Maternity Final '24 Exam with Questions
and Correct Answers 2025-2026 GRADED
A+
While ,assisting ,the ,physician ,with ,a ,physical ,examination, ,the ,nurse ,notes ,which ,sign
,or ,symptom ,as ,most ,definitive ,of ,a ,diagnosis ,of ,pregnancy? ,- ,CORRECT ,ANSWER-
Auscultation ,of ,fetal ,heart ,sounds
Which ,nursing ,assessment ,finding ,indicates ,the ,need ,for ,further ,testing ,before ,a
,diagnosis ,of ,pregnancy ,can ,be ,confirmed? ,- ,CORRECT ,ANSWER-Amenorrhea
The ,nurse ,caring ,for ,a ,woman ,who ,is ,beginning ,the ,second ,trimester ,of ,pregnancy
,recognizes ,the ,need ,for ,further ,assessment ,when ,the ,woman ,reports ,which ,change
,in ,her ,body? ,- ,CORRECT ,ANSWER-Nasal ,congestion
The ,nurse ,caring ,for ,a ,woman ,who ,is ,in ,the ,third ,trimester ,of ,pregnancy ,suspects ,a
,urinary ,tract ,infection ,on ,the ,basis ,of ,which ,reported ,symptom? ,- ,CORRECT
,ANSWER-Burning ,on ,urination
A ,pregnant ,woman ,tells ,the ,nurse ,how ,clumsy ,she ,feels. ,Which ,teaching ,will ,the
,nurse ,provide? ,- ,CORRECT ,ANSWER-Wearing ,low-heeled ,shoes ,and ,using ,good
,body ,mechanics
When ,talking ,with ,the ,nurse, ,a ,pregnant ,patient ,points ,out ,her ,darkened ,areolas, ,the
,linea ,nigra ,on ,her ,abdomen, ,and ,the ,brown ,patches ,on ,her ,forehead ,and ,nose ,and
,says, ,"I'm ,never ,going ,to ,be ,able ,to ,wear ,a ,bikini ,again." ,Which ,is ,the ,nurse's ,best
,response? ,- ,CORRECT ,ANSWER-"These ,changes ,normally ,go ,away ,after ,you ,have
,the ,baby."
The ,nurse ,reviews ,a ,pregnant ,patient's ,laboratory ,values ,and ,notes ,a ,reduced ,red
,blood ,cell ,count ,and ,hemoglobin ,level. ,Which ,symptom ,reported ,by ,the ,patient
,results ,from ,these ,findings? ,- ,CORRECT ,ANSWER-Fatigue
After ,assessing ,the ,cardiovascular ,system ,of ,a ,pregnant ,woman, ,the ,nurse
,recognizes ,the ,need ,to ,report ,which ,finding ,to ,the ,provider? ,- ,CORRECT ,ANSWER-
Blood ,pressure ,of ,152/94 ,mm ,Hg
,Which ,symptom ,reported ,to ,the ,nurse ,by ,the ,patient ,needs ,to ,be ,brought ,to ,the
,attention ,of ,the ,health-care ,provider? ,- ,CORRECT ,ANSWER-Vaginal ,itching
The ,nurse ,reviews ,the ,patient's ,laboratory ,findings ,and ,suspects ,anemia ,when ,noting
,which ,result? ,- ,CORRECT ,ANSWER-Red ,blood ,cell ,count ,4.1
Which ,finding ,does ,the ,nurse ,recognize ,as ,a ,normal ,result ,of ,pregnancy? ,-
,CORRECT ,ANSWER-Reduced ,platelet ,count
The ,nurse ,reviews ,the ,patient's ,laboratory ,values ,and ,sees ,the ,following:
,
Hemoglobin ,12.2 ,g/dL ,
Hematocrit ,42.8% ,
Serum ,blood ,urea ,nitrogen ,(BUN) ,18 ,mg/dL ,
Serum ,creatinine ,0.68 ,mg/dL ,
Alanine ,transaminase ,(ALT) ,8 ,units/L ,
Aspartate ,aminotransferase ,(AST) ,12 ,units/L ,
Alkaline ,phosphatase ,(ALP) ,108 ,ImU/mL ,
Lactate ,dehydrogenase ,(LDH) ,635 ,units/L ,
Which ,conclusion ,does ,the ,nurse ,draw ,on ,the ,basis ,of ,these ,findings? ,- ,CORRECT
,ANSWER-The ,patient ,is ,dehydrated.
