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PN 3003 MAT PED EXAM 300 QUESTIONS AND
CORRECT DETAILED SOLUTIONS ALL WITH
RATIONALES LATEST THIS YEAR
PN 3003 MAT PED Exam — 300 Randomized Scenario-Based Practice Questions
Summarized Exam Coverage
The PN 3003 Maternal-Pediatric Nursing exam covers maternal-child health from conception
through adolescence. Key maternity topics include GTPAL, Naegele's Rule, interpreting Fetal
Heart Rate patterns using VEAL CHOP, stages of labor, BUBBLE-HE postpartum assessments, and
complications like preeclampsia and hemorrhage. The pediatric section focuses on Erikson's and
Piaget's developmental stages, age-specific milestones, and weight-based (mg/kg) medication
safety. Emphasis is placed on nursing care for neonatal transitions and acute conditions like RSV,
Croup, and congenital heart defects. The exam includes over 200 questions covering labor &
delivery, postpartum, newborn care, and pediatrics with detailed rationales.
Section 1: Antepartum Care (Questions 1–50)
1. A nurse is caring for a client in the first stage of labor. The client's contractions are every 3–4
minutes, lasting 60 seconds, and are moderate to strong in intensity. The cervix is 6 cm dilated.
What phase of labor is the client in?
A) Latent phase
B) Active phase
C) Transition phase
D) Descent phase
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Answer: B. The active phase begins at 6 cm dilation and ends at 10 cm. Contractions are every
2–5 minutes, lasting 40–70 seconds. The latent phase is 0–6 cm with mild contractions.
Transition is 8–10 cm.
2. A nurse is teaching a client about prenatal nutrition. Which statement by the client indicates
understanding?
A) "I should take 400 mcg of folic acid daily before and during early pregnancy."
B) "I should double my calorie intake throughout pregnancy."
C) "I should avoid all seafood during pregnancy."
D) "I should limit my calcium intake to prevent kidney stones."
Answer: A. Folic acid 400 mcg daily is recommended before conception and during early
pregnancy to prevent neural tube defects.
3. A client at 25 weeks' gestation reports feeling strength and vitality, and is flushed and warm
to the touch. The nurse recognizes this as:
A) Supine hypotension
B) Kernicterus
C) Normal physiological changes of pregnancy
D) Cardiac tamponade
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Answer: C. Flushing and feelings of vitality are normal physiological changes in pregnancy due
to increased blood volume and metabolism.
4. A nurse is calculating the estimated date of delivery (EDD) using Naegele's Rule. The client's
last menstrual period began on April 10. What is the EDD?
A) January 17
B) January 10
C) December 17
D) January 24
Answer: A. Naegele's Rule: subtract 3 months from the first day of the LMP and add 7 days.
April 10 − 3 months = January 10 + 7 days = January 17.
5. A client is 13–24 weeks' gestation. Which prenatal teaching is most applicable?
A) Infant care, travel to the hospital, and signs of labor
B) Growth of the fetus, personal hygiene, and nutritional guidance
C) Interventions for nausea and vomiting, urinary frequency, and anticipated care
D) Danger signs of preeclampsia, relaxation breathing techniques, and signs of labor
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Answer: B. At 13–24 weeks, teaching focuses on fetal growth, hygiene, and nutrition. Early
pregnancy (0–12 weeks) focuses on nausea and frequency. Late pregnancy (25+ weeks) focuses
on labor signs and infant care.
6. A nurse is assessing a client who is 32 weeks pregnant. The client reports heartburn. What is
the most likely cause?
A) Increased stomach capacity
B) Decreased gastric motility and pressure from the uterus
C) Increased hydrochloric acid production
D) Decreased progesterone levels
Answer: B. Progesterone decreases gastric motility, and the enlarging uterus presses on the
stomach, causing reflux and heartburn.
7. A nurse is reviewing GTPAL for a client. The client has had 2 term births, 1 preterm birth, 1
miscarriage, and has 3 living children. What is the correct GTPAL?
