Page 1 of 195
NURSING CERTIFICATION EXAM PREP
WITH VERIFIED ANSWERS & DETAILED
VERIFIED SOLUTIONS | UPDATED PER
TABLE OF CONTENTS
| **Section** | **Topic** | **Questions** |
|-------------|-----------|---------------|
| **I** | Pregnancy, Birth Risk Factors & Antenatal Complications | 1-40 |
| **II** | Maternal Postpartum Assessment & Management | 41-80 |
| **III** | Maternal Postpartum Complications | 81-125 |
| **IV** | Newborn Assessment & Management (Transition, Resuscitation, & Care) | 126-170 |
| **V** | Newborn Complications | 171-210 |
| **VI** | Lactation & Newborn Feeding | 211-240 |
| **VII** | Professional Aspects of Practice (Ethics, Legal, & Family-Centered Care) | 241-260 |
, Page 2 of 195
SECTION I: PREGNANCY, BIRTH RISK FACTORS & ANTENATAL COMPLICATIONS
(Questions 1-40)
## Question 1
A nurse is performing a prenatal assessment on a 34-year-old primigravida at 28 weeks gestation.
Which finding should the nurse identify as a potential indication of preeclampsia?
A) Blood pressure 138/88 mmHg with mild ankle edema
B) Blood pressure 146/94 mmHg with 1+ proteinuria
C) Weight gain of 1.5 pounds over the past week
D) Fundal height measurement of 26 cm
---
**Correct Answer: B**
**Rationale:** Preeclampsia is diagnosed in a woman with previously normal blood pressure
who develops new-onset hypertension (systolic ≥140 mmHg or diastolic ≥90 mmHg) after 20
weeks of gestation accompanied by proteinuria (≥300 mg/24 hours or 1+ on dipstick). Option B
demonstrates both elevated blood pressure and proteinuria, meeting diagnostic criteria. Mild
ankle edema (A) is common in normal pregnancy. A weight gain of 1.5 pounds in one week (C)
may be within normal limits. A fundal height of 26 cm at 28 weeks (D) is within the expected
range of ±2 cm.
---
, Page 3 of 195
## Question 2
A nurse is providing education to a client at 10 weeks gestation about common discomforts of
pregnancy. Which statement by the client indicates a correct understanding of managing nausea
and vomiting?
A) "I should eat three large meals each day to keep my stomach full."
B) "I will avoid eating crackers before getting out of bed in the morning."
C) "I should eat small, frequent meals and avoid spicy or greasy foods."
D) "I need to increase my fluid intake during meals to stay hydrated."
---
**Correct Answer: C**
**Rationale:** Small, frequent meals help prevent hypoglycemia and an empty stomach,
which can trigger nausea. Avoiding spicy, greasy, or strongly odorous foods also helps minimize
symptoms. Option A is incorrect because large meals can worsen nausea. Option B is incorrect—
eating dry crackers before rising can help alleviate morning sickness. Option D is incorrect
because drinking fluids with meals can contribute to early satiety and nausea; fluids should be
consumed between meals.
---
## Question 3
At 20 weeks gestation, a nurse measures a client's fundal height at 22 cm. Which action should
the nurse take?
, Page 4 of 195
A) Document the finding as within normal limits
B) Schedule an immediate ultrasound
C) Notify the healthcare provider of possible intrauterine growth restriction
D) Re-measure in 2 weeks
---
**Correct Answer: A**
**Rationale:** Fundal height in centimeters typically corresponds to weeks of gestation ±2
cm. At 20 weeks, a fundal height of 18-22 cm is expected. A measurement of 22 cm is within this
range and should be documented as normal. Measurements outside ±2 cm warrant further
evaluation, but this finding does not require immediate intervention.
---
## Question 4
A 28-year-old woman at 16 weeks gestation is diagnosed with gestational diabetes. Which
maternal complication is most commonly associated with this condition?
