NUR 203 EXAM 3 MATERNAL NEWBORN
QUESTIONS AND ANSWERS 2026 UPDATE
100% CORRECT - FORTIS.
190 QUESTIONS
TABLE OF CONTENTS
Analyze complex maternal-fetal Evaluate the safety and efficacy of
physiological alterations and prioritize pharmacological and non-pharmacological
Q1 - patient with preeclampsia with severe Q23 - During a nonstress test (NST),
Q2 - a term neonate with respiratory Q24 - postpartum client who delivered vaginally
Q3 - patient in active labor has Q25 - client at 28 weeks gestation
Q4 - of the following best explains Q26 - maternal physiological adaptation is most
Q5 - postpartum patient with a history Q27 - newborn at 39 weeks gestation
Q6 - newborn at 38 weeks gestation Q28 - client at 34 weeks gestation
Q7 - patient at 32 weeks gestation Q29 - postpartum client is diagnosed with
Q8 - of the following maternal physiological Q30 - client in active labor receives
Q9 - patient in the third trimester Q31 - primigravid client at 39 weeks
Q10 - of the following best describes Q32 - postpartum client with a history
Q11 - multiparous client at 39 weeks Q33 - newborn at 38 weeks gestation
Q12 - term newborn has a heart Q34 - client at 41 weeks gestation
Q13 - postpartum client with preeclampsia is Q35 - postpartum client has a saturated
Q14 - client in active labor is Q36 - newborn is suspected of having
Q15 - nurse is teaching a prenatal Q37 - client with preterm premature rupture
Q16 - newborn is suspected of having Q38 - postpartum client has a white
Q17 - client at 32 weeks gestation Q39 - newborn with hyperbilirubinemia is receiving
Q18 - postpartum client is Rh-negative and Q40 - laboring client at 39 weeks
Q19 - nurse is assessing a newborn's Q41 - a pregnant person with a
Q20 - client in labor is diagnosed Q42 - finding best indicates that a
Q21 - multiparous client at 38 weeks Q43 - patient at 32 weeks gestation
Q22 - term newborn in the immediate
Page 1
,Synthesize evidence-based care for neonatal Fortis.
stabilization and family-centered care Q86 - postpartum client who delivered vaginally
Q44 - fetal heart rate pattern is Q87 - neonate at 5 minutes of
Q45 - maternal serum marker is most Q88 - client in active labor at
Q46 - patient with type 1 diabetes Q89 - postpartum client has a white
Q47 - finding is most consistent with Q90 - newborn with hyperbilirubinemia is receiving
Q48 - assessment finding is most indicative Q91 - a patient with preeclampsia with
Q49 - maternal condition is a contraindication Q92 - fetal heart rate pattern most
Q50 - factor most increases the risk Q93 - postpartum patient on enoxaparin for
Q51 - patient at 34 weeks gestation Q94 - newborn with respiratory distress has
Q52 - During a nonstress test, a Q95 - maternal physiological change necessitate...
Q53 - neonate born at 39 weeks Q96 - laboring patient at 39 weeks
Q54 - postpartum patient has a boggy Q97 - finding in a postpartum patient
Q55 - finding is most indicative of Q98 - newborn has a positive direct
Q56 - patient at 28 weeks gestation Q99 - maternal assessment finding would contrai...
