NUR 1250 – MATERNAL-NEWBORN NURSING EXAM 1 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT DOWNLOAD
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Core Domains
Physiological Changes During Pregnancy and Postpartum
Prenatal Assessment and Testing
Labor and Delivery Processes
Complications of Pregnancy (Antepartum)
Postpartum Complications and Hemorrhage Management
Newborn Assessment, Transition, and Care
Neonatal Complications and Emergency Care
Lactation and Nutrition
Ethics, Legal Compliance, and Professional Standards
Patient Education and Family-Centered Care
,Introduction
This exam is designed to assess comprehensive knowledge and clinical decision-making skills essential for
maternal-newborn nursing practice. It evaluates mastery of foundational theory, applied professional
knowledge, regulatory and legal compliance, ethics, and professional standards. The multiple-choice and
scenario-based structure emphasizes real-world application, requiring candidates to prioritize interventions,
recognize complications, and make safe clinical decisions. Questions cover antepartum, intrapartum, and
postpartum care alongside newborn assessment and management. Success on this exam demonstrates
readiness for clinical practice and alignment with NCLEX-style critical thinking requirements.
Section One: Questions 1–100
A pregnant patient at 32 weeks gestation presents with sudden, painless, bright-red vaginal bleeding. The fetus
is stable. What is the most likely diagnosis?
A. Placental abruption
B. Vasa previa
C. Placenta previa
D. Uterine rupture
🟢 Correct answer: C
,🔴 RATIONALE: Placenta previa classically presents with sudden, painless, bright-red vaginal bleeding in the
second or third trimester with a stable fetus. The placenta implants over or near the cervical os. Placental
abruption (A) typically presents with painful bleeding and uterine tenderness. Vasa previa (B) involves fetal
vessel rupture causing fetal hemorrhage, not maternal bleeding. Uterine rupture (D) is associated with severe
pain, hemodynamic instability, and loss of fetal station.
A nurse is assessing a postpartum patient 12 hours after vaginal delivery. The fundus is firm and located 2 cm
above the umbilicus. What is the most appropriate action?
A. Document as a normal finding
B. Administer methylergonovine immediately
C. Evaluate for bladder distension
D. Prepare for emergent uterine massage
🟢 Correct answer: C
🔴 RATIONALE: At 12 hours postpartum, the fundus should be at or slightly below the umbilicus. A fundus 2
cm above the umbilicus suggests displacement, most commonly due to bladder distension preventing proper
uterine contraction. The nurse should assess and empty the bladder. Documentation (A) is inappropriate as this
is abnormal. Methylergonovine (B) and uterine massage (D) are for hemorrhage with a boggy fundus, not
displaced fundus.
, Which newborn reflex is expected to disappear by 4 months of age?
A. Moro reflex
B. Rooting reflex
C. Stepping reflex
D. Babinski reflex
🟢 Correct answer: A
🔴 RATIONALE: The Moro (startle) reflex typically disappears by 3–4 months of age. The rooting reflex (B)
disappears by 4–5 months. The stepping reflex (C) disappears by 2–3 months. The Babinski reflex (D) persists
until 12 months. Early disappearance or persistence beyond expected age may indicate neurological
abnormalities.
A patient with gestational diabetes asks about fetal risks. Which complication is MOST associated with
uncontrolled gestational diabetes?
A. Oligohydramnios
B. Macrosomia
C. Preterm labor
D. Placenta previa
🟢 Correct answer: B
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT DOWNLOAD
Core Domains
Physiological Changes During Pregnancy and Postpartum
Prenatal Assessment and Testing
Labor and Delivery Processes
Complications of Pregnancy (Antepartum)
Postpartum Complications and Hemorrhage Management
Newborn Assessment, Transition, and Care
Neonatal Complications and Emergency Care
Lactation and Nutrition
Ethics, Legal Compliance, and Professional Standards
Patient Education and Family-Centered Care
,Introduction
This exam is designed to assess comprehensive knowledge and clinical decision-making skills essential for
maternal-newborn nursing practice. It evaluates mastery of foundational theory, applied professional
knowledge, regulatory and legal compliance, ethics, and professional standards. The multiple-choice and
scenario-based structure emphasizes real-world application, requiring candidates to prioritize interventions,
recognize complications, and make safe clinical decisions. Questions cover antepartum, intrapartum, and
postpartum care alongside newborn assessment and management. Success on this exam demonstrates
readiness for clinical practice and alignment with NCLEX-style critical thinking requirements.
Section One: Questions 1–100
A pregnant patient at 32 weeks gestation presents with sudden, painless, bright-red vaginal bleeding. The fetus
is stable. What is the most likely diagnosis?
A. Placental abruption
B. Vasa previa
C. Placenta previa
D. Uterine rupture
🟢 Correct answer: C
,🔴 RATIONALE: Placenta previa classically presents with sudden, painless, bright-red vaginal bleeding in the
second or third trimester with a stable fetus. The placenta implants over or near the cervical os. Placental
abruption (A) typically presents with painful bleeding and uterine tenderness. Vasa previa (B) involves fetal
vessel rupture causing fetal hemorrhage, not maternal bleeding. Uterine rupture (D) is associated with severe
pain, hemodynamic instability, and loss of fetal station.
A nurse is assessing a postpartum patient 12 hours after vaginal delivery. The fundus is firm and located 2 cm
above the umbilicus. What is the most appropriate action?
A. Document as a normal finding
B. Administer methylergonovine immediately
C. Evaluate for bladder distension
D. Prepare for emergent uterine massage
🟢 Correct answer: C
🔴 RATIONALE: At 12 hours postpartum, the fundus should be at or slightly below the umbilicus. A fundus 2
cm above the umbilicus suggests displacement, most commonly due to bladder distension preventing proper
uterine contraction. The nurse should assess and empty the bladder. Documentation (A) is inappropriate as this
is abnormal. Methylergonovine (B) and uterine massage (D) are for hemorrhage with a boggy fundus, not
displaced fundus.
, Which newborn reflex is expected to disappear by 4 months of age?
A. Moro reflex
B. Rooting reflex
C. Stepping reflex
D. Babinski reflex
🟢 Correct answer: A
🔴 RATIONALE: The Moro (startle) reflex typically disappears by 3–4 months of age. The rooting reflex (B)
disappears by 4–5 months. The stepping reflex (C) disappears by 2–3 months. The Babinski reflex (D) persists
until 12 months. Early disappearance or persistence beyond expected age may indicate neurological
abnormalities.
A patient with gestational diabetes asks about fetal risks. Which complication is MOST associated with
uncontrolled gestational diabetes?
A. Oligohydramnios
B. Macrosomia
C. Preterm labor
D. Placenta previa
🟢 Correct answer: B