A) Polyhydramnios
B) Placenta previa
C) Neonatal hypoglycemia
D) Preterm labor
---
NURSING CERTIFICATION EXAM PREP
WITH VERIFIED ANSWERS & DETAILED
VERIFIED SOLUTIONS | UPDATED PER
TABLE OF CONTENTS
| **Section** | **Topic** | **Questions** |
|-------------|-----------|---------------|
| **I** | Pregnancy, Birth Risk Factors & Antenatal Complications | 1-40 |
| **II** | Maternal Postpartum Assessment & Management | 41-80 |
| **III** | Maternal Postpartum Complications | 81-125 |
| **IV** | Newborn Assessment & Management (Transition, Resuscitation, & Care) | 126-170 |
| **V** | Newborn Complications | 171-210 |
| **VI** | Lactation & Newborn Feeding | 211-240 |
| **VII** | Professional Aspects of Practice (Ethics, Legal, & Family-Centered Care) | 241-260 |
, Page 2 of 195
SECTION I: PREGNANCY, BIRTH RISK FACTORS & ANTENATAL COMPLICATIONS
(Questions 1-40)
## Question 1
A nurse is performing a prenatal assessment on a 34-year-old primigravida at 28 weeks gestation.
Which finding should the nurse identify as a potential indication of preeclampsia?
A) Blood pressure 138/88 mmHg with mild ankle edema
B) Blood pressure 146/94 mmHg with 1+ proteinuria
C) Weight gain of 1.5 pounds over the past week
D) Fundal height measurement of 26 cm
---
**Correct Answer: B**
**Rationale:** Preeclampsia is diagnosed in a woman with previously normal blood pressure
who develops new-onset hypertension (systolic ≥140 mmHg or diastolic ≥90 mmHg) after 20
weeks of gestation accompanied by proteinuria (≥300 mg/24 hours or 1+ on dipstick). Option B
demonstrates both elevated blood pressure and proteinuria, meeting diagnostic criteria. Mild
ankle edema (A) is common in normal pregnancy. A weight gain of 1.5 pounds in one week (C)
may be within normal limits. A fundal height of 26 cm at 28 weeks (D) is within the expected
range of ±2 cm.
---
, Page 3 of 195
## Question 2
A nurse is providing education to a client at 10 weeks gestation about common discomforts of
pregnancy. Which statement by the client indicates a correct understanding of managing nausea
and vomiting?
A) "I should eat three large meals each day to keep my stomach full."
B) "I will avoid eating crackers before getting out of bed in the morning."
C) "I should eat small, frequent meals and avoid spicy or greasy foods."
D) "I need to increase my fluid intake during meals to stay hydrated."
---
**Correct Answer: C**
**Rationale:** Small, frequent meals help prevent hypoglycemia and an empty stomach,
which can trigger nausea. Avoiding spicy, greasy, or strongly odorous foods also helps minimize
symptoms. Option A is incorrect because large meals can worsen nausea. Option B is incorrect—
eating dry crackers before rising can help alleviate morning sickness. Option D is incorrect
because drinking fluids with meals can contribute to early satiety and nausea; fluids should be
consumed between meals.
---
## Question 3
At 20 weeks gestation, a nurse measures a client's fundal height at 22 cm. Which action should
the nurse take?
, Page 4 of 195
A) Document the finding as within normal limits
B) Schedule an immediate ultrasound
C) Notify the healthcare provider of possible intrauterine growth restriction
D) Re-measure in 2 weeks
---
**Correct Answer: A**
**Rationale:** Fundal height in centimeters typically corresponds to weeks of gestation ±2
cm. At 20 weeks, a fundal height of 18-22 cm is expected. A measurement of 22 cm is within this
range and should be documented as normal. Measurements outside ±2 cm warrant further
evaluation, but this finding does not require immediate intervention.
---
## Question 4
A 28-year-old woman at 16 weeks gestation is diagnosed with gestational diabetes. Which
maternal complication is most commonly associated with this condition?
A) Polyhydramnios
B) Placenta previa
C) Neonatal hypoglycemia
D) Preterm labor
---
