MIDWIFERY MCQ ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
● A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor. Which of the following medications should
the nurse plan to administer?
Betamethasone
Misoprostol
Methylergonovine
Poractant alfa Answer: Betamethasone (to stimulate fetal lung maturity
and prevent respiratory depression)
● A nurse is teaching a client who is at 30 weeks of gestation about
warning signs of complications that she should report to her provider.
Which finding should the nurse include in the teaching? Answer:
Vaginal bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that
might indicate a complication such as placental abruption, placenta
previa, or preterm labor.
, ● A nurse is reviewing the medical record of a client who is at 39 weeks
of gestation and has polyhydramnios. Which finding should the nurse
expect? Answer: Fetal gastrointestinal anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn fetus. Gastrointestinal malformations and neurologic
disorders are expected findings for a fetus experiencing the effects of
polyhydramnios.
● A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. Which adverse effect should the nurse include in the teaching?
Answer: Feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing (BP decreases b/c of
magnesium, generalized prates could mean an allergic reaction)
● A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational hypertension. Which finding should the nurse identify
as priority? Answer: 480 mL urine output in 24 hours
Low urine output (<30mL per hour)
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output in
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
● A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor. Which of the following medications should
the nurse plan to administer?
Betamethasone
Misoprostol
Methylergonovine
Poractant alfa Answer: Betamethasone (to stimulate fetal lung maturity
and prevent respiratory depression)
● A nurse is teaching a client who is at 30 weeks of gestation about
warning signs of complications that she should report to her provider.
Which finding should the nurse include in the teaching? Answer:
Vaginal bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that
might indicate a complication such as placental abruption, placenta
previa, or preterm labor.
, ● A nurse is reviewing the medical record of a client who is at 39 weeks
of gestation and has polyhydramnios. Which finding should the nurse
expect? Answer: Fetal gastrointestinal anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn fetus. Gastrointestinal malformations and neurologic
disorders are expected findings for a fetus experiencing the effects of
polyhydramnios.
● A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. Which adverse effect should the nurse include in the teaching?
Answer: Feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing (BP decreases b/c of
magnesium, generalized prates could mean an allergic reaction)
● A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational hypertension. Which finding should the nurse identify
as priority? Answer: 480 mL urine output in 24 hours
Low urine output (<30mL per hour)
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output in