Q57 - maternal condition is a contraindication Q100 - ethical principle is most directly
Q58 - newborn has Apgar scores of Q101 - multiparous client at 39 weeks
Q59 - patient at 38 weeks gestation Q102 - a pregnant patient at 32
Q60 - postpartum patient with a third-degree Q103 - nurse is caring for a
Q61 - postpartum client with preeclampsia is Q104 - newborn is born at 35
Q62 - multiparous client at 39 weeks Q105 - client at 40 weeks gestation
Q63 - client at 28 weeks gestation Q106 - client with a history of
Q64 - neonate born at 35 weeks
Foundations of Maternal-Newborn Nursing
NUR 203 Exam 3 Maternal Newborn Q107 - client at 28 weeks gestation
Questions and Answers 2026 Update 100% Q108 - nurse is assessing a postpartum
Q65 - client with a history of Q109 - newborn is receiving phototherapy for
Q66 - client at 32 weeks gestation Q110 - client at 39 weeks gestation
Q67 - postpartum client is Rh-negative and Q111 - a patient with preeclampsia with
Q68 - client at 41 weeks gestation Q112 - term newborn presents with periodic
Q69 - term newborn is noted to Q113 - patient at 39 weeks gestation
Q70 - client in active labor receives Q114 - postpartum patient who delivered 12
Q71 - multiparous client at 39 weeks Q115 - newborn is noted to have
Q72 - nurse is assessing a term Q116 - patient at 28 weeks gestation
Q73 - client at 32 weeks gestation Q117 - postpartum patient is Rh-negative and
Q74 - nurse is interpreting a fetal Q118 - patient in active labor has
Q75 - postpartum client who delivered vaginally Q119 - newborn is being evaluated for
Q76 - nurse is caring for a Q120 - patient at 41 weeks gestation
Q77 - client at 28 weeks gestation Q121 - term newborn with suspected sepsis
Q78 - nurse is providing education to Q122 - client at 38 weeks gestation
Q79 - nurse is assessing a client Q123 - newborn is large for gestational
Q80 - newborn is admitted to the Q124 - laboring client at 41 weeks
Q81 - laboring client with a history Q125 - postpartum client has a temperature
Q82 - postpartum client who is breastfeeding Q126 - pregnant client at 28 weeks
Q83 - newborn at 38 weeks gestation Q127 - primigravida at 39 weeks gestation
Q84 - client at 34 weeks gestation
Q85 - client at 28 weeks gestation
Page 2
,Applied Maternal-Newborn Nursing Maternal-Newborn Nursing Review
Q128 - newborn has Apgar scores of Q170 - postpartum client is Rh-negative and
Q129 - client is 24 hours postpartum Q171 - a pregnant patient with Class
Q130 - client with preterm premature rupture Q172 - term newborn presents with delayed
Q131 - woman at 39 weeks gestation Q173 - patient at 34 weeks gestation
Q132 - postpartum client with a history Q174 - multiparous patient in active labor
Q133 - newborn at 5 minutes of Q175 - newborn is suspected of having
Q134 - client at 28 weeks gestation Q176 - patient with gestational diabetes mellitus
Q135 - nurse is assessing a client Q177 - of the following best describes
Q136 - postpartum client is Rh-negative and Q178 - postpartum patient develops sudden onset
Q137 - client at 41 weeks gestation Q179 - neonate born at 37 weeks
Q138 - client in labor receives an Q180 - of the following clinical scenarios
Q139 - nurse is providing discharge teaching Q181 - term newborn exhibits persistent tachypnea,
Q140 - client at 34 weeks gestation Q182 - During a nonstress test, the
Q141 - a patient with preeclampsia with Q183 - patient at 28 weeks gestation
Q142 - fetal heart rate pattern is Q184 - fetal heart rate pattern is
Q143 - postpartum patient with a history Q185 - component of neonatal resuscitation is
Q144 - neonatal assessment finding is most Q186 - patient at 39 weeks gestation
Q145 - a patient with preterm premature Q187 - maternal condition is a contraindication
Q146 - medication is the first-line tocolytic Q188 - newborn has a blood glucose
Q147 - newborn has an elevated bilirubin Q189 - finding in a postpartum patient
Q148 - maternal assessment finding is most Q190 - nursing action is most appropriate
Advanced Maternal-Newborn Nursing
Q149 - finding is most consistent with
Q150 - primigravida at 39 weeks gestation
Q151 - parturient with severe preeclampsia receives
Q152 - newborn at 39 weeks presents
Q153 - nurse reviews fetal heart rate
Q154 - patient at 28 weeks gestation
Q155 - maternal physiological adaptation during ...