During ,the ,woman's ,first ,prenatal ,visit, ,she ,makes ,many ,statements ,about ,the
,recommendations ,she ,has ,received ,from ,her ,friends ,about ,maintaining ,her ,health
,and ,the ,health ,of ,the ,growing ,fetus. ,According ,to ,Reva ,Rubin, ,which ,maternal ,task ,is
,this ,woman ,demonstrating? ,- ,CORRECT ,ANSWER-Seeking ,safe ,passage ,for ,herself
,and ,her ,fetus
The ,nurse ,learns ,that ,a ,pregnant ,patient ,lost ,her ,mother ,when ,she ,was ,a ,teenager
,and ,recognizes ,that ,the ,absence ,of ,a ,mother ,figure ,will ,cause ,this ,patient ,to ,have
,difficulty ,with ,which ,of ,Reva ,Rubin's ,four ,maternal ,tasks? ,- ,CORRECT ,ANSWER-
Securing ,acceptance ,for ,herself ,as ,a ,mother ,and ,for ,her ,fetus
Upon ,examining ,a ,woman ,in ,the ,late ,second ,trimester ,of ,pregnancy, ,the ,nurse ,notes
,circular ,bruises ,around ,each ,wrist ,and ,circular ,bruises ,above ,the ,umbilicus. ,What
,should ,the ,nurse ,suspect? ,- ,CORRECT ,ANSWER-Physical ,abuse ,from ,the ,father ,of
,the ,baby
A ,pregnant ,woman ,is ,telling ,the ,nurse ,about ,her ,other ,children's ,reaction ,to ,news ,of
,the ,pregnancy ,but ,says ,she ,is ,waiting ,to ,tell ,her ,toddler ,until ,she's ,further ,along.
,Which ,is ,the ,nurse's ,best ,response? ,- ,CORRECT ,ANSWER-"That's ,a ,wise ,decision
,because ,toddlers ,have ,no ,concept ,of ,time."
When ,the ,nurse ,cares ,for ,a ,pregnant ,adolescent, ,which ,psychosocial ,assessment
,takes ,priority ,before ,teaching ,self-care? ,- ,CORRECT ,ANSWER-Developmental ,level
,The ,emergency ,department ,nurse ,admits ,an ,adolescent ,who ,is ,complaining ,of
,abdominal ,pain ,and ,denies ,pregnancy. ,Assessment ,findings ,include ,a ,distended,
,pregnant-appearing ,abdomen ,and ,fetal ,heart ,tones. ,How ,does ,the ,nurse ,interpret
,these ,contradictory ,findings? ,- ,CORRECT ,ANSWER-Denial ,of ,pregnancy ,until ,late ,in
,gestation ,is ,not ,uncommon ,in ,adolescence.
The ,nurses ,is ,caring ,for ,a ,pregnant ,Indian ,woman. ,Which ,observations ,does ,the
,nurse ,attribute ,to ,the ,woman's ,cultural ,beliefs? ,(Select ,all ,that ,apply.) ,- ,CORRECT
,ANSWER--The ,woman ,believes ,it ,is ,her ,husband's ,responsibility ,to ,satisfy ,her ,food
,cravings. ,
-The ,woman ,continues ,to ,carry ,heavy ,loads. ,
-The ,woman ,does ,not ,believe ,doctors ,are ,necessary ,during ,pregnancy.
The ,nurse ,working ,with ,a ,culturally ,diverse ,obstetric ,patient ,population ,recognizes
,which ,common ,cultural ,practices? ,(Select ,all ,that ,apply.) ,- ,CORRECT ,ANSWER--
Hispanic ,and ,Indian ,women ,tend ,to ,remain ,physically ,active. ,
-Japanese ,women ,do ,not ,freely ,discuss ,problems ,with ,morning ,sickness. ,
,
-Hispanic ,women ,rely ,on ,older ,women ,in ,the ,family ,for ,advice. ,
-Indian ,women ,expect ,others ,to ,satisfy ,food ,cravings.
