NUR415/NUR418 MATERNAL & PEDIATRIC
NURSING FINAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWRS) Q&A 2027
|INSTANT DOWNOAD PDF
1. A nurse is caring for a pregnant client at 32 weeks’
gestation. Which finding should the nurse report
immediately?
A. Mild ankle edema at the end of the day
B. Urinary frequency
C. Blood pressure of 168/110 mmHg
D. Increased fetal movement
Correct Answer: C. Blood pressure of 168/110 mmHg
Rationale: Severe hypertension during pregnancy may indicate
severe preeclampsia and requires immediate intervention to
prevent maternal and fetal complications.
2. The nurse is teaching a pregnant client about folic acid
supplementation. Which statement indicates understanding?
A. “It prevents gestational diabetes.”
B. “It helps prevent neural tube defects.”
C. “It increases fetal movement.”
D. “It prevents postpartum hemorrhage.”
Correct Answer: B. “It helps prevent neural tube defects.”
,Rationale: Folic acid reduces the risk of fetal neural tube
defects such as spina bifida.
3. A nurse assesses a newborn immediately after birth. Which
finding requires immediate intervention?
A. Heart rate of 140 beats/min
B. Respiratory rate of 40 breaths/min
C. Acrocyanosis of hands and feet
D. Central cyanosis
Correct Answer: D. Central cyanosis
Rationale: Central cyanosis indicates inadequate oxygenation
and requires immediate assessment and intervention.
4. Which assessment finding is expected during the first
trimester of pregnancy?
A. Decreased breast tenderness
B. Amenorrhea
C. Increased fetal movement
D. Fundal height at the umbilicus
Correct Answer: B. Amenorrhea
Rationale: Absence of menstruation is one of the earliest signs
of pregnancy.
,5. A nurse is caring for a client receiving oxytocin during labor.
Which assessment is priority?
A. Maternal appetite
B. Contraction pattern and fetal heart rate
C. Maternal weight
D. Bowel sounds
Correct Answer: B. Contraction pattern and fetal heart rate
Rationale: Oxytocin can cause uterine tachysystole and fetal
distress; continuous monitoring is required.
6. Which vaccine should be avoided during pregnancy?
A. Influenza vaccine
B. Tdap vaccine
C. MMR vaccine
D. Hepatitis B vaccine
Correct Answer: C. MMR vaccine
Rationale: Live vaccines such as MMR are contraindicated
during pregnancy.
7. A postpartum nurse assesses a client 2 hours after delivery.
Which finding requires immediate action?
A. Fundus firm and midline
B. Lochia rubra
, C. Saturating one perineal pad in 15 minutes
D. Mild uterine cramping
Correct Answer: C. Saturating one perineal pad in 15 minutes
Rationale: Excessive bleeding may indicate postpartum
hemorrhage.
8. Which symptom is commonly associated with
preeclampsia?
A. Hypotension
B. Proteinuria
C. Low blood glucose
D. Bradycardia
Correct Answer: B. Proteinuria
Rationale: Hypertension with proteinuria is a hallmark finding
of preeclampsia.
9. A nurse teaches a breastfeeding mother about positioning.
Which instruction is correct?
A. The baby should latch only onto the nipple.
B. The baby’s mouth should cover the areola.
C. Feeding should be limited to 5 minutes.
D. The infant should avoid skin-to-skin contact.
Correct Answer: B. The baby’s mouth should cover the areola.
NURSING FINAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWRS) Q&A 2027
|INSTANT DOWNOAD PDF
1. A nurse is caring for a pregnant client at 32 weeks’
gestation. Which finding should the nurse report
immediately?
A. Mild ankle edema at the end of the day
B. Urinary frequency
C. Blood pressure of 168/110 mmHg
D. Increased fetal movement
Correct Answer: C. Blood pressure of 168/110 mmHg
Rationale: Severe hypertension during pregnancy may indicate
severe preeclampsia and requires immediate intervention to
prevent maternal and fetal complications.
2. The nurse is teaching a pregnant client about folic acid
supplementation. Which statement indicates understanding?
A. “It prevents gestational diabetes.”
B. “It helps prevent neural tube defects.”
C. “It increases fetal movement.”
D. “It prevents postpartum hemorrhage.”
Correct Answer: B. “It helps prevent neural tube defects.”
,Rationale: Folic acid reduces the risk of fetal neural tube
defects such as spina bifida.
3. A nurse assesses a newborn immediately after birth. Which
finding requires immediate intervention?
A. Heart rate of 140 beats/min
B. Respiratory rate of 40 breaths/min
C. Acrocyanosis of hands and feet
D. Central cyanosis
Correct Answer: D. Central cyanosis
Rationale: Central cyanosis indicates inadequate oxygenation
and requires immediate assessment and intervention.
4. Which assessment finding is expected during the first
trimester of pregnancy?
A. Decreased breast tenderness
B. Amenorrhea
C. Increased fetal movement
D. Fundal height at the umbilicus
Correct Answer: B. Amenorrhea
Rationale: Absence of menstruation is one of the earliest signs
of pregnancy.
,5. A nurse is caring for a client receiving oxytocin during labor.
Which assessment is priority?
A. Maternal appetite
B. Contraction pattern and fetal heart rate
C. Maternal weight
D. Bowel sounds
Correct Answer: B. Contraction pattern and fetal heart rate
Rationale: Oxytocin can cause uterine tachysystole and fetal
distress; continuous monitoring is required.
6. Which vaccine should be avoided during pregnancy?
A. Influenza vaccine
B. Tdap vaccine
C. MMR vaccine
D. Hepatitis B vaccine
Correct Answer: C. MMR vaccine
Rationale: Live vaccines such as MMR are contraindicated
during pregnancy.
7. A postpartum nurse assesses a client 2 hours after delivery.
Which finding requires immediate action?
A. Fundus firm and midline
B. Lochia rubra
, C. Saturating one perineal pad in 15 minutes
D. Mild uterine cramping
Correct Answer: C. Saturating one perineal pad in 15 minutes
Rationale: Excessive bleeding may indicate postpartum
hemorrhage.
8. Which symptom is commonly associated with
preeclampsia?
A. Hypotension
B. Proteinuria
C. Low blood glucose
D. Bradycardia
Correct Answer: B. Proteinuria
Rationale: Hypertension with proteinuria is a hallmark finding
of preeclampsia.
9. A nurse teaches a breastfeeding mother about positioning.
Which instruction is correct?
A. The baby should latch only onto the nipple.
B. The baby’s mouth should cover the areola.
C. Feeding should be limited to 5 minutes.
D. The infant should avoid skin-to-skin contact.
Correct Answer: B. The baby’s mouth should cover the areola.
