Maternity and Pediatric Nursing Final EXAM
LATEST 100 QUESTIONS AND 100- Verified
ANSWERS JUST RELEASED
TABLE OF CONTENTS
Section Questions Topic Domain
Section 1 1–15 Antepartum & Maternal Health
Section 2 16–30 Labor, Delivery & Intrapartum Care
Section 3 31–45 Postpartum & Newborn Assessment
Section 4 46–60 Pediatric Growth & Development
Section 5 61–75 Pediatric Respiratory & Cardiac Disorders
Section 6 76–85 Pediatric Gastrointestinal & Renal Disorders
Section 7 86–100 Pediatric Neurological & Infectious Disorders
SECTION 1: ANTEPARTUM & MATERNAL HEALTH (Questions 1–15)
1. A nurse is assessing a client at 12 weeks of gestation. Which finding is
considered a probable sign of pregnancy?
A. Amenorrhea
,B. Quickening
C. Goodell's sign
D. Fetal heart tones heard by Doppler
Rationale: Goodell's sign (softening of the cervical tip) is a probable sign of
pregnancy. Amenorrhea is a presumptive sign, while fetal heart tones are a
positive sign .
2. A pregnant patient at 38 weeks gestation reports decreased fetal movement.
What is the priority nursing action?
A. Encourage ambulation
B. Perform a nonstress test
C. Administer oral fluids
D. Schedule elective induction
Rationale: Decreased fetal movement may indicate fetal distress; a nonstress test
assesses fetal well-being by monitoring heart rate reactivity .
3. A patient at 32 weeks gestation reports sudden abdominal pain and vaginal
bleeding. What is the most likely diagnosis?
A. Ectopic pregnancy
B. Placental abruption
C. Gestational diabetes
D. Preterm labor
Rationale: Sudden abdominal pain and vaginal bleeding at 32 weeks suggest
placental abruption, a medical emergency .
,4. A client with preeclampsia has a blood pressure of 160/100 mmHg. What is
the priority medication?
A. Oxytocin
B. Magnesium sulfate
C. Ibuprofen
D. Furosemide
Rationale: Magnesium sulfate prevents seizures in preeclampsia by stabilizing
neuronal excitability . Hydralazine or nifedipine would be used to lower the blood
pressure, but magnesium prevents seizures .
5. What is the priority assessment when administering magnesium sulfate to a
preeclamptic client?
A. Deep tendon reflexes (DTRs) and respiratory rate
B. Blood pressure and heart rate
C. Urine specific gravity and temperature
D. Fetal heart rate and cervical dilation
Rationale: Magnesium sulfate has a narrow therapeutic index. Toxicity is first
evidenced by the loss of deep tendon reflexes, followed by respiratory depression,
and ultimately cardiac arrest. The antidote is calcium gluconate .
6. A patient receiving magnesium sulfate for preeclampsia has a respiratory rate
of 10 breaths per minute. What is the priority action?
A. Discontinue the infusion and notify the provider
B. Increase the infusion rate
C. Administer oxygen via non-rebreather
, D. Position the patient in Trendelenburg
Rationale: A respiratory rate below 12 indicates magnesium toxicity. The infusion
should be stopped immediately and calcium gluconate should be prepared as the
antidote .
7. HELLP syndrome is a severe form of preeclampsia. What do the letters in
HELLP stand for?
A. Hemolysis, Elevated Liver enzymes, Low Platelets
B. Hypertension, Elevated Lipids, Low Potassium
C. Hemorrhage, Elevated Leukocytes, Low Platelets
D. Hypoxia, Elevated Liver enzymes, Low Platelets
Rationale: HELLP syndrome stands for Hemolysis (H), Elevated Liver enzymes (EL),
and Low Platelet count (LP). It can occur without the classic signs of preeclampsia .
8. A client at 24 weeks gestation is diagnosed with gestational diabetes. At what
gestational age is a glucose tolerance test (GTT) typically performed?
A. 12-16 weeks
B. 20-24 weeks
C. 24-28 weeks
D. 32-36 weeks
Rationale: Screening for gestational diabetes occurs between 24 and 28 weeks of
gestation when insulin resistance increases .
9. A client with gestational diabetes has a fasting blood glucose of 140 mg/dL.
What is the priority intervention?
