MATERNITY & PEDIATRIC NURSING EXAM 3 — 2026/2027 | 75
QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | 100%
VERIFIED
Maternity & Pediatric Nursing Examination 3 | Core Domains: Intrapartum & Postpartum Care, High-Risk Pregnancy Conditions, Newborn
Assessment & Immediate Care, Neonatal Complications, Pediatric Growth & Development, Pediatric Illness & Disorders, Pediatric Medication
Administration & Safety, Family-Centered Care, Immunizations & Preventive Care, and Evidence-Based Maternal-Child Nursing Interventions |
Maternal-Child Nursing–Aligned Format
Table of Contents
• Section 1: Intrapartum Care (Questions 1-15) • Section 2: Postpartum Care (Questions 16-30) • Section 3: High-Risk Pregnancy
(Questions 31-45) • Section 4: Newborn & Neonatal Care (Questions 46-60) • Section 5: Pediatric Nursing Care (Questions 61-75)
Exam Structure
The Maternity & Pediatric Nursing Exam 3 is commonly structured as follows:
• 75 multiple-choice questions
• Single-best-answer format
• Scenario-based maternal and pediatric clinical judgment items
Introduction
This Maternity & Pediatric Nursing Exam 3 format for the 2026/2027 academic cycle reflects the assessment used in nursing programs to evaluate
competency in maternal-child nursing care. The exam measures knowledge of pregnancy complications, labor and delivery management,
postpartum and newborn care, pediatric assessment, and evidence-based nursing interventions that support safe outcomes for mothers, newborns,
and children.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined rationales explaining maternal-child nursing priorities,
patient safety considerations, and evidence-based clinical decision-making.
Section 1: Intrapartum Care (Questions 1-15)
Question 1: A patient is in active labor with contractions every 3 minutes lasting 60 seconds. Cervical
dilation is 6 cm. What stage of labor is this?
A) First stage, latent phase
B) First stage, active phase
C) Second stage
D) Third stage
Correct Answer: B) First stage, active phase
, Rationale: Active phase of first stage is 6-10 cm dilation with regular contractions every 3-5 minutes lasting 45-60 seconds. Latent phase is 0-6 cm.
Second stage is complete dilation to birth. Third stage is placenta delivery.
Question 2: A patient's fetal heart rate shows late decelerations. What is the priority nursing action?
A) Document the finding
B) Turn patient to left lateral position
C) Administer oxytocin
D) Continue monitoring
Correct Answer: B) Turn patient to left lateral position
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority interventions: turn to left side (improves placental perfusion), oxygen, IV
fluids, notify provider. Late decels are concerning for fetal hypoxia.
Question 3: What is the normal fetal heart rate range?
A) 80-120 bpm
B) 110-160 bpm
C) 100-140 bpm
D) 120-180 bpm
Correct Answer: B) 110-160 bpm
Rationale: Normal fetal heart rate is 110-160 bpm. Bradycardia is <110 bpm. Tachycardia is >160 bpm. Baseline FHR assessed over 10-minute
period.
Question 4: What is the priority intervention for variable decelerations?
A) Administer oxytocin
B) Change maternal position
C) Prepare for C-section
D) Administer tocolytics
Correct Answer: B) Change maternal position
Rationale: Variable decelerations indicate cord compression. First intervention is position change (usually to side). If persistent: oxygen, IV fluids,
amnioinfusion, notify provider.
Question 5: What indicates true labor versus false labor?
A) Irregular contractions
, B) Contractions that intensify with walking
C) Contractions that stop with rest
D) Irregular timing
Correct Answer: B) Contractions that intensify with walking
Rationale: True labor: contractions intensify with activity, regular pattern, cervical change. False labor: irregular, don't intensify with walking, stop
with rest, no cervical change.
Question 6: What is the priority nursing action during the second stage of labor?
A) Monitor fetal heart rate
B) Assist with pushing
C) Administer pain medication
D) Prepare for delivery
Correct Answer: B) Assist with pushing
Rationale: Second stage is from complete dilation (10 cm) to birth. Priority is assisting with pushing efforts. Monitor FHR continuously. Support and
coach patient.
Question 7: What is the third stage of labor?
A) Onset of labor to complete dilation
B) Complete dilation to birth
C) Birth to placenta delivery
D) Placenta delivery to recovery
Correct Answer: C) Birth to placenta delivery
Rationale: Third stage is from birth of baby to delivery of placenta (5-30 minutes). Monitor for signs of placental separation. Fourth stage is first 1-4
hours postpartum.
Question 8: What is the priority assessment for a patient with preeclampsia?