Q156 - postpartum patient with a third-degree
Q157 - neonate born to a mother
Q158 - patient at 41 weeks gestation
Q159 - finding on a newborn's physical
Q160 - patient at 34 weeks gestation
Q161 - primigravid client at 28 weeks
Q162 - nurse is assessing a term
Q163 - client at 34 weeks gestation
Q164 - nurse is interpreting a fetal
Q165 - postpartum client who delivered 6
Q166 - nurse is providing education to
Q167 - client in active labor receives
Q168 - nurse is assessing a newborn
Q169 - client at 39 weeks gestation
Page 3
, Q1 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGICAL ALTERATIONS AND
PRIORITIZE NURSING INTERVENTIONS
A patient with preeclampsia with severe features and a platelet count of
60,000/mm³ is scheduled for cesarean delivery. Which analgesic/anesthetic
approach is safest for this patient?
A. Epidural anesthesia with fentanyl
B. Spinal anesthesia with hyperbaric bupivacaine
C. General anesthesia with succinylcholine and propofol CORRECT
D. Combined spinal-epidural with low-dose opioid
RATIONALE: Thrombocytopenia increases the risk of spinal/epidural hematoma; neuraxial
techniques are contraindicated. General anesthesia avoids this risk. Succinylcholine is safe, but
propofol is acceptable. Neuraxial options are unsafe due to bleeding risk.
Q2 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGICAL ALTERATIONS AND
PRIORITIZE NURSING INTERVENTIONS
In a term neonate with respiratory distress and a chest radiograph showing a
'ground-glass' appearance with air bronchograms, which intervention should the
nurse anticipate as the initial therapy?
A. Immediate intubation with exogenous surfactant administration
B. Continuous positive airway pressure (CPAP) of 6 cm H2O CORRECT
C. High-frequency oscillatory ventilation (HFOV)
D. Inhaled nitric oxide (iNO) therapy
RATIONALE: The radiograph suggests transient tachypnea of the newborn (TTN) or respiratory
distress syndrome (RDS). For a term neonate, CPAP is the first-line non-invasive support for
respiratory distress. Surfactant is for RDS in preterm infants; HFOV and iNO are for severe
respiratory failure or pulmonary hypertension.
Page 4
QUESTIONS AND ANSWERS 2026 UPDATE
100% CORRECT - FORTIS.
190 QUESTIONS
TABLE OF CONTENTS
Analyze complex maternal-fetal Evaluate the safety and efficacy of
physiological alterations and prioritize pharmacological and non-pharmacological
Q1 - patient with preeclampsia with severe Q23 - During a nonstress test (NST),
Q2 - a term neonate with respiratory Q24 - postpartum client who delivered vaginally
Q3 - patient in active labor has Q25 - client at 28 weeks gestation
Q4 - of the following best explains Q26 - maternal physiological adaptation is most
Q5 - postpartum patient with a history Q27 - newborn at 39 weeks gestation
Q6 - newborn at 38 weeks gestation Q28 - client at 34 weeks gestation
Q7 - patient at 32 weeks gestation Q29 - postpartum client is diagnosed with
Q8 - of the following maternal physiological Q30 - client in active labor receives
Q9 - patient in the third trimester Q31 - primigravid client at 39 weeks
Q10 - of the following best describes Q32 - postpartum client with a history
Q11 - multiparous client at 39 weeks Q33 - newborn at 38 weeks gestation
Q12 - term newborn has a heart Q34 - client at 41 weeks gestation
Q13 - postpartum client with preeclampsia is Q35 - postpartum client has a saturated
Q14 - client in active labor is Q36 - newborn is suspected of having
Q15 - nurse is teaching a prenatal Q37 - client with preterm premature rupture
Q16 - newborn is suspected of having Q38 - postpartum client has a white
Q17 - client at 32 weeks gestation Q39 - newborn with hyperbilirubinemia is receiving
Q18 - postpartum client is Rh-negative and Q40 - laboring client at 39 weeks
Q19 - nurse is assessing a newborn's Q41 - a pregnant person with a
Q20 - client in labor is diagnosed Q42 - finding best indicates that a
Q21 - multiparous client at 38 weeks Q43 - patient at 32 weeks gestation
Q22 - term newborn in the immediate
Page 1
,Synthesize evidence-based care for neonatal Fortis.