LATEST 100 QUESTIONS AND 100- Verified
ANSWERS JUST RELEASED
TABLE OF CONTENTS
Section Questions Topic Domain
Section 1 1–15 Antepartum & Maternal Health
Section 2 16–30 Labor, Delivery & Intrapartum Care
Section 3 31–45 Postpartum & Newborn Assessment
Section 4 46–60 Pediatric Growth & Development
Section 5 61–75 Pediatric Respiratory & Cardiac Disorders
Section 6 76–85 Pediatric Gastrointestinal & Renal Disorders
Section 7 86–100 Pediatric Neurological & Infectious Disorders
SECTION 1: ANTEPARTUM & MATERNAL HEALTH (Questions 1–15)
1. A nurse is assessing a client at 12 weeks of gestation. Which finding is
considered a probable sign of pregnancy?
A. Amenorrhea
,B. Quickening
C. Goodell's sign
D. Fetal heart tones heard by Doppler
Rationale: Goodell's sign (softening of the cervical tip) is a probable sign of
pregnancy. Amenorrhea is a presumptive sign, while fetal heart tones are a
positive sign .
2. A pregnant patient at 38 weeks gestation reports decreased fetal movement.
What is the priority nursing action?
A. Encourage ambulation
B. Perform a nonstress test
C. Administer oral fluids
D. Schedule elective induction
Rationale: Decreased fetal movement may indicate fetal distress; a nonstress test
assesses fetal well-being by monitoring heart rate reactivity .
3. A patient at 32 weeks gestation reports sudden abdominal pain and vaginal
bleeding. What is the most likely diagnosis?
A. Ectopic pregnancy
B. Placental abruption
C. Gestational diabetes
D. Preterm labor
Rationale: Sudden abdominal pain and vaginal bleeding at 32 weeks suggest
placental abruption, a medical emergency .
,4. A client with preeclampsia has a blood pressure of 160/100 mmHg. What is
the priority medication?
A. Oxytocin
B. Magnesium sulfate
C. Ibuprofen
D. Furosemide
Rationale: Magnesium sulfate prevents seizures in preeclampsia by stabilizing
neuronal excitability . Hydralazine or nifedipine would be used to lower the blood
pressure, but magnesium prevents seizures .
5. What is the priority assessment when administering magnesium sulfate to a
preeclamptic client?
A. Deep tendon reflexes (DTRs) and respiratory rate
B. Blood pressure and heart rate
C. Urine specific gravity and temperature
D. Fetal heart rate and cervical dilation
Rationale: Magnesium sulfate has a narrow therapeutic index. Toxicity is first
evidenced by the loss of deep tendon reflexes, followed by respiratory depression,
and ultimately cardiac arrest. The antidote is calcium gluconate .
6. A patient receiving magnesium sulfate for preeclampsia has a respiratory rate
of 10 breaths per minute. What is the priority action?
A. Discontinue the infusion and notify the provider
B. Increase the infusion rate
C. Administer oxygen via non-rebreather
, D. Position the patient in Trendelenburg
Rationale: A respiratory rate below 12 indicates magnesium toxicity. The infusion
should be stopped immediately and calcium gluconate should be prepared as the
antidote .
7. HELLP syndrome is a severe form of preeclampsia. What do the letters in
HELLP stand for?
A. Hemolysis, Elevated Liver enzymes, Low Platelets
B. Hypertension, Elevated Lipids, Low Potassium
C. Hemorrhage, Elevated Leukocytes, Low Platelets
D. Hypoxia, Elevated Liver enzymes, Low Platelets
Rationale: HELLP syndrome stands for Hemolysis (H), Elevated Liver enzymes (EL),
and Low Platelet count (LP). It can occur without the classic signs of preeclampsia .
8. A client at 24 weeks gestation is diagnosed with gestational diabetes. At what
gestational age is a glucose tolerance test (GTT) typically performed?
A. 12-16 weeks
B. 20-24 weeks
C. 24-28 weeks
D. 32-36 weeks
Rationale: Screening for gestational diabetes occurs between 24 and 28 weeks of
gestation when insulin resistance increases .
9. A client with gestational diabetes has a fasting blood glucose of 140 mg/dL.
What is the priority intervention?
