N205 N206 MATERNAL-CHILD NURSING III
ULTIMATE EXAM BUNDLE QUESTIONS,
ANSWERS AND RATIONALES (ACTUAL ACTUAL
EXAM REVIEW)
This comprehensive question practice exam bank is
specifically tailored for the N205 and N206 Nursing III
Maternal-Child curriculum to maximize your study efficiency.
Each high-yield question contains multiple-choice options
immediately followed by correct answers and highly detailed
clinical rationales to help you master complex labor, delivery,
newborn, and pediatric concepts. Perfect for boosting your
performance on school exams and the NCLEX, this
document provides the exact test prep needed to guarantee
academic success.
1. A nurse is assessing a pregnant client at 34 weeks of
gestation who reports a sudden onset of severe abdominal
pain and dark red vaginal bleeding. The client's abdomen is
rigid and tender to palpation. Which complications should the
nurse suspect?
o A) Placenta previa
o B) Abruptio placentae
o C) Cervical insufficiency
, o D) Hydatidiform mole
o Answer: B
o Rationale: Abruptio placentae is the premature
separation of the placenta from the uterine wall,
typically presenting with painful vaginal bleeding,
uterine tenderness, and a rigid, board-like
abdomen. In contrast, placenta previa presents with
painless, bright red vaginal bleeding. Cervical
insufficiency involves premature cervical dilation,
and a hydatidiform mole is typically diagnosed
much earlier in pregnancy with different clinical
markers.
2. A nurse is caring for a client in labor who is receiving an
intravenous oxytocin infusion. The nurse notes a pattern of
late decelerations on the fetal monitor strip. Which action
should the nurse take first?
o A) Increase the rate of the oxytocin infusion.
o B) Assist the client into a supine position.
o C) Discontinue the oxytocin infusion.
o D) Prepare for immediate forceps delivery.
o Answer: C
o Rationale: Late decelerations indicate
uteroplacental insufficiency and fetal hypoxia. The
priority nursing action is to immediately stop the
oxytocin infusion to reduce uterine contractions
and restore placental perfusion. Turning the patient
to a lateral position, applying oxygen, and
, increasing IV fluids are also critical subsequent
steps. Supine positioning should be avoided due to
vena cava compression.
3. A postpartum nurse is assessing a client 2 hours following a
vaginal delivery. The client's fundus is boggy and displaced
to the right of the midline. Which action should the nurse
take?
o A) Massage the fundus vigorously for 15 minutes.
o B) Assist the client to the bathroom to void.
o C) Administer a prescribed dose of terbutaline.
o D) Place the client in a Trendelenburg position.
o Answer: B
o Rationale: A uterine fundus that is boggy and
displaced to the right side indicates a distended
bladder. A full bladder prevents the uterus from
contracting efficiently, increasing the risk of
postpartum hemorrhage. Assisting the client to
empty their bladder will allow the uterus to return to
the midline and firm up. Massage is indicated for a
boggy fundus, but correcting the bladder
displacement is the primary solution.
4. A nurse is preparing to administer intramuscular vitamin K
(phytonadione) to a newborn. The newborn's parent asks,
"Why does my baby need this shot?" Which response should
the nurse make?
o A) "It prevents hemolytic disease of the newborn
caused by blood incompatibility."
, o B) "It stimulates the baby's immune system to protect
against infections."
o C) "It prevents bleeding because newborns lack the
intestinal bacteria to synthesize it."
o D) "It helps stabilize the newborn's blood glucose levels
following delivery."
o Answer: C
o Rationale: Newborns are born with a sterile gut
lacking the normal flora required to synthesize
vitamin K, which is essential for the production of
coagulation factors (II, VII, IX, and X). Administering
vitamin K prevents vitamin K deficiency bleeding
(VKDB), formerly known as hemorrhagic disease of
the newborn.
5. A nurse is reviewing the laboratory results of a pregnant
client at 28 weeks of gestation. The client's blood type is O-
negative. Which intervention is appropriate?
o A) Administer Rho(D) immune globulin within 72 hours
of birth if the newborn is Rh-negative.
o B) Administer Rho(D) immune globulin now to prevent
maternal sensitization.
o C) Schedule a scheduled Cesarean birth to prevent
blood mixing.
o D) Perform an immediate amniocentesis to check fetal
blood type.
o Answer: B
ULTIMATE EXAM BUNDLE QUESTIONS,
ANSWERS AND RATIONALES (ACTUAL ACTUAL
EXAM REVIEW)
This comprehensive question practice exam bank is
specifically tailored for the N205 and N206 Nursing III
Maternal-Child curriculum to maximize your study efficiency.
