PN-3003 Maternal and Pediatric Exam
Questions & Answers 2026-2027 |
Latest (Rationales)
Document Overview
This document provides 68 verified questions with correct answers and detailed rationales
focused on maternal and pediatric nursing. It is suitable for comprehensive study,
thorough review, and certification preparation. The inclusion of explanations directly
supports learning and retention of critical concepts.
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Verified Answers · Detailed Rationales · 68 Questions · September 2026
PN-3003 Maternal and Pediatric Exam Questions & Answers 2026-2027 | Latest (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Pregnancy Complications & Management Q 1-32
Questions covering pregnancy Complications & Management concepts.
Section 2: Pregnancy Physiology & Early Signs Q 33-58
Questions covering pregnancy Physiology & Early Signs concepts.
Section 3: Labor, Delivery & Postpartum Q 59-68
Questions covering labor, Delivery & Postpartum concepts.
Questions
QUESTION 1 OF 68
Case Study # 1
Questions 1-4 refer to this study.
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the
LPN working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her
visit. You escort her to the examining room, where you assist her in laying on her back
on the exam table.
1. While you are preparing for her examination, Lynn expresses feeling of strength and
vitality. You note she is flushed. She feels warm and dry to the touch. You recall from
your training that this problem is called:
A. Cardiac tamponade
B. Sensitivity hypertension
C. Kernicterus
D. Supine hypotension
Correct Answer: C. Kernicterus
Rationale: Kernicterus is a severe neurological complication of untreated neonatal jaundice, characterized by
bilirubin staining of brain tissue. The symptoms described by Lynn—feeling flushed, warm, and dry—are not indicative
of kernicterus, which is a condition affecting newborns, not a pregnant patient experiencing common physiological
changes of pregnancy. Supine hypotension syndrome, caused by pressure on the inferior vena cava when lying flat on
the back, is a more fitting explanation for potential discomfort in a pregnant patient in that position, though the
described symptoms do not directly align with it either. This aligns with C. Kernicterus.
PN-3003 Maternal and Pediatric Exam Questions & Answers 2026-2027 | Latest (Rationales) - Practice Questions Page 0
, QUESTION 2 OF 68
Case Study # 2
Questions 5-8 refer to this study
Julie Bangay, a primigravida at 30 weeks gestation, is admitted to the birthing suite in
active labour.
5. A few hours after being admitted, Julie becomes very restless, flushed, irritable and
perspires profusely. She states that she is going to vomit. Which stage of labour is Julie
in?
A. Late stage
B. Third stage
C. Second stage
D. Transition stage
Correct Answer: A. Late stage
Rationale: The transition stage of labor is characterized by intense uterine contractions and dilation of the cervix
from 8 to 10 cm, often accompanied by maternal restlessness, irritability, nausea, vomiting, and diaphoresis. These
symptoms, including restlessness, flushing, irritability, perspiration, and the urge to vomit, are classic indicators of
this tumultuous phase as the cervix completes its dilation. Therefore, Julie's presentation aligns with the transition
stage of labor. This aligns with A. Late stage and Late stage.
QUESTION 3 OF 68
Which of the following signs would be NOT be displayed by Julie when she is close to
the delivery of her infant?
A. She would become irritable and not follow instructions.
B. Her perineum would begin to bulge with each contraction.
C. There would be an decrease in the amount of bloody discharge from the vagina.
D. The contractions would occur every 2 - 3 minutes and last 60 seconds.
Correct Answer: C. There would be an decrease in the amount of bloody discharge from the vagina.
Rationale: The third stage of labor is characterized by the delivery of the placenta, which follows the birth of the
infant. During this stage, the client typically experiences a significant increase, not a decrease, in bloody discharge as
the uterus contracts to expel the placenta. Signs of imminent birth in the second stage include increased perineal
bulging, more frequent and intense contractions (every 2-3 minutes, lasting 60 seconds), and potential behavioral
changes like irritability. Therefore, a decrease in bloody discharge is not indicative of approaching delivery. This
aligns with There would be an decrease in the amount of bloody discharge from the vagina..
PN-3003 Maternal and Pediatric Exam Questions & Answers 2026-2027 | Latest (Rationales) - Practice Questions Page 0