Fetus (Vs FTS And STS Focused On Detecting Anomalies)
-Timing Of Birth For Uteroplacental Insufficiency (Gradual Loss Of Placental Fn => Inadequate Nutrient
Delivery => IUGR => Subsequent Compromised Respiratory Fn => Fetal Hypoxia)
-NST, CST, BPP. **Teach 3rd Trimester Moms How To Detect Moments And To Report/Monitor Any
Decrease (Want 6/2h; Dec May Be Due To Dec'd Placental Perfusion)
BPP - ✔✔Answer Real Time U/S Imaging To Determine Current And Comprehensive Fetal Well-
Being Via A Detailed Ass't Of Physical And Physiological Characteristics (Normal Vs Abnormal
Biophysical Responses To Stimuli)
-Noninvasive, Dynamic; Assesses Breathing Movements, Movement, Tone, AFV, HR, Normal Biophysical
Activities Which Indicate Normal CNS Fn(Ex Hypoxia Should Result In Inc'd Movement, Tachycardia,
Altered Muscle Tone)
-Done W/O NST Score Out Of 8 Vs Ww NST Out Of 10
AFV - ✔✔Answer Look At Fluid Pocket Volumes To Determine Amniotic Fluid Volume And Crowding
Of Fetal Limbs Vs Floating Etc
,FTS (1st Trimester Screening) - ✔✔Answer Screens For Fetal Aneuploidy (Down Syndrome And
Trisomy 18)
-U/S Examination Of Nuchal Translucency (NT) + Maternal Serum Biomarkers (PAPP-A, Beta-Hcg)
-Recommended That Women Also Do Neural Tube Defect (NTD) Screen At 18-22w U/S
-Limitation To Screening: 5% False +, Lack Of Availability In Some Centres
PAPP-A - ✔✔Answer Maternal Serum Biomarker (In FTS)
-Lower In Down Syndrome Pregnancy
Beta-Hcg - ✔✔Answer Maternal Serum Biomarker (In FTS)
-Higher In Down Syndrome Pregnancy
NT - ✔✔Answer Nuchal Translucency:
U/S Msmt Of Fluid At Nape Of Neck Bw 11-14w Gestation To Identify Abnormalities
-Fluid Collection > 2.5 Mm = Abnormal, >3 Mm = Genetic Disorder/Physical Anomaly
STS (2nd Trimester Screening) - ✔✔Answer Detect Fetal Anomalies (Ntds)
-Maternal Serum Alpha Fetoprotein (MSAFP) Produced X Fetal Liver And Detected In Mother's Serum
When High Levels Bw 14-34 Weeks; MSAFP If To Identify Need For More Definitive Procedures Via
Amniocentesis And U/S
-Can Also Use Amniotic Fluid AFP To Dx Ntds (As Follow Up For Elevated Maternal Levels)
-Triple Marker Test: MSAFP, Unconjugated Estradiol, Hcg Along With Maternal Age (16-18 Weeks)
-Low MSAFP= Down Syndrome, High=NTD
IPS - ✔✔Answer Integrated Prenatal Screening
-FTS + STS Serum Screening +/- NT
-Superior Testing Method
, -PAPP-A And NT In FTS And Quad Screen In STS
Amniocentesis - ✔✔Answer AF Contains Fetal Cells
-Possible After Week 14
-For Genetic Testing, Congenital Anomalies (NTD), Pulmonary Maturity, Dx Of Fetal Hemolytic Dz,
Meconium (Fetal Stress)
Meconium In AF In Intrapartum Period - ✔✔Answer -Normal Physiological Fn Occurring W/ Maturity
(Uncommon Bw 23-24 Weeks, Inc'd Incidence >38w)
-Result Of Hypoxia-Induced Peristalsis And Sphincter Relaxation
-May Be Sequel To Cord Compression-Induced Vaginal Stimulation In Mature Fetus
**Thick Fresh Meconium Passed For 1st Time In Late Labour + Nonrememdiable Severe Variable Or Late
FHR Decelerations = Ominous Sign
CVS - ✔✔Answer 10-13 Weeks Gestation
-Removal Of Small Tissue Specimen From Fetal Portion Of Placenta For Genetic Testing
-Danger Of Abortion/Miscarriage, ROM, Chorioamnionitis, Fetmomaternal Hemorrhage (Careful With Rh
- Moms!!, Give Immunoglobulin To Avoid Isoimmunization)
Fetal Response To Hypoxia - ✔✔Answer Clinical Basis For Antepartum Testing With EFM
-Redistribution Of Blood Flow Favouring Vital Organs, Dec'd Total Oxygen Consumption, Switch To
Anaerobic Glycolysis (Supports Survival For 30 Mins W/O Decompensation).
-Prolonged Asphyxia/Sustained Hypoxemia: Dec CO, Dec Arterial BP, Dec'd Perfusion Of Heart And Brain
And Characteristic FHR Pattern
NST - ✔✔Answer Non-Stress Test
-FHR Accelerations In Response To Movement (Blunted FHR Response Can Be Due To Hypoxia, Acidosis,
Medications, Sleep, Congenital Anomalies)
-Easy, Quick, Outpatient Setting
