NSG 140 MATERNAL-NEWBORN NURSING EXAM 2] QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Antepartum Nursing Assessment and Fetal Development
Intrapartum Nursing Care and Labor Management
Postpartum Maternal Physiological and Psychological Adaptation
Newborn Transition and Initial Nursing Care
High-Risk Pregnancy Complications and Management
Pharmacological Interventions in Maternal-Newborn Nursing
Breastfeeding and Infant Nutrition Principles
Perinatal Loss, Grief, and Ethical Considerations
Legal and Regulatory Standards in Obstetric Nursing
Introduction
*This comprehensive examination is designed to assess the essential knowledge, critical thinking skills, and
clinical judgment required for safe and effective maternal-newborn nursing practice. The exam evaluates
foundational concepts of antepartum, intrapartum, postpartum, and neonatal care, including normal
physiological changes, common complications, evidence-based interventions, and family-centered care
principles. Each of the 200 multiple-choice questions integrates theoretical understanding with real-world
clinical scenarios, emphasizing priority setting, patient safety, pharmacological management, and ethical
decision-making. Questions are structured to mirror professional licensure examinations and are accompanied
by detailed rationales to reinforce learning. Mastery of this content supports the delivery of competent,
compassionate, and culturally sensitive care to childbearing families.*
,SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a client at 34 weeks gestation who reports a sudden gush of fluid from the vagina. Which
finding would indicate that the fluid is amniotic fluid rather than urine?
A. Fluid has a yellow color
B. Fluid has a distinct odor of ammonia
C. Fluid appears clear with white specks
D. Fluid stops leaking when the client lies down
🟢 C. Fluid appears clear with white specks
🔴 RATIONALE: Amniotic fluid is typically clear or pale straw-colored and may contain vernix caseosa (white
specks), lanugo hair, or meconium. Urine is usually yellow and has an ammonia odor. Leaking amniotic fluid
does not stop with position changes, while urine leakage may be positional.
Question 2
A primigravida at 40 weeks gestation is receiving oxytocin for labor induction. The nurse notes contractions
every 1.5 minutes lasting 100 seconds, with a fetal heart rate baseline of 160 bpm and late decelerations. Which
action should the nurse take FIRST?
A. Increase the oxytocin infusion rate
B. Position the client on her left side
,C. Administer oxygen at 2 L via nasal cannula
D. Document the findings as expected
🟢 B. Position the client on her left side
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first priority is to improve uterine
blood flow by positioning the client on her left side, which relieves aortocaval compression. Oxytocin should be
discontinued, not increased. Oxygen should be administered at 8–10 L via face mask, not nasal cannula. This
finding is not expected and requires intervention.
Question 3
A nurse is caring for a term newborn 15 minutes after delivery. Which assessment finding requires immediate
intervention?
A. Apical heart rate of 150 bpm
B. Mild acrocyanosis of hands and feet
C. Irregular abdominal breathing with brief pauses
D. Central cyanosis of the trunk and lips
🟢 D. Central cyanosis of the trunk and lips
🔴 RATIONALE: Central cyanosis (involving the trunk, lips, and mucous membranes) indicates hypoxemia and
may signal underlying cardiac or respiratory pathology. Acrocyanosis is normal in the first 24 hours due to
immature peripheral circulation. An apical rate of 150 bpm and irregular breathing are normal findings in a term
newborn.
Question 4
, A client at 28 weeks gestation with a diagnosis of gestational diabetes mellitus has a fasting blood glucose of
105 mg/dL. Based on this finding, which intervention is most appropriate?
A. Administer insulin subcutaneously stat
B. Instruct the client to eat a high-carbohydrate snack immediately
C. Review the client’s dietary log and medication adherence
D. Schedule an induction of labor for tomorrow morning
🟢 C. Review the client’s dietary log and medication adherence
🔴 RATIONALE: The target fasting glucose in GDM is less than 95 mg/dL. A level of 105 mg/dL indicates
hyperglycemia. The nurse should first assess contributing factors such as diet, medication compliance, and
activity before recommending insulin adjustments. Immediate insulin administration requires a provider order.
Induction at 28 weeks is not indicated for mild hyperglycemia.
Question 5
During the active phase of labor, a client’s cervix is dilated to 6 cm with 100% effacement and the presenting
part is at 0 station. The fetal heart tracing shows recurrent variable decelerations. Which nursing action is most
appropriate?