At ,a ,prenatal ,visit, ,a ,primigravida ,asks ,the ,nurse ,how ,she ,will ,know ,her ,labor ,has
,started. ,The ,nurse ,knows ,that ,what ,indicates ,the ,beginning ,of ,true ,labor? ,
a. ,Contractions ,that ,are ,relieved ,by ,walking. ,
b. ,Discomfort ,in ,the ,abdomen ,and ,groin. ,
c. ,A ,decrease ,in ,vaginal ,discharge. ,
d. ,Regular ,contractions ,becoming ,more ,frequent ,and ,intense. ,- ,CORRECT ,ANSWER-
Answer: ,d. ,Regular ,contractions ,becoming ,more ,frequent ,and ,intense.
Rationale: ,In ,true ,labor, ,contractions ,gradually ,develop ,a ,regular ,pattern ,and ,become
,more ,frequent, ,longer, ,and ,more ,intense.
The ,nurse ,is ,caring ,for ,a ,woman ,in ,the ,first ,stage ,of ,labor. ,What ,will ,the ,nurse
,remind ,the ,patient ,about ,contractions ,during ,this ,stage ,of ,labor? ,
a. ,They ,get ,the ,infant ,positioned ,for ,delivery. ,
b. ,They ,push ,the ,infant ,into ,the ,vagina. ,
c. ,They ,dilate ,and ,efface ,the ,cervix. ,
d. ,They ,get ,the ,mother ,prepared ,for ,true ,labor. ,- ,CORRECT ,ANSWER-Answer: ,c.
,They ,dilate ,and ,efface ,the ,cervix. ,
, Rationale: ,The ,first ,stage ,of ,labor ,describes ,the ,time ,from ,the ,onset ,of ,labor ,until ,full
,dilation ,of ,the ,cervix.
What ,is ,the ,function ,of ,contractions ,during ,the ,second ,stage ,of ,labor? ,
a. ,Align ,the ,infant ,into ,the ,proper ,position ,for ,delivery. ,
b. ,Dilate ,and ,efface ,the ,cervix. ,
c. ,Push ,the ,infant ,out ,of ,the ,mothers ,body. ,
d. ,Separate ,the ,placenta ,from ,the ,uterine ,wall. ,- ,CORRECT ,ANSWER-Answer: ,c.
,Push ,the ,infant ,out ,of ,the ,mothers ,body. ,
Rationale: ,The ,contractions ,push ,the ,infant ,out ,of ,the ,mothers ,body ,as ,the ,second
,stage ,of ,labor ,ends ,with ,the ,birth ,of ,the ,infant.
What ,marks ,the ,end ,of ,the ,third ,stage ,of ,labor? ,
a. ,Full ,cervical ,dilation. ,
b. ,Expulsion ,of ,the ,placenta ,and ,membranes. ,
c. ,Birth ,of ,the ,infant. ,
d. ,Engagement ,of ,the ,head. ,- ,CORRECT ,ANSWER-Answer: ,b. ,Expulsion ,of ,the
,placenta ,and ,membranes. ,
Rationale: ,The ,third ,stage ,of ,labor ,extends ,from ,the ,birth ,of ,the ,infant ,until ,the
,placenta ,is ,detached ,and ,expelled.
The ,nurse ,observes ,the ,patient ,bearing ,down ,with ,contractions ,and ,crying ,out, ,The
,baby ,is ,coming! ,What ,is ,the ,best ,nursing ,intervention? ,
a. ,Find ,the ,physician. ,
b. ,Stay ,with ,the ,woman ,and ,use ,the ,call ,bell ,to ,get ,help. ,
c. ,Send ,the ,womans ,partner ,to ,locate ,a ,registered ,nurse. ,
d. ,Assist ,with ,deep ,breathing ,to ,slow ,the ,labor ,process. ,- ,CORRECT ,ANSWER-
Answer: ,b. ,Stay ,with ,the ,woman ,and ,use ,the ,call ,bell ,to ,get ,help.
