N205/N206 Exam 8 Review Web: Nursing III N205/N206 Exam
1–12 Due – Complete Actual Exam Questions Multiple Choice
Questions & Rationales for Maternal-Child Nursing Success 2
versions
Excel on your maternal-child nursing assessments and clear your clinical milestones
with this complete N205/N206 Nursing III Exam 1–12 comprehensive review package
featuring high-yield questions. This premium preparation guide provides actual exam
questions, 100% verified multiple-choice answers, and detailed clinical rationales
covering obstetrical emergencies, labor and delivery, neonatal interventions, and
pediatric developmental milestones. It is an indispensable study tool for pre-licensure
nursing students looking to compress study time, improve clinical decision-making, and
secure an A+ grade.
A comprehensive, exam-focused question bank covering all key
concepts from Antepartum to Postpartum and Pediatric Nursing.
1. A client at 39 weeks gestation is in active labor. The nurse notes the fetal heart
rate baseline is 135 bpm with moderate variability. The nurse should interpret this
as:
• A) A reassuring finding indicating fetal well-being
• B) A sign of fetal acidosis
• C) An indication for immediate cesarean delivery
• D) A non-reassuring pattern requiring oxygen
Answer: A) A reassuring finding indicating fetal well-being.
Rationale: A normal FHR baseline (110–160 bpm) with moderate variability (6–25 bpm) is
a reassuring sign of an intact central nervous system and adequate fetal oxygenation. No
intervention is needed.
,2. A postpartum client is 3 days after delivery and reports feeling sad, tearful, and
anxious. She states, "I feel like I can't take care of my baby." These symptoms have
been present since day 2. The nurse should:
• A) Reassure the client that this is normal and will pass.
• B) Assess for postpartum depression and notify the provider.
• C) Encourage the client to rest more.
• D) Suggest formula feeding to reduce stress.
Answer: B) Assess for postpartum depression and notify the provider.
Rationale: While postpartum blues are common in the first 2 weeks, symptoms that
include feelings of inability to care for the baby, severe anxiety, or persistent sadness
beyond 2 weeks may indicate postpartum depression. The nurse should assess further and
involve the provider.
3. A newborn is 12 hours old and has a respiratory rate of 80 breaths/min with
expiratory grunting. The nurse's priority action is to:
• A) Continue routine monitoring; this is normal.
• B) Place the infant in a prone position.
• C) Notify the provider and prepare for respiratory support.
• D) Administer oral glucose.
Answer: C) Notify the provider and prepare for respiratory support.
Rationale: A respiratory rate >60 breaths/min with grunting is a sign of respiratory
distress. The provider should be notified immediately. The infant may need oxygen, CPAP,
or surfactant therapy depending on the underlying cause.
,4. A client at 32 weeks gestation is admitted with preterm labor. The nurse
administers betamethasone. Which statement by the client indicates
understanding of the purpose of this medication?
• A) "This medication will stop my contractions."
• B) "This medication will help my baby's lungs mature."
• C) "This medication will lower my blood pressure."
• D) "This medication will prevent infection."
Answer: B) "This medication will help my baby's lungs mature."
Rationale: Betamethasone is a corticosteroid given to accelerate fetal lung maturity and
reduce the risk of respiratory distress syndrome if preterm delivery occurs. It does not stop
contractions (tocolytics do that) or lower blood pressure.
5. A nurse is assessing a newborn's fontanels. Which finding should be reported to
the provider?
• A) Posterior fontanel is triangle-shaped and 0.5 cm.
• B) Anterior fontanel is diamond-shaped and 3 cm.
• C) Anterior fontanel is flat and level with the skull.
• D) Anterior fontanel is bulging and tense when the infant is quiet.
Answer: D) Anterior fontanel is bulging and tense when the infant is quiet.
Rationale: A bulging, tense fontanel in a quiet infant indicates increased intracranial
pressure, which could be due to hydrocephalus, meningitis, or intracranial hemorrhage. A
flat, soft fontanel is normal. The posterior fontanel closes by 2–3 months, and anterior by
12–18 months.
, 6. A client at 41 weeks gestation is undergoing a contraction stress test (CST). The
test is negative. This result indicates:
• A) Fetal distress requiring immediate delivery
• B) Normal fetal well-being and no evidence of hypoxia
• C) Uteroplacental insufficiency
• D) The need for a biophysical profile
Answer: B) Normal fetal well-being and no evidence of hypoxia.
Rationale: A negative CST means there are no late decelerations with contractions,
indicating adequate placental perfusion and no fetal hypoxia. It is a reassuring result. A
positive CST (late decelerations with >50% of contractions) indicates distress.
7. A postpartum client who is breastfeeding reports that her nipples are cracked
and painful. Which intervention should the nurse recommend?
• A) Apply lanolin cream after each feeding and ensure proper latch.
• B) Stop breastfeeding for 48 hours to allow healing.
• C) Apply ice packs directly to the nipples.
• D) Switch to formula feeding permanently.
Answer: A) Apply lanolin cream after each feeding and ensure proper latch.
Rationale: Cracked, painful nipples are often due to poor latch. Lanolin cream can soothe
and protect the nipples. The mother should be assisted with proper positioning and latch.
