NUR 1250 – MATERNAL-NEWBORN NURSING FINAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT
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Core Domains
Antepartum Assessment and High-Risk Pregnancy Conditions
Intrapartum Monitoring, Labor Progression, and Delivery Complications
Postpartum Assessment, Physiologic Changes, and Hemorrhage Management
Newborn Transition, Assessment, and Resuscitation
Maternal-Newborn Complications (Preterm Birth, Gestational Diabetes, Preeclampsia)
Ethics, Legal Compliance, and Professional Standards in Obstetric Nursing
Patient Education, Lactation Support, and Psychosocial Care
Medication Safety and Uterotonic Administration
Introduction
This comprehensive exam assesses critical knowledge and clinical decision-making skills essential for safe
maternal-newborn nursing practice. The 100 multiple-choice and scenario-based questions evaluate your
ability to apply foundational theory, recognize high-risk conditions, prioritize patient care, and implement
evidence-based interventions. Emphasis is placed on real-world application, including postpartum hemorrhage
management, fetal heart rate interpretation, newborn resuscitation, ethical dilemmas, and regulatory
compliance. Successfully mastering this content prepares you for professional certification and competent
clinical practice in obstetric care settings.*
,Section One: Questions 1–100
A pregnant patient at 32 weeks gestation presents with sudden, painless, bright red vaginal bleeding. The uterus
is soft, and fetal heart rate is 140 bpm with regular contractions. What is the MOST likely diagnosis?
A. Placental abruption
B. Vasa previa
C. Placenta previa
D. Uterine rupture
🟢 Correct answer: C
🔴 RATIONALE: Painless, bright red vaginal bleeding with a soft uterus is the classic presentation of placenta
previa. Placental abruption typically presents with painful bleeding and a firm, tender uterus. Vasa previa
involves fetal bleeding and presents with fetal bradycardia. Uterine rupture is associated with prior cesarean
birth and severe pain.
Which intervention is the PRIORITY for a nurse managing a patient with postpartum hemorrhage due to
uterine atony?
A. Administer methylergonovine (Methergine)
B. Perform continuous fundal massage
C. Insert a Foley catheter for bladder distention
D. Establish two large-bore IV lines
,🟢 Correct answer: B
🔴 RATIONALE: Continuous fundal massage is the immediate first-line intervention for uterine atony to
stimulate uterine contraction and reduce bleeding. Medications (Methergine), bladder emptying, and IV fluid
establishment are secondary interventions performed after initial massage.
A newborn is born at 38 weeks gestation with an APGAR score of 4 at 1 minute. Which action should the nurse
take FIRST?
A. Administer supplemental oxygen via face mask
B. Initiate positive pressure ventilation
C. Wrap the infant in warm blankets
D. Perform gentle suctioning of the airway
🟢 Correct answer: B
🔴 RATIONALE: An APGAR score of 4 indicates severe distress requiring immediate resuscitation. Positive
pressure ventilation is the priority for a newborn with inadequate breathing and low heart rate. Oxygen alone is
insufficient without ventilation. warming and suctioning are supportive but not primary interventions.
, A patient with gestational diabetes at 36 weeks gestation asks about fetal monitoring. Which test is MOST
appropriate for assessing fetal well-being?
A. Non-stress test (NST)
B. Biophysical profile (BPP)
C. Contraction stress test (CST)
D. Doppler ultrasound
🟢 Correct answer: A
🔴 RATIONALE: Non-stress test (NST) is the standard initial fetal monitoring tool for gestational diabetes to
assess fetal heart rate reactivity. BPP is used if NST is non-reactive. CST is contraindicated in high-risk
pregnancies. Doppler assesses blood flow, not fetal well-being directly.
Which nursing intervention is CRITICAL to prevent neonatal hypothermia immediately after birth?
