2025 MATERNITY AND PEDIATRIC NURSING END OF COURSE EXAM
QUESTIONS WITH ANSWERS 2025/2026 GRADED A+
The nurse assesses the progress from the announcement stage of fatherhood to the
acceptance stage when the patient reports which actions by the father? - 1. Have
revised his financial plan
2. Helped select a crib
3. Traded his sports car for a sedian
A nurse is reinforcing teaching about immunizations with a woman in her first trimester
of pregnancy whose diagnostic testing indicates she does not have immunity to rubella.
The nurse should recommend that the client receive a measles, mumps, rubella (MMR)
vaccine at which of the following times? - Prior to discharge from the hospital after
giving birth
The primary goal of prenatal care is to assure the woman of - the healthiest outcome
possible
When will the embryo's heart being beating? - By the end of week 3
What of the following is considered a positive sign of pregnancy - positive urine
pregnancy test
According to the FDA, medications in this category are contraindicated for use in
pregnancy - Category X
Ovulation cycle in order: - 1. Increase of FSH
2. Secretion of LH
3. Release of an egg
4. Release of progesterone by corpus luteum
5. Fertilization of the ovum
6. Implantation into the endometrium
A nurse is reinforcing teaching about fetal development with a group of women who are
pregnant. Which of the following statements should the nurse include in the teaching? -
very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy
The three germ layers of the embryo are the - ectoderm, mesoderm, and endoderm
A nurse is caring for a female client who is scheduled to have a pelvic examination. The
client tells the nurse, "I'm really nervous because I've never had a pelvic exam before,"
Which of the following is an appropriate therapeutic response by the nurse? - Tell me
more about your concerns
What factor can decrease sperm production and possibly affect a couple trying to
conceive? - The testes being too warm
,The nurse is responsible to examine the umbilical cord of the newborn infant. The nurse
knows that? - The umbilical cord has 2 arteries and 1 vein
The embryo is termed a fetus at which stage of prenatal development? - 9 weeks
What is the nurse's best response when asked by a mother by her 12 year old
daughters cycles are so irregular the first 4 months after menarche - Early cycles are
often irregular
After what age is a mother who becomes pregnant for the first time called an "elderly
primp"? - 35 years
What are considered to be functions of the Fallopian tubes? - 1. Safe environment for
zygote
2. passage for ovum to uterus
3. passage for sperm to meet ova
4. site for fertilization
A mother asks the nurse "When will I know my child has entered puberty? What will the
nurse state based on an understanding of changes associated with puberty? -
Secondary sex characteristics, such as pubic hair appear
The ovum only services for ___ hours after ovulation - 24
The uterine layer that responds to hormonal changes and receives the fertilized ovum is
the? - endometrium
What is the classification of twins who share the same chromosomal material? -
Monozygotic
What is considered the age of fetal viability for the use of GTPAL system? - 20 weeks
What woman should not take oral contraceptives? - A 38- year old woman who smokes
a pack of cigarettes daily
Which of the following are the highest in iron? - Enriched bread, dark green leafy
vegetables
A nurse is collecting data from a client who is 1 day postpartum. Which of the following
findings requires immediate intervention by the nurse? - Displaced fungus from the
midline
When teaching a woman the cervical mucous method to identify ovulation, the nurse
teaches her that the normal characteristics of mucous near ovulation is - thin and
slippery
, The nurse is providing sexual education to a group of high school students. What will
the nurse explain is the most effective choice of birth control for preventing pregnancy
and sexually transmitted diseases? - Abstain from sex
What is the leading cause of postpartum death around the world? - hemorage
When does a late postpartum hemorrhage occur? - 24 hours to 6 weeks after childbirth
A nurse is reinforcing teaching with a client about potential adverse effects of
implantable progestins. Which of the following adverse effects should the nurse
include? - 1. Breast changes
2. Weight gain
3. Irregular vaginal bleeding
Tachycardia is the first sign of hypovolemic shock from postpartum hemorrhage? - True
A postpartum mother who is breastfeeding has developed mastitis. She states that she
does not think it is good for her infant to drink milk from her infected breast. The best
response from the nurse would be to? - Encourage pumping to prevent engorgement
A friend tells you she is "having periods again" she thought she had her last menstrual
period two years ago when asked. As a nurse, you should advise her that she: - should
see her healthcare provider promptly, because this is not an expected occurrence
A nurse is reinforcing teaching with a client who is taking an oral contraceptive about
danger indications to report to her provider. The nurse determines the client
understands the teaching when the client states the need to report which of the
following manifestations? - Shortness of breath
Which of the following will relieve the symptoms associates with premenstrual dysphoric
disorder? - Exercise several times a week
A nurse is preparing to administer ampicillin 1000 mg PO per day, divided in four equal
doses. Available is ampicillin 250 mg capsules. How many capsules should the nurse
administer per dose? - 1 capsule
If a client misses the time frame by two day, in which she can receive her
Medroxprogesterone acetate injection, what action does the nurse need to take prior to
administering the next injection? - Have the client provide a urine sample for an urine
pregnancy test
A nurse is caring for a postpartum client who saturates a perineal pad in 10 minute.