stabilization and family-centered care Q86 - postpartum client who delivered vaginally
Q44 - fetal heart rate pattern is Q87 - neonate at 5 minutes of
Q45 - maternal serum marker is most Q88 - client in active labor at
Q46 - patient with type 1 diabetes Q89 - postpartum client has a white
Q47 - finding is most consistent with Q90 - newborn with hyperbilirubinemia is receiving
Q48 - assessment finding is most indicative Q91 - a patient with preeclampsia with
Q49 - maternal condition is a contraindication Q92 - fetal heart rate pattern most
Q50 - factor most increases the risk Q93 - postpartum patient on enoxaparin for
Q51 - patient at 34 weeks gestation Q94 - newborn with respiratory distress has
Q52 - During a nonstress test, a Q95 - maternal physiological change necessitate...
Q53 - neonate born at 39 weeks Q96 - laboring patient at 39 weeks
Q54 - postpartum patient has a boggy Q97 - finding in a postpartum patient
Q55 - finding is most indicative of Q98 - newborn has a positive direct
Q56 - patient at 28 weeks gestation Q99 - maternal assessment finding would contrai...
Q57 - maternal condition is a contraindication Q100 - ethical principle is most directly
Q58 - newborn has Apgar scores of Q101 - multiparous client at 39 weeks
Q59 - patient at 38 weeks gestation Q102 - a pregnant patient at 32
Q60 - postpartum patient with a third-degree Q103 - nurse is caring for a
Q61 - postpartum client with preeclampsia is Q104 - newborn is born at 35
Q62 - multiparous client at 39 weeks Q105 - client at 40 weeks gestation
Q63 - client at 28 weeks gestation Q106 - client with a history of
Q64 - neonate born at 35 weeks
Foundations of Maternal-Newborn Nursing
NUR 203 Exam 3 Maternal Newborn Q107 - client at 28 weeks gestation
Questions and Answers 2026 Update 100% Q108 - nurse is assessing a postpartum
Q65 - client with a history of Q109 - newborn is receiving phototherapy for
Q66 - client at 32 weeks gestation Q110 - client at 39 weeks gestation
Q67 - postpartum client is Rh-negative and Q111 - a patient with preeclampsia with
Q68 - client at 41 weeks gestation Q112 - term newborn presents with periodic
Q69 - term newborn is noted to Q113 - patient at 39 weeks gestation
Q70 - client in active labor receives Q114 - postpartum patient who delivered 12
Q71 - multiparous client at 39 weeks Q115 - newborn is noted to have
Q72 - nurse is assessing a term Q116 - patient at 28 weeks gestation
Q73 - client at 32 weeks gestation Q117 - postpartum patient is Rh-negative and
Q74 - nurse is interpreting a fetal Q118 - patient in active labor has
Q75 - postpartum client who delivered vaginally Q119 - newborn is being evaluated for
Q76 - nurse is caring for a Q120 - patient at 41 weeks gestation
Q77 - client at 28 weeks gestation Q121 - term newborn with suspected sepsis
Q78 - nurse is providing education to Q122 - client at 38 weeks gestation
Q79 - nurse is assessing a client Q123 - newborn is large for gestational
Q80 - newborn is admitted to the Q124 - laboring client at 41 weeks
Q81 - laboring client with a history Q125 - postpartum client has a temperature
Q82 - postpartum client who is breastfeeding Q126 - pregnant client at 28 weeks
Q83 - newborn at 38 weeks gestation Q127 - primigravida at 39 weeks gestation
Q84 - client at 34 weeks gestation
Q85 - client at 28 weeks gestation
Page 2
,Applied Maternal-Newborn Nursing Maternal-Newborn Nursing Review
Q128 - newborn has Apgar scores of Q170 - postpartum client is Rh-negative and
Q129 - client is 24 hours postpartum Q171 - a pregnant patient with Class
Q130 - client with preterm premature rupture Q172 - term newborn presents with delayed
Q131 - woman at 39 weeks gestation Q173 - patient at 34 weeks gestation
Q132 - postpartum client with a history Q174 - multiparous patient in active labor