Rationale: ,If ,birth ,appears ,to ,be ,imminent, ,the ,nurse ,should ,not ,leave ,the ,woman ,and
,should ,summon ,help ,with ,the ,call ,bell.
and Correct Answers 2025-2026 GRADED
A+
While ,assisting ,the ,physician ,with ,a ,physical ,examination, ,the ,nurse ,notes ,which ,sign
,or ,symptom ,as ,most ,definitive ,of ,a ,diagnosis ,of ,pregnancy? ,- ,CORRECT ,ANSWER-
Auscultation ,of ,fetal ,heart ,sounds
Which ,nursing ,assessment ,finding ,indicates ,the ,need ,for ,further ,testing ,before ,a
,diagnosis ,of ,pregnancy ,can ,be ,confirmed? ,- ,CORRECT ,ANSWER-Amenorrhea
The ,nurse ,caring ,for ,a ,woman ,who ,is ,beginning ,the ,second ,trimester ,of ,pregnancy
,recognizes ,the ,need ,for ,further ,assessment ,when ,the ,woman ,reports ,which ,change
,in ,her ,body? ,- ,CORRECT ,ANSWER-Nasal ,congestion
The ,nurse ,caring ,for ,a ,woman ,who ,is ,in ,the ,third ,trimester ,of ,pregnancy ,suspects ,a
,urinary ,tract ,infection ,on ,the ,basis ,of ,which ,reported ,symptom? ,- ,CORRECT
,ANSWER-Burning ,on ,urination
A ,pregnant ,woman ,tells ,the ,nurse ,how ,clumsy ,she ,feels. ,Which ,teaching ,will ,the
,nurse ,provide? ,- ,CORRECT ,ANSWER-Wearing ,low-heeled ,shoes ,and ,using ,good
,body ,mechanics
When ,talking ,with ,the ,nurse, ,a ,pregnant ,patient ,points ,out ,her ,darkened ,areolas, ,the
,linea ,nigra ,on ,her ,abdomen, ,and ,the ,brown ,patches ,on ,her ,forehead ,and ,nose ,and
,says, ,"I'm ,never ,going ,to ,be ,able ,to ,wear ,a ,bikini ,again." ,Which ,is ,the ,nurse's ,best
,response? ,- ,CORRECT ,ANSWER-"These ,changes ,normally ,go ,away ,after ,you ,have
,the ,baby."
The ,nurse ,reviews ,a ,pregnant ,patient's ,laboratory ,values ,and ,notes ,a ,reduced ,red
,blood ,cell ,count ,and ,hemoglobin ,level. ,Which ,symptom ,reported ,by ,the ,patient
,results ,from ,these ,findings? ,- ,CORRECT ,ANSWER-Fatigue
After ,assessing ,the ,cardiovascular ,system ,of ,a ,pregnant ,woman, ,the ,nurse
,recognizes ,the ,need ,to ,report ,which ,finding ,to ,the ,provider? ,- ,CORRECT ,ANSWER-
Blood ,pressure ,of ,152/94 ,mm ,Hg
,Which ,symptom ,reported ,to ,the ,nurse ,by ,the ,patient ,needs ,to ,be ,brought ,to ,the
,attention ,of ,the ,health-care ,provider? ,- ,CORRECT ,ANSWER-Vaginal ,itching
The ,nurse ,reviews ,the ,patient's ,laboratory ,findings ,and ,suspects ,anemia ,when ,noting
,which ,result? ,- ,CORRECT ,ANSWER-Red ,blood ,cell ,count ,4.1
Which ,finding ,does ,the ,nurse ,recognize ,as ,a ,normal ,result ,of ,pregnancy? ,-
,CORRECT ,ANSWER-Reduced ,platelet ,count
The ,nurse ,reviews ,the ,patient's ,laboratory ,values ,and ,sees ,the ,following:
,
Hemoglobin ,12.2 ,g/dL ,
Hematocrit ,42.8% ,
Serum ,blood ,urea ,nitrogen ,(BUN) ,18 ,mg/dL ,
Serum ,creatinine ,0.68 ,mg/dL ,
Alanine ,transaminase ,(ALT) ,8 ,units/L ,
Aspartate ,aminotransferase ,(AST) ,12 ,units/L ,
Alkaline ,phosphatase ,(ALP) ,108 ,ImU/mL ,
Lactate ,dehydrogenase ,(LDH) ,635 ,units/L ,
Which ,conclusion ,does ,the ,nurse ,draw ,on ,the ,basis ,of ,these ,findings? ,- ,CORRECT
,ANSWER-The ,patient ,is ,dehydrated.