Each high-yield question contains multiple-choice options
immediately followed by correct answers and highly detailed
clinical rationales to help you master complex labor, delivery,
newborn, and pediatric concepts. Perfect for boosting your
performance on school exams and the NCLEX, this
document provides the exact test prep needed to guarantee
academic success.
1. A nurse is assessing a pregnant client at 34 weeks of
gestation who reports a sudden onset of severe abdominal
pain and dark red vaginal bleeding. The client's abdomen is
rigid and tender to palpation. Which complications should the
nurse suspect?
o A) Placenta previa
o B) Abruptio placentae
o C) Cervical insufficiency
, o D) Hydatidiform mole
o Answer: B
o Rationale: Abruptio placentae is the premature
separation of the placenta from the uterine wall,
typically presenting with painful vaginal bleeding,
uterine tenderness, and a rigid, board-like
abdomen. In contrast, placenta previa presents with
painless, bright red vaginal bleeding. Cervical
insufficiency involves premature cervical dilation,
and a hydatidiform mole is typically diagnosed
much earlier in pregnancy with different clinical
markers.
2. A nurse is caring for a client in labor who is receiving an
intravenous oxytocin infusion. The nurse notes a pattern of
late decelerations on the fetal monitor strip. Which action
should the nurse take first?
o A) Increase the rate of the oxytocin infusion.
o B) Assist the client into a supine position.
o C) Discontinue the oxytocin infusion.
o D) Prepare for immediate forceps delivery.
o Answer: C
o Rationale: Late decelerations indicate
uteroplacental insufficiency and fetal hypoxia. The
priority nursing action is to immediately stop the
oxytocin infusion to reduce uterine contractions
and restore placental perfusion. Turning the patient
to a lateral position, applying oxygen, and
, increasing IV fluids are also critical subsequent
steps. Supine positioning should be avoided due to
vena cava compression.
3. A postpartum nurse is assessing a client 2 hours following a
vaginal delivery. The client's fundus is boggy and displaced
to the right of the midline. Which action should the nurse
take?
o A) Massage the fundus vigorously for 15 minutes.
o B) Assist the client to the bathroom to void.
o C) Administer a prescribed dose of terbutaline.
o D) Place the client in a Trendelenburg position.
o Answer: B
o Rationale: A uterine fundus that is boggy and
displaced to the right side indicates a distended
bladder. A full bladder prevents the uterus from
contracting efficiently, increasing the risk of
postpartum hemorrhage. Assisting the client to
empty their bladder will allow the uterus to return to
the midline and firm up. Massage is indicated for a
boggy fundus, but correcting the bladder
displacement is the primary solution.
4. A nurse is preparing to administer intramuscular vitamin K
(phytonadione) to a newborn. The newborn's parent asks,
"Why does my baby need this shot?" Which response should
the nurse make?
o A) "It prevents hemolytic disease of the newborn
caused by blood incompatibility."
, o B) "It stimulates the baby's immune system to protect
against infections."
o C) "It prevents bleeding because newborns lack the
intestinal bacteria to synthesize it."
o D) "It helps stabilize the newborn's blood glucose levels
following delivery."
o Answer: C
o Rationale: Newborns are born with a sterile gut
lacking the normal flora required to synthesize
vitamin K, which is essential for the production of
coagulation factors (II, VII, IX, and X). Administering
vitamin K prevents vitamin K deficiency bleeding
(VKDB), formerly known as hemorrhagic disease of
the newborn.
5. A nurse is reviewing the laboratory results of a pregnant
client at 28 weeks of gestation. The client's blood type is O-
negative. Which intervention is appropriate?
o A) Administer Rho(D) immune globulin within 72 hours
of birth if the newborn is Rh-negative.
o B) Administer Rho(D) immune globulin now to prevent
maternal sensitization.
o C) Schedule a scheduled Cesarean birth to prevent
blood mixing.
o D) Perform an immediate amniocentesis to check fetal
blood type.
o Answer: B