A) G5 T2 P1 A1 L3
B) G4 T2 P1 A1 L3
C) G5 T2 P1 A0 L3
D) G4 T2 P2 A1 L3
PN 3003 MAT PED EXAM 300 QUESTIONS AND
CORRECT DETAILED SOLUTIONS ALL WITH
RATIONALES LATEST THIS YEAR
PN 3003 MAT PED Exam — 300 Randomized Scenario-Based Practice Questions
Summarized Exam Coverage
The PN 3003 Maternal-Pediatric Nursing exam covers maternal-child health from conception
through adolescence. Key maternity topics include GTPAL, Naegele's Rule, interpreting Fetal
Heart Rate patterns using VEAL CHOP, stages of labor, BUBBLE-HE postpartum assessments, and
complications like preeclampsia and hemorrhage. The pediatric section focuses on Erikson's and
Piaget's developmental stages, age-specific milestones, and weight-based (mg/kg) medication
safety. Emphasis is placed on nursing care for neonatal transitions and acute conditions like RSV,
Croup, and congenital heart defects. The exam includes over 200 questions covering labor &
delivery, postpartum, newborn care, and pediatrics with detailed rationales.
Section 1: Antepartum Care (Questions 1–50)
1. A nurse is caring for a client in the first stage of labor. The client's contractions are every 3–4
minutes, lasting 60 seconds, and are moderate to strong in intensity. The cervix is 6 cm dilated.
What phase of labor is the client in?
A) Latent phase
B) Active phase
C) Transition phase
D) Descent phase
, Page 2 of 139
Answer: B. The active phase begins at 6 cm dilation and ends at 10 cm. Contractions are every
2–5 minutes, lasting 40–70 seconds. The latent phase is 0–6 cm with mild contractions.
Transition is 8–10 cm.
2. A nurse is teaching a client about prenatal nutrition. Which statement by the client indicates
understanding?
A) "I should take 400 mcg of folic acid daily before and during early pregnancy."
B) "I should double my calorie intake throughout pregnancy."
C) "I should avoid all seafood during pregnancy."
D) "I should limit my calcium intake to prevent kidney stones."
Answer: A. Folic acid 400 mcg daily is recommended before conception and during early
pregnancy to prevent neural tube defects.
3. A client at 25 weeks' gestation reports feeling strength and vitality, and is flushed and warm
to the touch. The nurse recognizes this as:
A) Supine hypotension
B) Kernicterus
C) Normal physiological changes of pregnancy
D) Cardiac tamponade
, Page 3 of 139
Answer: C. Flushing and feelings of vitality are normal physiological changes in pregnancy due
to increased blood volume and metabolism.
4. A nurse is calculating the estimated date of delivery (EDD) using Naegele's Rule. The client's
last menstrual period began on April 10. What is the EDD?
A) January 17
B) January 10
C) December 17
D) January 24
Answer: A. Naegele's Rule: subtract 3 months from the first day of the LMP and add 7 days.
April 10 − 3 months = January 10 + 7 days = January 17.
5. A client is 13–24 weeks' gestation. Which prenatal teaching is most applicable?
A) Infant care, travel to the hospital, and signs of labor
B) Growth of the fetus, personal hygiene, and nutritional guidance
C) Interventions for nausea and vomiting, urinary frequency, and anticipated care
D) Danger signs of preeclampsia, relaxation breathing techniques, and signs of labor
, Page 4 of 139
Answer: B. At 13–24 weeks, teaching focuses on fetal growth, hygiene, and nutrition. Early
pregnancy (0–12 weeks) focuses on nausea and frequency. Late pregnancy (25+ weeks) focuses
on labor signs and infant care.
6. A nurse is assessing a client who is 32 weeks pregnant. The client reports heartburn. What is
the most likely cause?
A) Increased stomach capacity
B) Decreased gastric motility and pressure from the uterus
C) Increased hydrochloric acid production
D) Decreased progesterone levels
Answer: B. Progesterone decreases gastric motility, and the enlarging uterus presses on the
stomach, causing reflux and heartburn.
7. A nurse is reviewing GTPAL for a client. The client has had 2 term births, 1 preterm birth, 1
miscarriage, and has 3 living children. What is the correct GTPAL?
A) G5 T2 P1 A1 L3
B) G4 T2 P1 A1 L3
C) G5 T2 P1 A0 L3
D) G4 T2 P2 A1 L3