During ,the ,woman's ,first ,prenatal ,visit, ,she ,makes ,many ,statements ,about ,the
,recommendations ,she ,has ,received ,from ,her ,friends ,about ,maintaining ,her ,health
,and ,the ,health ,of ,the ,growing ,fetus. ,According ,to ,Reva ,Rubin, ,which ,maternal ,task ,is
,this ,woman ,demonstrating? ,- ,CORRECT ,ANSWER-Seeking ,safe ,passage ,for ,herself
,and ,her ,fetus
The ,nurse ,learns ,that ,a ,pregnant ,patient ,lost ,her ,mother ,when ,she ,was ,a ,teenager
,and ,recognizes ,that ,the ,absence ,of ,a ,mother ,figure ,will ,cause ,this ,patient ,to ,have
,difficulty ,with ,which ,of ,Reva ,Rubin's ,four ,maternal ,tasks? ,- ,CORRECT ,ANSWER-
Securing ,acceptance ,for ,herself ,as ,a ,mother ,and ,for ,her ,fetus
Upon ,examining ,a ,woman ,in ,the ,late ,second ,trimester ,of ,pregnancy, ,the ,nurse ,notes
,circular ,bruises ,around ,each ,wrist ,and ,circular ,bruises ,above ,the ,umbilicus. ,What
,should ,the ,nurse ,suspect? ,- ,CORRECT ,ANSWER-Physical ,abuse ,from ,the ,father ,of
,the ,baby
A ,pregnant ,woman ,is ,telling ,the ,nurse ,about ,her ,other ,children's ,reaction ,to ,news ,of
,the ,pregnancy ,but ,says ,she ,is ,waiting ,to ,tell ,her ,toddler ,until ,she's ,further ,along.
,Which ,is ,the ,nurse's ,best ,response? ,- ,CORRECT ,ANSWER-"That's ,a ,wise ,decision
,because ,toddlers ,have ,no ,concept ,of ,time."
When ,the ,nurse ,cares ,for ,a ,pregnant ,adolescent, ,which ,psychosocial ,assessment
,takes ,priority ,before ,teaching ,self-care? ,- ,CORRECT ,ANSWER-Developmental ,level
,The ,emergency ,department ,nurse ,admits ,an ,adolescent ,who ,is ,complaining ,of
,abdominal ,pain ,and ,denies ,pregnancy. ,Assessment ,findings ,include ,a ,distended,
,pregnant-appearing ,abdomen ,and ,fetal ,heart ,tones. ,How ,does ,the ,nurse ,interpret
,these ,contradictory ,findings? ,- ,CORRECT ,ANSWER-Denial ,of ,pregnancy ,until ,late ,in
,gestation ,is ,not ,uncommon ,in ,adolescence.
The ,nurses ,is ,caring ,for ,a ,pregnant ,Indian ,woman. ,Which ,observations ,does ,the
,nurse ,attribute ,to ,the ,woman's ,cultural ,beliefs? ,(Select ,all ,that ,apply.) ,- ,CORRECT
,ANSWER--The ,woman ,believes ,it ,is ,her ,husband's ,responsibility ,to ,satisfy ,her ,food
,cravings. ,
-The ,woman ,continues ,to ,carry ,heavy ,loads. ,
-The ,woman ,does ,not ,believe ,doctors ,are ,necessary ,during ,pregnancy.
The ,nurse ,working ,with ,a ,culturally ,diverse ,obstetric ,patient ,population ,recognizes
,which ,common ,cultural ,practices? ,(Select ,all ,that ,apply.) ,- ,CORRECT ,ANSWER--
Hispanic ,and ,Indian ,women ,tend ,to ,remain ,physically ,active. ,
-Japanese ,women ,do ,not ,freely ,discuss ,problems ,with ,morning ,sickness. ,
,
-Hispanic ,women ,rely ,on ,older ,women ,in ,the ,family ,for ,advice. ,
-Indian ,women ,expect ,others ,to ,satisfy ,food ,cravings.
