MATERNITY CJE EXAM 2026/2027 PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED VERSION
2026 EDITION |GUARANTEED SUCCESS A+ |FULL REVISED
MATERNITY CJE ACTUAL EXAM |BRAND NEW!
1. A pregnant client at 10 weeks' gestation reports severe nausea and
vomiting, weight loss, and ketones in the urine. Which prescription
should the nurse question?
A. NPO with IV lactated Ringer's
B. Ondansetron IV as prescribed
C. Promethazine IM as prescribed
D. Discharge home with oral fluids and crackers
Correct Answer: D
Rationale: Discharge home with oral fluids is inappropriate for a
client with hyperemesis gravidarum who has ketones and weight
loss. IV fluids and antiemetics are necessary; oral fluids could lead to
continued dehydration and electrolyte imbalance. Hospitalization is
often required for severe cases.
2. A client at 38 weeks' gestation reports a sudden gush of fluid from
the vagina. Which is the priority nursing action?
,A. Check fetal heart rate
B. Test fluid with nitrazine paper
C. Inspect perineum for crowning
D. Ask when she last voided
Correct Answer: A
Rationale: Priority is to assess fetal well-being. A sudden gush of
fluid may be accompanied by umbilical cord prolapse, which
compromises fetal oxygenation. FHR assessment must be done
immediately.
3. A client at 32 weeks' gestation has painless, bright red vaginal
bleeding. Which condition does the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Threatened abortion
D. Ectopic pregnancy
Correct Answer: A
Rationale: Painless bright red bleeding in the third trimester is the
classic presentation of placenta previa. Abruptio placentae typically
presents with painful dark bleeding.
,4. A client is diagnosed with gestational hypertension and is
receiving magnesium sulfate. Which finding would the nurse
interpret as indicating a therapeutic level of medication?
A. Urinary output of 20 mL per hour
B. Respiratory rate of 10 breaths/minute
C. Deep tendon reflexes 2+
D. Difficulty in arousing
Correct Answer: C
Rationale: With magnesium sulfate, deep tendon reflexes of 2+ are
normal and indicate a therapeutic level. Urinary output <30 mL/hr,
respiratory rate <12, and diminished arousal indicate magnesium
toxicity.
5. A nurse is assessing a client at 34 weeks gestation with a BP of
152/96 mmHg. Which additional finding is the priority to report?
A. Trace proteinuria
B. 2+ pedal edema
C. Frontal headache and blurred vision
D. Weight gain of 1 lb in a week
, Correct Answer: C
Rationale: Frontal headache and blurred vision are signs of severe
preeclampsia and impending eclampsia. These neurological
symptoms indicate worsening disease and require immediate
reporting and intervention.
6. Which laboratory result is the most significant indicator of
HELLP syndrome?
A. Elevated blood glucose
B. Decreased serum creatinine
C. Low platelet count (<100,000/mm³)
D. Increased hemoglobin
Correct Answer: C
Rationale: HELLP syndrome is characterized by Hemolysis,
Elevated Liver enzymes, and Low Platelet count. Thrombocytopenia
(<100,000/mm³) is a key diagnostic criterion and the most
significant indicator among the options.
7. A client at 28 weeks gestation presents with a blood pressure of
155/95 mmHg and 2+ proteinuria on dipstick. Which laboratory
finding is most concerning for severe preeclampsia?
STUDY GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED VERSION
2026 EDITION |GUARANTEED SUCCESS A+ |FULL REVISED
MATERNITY CJE ACTUAL EXAM |BRAND NEW!
1. A pregnant client at 10 weeks' gestation reports severe nausea and
vomiting, weight loss, and ketones in the urine. Which prescription
should the nurse question?
A. NPO with IV lactated Ringer's
B. Ondansetron IV as prescribed
C. Promethazine IM as prescribed
D. Discharge home with oral fluids and crackers
Correct Answer: D
Rationale: Discharge home with oral fluids is inappropriate for a
client with hyperemesis gravidarum who has ketones and weight
loss. IV fluids and antiemetics are necessary; oral fluids could lead to
continued dehydration and electrolyte imbalance. Hospitalization is
often required for severe cases.
2. A client at 38 weeks' gestation reports a sudden gush of fluid from
the vagina. Which is the priority nursing action?
,A. Check fetal heart rate
B. Test fluid with nitrazine paper
C. Inspect perineum for crowning
D. Ask when she last voided
Correct Answer: A
Rationale: Priority is to assess fetal well-being. A sudden gush of
fluid may be accompanied by umbilical cord prolapse, which
compromises fetal oxygenation. FHR assessment must be done
immediately.
3. A client at 32 weeks' gestation has painless, bright red vaginal
bleeding. Which condition does the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Threatened abortion
D. Ectopic pregnancy
Correct Answer: A
Rationale: Painless bright red bleeding in the third trimester is the
classic presentation of placenta previa. Abruptio placentae typically
presents with painful dark bleeding.
,4. A client is diagnosed with gestational hypertension and is
receiving magnesium sulfate. Which finding would the nurse
interpret as indicating a therapeutic level of medication?
A. Urinary output of 20 mL per hour
B. Respiratory rate of 10 breaths/minute
C. Deep tendon reflexes 2+
D. Difficulty in arousing
Correct Answer: C
Rationale: With magnesium sulfate, deep tendon reflexes of 2+ are
normal and indicate a therapeutic level. Urinary output <30 mL/hr,
respiratory rate <12, and diminished arousal indicate magnesium
toxicity.
5. A nurse is assessing a client at 34 weeks gestation with a BP of
152/96 mmHg. Which additional finding is the priority to report?
A. Trace proteinuria
B. 2+ pedal edema
C. Frontal headache and blurred vision
D. Weight gain of 1 lb in a week
, Correct Answer: C
Rationale: Frontal headache and blurred vision are signs of severe
preeclampsia and impending eclampsia. These neurological
symptoms indicate worsening disease and require immediate
reporting and intervention.
6. Which laboratory result is the most significant indicator of
HELLP syndrome?
A. Elevated blood glucose
B. Decreased serum creatinine
C. Low platelet count (<100,000/mm³)
D. Increased hemoglobin
Correct Answer: C
Rationale: HELLP syndrome is characterized by Hemolysis,
Elevated Liver enzymes, and Low Platelet count. Thrombocytopenia
(<100,000/mm³) is a key diagnostic criterion and the most
significant indicator among the options.
7. A client at 28 weeks gestation presents with a blood pressure of
155/95 mmHg and 2+ proteinuria on dipstick. Which laboratory
finding is most concerning for severe preeclampsia?