A) Fetal heart rate only
B) Blood pressure and reflexes
C) Urine output only
D) Temperature only
Correct Answer: B) Blood pressure and reflexes
QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | 100%
VERIFIED
Maternity & Pediatric Nursing Examination 3 | Core Domains: Intrapartum & Postpartum Care, High-Risk Pregnancy Conditions, Newborn
Assessment & Immediate Care, Neonatal Complications, Pediatric Growth & Development, Pediatric Illness & Disorders, Pediatric Medication
Administration & Safety, Family-Centered Care, Immunizations & Preventive Care, and Evidence-Based Maternal-Child Nursing Interventions |
Maternal-Child Nursing–Aligned Format
Table of Contents
• Section 1: Intrapartum Care (Questions 1-15) • Section 2: Postpartum Care (Questions 16-30) • Section 3: High-Risk Pregnancy
(Questions 31-45) • Section 4: Newborn & Neonatal Care (Questions 46-60) • Section 5: Pediatric Nursing Care (Questions 61-75)
Exam Structure
The Maternity & Pediatric Nursing Exam 3 is commonly structured as follows:
• 75 multiple-choice questions
• Single-best-answer format
• Scenario-based maternal and pediatric clinical judgment items
Introduction
This Maternity & Pediatric Nursing Exam 3 format for the 2026/2027 academic cycle reflects the assessment used in nursing programs to evaluate
competency in maternal-child nursing care. The exam measures knowledge of pregnancy complications, labor and delivery management,
postpartum and newborn care, pediatric assessment, and evidence-based nursing interventions that support safe outcomes for mothers, newborns,
and children.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined rationales explaining maternal-child nursing priorities,
patient safety considerations, and evidence-based clinical decision-making.
Section 1: Intrapartum Care (Questions 1-15)
Question 1: A patient is in active labor with contractions every 3 minutes lasting 60 seconds. Cervical
dilation is 6 cm. What stage of labor is this?
A) First stage, latent phase
B) First stage, active phase
C) Second stage
D) Third stage
Correct Answer: B) First stage, active phase
, Rationale: Active phase of first stage is 6-10 cm dilation with regular contractions every 3-5 minutes lasting 45-60 seconds. Latent phase is 0-6 cm.
Second stage is complete dilation to birth. Third stage is placenta delivery.
Question 2: A patient's fetal heart rate shows late decelerations. What is the priority nursing action?
A) Document the finding
B) Turn patient to left lateral position
C) Administer oxytocin
D) Continue monitoring
Correct Answer: B) Turn patient to left lateral position
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority interventions: turn to left side (improves placental perfusion), oxygen, IV
fluids, notify provider. Late decels are concerning for fetal hypoxia.
Question 3: What is the normal fetal heart rate range?
A) 80-120 bpm
B) 110-160 bpm
C) 100-140 bpm
D) 120-180 bpm
Correct Answer: B) 110-160 bpm
Rationale: Normal fetal heart rate is 110-160 bpm. Bradycardia is <110 bpm. Tachycardia is >160 bpm. Baseline FHR assessed over 10-minute
period.
Question 4: What is the priority intervention for variable decelerations?
A) Administer oxytocin
B) Change maternal position
C) Prepare for C-section
D) Administer tocolytics
Correct Answer: B) Change maternal position
Rationale: Variable decelerations indicate cord compression. First intervention is position change (usually to side). If persistent: oxygen, IV fluids,
amnioinfusion, notify provider.
Question 5: What indicates true labor versus false labor?
A) Irregular contractions
, B) Contractions that intensify with walking
C) Contractions that stop with rest
D) Irregular timing
Correct Answer: B) Contractions that intensify with walking
Rationale: True labor: contractions intensify with activity, regular pattern, cervical change. False labor: irregular, don't intensify with walking, stop
with rest, no cervical change.
Question 6: What is the priority nursing action during the second stage of labor?
A) Monitor fetal heart rate
B) Assist with pushing
C) Administer pain medication
D) Prepare for delivery
Correct Answer: B) Assist with pushing
Rationale: Second stage is from complete dilation (10 cm) to birth. Priority is assisting with pushing efforts. Monitor FHR continuously. Support and
coach patient.
Question 7: What is the third stage of labor?
A) Onset of labor to complete dilation
B) Complete dilation to birth
C) Birth to placenta delivery
D) Placenta delivery to recovery
Correct Answer: C) Birth to placenta delivery
Rationale: Third stage is from birth of baby to delivery of placenta (5-30 minutes). Monitor for signs of placental separation. Fourth stage is first 1-4
hours postpartum.
Question 8: What is the priority assessment for a patient with preeclampsia?
A) Fetal heart rate only
B) Blood pressure and reflexes
C) Urine output only
D) Temperature only
Correct Answer: B) Blood pressure and reflexes