A. Place the newborn under a radiant warmer
B. Dry the infant thoroughly and remove wet linens
C. Administer warm IV fluids to the mother
D. Wrap the baby in a pre-warmed blanket
🟢 Correct answer: B
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT
DOWNLOAD PDF
Core Domains
Antepartum Assessment and High-Risk Pregnancy Conditions
Intrapartum Monitoring, Labor Progression, and Delivery Complications
Postpartum Assessment, Physiologic Changes, and Hemorrhage Management
Newborn Transition, Assessment, and Resuscitation
Maternal-Newborn Complications (Preterm Birth, Gestational Diabetes, Preeclampsia)
Ethics, Legal Compliance, and Professional Standards in Obstetric Nursing
Patient Education, Lactation Support, and Psychosocial Care
Medication Safety and Uterotonic Administration
Introduction
This comprehensive exam assesses critical knowledge and clinical decision-making skills essential for safe
maternal-newborn nursing practice. The 100 multiple-choice and scenario-based questions evaluate your
ability to apply foundational theory, recognize high-risk conditions, prioritize patient care, and implement
evidence-based interventions. Emphasis is placed on real-world application, including postpartum hemorrhage
management, fetal heart rate interpretation, newborn resuscitation, ethical dilemmas, and regulatory
compliance. Successfully mastering this content prepares you for professional certification and competent
clinical practice in obstetric care settings.*
,Section One: Questions 1–100
A pregnant patient at 32 weeks gestation presents with sudden, painless, bright red vaginal bleeding. The uterus
is soft, and fetal heart rate is 140 bpm with regular contractions. What is the MOST likely diagnosis?
A. Placental abruption
B. Vasa previa
C. Placenta previa
D. Uterine rupture
🟢 Correct answer: C
🔴 RATIONALE: Painless, bright red vaginal bleeding with a soft uterus is the classic presentation of placenta
previa. Placental abruption typically presents with painful bleeding and a firm, tender uterus. Vasa previa
involves fetal bleeding and presents with fetal bradycardia. Uterine rupture is associated with prior cesarean
birth and severe pain.
Which intervention is the PRIORITY for a nurse managing a patient with postpartum hemorrhage due to
uterine atony?
A. Administer methylergonovine (Methergine)
B. Perform continuous fundal massage
C. Insert a Foley catheter for bladder distention
D. Establish two large-bore IV lines
,🟢 Correct answer: B
🔴 RATIONALE: Continuous fundal massage is the immediate first-line intervention for uterine atony to
stimulate uterine contraction and reduce bleeding. Medications (Methergine), bladder emptying, and IV fluid
establishment are secondary interventions performed after initial massage.
A newborn is born at 38 weeks gestation with an APGAR score of 4 at 1 minute. Which action should the nurse
take FIRST?
A. Administer supplemental oxygen via face mask
B. Initiate positive pressure ventilation
C. Wrap the infant in warm blankets
D. Perform gentle suctioning of the airway
🟢 Correct answer: B
🔴 RATIONALE: An APGAR score of 4 indicates severe distress requiring immediate resuscitation. Positive
pressure ventilation is the priority for a newborn with inadequate breathing and low heart rate. Oxygen alone is
insufficient without ventilation. warming and suctioning are supportive but not primary interventions.
, A patient with gestational diabetes at 36 weeks gestation asks about fetal monitoring. Which test is MOST
appropriate for assessing fetal well-being?
A. Non-stress test (NST)
B. Biophysical profile (BPP)
C. Contraction stress test (CST)
D. Doppler ultrasound
🟢 Correct answer: A
🔴 RATIONALE: Non-stress test (NST) is the standard initial fetal monitoring tool for gestational diabetes to
assess fetal heart rate reactivity. BPP is used if NST is non-reactive. CST is contraindicated in high-risk
pregnancies. Doppler assesses blood flow, not fetal well-being directly.
Which nursing intervention is CRITICAL to prevent neonatal hypothermia immediately after birth?
A. Place the newborn under a radiant warmer
B. Dry the infant thoroughly and remove wet linens
C. Administer warm IV fluids to the mother
D. Wrap the baby in a pre-warmed blanket
🟢 Correct answer: B