Breastfeeding should continue to maintain milk supply.
1–12 Due – Complete Actual Exam Questions Multiple Choice
Questions & Rationales for Maternal-Child Nursing Success 2
versions
Excel on your maternal-child nursing assessments and clear your clinical milestones
with this complete N205/N206 Nursing III Exam 1–12 comprehensive review package
featuring high-yield questions. This premium preparation guide provides actual exam
questions, 100% verified multiple-choice answers, and detailed clinical rationales
covering obstetrical emergencies, labor and delivery, neonatal interventions, and
pediatric developmental milestones. It is an indispensable study tool for pre-licensure
nursing students looking to compress study time, improve clinical decision-making, and
secure an A+ grade.
A comprehensive, exam-focused question bank covering all key
concepts from Antepartum to Postpartum and Pediatric Nursing.
1. A client at 39 weeks gestation is in active labor. The nurse notes the fetal heart
rate baseline is 135 bpm with moderate variability. The nurse should interpret this
as:
• A) A reassuring finding indicating fetal well-being
• B) A sign of fetal acidosis
• C) An indication for immediate cesarean delivery
• D) A non-reassuring pattern requiring oxygen
Answer: A) A reassuring finding indicating fetal well-being.
Rationale: A normal FHR baseline (110–160 bpm) with moderate variability (6–25 bpm) is
a reassuring sign of an intact central nervous system and adequate fetal oxygenation. No
intervention is needed.
,2. A postpartum client is 3 days after delivery and reports feeling sad, tearful, and
anxious. She states, "I feel like I can't take care of my baby." These symptoms have
been present since day 2. The nurse should:
• A) Reassure the client that this is normal and will pass.
• B) Assess for postpartum depression and notify the provider.
• C) Encourage the client to rest more.
• D) Suggest formula feeding to reduce stress.
Answer: B) Assess for postpartum depression and notify the provider.
Rationale: While postpartum blues are common in the first 2 weeks, symptoms that
include feelings of inability to care for the baby, severe anxiety, or persistent sadness
beyond 2 weeks may indicate postpartum depression. The nurse should assess further and
involve the provider.
3. A newborn is 12 hours old and has a respiratory rate of 80 breaths/min with
expiratory grunting. The nurse's priority action is to:
• A) Continue routine monitoring; this is normal.
• B) Place the infant in a prone position.
• C) Notify the provider and prepare for respiratory support.
• D) Administer oral glucose.
Answer: C) Notify the provider and prepare for respiratory support.
Rationale: A respiratory rate >60 breaths/min with grunting is a sign of respiratory
distress. The provider should be notified immediately. The infant may need oxygen, CPAP,
or surfactant therapy depending on the underlying cause.
,4. A client at 32 weeks gestation is admitted with preterm labor. The nurse
administers betamethasone. Which statement by the client indicates
understanding of the purpose of this medication?
• A) "This medication will stop my contractions."
• B) "This medication will help my baby's lungs mature."
• C) "This medication will lower my blood pressure."
• D) "This medication will prevent infection."
Answer: B) "This medication will help my baby's lungs mature."
Rationale: Betamethasone is a corticosteroid given to accelerate fetal lung maturity and
reduce the risk of respiratory distress syndrome if preterm delivery occurs. It does not stop
contractions (tocolytics do that) or lower blood pressure.
5. A nurse is assessing a newborn's fontanels. Which finding should be reported to
the provider?
• A) Posterior fontanel is triangle-shaped and 0.5 cm.
• B) Anterior fontanel is diamond-shaped and 3 cm.
• C) Anterior fontanel is flat and level with the skull.
• D) Anterior fontanel is bulging and tense when the infant is quiet.
Answer: D) Anterior fontanel is bulging and tense when the infant is quiet.
Rationale: A bulging, tense fontanel in a quiet infant indicates increased intracranial
pressure, which could be due to hydrocephalus, meningitis, or intracranial hemorrhage. A
flat, soft fontanel is normal. The posterior fontanel closes by 2–3 months, and anterior by
12–18 months.
, 6. A client at 41 weeks gestation is undergoing a contraction stress test (CST). The
test is negative. This result indicates:
• A) Fetal distress requiring immediate delivery
• B) Normal fetal well-being and no evidence of hypoxia
• C) Uteroplacental insufficiency
• D) The need for a biophysical profile
Answer: B) Normal fetal well-being and no evidence of hypoxia.
Rationale: A negative CST means there are no late decelerations with contractions,
indicating adequate placental perfusion and no fetal hypoxia. It is a reassuring result. A
positive CST (late decelerations with >50% of contractions) indicates distress.
7. A postpartum client who is breastfeeding reports that her nipples are cracked
and painful. Which intervention should the nurse recommend?
• A) Apply lanolin cream after each feeding and ensure proper latch.
• B) Stop breastfeeding for 48 hours to allow healing.
• C) Apply ice packs directly to the nipples.
• D) Switch to formula feeding permanently.
Answer: A) Apply lanolin cream after each feeding and ensure proper latch.
Rationale: Cracked, painful nipples are often due to poor latch. Lanolin cream can soothe
and protect the nipples. The mother should be assisted with proper positioning and latch.
Breastfeeding should continue to maintain milk supply.
