PN 3003 MAT PED EXAM NEWEST 2026 ACTUAL
EXAM| PN 3003 MAT PED FINAL EXAM REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (BRAND
NEW!!)
Question 1
A nurse is caring for a client in the first stage of labor. The
client’s contractions are every 3–4 minutes, lasting 60 seconds,
and are moderate to strong in intensity. The cervix is 6 cm
dilated. What phase of labor is the client in?
A) Latent phase
B) Active phase
C) Transition phase
D) Descent phase
Answer: B) Active phase
Rationale: The active phase of the first stage of labor begins at
6 cm cervical dilation and ends at 10 cm. Contractions are more
frequent (every 2–5 minutes), last 40–70 seconds, and are
moderate to strong. The latent phase is 0–6 cm with mild
contractions. Transition is 8–10 cm.
1
,Question 2
A newborn has an Apgar score of 6 at 1 minute of life. What is
the priority nursing action?
A) Continue routine care; this score is normal
B) Initiate resuscitation measures immediately
C) Provide tactile stimulation and reassess at 5 minutes
D) Call the provider for immediate intubation
Answer: C) Provide tactile stimulation and reassess at 5 minutes
Rationale: An Apgar score of 4–6 indicates moderate difficulty.
The nurse should provide tactile stimulation (drying, rubbing the
back, flicking the feet), ensure the airway is clear, and reassess
at 5 minutes. Scores 0–3 require immediate full resuscitation.
Scores 7–10 are normal.
Question 3
A nurse is assessing a client who received epidural anesthesia
during labor. The client’s blood pressure is 90/50 mm Hg. What
is the priority action?
A) Increase the IV fluid rate
B) Place the client in a supine position
C) Administer ephedrine as ordered
D) Turn the client to the left lateral position
2
,Answer: D) Turn the client to the left lateral position
Rationale: Epidural anesthesia can cause maternal hypotension
due to sympathetic blockade. The priority action is to position the
client on the left side to improve venous return and increase
blood pressure. Increasing IV fluids is also important but
positioning is the immediate first step.
Question 4
A postpartum client reports that she has not yet urinated 6 hours
after a vaginal delivery. On assessment, the nurse palpates a
distended bladder above the umbilicus. What is the priority
action?
A) Encourage the client to drink more fluids
B) Catheterize the client immediately
C) Assist the client to the bathroom to void
D) Apply a warm compress to the perineum
Answer: C) Assist the client to the bathroom to void
Rationale: A distended bladder 6 hours postpartum indicates
urinary retention. The nurse should first attempt noninvasive
measures to promote voiding, such as assisting the client to the
bathroom, running water, or pouring warm water over the
perineum. Catheterization is used if these measures fail.
3
, Question 5
A nurse is teaching a pregnant client about signs of preterm
labor. Which statement by the client indicates understanding?
A) “I should expect mild, irregular contractions throughout the
third trimester.”
B) “Low back pain that comes and goes could be a sign of
preterm labor.”
C) “If I feel a gush of fluid, I should wait to see if it stops before
calling my provider.”
D) “I will stop all activity if I feel any uterine tightening.”
Answer: B) “Low back pain that comes and goes could be a sign
of preterm labor.”
Rationale: Low back pain, menstrual-like cramping, pelvic
pressure, and regular contractions are signs of preterm labor. A
gush of fluid (ruptured membranes) requires immediate
notification. Irregular contractions (Braxton Hicks) are common
but should be monitored for progression.
Question 6
A client with preeclampsia is receiving magnesium sulfate. Which
finding indicates magnesium toxicity?
A) Deep tendon reflexes 3+
4
EXAM| PN 3003 MAT PED FINAL EXAM REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (BRAND
NEW!!)
Question 1
A nurse is caring for a client in the first stage of labor. The
client’s contractions are every 3–4 minutes, lasting 60 seconds,
and are moderate to strong in intensity. The cervix is 6 cm
dilated. What phase of labor is the client in?
A) Latent phase
B) Active phase
C) Transition phase
D) Descent phase
Answer: B) Active phase
Rationale: The active phase of the first stage of labor begins at
6 cm cervical dilation and ends at 10 cm. Contractions are more
frequent (every 2–5 minutes), last 40–70 seconds, and are
moderate to strong. The latent phase is 0–6 cm with mild
contractions. Transition is 8–10 cm.
1
,Question 2
A newborn has an Apgar score of 6 at 1 minute of life. What is
the priority nursing action?
A) Continue routine care; this score is normal
B) Initiate resuscitation measures immediately
C) Provide tactile stimulation and reassess at 5 minutes
D) Call the provider for immediate intubation
Answer: C) Provide tactile stimulation and reassess at 5 minutes
Rationale: An Apgar score of 4–6 indicates moderate difficulty.
The nurse should provide tactile stimulation (drying, rubbing the
back, flicking the feet), ensure the airway is clear, and reassess
at 5 minutes. Scores 0–3 require immediate full resuscitation.
Scores 7–10 are normal.
Question 3
A nurse is assessing a client who received epidural anesthesia
during labor. The client’s blood pressure is 90/50 mm Hg. What
is the priority action?
A) Increase the IV fluid rate
B) Place the client in a supine position
C) Administer ephedrine as ordered
D) Turn the client to the left lateral position
2
,Answer: D) Turn the client to the left lateral position
Rationale: Epidural anesthesia can cause maternal hypotension
due to sympathetic blockade. The priority action is to position the
client on the left side to improve venous return and increase
blood pressure. Increasing IV fluids is also important but
positioning is the immediate first step.
Question 4
A postpartum client reports that she has not yet urinated 6 hours
after a vaginal delivery. On assessment, the nurse palpates a
distended bladder above the umbilicus. What is the priority
action?
A) Encourage the client to drink more fluids
B) Catheterize the client immediately
C) Assist the client to the bathroom to void
D) Apply a warm compress to the perineum
Answer: C) Assist the client to the bathroom to void
Rationale: A distended bladder 6 hours postpartum indicates
urinary retention. The nurse should first attempt noninvasive
measures to promote voiding, such as assisting the client to the
bathroom, running water, or pouring warm water over the
perineum. Catheterization is used if these measures fail.
3
, Question 5
A nurse is teaching a pregnant client about signs of preterm
labor. Which statement by the client indicates understanding?
A) “I should expect mild, irregular contractions throughout the
third trimester.”
B) “Low back pain that comes and goes could be a sign of
preterm labor.”
C) “If I feel a gush of fluid, I should wait to see if it stops before
calling my provider.”
D) “I will stop all activity if I feel any uterine tightening.”
Answer: B) “Low back pain that comes and goes could be a sign
of preterm labor.”
Rationale: Low back pain, menstrual-like cramping, pelvic
pressure, and regular contractions are signs of preterm labor. A
gush of fluid (ruptured membranes) requires immediate
notification. Irregular contractions (Braxton Hicks) are common
but should be monitored for progression.
Question 6
A client with preeclampsia is receiving magnesium sulfate. Which
finding indicates magnesium toxicity?
A) Deep tendon reflexes 3+
4
