and Answers
Antepartum Care
Labor & Delivery
Postpartum Care
Newborn Assessment
High risk pregnancy
Maternal Pharmacology
Breastfeeding & Lactation
Patient Education & Family-Centered Care
Antepartum Care
Q1. Which is a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Ultrasound visualization
Answer: C. Presumptive signs are subjective, like amenorrhea, nausea, breast
changes.
Q2. A pregnant client asks about folic acid. The nurse explains its primary role is:
A. Preventing anemia
B. Preventing neural tube defects
C. Supporting placental growth
D. Reducing nausea
Answer: B. Folic acid prevents neural tube defects such as spina bifida.
Maternal Complications
Q3. A client with gestational diabetes is at risk for:
A. Small‑for‑gestational‑age infant
B. Macrosomia
C. Preterm labor only
D. Placenta previa
Answer: B. Excess glucose leads to fetal overgrowth (macrosomia).
Q4. Which finding indicates severe preeclampsia?
A. BP 140/90
B. Proteinuria trace
C. BP 160/110 with headache
D. Mild edema
Answer: C. Severe preeclampsia includes high BP, proteinuria, CNS symptoms.
, Labor & Delivery Basics
Q5. Which cervical dilation marks the start of the second stage of labor?
A. 4 cm
B. 7 cm
C. 10 cm
D. 2 cm
Answer: C. Full dilation (10 cm) signals readiness for pushing.
Q6. Early decelerations on fetal monitoring are usually caused by:
A. Cord compression
B. Uteroplacental insufficiency
C. Head compression
D. Maternal hypotension
Answer: C. Early decelerations are benign, linked to head compression.
Postpartum Care
Q7. A nurse notes heavy lochia and a boggy uterus. First action?
A. Call physician
B. Massage the fundus
C. Administer antibiotics
D. Start IV fluids
Answer: B. Fundal massage is the immediate intervention for uterine atony.
Q8. Which emotional change is normal in the first week postpartum?
A. Persistent sadness >2 weeks
B. Tearfulness resolving in days
C. Hallucinations
D. Withdrawal from infant
Answer: B. Postpartum blues are common and self‑limiting.
Newborn Immediate Care
Q9. A newborn has APGAR 8 at 1 minute. Nursing action?
A. Begin resuscitation
B. Provide routine care
C. Administer oxygen
D. Call NICU team
Answer: B. Scores 7–10 indicate good adaptation.
Q10. Which reflex is elicited by stroking the infant’s cheek?
A. Moro
B. Rooting
C. Sucking
D. Babinski
Answer: B. Rooting reflex helps infant find nipple for feeding.
Q11. Which finding is abnormal in a newborn?