At ,a ,prenatal ,visit, ,a ,primigravida ,asks ,the ,nurse ,how ,she ,will ,know ,her ,labor ,has
,started. ,The ,nurse ,knows ,that ,what ,indicates ,the ,beginning ,of ,true ,labor? ,
a. ,Contractions ,that ,are ,relieved ,by ,walking. ,
b. ,Discomfort ,in ,the ,abdomen ,and ,groin. ,
c. ,A ,decrease ,in ,vaginal ,discharge. ,
d. ,Regular ,contractions ,becoming ,more ,frequent ,and ,intense. ,- ,CORRECT ,ANSWER-
Answer: ,d. ,Regular ,contractions ,becoming ,more ,frequent ,and ,intense.
Rationale: ,In ,true ,labor, ,contractions ,gradually ,develop ,a ,regular ,pattern ,and ,become
,more ,frequent, ,longer, ,and ,more ,intense.
The ,nurse ,is ,caring ,for ,a ,woman ,in ,the ,first ,stage ,of ,labor. ,What ,will ,the ,nurse
,remind ,the ,patient ,about ,contractions ,during ,this ,stage ,of ,labor? ,
a. ,They ,get ,the ,infant ,positioned ,for ,delivery. ,
b. ,They ,push ,the ,infant ,into ,the ,vagina. ,
c. ,They ,dilate ,and ,efface ,the ,cervix. ,
d. ,They ,get ,the ,mother ,prepared ,for ,true ,labor. ,- ,CORRECT ,ANSWER-Answer: ,c.
,They ,dilate ,and ,efface ,the ,cervix. ,
, Rationale: ,The ,first ,stage ,of ,labor ,describes ,the ,time ,from ,the ,onset ,of ,labor ,until ,full
,dilation ,of ,the ,cervix.
What ,is ,the ,function ,of ,contractions ,during ,the ,second ,stage ,of ,labor? ,
a. ,Align ,the ,infant ,into ,the ,proper ,position ,for ,delivery. ,
b. ,Dilate ,and ,efface ,the ,cervix. ,
c. ,Push ,the ,infant ,out ,of ,the ,mothers ,body. ,
d. ,Separate ,the ,placenta ,from ,the ,uterine ,wall. ,- ,CORRECT ,ANSWER-Answer: ,c.
,Push ,the ,infant ,out ,of ,the ,mothers ,body. ,
Rationale: ,The ,contractions ,push ,the ,infant ,out ,of ,the ,mothers ,body ,as ,the ,second
,stage ,of ,labor ,ends ,with ,the ,birth ,of ,the ,infant.
What ,marks ,the ,end ,of ,the ,third ,stage ,of ,labor? ,
a. ,Full ,cervical ,dilation. ,
b. ,Expulsion ,of ,the ,placenta ,and ,membranes. ,
c. ,Birth ,of ,the ,infant. ,
d. ,Engagement ,of ,the ,head. ,- ,CORRECT ,ANSWER-Answer: ,b. ,Expulsion ,of ,the
,placenta ,and ,membranes. ,
Rationale: ,The ,third ,stage ,of ,labor ,extends ,from ,the ,birth ,of ,the ,infant ,until ,the
,placenta ,is ,detached ,and ,expelled.
The ,nurse ,observes ,the ,patient ,bearing ,down ,with ,contractions ,and ,crying ,out, ,The
,baby ,is ,coming! ,What ,is ,the ,best ,nursing ,intervention? ,
a. ,Find ,the ,physician. ,
b. ,Stay ,with ,the ,woman ,and ,use ,the ,call ,bell ,to ,get ,help. ,
c. ,Send ,the ,womans ,partner ,to ,locate ,a ,registered ,nurse. ,
d. ,Assist ,with ,deep ,breathing ,to ,slow ,the ,labor ,process. ,- ,CORRECT ,ANSWER-
Answer: ,b. ,Stay ,with ,the ,woman ,and ,use ,the ,call ,bell ,to ,get ,help.
Rationale: ,If ,birth ,appears ,to ,be ,imminent, ,the ,nurse ,should ,not ,leave ,the ,woman ,and
,should ,summon ,help ,with ,the ,call ,bell.