Q133 - newborn at 5 minutes of Q175 - newborn is suspected of having
Q134 - client at 28 weeks gestation Q176 - patient with gestational diabetes mellitus
Q135 - nurse is assessing a client Q177 - of the following best describes
Q136 - postpartum client is Rh-negative and Q178 - postpartum patient develops sudden onset
Q137 - client at 41 weeks gestation Q179 - neonate born at 37 weeks
Q138 - client in labor receives an Q180 - of the following clinical scenarios
Q139 - nurse is providing discharge teaching Q181 - term newborn exhibits persistent tachypnea,
Q140 - client at 34 weeks gestation Q182 - During a nonstress test, the
Q141 - a patient with preeclampsia with Q183 - patient at 28 weeks gestation
Q142 - fetal heart rate pattern is Q184 - fetal heart rate pattern is
Q143 - postpartum patient with a history Q185 - component of neonatal resuscitation is
Q144 - neonatal assessment finding is most Q186 - patient at 39 weeks gestation
Q145 - a patient with preterm premature Q187 - maternal condition is a contraindication
Q146 - medication is the first-line tocolytic Q188 - newborn has a blood glucose
Q147 - newborn has an elevated bilirubin Q189 - finding in a postpartum patient
Q148 - maternal assessment finding is most Q190 - nursing action is most appropriate
Advanced Maternal-Newborn Nursing
Q149 - finding is most consistent with
Q150 - primigravida at 39 weeks gestation
Q151 - parturient with severe preeclampsia receives
Q152 - newborn at 39 weeks presents
Q153 - nurse reviews fetal heart rate
Q154 - patient at 28 weeks gestation
Q155 - maternal physiological adaptation during ...
Q156 - postpartum patient with a third-degree
Q157 - neonate born to a mother
Q158 - patient at 41 weeks gestation
Q159 - finding on a newborn's physical
Q160 - patient at 34 weeks gestation
Q161 - primigravid client at 28 weeks
Q162 - nurse is assessing a term
Q163 - client at 34 weeks gestation
Q164 - nurse is interpreting a fetal
Q165 - postpartum client who delivered 6
Q166 - nurse is providing education to
Q167 - client in active labor receives
Q168 - nurse is assessing a newborn
Q169 - client at 39 weeks gestation
Page 3
, Q1 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGICAL ALTERATIONS AND
PRIORITIZE NURSING INTERVENTIONS
A patient with preeclampsia with severe features and a platelet count of
60,000/mm³ is scheduled for cesarean delivery. Which analgesic/anesthetic
approach is safest for this patient?
A. Epidural anesthesia with fentanyl
B. Spinal anesthesia with hyperbaric bupivacaine
C. General anesthesia with succinylcholine and propofol CORRECT
D. Combined spinal-epidural with low-dose opioid
RATIONALE: Thrombocytopenia increases the risk of spinal/epidural hematoma; neuraxial
techniques are contraindicated. General anesthesia avoids this risk. Succinylcholine is safe, but
propofol is acceptable. Neuraxial options are unsafe due to bleeding risk.
Q2 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGICAL ALTERATIONS AND
PRIORITIZE NURSING INTERVENTIONS
In a term neonate with respiratory distress and a chest radiograph showing a
'ground-glass' appearance with air bronchograms, which intervention should the
nurse anticipate as the initial therapy?
A. Immediate intubation with exogenous surfactant administration
B. Continuous positive airway pressure (CPAP) of 6 cm H2O CORRECT
C. High-frequency oscillatory ventilation (HFOV)
D. Inhaled nitric oxide (iNO) therapy
RATIONALE: The radiograph suggests transient tachypnea of the newborn (TTN) or respiratory
distress syndrome (RDS). For a term neonate, CPAP is the first-line non-invasive support for
respiratory distress. Surfactant is for RDS in preterm infants; HFOV and iNO are for severe
respiratory failure or pulmonary hypertension.
Page 4