A. Prepare for an immediate cesarean birth
B. Perform a vaginal examination to assess cord position
C. Administer terbutaline subcutaneously
D. Reposition the client and perform amnioinfusion if ordered
🟢 D. Reposition the client and perform amnioinfusion if ordered
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Antepartum Nursing Assessment and Fetal Development
Intrapartum Nursing Care and Labor Management
Postpartum Maternal Physiological and Psychological Adaptation
Newborn Transition and Initial Nursing Care
High-Risk Pregnancy Complications and Management
Pharmacological Interventions in Maternal-Newborn Nursing
Breastfeeding and Infant Nutrition Principles
Perinatal Loss, Grief, and Ethical Considerations
Legal and Regulatory Standards in Obstetric Nursing
Introduction
*This comprehensive examination is designed to assess the essential knowledge, critical thinking skills, and
clinical judgment required for safe and effective maternal-newborn nursing practice. The exam evaluates
foundational concepts of antepartum, intrapartum, postpartum, and neonatal care, including normal
physiological changes, common complications, evidence-based interventions, and family-centered care
principles. Each of the 200 multiple-choice questions integrates theoretical understanding with real-world
clinical scenarios, emphasizing priority setting, patient safety, pharmacological management, and ethical
decision-making. Questions are structured to mirror professional licensure examinations and are accompanied
by detailed rationales to reinforce learning. Mastery of this content supports the delivery of competent,
compassionate, and culturally sensitive care to childbearing families.*
,SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a client at 34 weeks gestation who reports a sudden gush of fluid from the vagina. Which
finding would indicate that the fluid is amniotic fluid rather than urine?
A. Fluid has a yellow color
B. Fluid has a distinct odor of ammonia
C. Fluid appears clear with white specks
D. Fluid stops leaking when the client lies down
🟢 C. Fluid appears clear with white specks
🔴 RATIONALE: Amniotic fluid is typically clear or pale straw-colored and may contain vernix caseosa (white
specks), lanugo hair, or meconium. Urine is usually yellow and has an ammonia odor. Leaking amniotic fluid
does not stop with position changes, while urine leakage may be positional.
Question 2
A primigravida at 40 weeks gestation is receiving oxytocin for labor induction. The nurse notes contractions
every 1.5 minutes lasting 100 seconds, with a fetal heart rate baseline of 160 bpm and late decelerations. Which
action should the nurse take FIRST?
A. Increase the oxytocin infusion rate
B. Position the client on her left side
,C. Administer oxygen at 2 L via nasal cannula
D. Document the findings as expected
🟢 B. Position the client on her left side
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first priority is to improve uterine
blood flow by positioning the client on her left side, which relieves aortocaval compression. Oxytocin should be
discontinued, not increased. Oxygen should be administered at 8–10 L via face mask, not nasal cannula. This
finding is not expected and requires intervention.
Question 3
A nurse is caring for a term newborn 15 minutes after delivery. Which assessment finding requires immediate
intervention?
A. Apical heart rate of 150 bpm
B. Mild acrocyanosis of hands and feet
C. Irregular abdominal breathing with brief pauses
D. Central cyanosis of the trunk and lips
🟢 D. Central cyanosis of the trunk and lips
🔴 RATIONALE: Central cyanosis (involving the trunk, lips, and mucous membranes) indicates hypoxemia and
may signal underlying cardiac or respiratory pathology. Acrocyanosis is normal in the first 24 hours due to
immature peripheral circulation. An apical rate of 150 bpm and irregular breathing are normal findings in a term
newborn.
Question 4
, A client at 28 weeks gestation with a diagnosis of gestational diabetes mellitus has a fasting blood glucose of
105 mg/dL. Based on this finding, which intervention is most appropriate?
A. Administer insulin subcutaneously stat
B. Instruct the client to eat a high-carbohydrate snack immediately
C. Review the client’s dietary log and medication adherence
D. Schedule an induction of labor for tomorrow morning
🟢 C. Review the client’s dietary log and medication adherence
🔴 RATIONALE: The target fasting glucose in GDM is less than 95 mg/dL. A level of 105 mg/dL indicates
hyperglycemia. The nurse should first assess contributing factors such as diet, medication compliance, and
activity before recommending insulin adjustments. Immediate insulin administration requires a provider order.
Induction at 28 weeks is not indicated for mild hyperglycemia.
Question 5
During the active phase of labor, a client’s cervix is dilated to 6 cm with 100% effacement and the presenting
part is at 0 station. The fetal heart tracing shows recurrent variable decelerations. Which nursing action is most
appropriate?
A. Prepare for an immediate cesarean birth
B. Perform a vaginal examination to assess cord position
C. Administer terbutaline subcutaneously
D. Reposition the client and perform amnioinfusion if ordered
🟢 D. Reposition the client and perform amnioinfusion if ordered
