MATERNAL–NEWBORN NURSING PRACTICE EXAM –
PAPER 2
Course Name
Maternal–Newborn Nursing
Level
College / University (Undergraduate Nursing)
Short Introduction
This original practice examination assesses intermediate-level knowledge and
clinical reasoning in maternal–newborn nursing. Topics include antepartum care,
labor and birth, postpartum nursing, neonatal assessment, breastfeeding, obstetric
emergencies, fetal monitoring, and family-centered care. Each question includes
the correct answer and a detailed italicised explanation.
Instructions
Answer all questions.
Read each question carefully before selecting the best answer.
Choose the single best answer for each multiple-choice question.
Provide concise answers for short-answer and application questions.
Review the explanations to reinforce learning.
Exam Structure
15 Multiple Choice Questions
10 Short Answer Questions
10 Application Questions
5 Higher-Order Thinking Questions
Total Questions: 40
,SECTION A – MULTIPLE CHOICE QUESTIONS
Question 1
A nurse is teaching a pregnant client about fetal movement. Which statement by
the client indicates understanding?
A. "I should ignore a decrease in fetal movement if I feel well."
B. "I should report a noticeable decrease in fetal movement to my healthcare
provider."
C. "Fetal movement stops completely during the last month of pregnancy."
D. "Only painful fetal movements are important."
Answer: B
Explanation: A noticeable decrease in fetal movement may indicate fetal
compromise and should be reported promptly for further assessment.
Question 2
Which maternal assessment finding requires immediate follow-up during the third
trimester?
A. Mild ankle swelling at the end of the day
B. Persistent severe headache with blurred vision
C. Increased appetite
D. Occasional fatigue
Answer: B
Explanation: Severe headache with blurred vision may indicate preeclampsia and
requires immediate evaluation.
, Question 3
During labor, which finding is the best indicator of adequate uterine perfusion to
the fetus?
A. Normal fetal heart rate with moderate variability
B. Maternal heart rate of 100 beats/minute
C. Maternal temperature of 37°C
D. Cervical dilation of 2 cm
Answer: A
Explanation: A normal fetal heart rate with moderate variability is a reassuring
sign of adequate fetal oxygenation.
Question 4
Which intervention best promotes bonding immediately after birth?
A. Delaying contact for several hours
B. Encouraging early skin-to-skin contact
C. Bathing the newborn immediately
D. Separating the newborn for routine observation
Answer: B
Explanation: Early skin-to-skin contact promotes thermoregulation, breastfeeding
success, and parent–infant bonding.
Question 5
Which newborn finding should the nurse report immediately?
PAPER 2
Course Name
Maternal–Newborn Nursing
Level
College / University (Undergraduate Nursing)
Short Introduction
This original practice examination assesses intermediate-level knowledge and
clinical reasoning in maternal–newborn nursing. Topics include antepartum care,
labor and birth, postpartum nursing, neonatal assessment, breastfeeding, obstetric
emergencies, fetal monitoring, and family-centered care. Each question includes
the correct answer and a detailed italicised explanation.
Instructions
Answer all questions.
Read each question carefully before selecting the best answer.
Choose the single best answer for each multiple-choice question.
Provide concise answers for short-answer and application questions.
Review the explanations to reinforce learning.
Exam Structure
15 Multiple Choice Questions
10 Short Answer Questions
10 Application Questions
5 Higher-Order Thinking Questions
Total Questions: 40
,SECTION A – MULTIPLE CHOICE QUESTIONS
Question 1
A nurse is teaching a pregnant client about fetal movement. Which statement by
the client indicates understanding?
A. "I should ignore a decrease in fetal movement if I feel well."
B. "I should report a noticeable decrease in fetal movement to my healthcare
provider."
C. "Fetal movement stops completely during the last month of pregnancy."
D. "Only painful fetal movements are important."
Answer: B
Explanation: A noticeable decrease in fetal movement may indicate fetal
compromise and should be reported promptly for further assessment.
Question 2
Which maternal assessment finding requires immediate follow-up during the third
trimester?
A. Mild ankle swelling at the end of the day
B. Persistent severe headache with blurred vision
C. Increased appetite
D. Occasional fatigue
Answer: B
Explanation: Severe headache with blurred vision may indicate preeclampsia and
requires immediate evaluation.
, Question 3
During labor, which finding is the best indicator of adequate uterine perfusion to
the fetus?
A. Normal fetal heart rate with moderate variability
B. Maternal heart rate of 100 beats/minute
C. Maternal temperature of 37°C
D. Cervical dilation of 2 cm
Answer: A
Explanation: A normal fetal heart rate with moderate variability is a reassuring
sign of adequate fetal oxygenation.
Question 4
Which intervention best promotes bonding immediately after birth?
A. Delaying contact for several hours
B. Encouraging early skin-to-skin contact
C. Bathing the newborn immediately
D. Separating the newborn for routine observation
Answer: B
Explanation: Early skin-to-skin contact promotes thermoregulation, breastfeeding
success, and parent–infant bonding.
Question 5
Which newborn finding should the nurse report immediately?
