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NUR 230 Maternal-Newborn Exam 2 (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS
A+ UPDATED
NUR 230 Maternal/Newborn Exam 2
1. A patient at 32 weeks gestation presents with sudden, severe abdominal pain and vaginal
bleeding. The nurse suspects:
A. Placental abruption
B. Placenta previa
C. Urinary tract infection
D. Normal Braxton Hicks contractions
Answer: A
Rationale: Sudden, intense abdominal pain with bleeding is classic for abruption, which is an
emergency.
2. The primary risk of post-term pregnancy (>42 weeks) is:
A. Oligohydramnios and fetal distress
B. Gestational diabetes
C. Hyperemesis gravidarum
D. Preeclampsia
Answer: A
3. Which of the following indicates uterine atony postpartum?
A. Soft, boggy fundus and heavy bleeding
B. Firm fundus with minimal bleeding
C. Increased urinary output
D. Abdominal cramping
Answer: A
practice exam 2026
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4. A patient with gestational diabetes is instructed to:
A. Monitor blood glucose levels and follow a diet plan
B. Increase sugar intake for energy
C. Avoid prenatal vitamins
D. Only check glucose weekly
Answer: A
5. A neonate born to a diabetic mother is at risk for:
A. Hypoglycemia
B. Hypocalcemia
C. Hyperthermia
D. Anemia only
Answer: A
6. Early postpartum hemorrhage occurs:
A. Within 24 hours of delivery
B. Between 24 hours and 6 weeks postpartum
C. After 6 weeks
D. Only with C-section
Answer: A
7. The nurse notes prolonged decelerations on the fetal monitor. Immediate action is:
A. Reposition the mother, administer oxygen, notify provider
B. Encourage ambulation
C. Document only
D. Increase IV fluids without notifying provider
Answer: A
practice exam 2026
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8. What is the primary purpose of administering oxytocin after birth?
A. Promote uterine contraction to prevent hemorrhage
B. Reduce maternal blood pressure
C. Treat infection
D. Promote lactation only
Answer: A
9. The nurse assesses a postpartum patient with a heart rate of 110 bpm, pallor, and
hypotension. The priority intervention is:
A. Assess for bleeding and prepare for fluid resuscitation
B. Encourage ambulation
C. Administer iron only
D. Monitor temperature
Answer: A
10. The most effective position to relieve cord compression is:
A. Trendelenburg or knee-chest position
B. Supine flat
C. Lithotomy
D. Left lateral
Answer: A
11. Signs of magnesium sulfate toxicity include all EXCEPT:
A. Increased deep tendon reflexes
B. Respiratory depression
C. Loss of reflexes
D. Decreased urine output
Answer: A
Rationale: Magnesium sulfate toxicity causes hyporeflexia, not hyperreflexia.
practice exam 2026
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12. During labor, late decelerations are usually caused by:
A. Uteroplacental insufficiency
B. Cord compression
C. Maternal position change
D. Normal head compression
Answer: A
13. A patient with preeclampsia reports headache, visual changes, and epigastric pain. This
indicates:
A. Severe preeclampsia or impending eclampsia
B. Normal pregnancy discomfort
C. Early labor
D. Urinary tract infection
Answer: A
14. A nurse evaluates a newborn with jaundice appearing on day 2. The nurse knows:
A. Physiologic jaundice is common and usually harmless
B. Always requires immediate phototherapy
C. Indicates infection in all cases
D. Requires formula feeding only
Answer: A
15. A patient in labor is receiving epidural anesthesia. Priority nursing care includes:
A. Frequent BP monitoring and IV fluid administration
B. Encouraging immediate ambulation
C. Restricting maternal assessment
D. Delaying fetal monitoring
Answer: A
16. The nurse instructs a patient with GBS-positive status to receive:
practice exam 2026
NUR 230 Maternal-Newborn Exam 2 (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS
A+ UPDATED
NUR 230 Maternal/Newborn Exam 2
1. A patient at 32 weeks gestation presents with sudden, severe abdominal pain and vaginal
bleeding. The nurse suspects:
A. Placental abruption
B. Placenta previa
C. Urinary tract infection
D. Normal Braxton Hicks contractions
Answer: A
Rationale: Sudden, intense abdominal pain with bleeding is classic for abruption, which is an
emergency.
2. The primary risk of post-term pregnancy (>42 weeks) is:
A. Oligohydramnios and fetal distress
B. Gestational diabetes
C. Hyperemesis gravidarum
D. Preeclampsia
Answer: A
3. Which of the following indicates uterine atony postpartum?
A. Soft, boggy fundus and heavy bleeding
B. Firm fundus with minimal bleeding
C. Increased urinary output
D. Abdominal cramping
Answer: A
practice exam 2026
,2|Page
4. A patient with gestational diabetes is instructed to:
A. Monitor blood glucose levels and follow a diet plan
B. Increase sugar intake for energy
C. Avoid prenatal vitamins
D. Only check glucose weekly
Answer: A
5. A neonate born to a diabetic mother is at risk for:
A. Hypoglycemia
B. Hypocalcemia
C. Hyperthermia
D. Anemia only
Answer: A
6. Early postpartum hemorrhage occurs:
A. Within 24 hours of delivery
B. Between 24 hours and 6 weeks postpartum
C. After 6 weeks
D. Only with C-section
Answer: A
7. The nurse notes prolonged decelerations on the fetal monitor. Immediate action is:
A. Reposition the mother, administer oxygen, notify provider
B. Encourage ambulation
C. Document only
D. Increase IV fluids without notifying provider
Answer: A
practice exam 2026
,3|Page
8. What is the primary purpose of administering oxytocin after birth?
A. Promote uterine contraction to prevent hemorrhage
B. Reduce maternal blood pressure
C. Treat infection
D. Promote lactation only
Answer: A
9. The nurse assesses a postpartum patient with a heart rate of 110 bpm, pallor, and
hypotension. The priority intervention is:
A. Assess for bleeding and prepare for fluid resuscitation
B. Encourage ambulation
C. Administer iron only
D. Monitor temperature
Answer: A
10. The most effective position to relieve cord compression is:
A. Trendelenburg or knee-chest position
B. Supine flat
C. Lithotomy
D. Left lateral
Answer: A
11. Signs of magnesium sulfate toxicity include all EXCEPT:
A. Increased deep tendon reflexes
B. Respiratory depression
C. Loss of reflexes
D. Decreased urine output
Answer: A
Rationale: Magnesium sulfate toxicity causes hyporeflexia, not hyperreflexia.
practice exam 2026
, 4|Page
12. During labor, late decelerations are usually caused by:
A. Uteroplacental insufficiency
B. Cord compression
C. Maternal position change
D. Normal head compression
Answer: A
13. A patient with preeclampsia reports headache, visual changes, and epigastric pain. This
indicates:
A. Severe preeclampsia or impending eclampsia
B. Normal pregnancy discomfort
C. Early labor
D. Urinary tract infection
Answer: A
14. A nurse evaluates a newborn with jaundice appearing on day 2. The nurse knows:
A. Physiologic jaundice is common and usually harmless
B. Always requires immediate phototherapy
C. Indicates infection in all cases
D. Requires formula feeding only
Answer: A
15. A patient in labor is receiving epidural anesthesia. Priority nursing care includes:
A. Frequent BP monitoring and IV fluid administration
B. Encouraging immediate ambulation
C. Restricting maternal assessment
D. Delaying fetal monitoring
Answer: A
16. The nurse instructs a patient with GBS-positive status to receive:
practice exam 2026