Which of the following actions should the nurse take first? - massage the client's fundus
QUESTIONS WITH ANSWERS 2025/2026 GRADED A+
The nurse assesses the progress from the announcement stage of fatherhood to the
acceptance stage when the patient reports which actions by the father? - 1. Have
revised his financial plan
2. Helped select a crib
3. Traded his sports car for a sedian
A nurse is reinforcing teaching about immunizations with a woman in her first trimester
of pregnancy whose diagnostic testing indicates she does not have immunity to rubella.
The nurse should recommend that the client receive a measles, mumps, rubella (MMR)
vaccine at which of the following times? - Prior to discharge from the hospital after
giving birth
The primary goal of prenatal care is to assure the woman of - the healthiest outcome
possible
When will the embryo's heart being beating? - By the end of week 3
What of the following is considered a positive sign of pregnancy - positive urine
pregnancy test
According to the FDA, medications in this category are contraindicated for use in
pregnancy - Category X
Ovulation cycle in order: - 1. Increase of FSH
2. Secretion of LH
3. Release of an egg
4. Release of progesterone by corpus luteum
5. Fertilization of the ovum
6. Implantation into the endometrium
A nurse is reinforcing teaching about fetal development with a group of women who are
pregnant. Which of the following statements should the nurse include in the teaching? -
very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy
The three germ layers of the embryo are the - ectoderm, mesoderm, and endoderm
A nurse is caring for a female client who is scheduled to have a pelvic examination. The
client tells the nurse, "I'm really nervous because I've never had a pelvic exam before,"
Which of the following is an appropriate therapeutic response by the nurse? - Tell me
more about your concerns
What factor can decrease sperm production and possibly affect a couple trying to
conceive? - The testes being too warm
,The nurse is responsible to examine the umbilical cord of the newborn infant. The nurse
knows that? - The umbilical cord has 2 arteries and 1 vein
The embryo is termed a fetus at which stage of prenatal development? - 9 weeks
What is the nurse's best response when asked by a mother by her 12 year old
daughters cycles are so irregular the first 4 months after menarche - Early cycles are
often irregular
After what age is a mother who becomes pregnant for the first time called an "elderly
primp"? - 35 years
What are considered to be functions of the Fallopian tubes? - 1. Safe environment for
zygote
2. passage for ovum to uterus
3. passage for sperm to meet ova
4. site for fertilization
A mother asks the nurse "When will I know my child has entered puberty? What will the
nurse state based on an understanding of changes associated with puberty? -
Secondary sex characteristics, such as pubic hair appear
The ovum only services for ___ hours after ovulation - 24
The uterine layer that responds to hormonal changes and receives the fertilized ovum is
the? - endometrium
What is the classification of twins who share the same chromosomal material? -
Monozygotic
What is considered the age of fetal viability for the use of GTPAL system? - 20 weeks
What woman should not take oral contraceptives? - A 38- year old woman who smokes
a pack of cigarettes daily
Which of the following are the highest in iron? - Enriched bread, dark green leafy
vegetables
A nurse is collecting data from a client who is 1 day postpartum. Which of the following
findings requires immediate intervention by the nurse? - Displaced fungus from the
midline
When teaching a woman the cervical mucous method to identify ovulation, the nurse
teaches her that the normal characteristics of mucous near ovulation is - thin and
slippery
, The nurse is providing sexual education to a group of high school students. What will
the nurse explain is the most effective choice of birth control for preventing pregnancy
and sexually transmitted diseases? - Abstain from sex
What is the leading cause of postpartum death around the world? - hemorage
When does a late postpartum hemorrhage occur? - 24 hours to 6 weeks after childbirth
A nurse is reinforcing teaching with a client about potential adverse effects of
implantable progestins. Which of the following adverse effects should the nurse
include? - 1. Breast changes
2. Weight gain
3. Irregular vaginal bleeding
Tachycardia is the first sign of hypovolemic shock from postpartum hemorrhage? - True
A postpartum mother who is breastfeeding has developed mastitis. She states that she
does not think it is good for her infant to drink milk from her infected breast. The best
response from the nurse would be to? - Encourage pumping to prevent engorgement
A friend tells you she is "having periods again" she thought she had her last menstrual
period two years ago when asked. As a nurse, you should advise her that she: - should
see her healthcare provider promptly, because this is not an expected occurrence
A nurse is reinforcing teaching with a client who is taking an oral contraceptive about
danger indications to report to her provider. The nurse determines the client
understands the teaching when the client states the need to report which of the
following manifestations? - Shortness of breath
Which of the following will relieve the symptoms associates with premenstrual dysphoric
disorder? - Exercise several times a week
A nurse is preparing to administer ampicillin 1000 mg PO per day, divided in four equal
doses. Available is ampicillin 250 mg capsules. How many capsules should the nurse
administer per dose? - 1 capsule
If a client misses the time frame by two day, in which she can receive her
Medroxprogesterone acetate injection, what action does the nurse need to take prior to
administering the next injection? - Have the client provide a urine sample for an urine
pregnancy test
A nurse is caring for a postpartum client who saturates a perineal pad in 10 minute.
Which of the following actions should the nurse take first? - massage the client's fundus
