PN 3003 MAT PED FINAL EXAM Newest 2025/2026 Complete Questions And Correct Detailed Answers (Verified Answers) |Brand New Version!! Sprott Shaw College PN3003 Variations in Health 3 Maternity and Pediatrics final exam out of 180 questions?

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. 2. From your experience working in the prenatal clinic, you recall that this syndrome is caused by what? A. Clots forming in the lower legs B. The first indication Lynn is starting labour C. Pressure of the uterus and fetus on the minor blood vessels D. Consuming alcohol D. Consuming alcohol 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 2/56 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 C. Kernicterus 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 3/56 3. You recognize Lynn's symptoms and know exactly how to alleviate them. You assist Lynn to do which of the following? A. Remove her restrictive clothing B. Remain in a lying position with her legs raised C. Remove pillows from under her head D. To lay in the left lateral position B. Remain in a lying position with her legs raised 4. Even after repositioning Lynn, she only feels significantly better. She states, "Now I feel okay, and I have no complaints" As her condition improves, you decide to do what? A. Give her some water to help hydrate her B. Take away her call bell since she's feeling better, and you have other duties C. Have a co-worker stay with her as you consult with her physician. D. Remove the low-flow O2 at 3 L/min per mask B. Take away her call bell since she's feeling better, and you have other duties 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 4/56 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 A. Late stage 6. 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 C. There would be an decrease in the amount of bloody discharge from the vagina. 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 5/56 the vagina. D. The contractions would occur every 2 - 3 minutes and last 60 seconds. 7. Julie delivers a healthy infant. Four hours after a vaginal delivery, she still has not voided. What would be the nurse's initial action? A. Palpate her suprapubic area for distension. B. Encourage voiding by placing her on a bedpan frequently. C. Place her hands in cold water to discourage micturition. D. Inform the physician of her inability to void and await orders D. Inform the physician of her inability to void and await orders 8. Which nursing intervention would the nurse perform during the fourth stage of labour? A. Administer pain medication and monitor vital signs. A. Administer pain medication and monitor vital signs. 10/21/25, 8:02 PM PN 3003 Mat Ped Exam B. Assess uterine contractions every 30 minutes. C. Coach for effective maternal pushing. D. Promote parent-newborn interactions 6/56 / 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 7/56 9. Isabelle tells the nurse, "This is the fourth time I have been pregnant. I had an abortion when I was a teenager and then delivered a baby girl when I was 20. Last year, I had a miscarriage when I was 8 weeks pregnant." How would the nurse record Isabelle's pregnancy status? A. G.3, P.1, A.1 B. G.3, P.0, A.2 C. G.4, P.1, A.2 D. G.4, P.1, A.1 B. G.3, P.0, A.2 10. A woman's pregnancy weight is average for her height. The nurse would advise the woman that her recommended weight gain during pregnancy would be pounds. A. 10 to 20 B. 15 to 25 C. 25 to 35 D. 28 to 40 A. 10 to 20 11. A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse should include what information? A. Exercise lowers the mother's temperature and hinders fetal D. Pregnant women should increase water intake during exercise 10/21/25, 8:02 PM PN 3003 Mat Ped Exam circulation B. Exercise decreases catecholamines, which can encourage preterm labour C. A regular schedule of moderate exercise during pregnancy is beneficial D. Pregnant women should increase water intake during exercise 12. The nurse assesses a pregnant woman for pregnancy-induced hypertension. The first sign of fluid retention suggestive of this complication is: D. Swelling of the feet and ankles A. Abdominal enlargement B. Hand numbness C. Sudden weight gain D. Swelling of the feet and ankles 8/56 / 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 9/56 Case Study # 4 Questions 13-17 refer to this study Andrea is a 20-year-old multipara who is on the late discharge program. 13. The nurse advises Andrea that her colostrum is the first nutrient the newborn will receive. Why is colostrum very important to the newborn? A. It contains large amounts of fat needed to help the newborn gain weight B. It contains high levels of antibodies for the newborn's protection C. It contains hormones that will help the mother's uterus return to normal D. It contains laxatives to remove bacteria from the newborn's G.I. system C. It contains hormones that will help the mother's uterus return to normal 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 10/56 14. Andrea is discharged 24 hours after the delivery of her first child. She will be followed by the community care nurses at home. For her safety, the LPN must ensure that Andrea is aware of how to monitor for various signs and symptoms before the community nurses visit. Andrea is directed to contact her care provider immediately about all of the following signs and symptoms except which one? A. Fever above 38' C B. Foul-smelling vaginal discharge C. Leaking of yellowish fluid from her breasts D. Bright red heavy lochia A. Fever above 38' C 15. The LPN is hindering Andrea unpack up her belongings before admission when her boyfriend Larry arrives to leave her home. He looks at the baby and states, "You better keep that kid quiet at night." What immediate safety concerns does the nurse think of for the baby? A. Poor social development B. Lack of love and attention C. Delayed physical development D. Shaken baby syndrome C. Delayed physical development 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 11/56 16. You are concerned about Andrea leaving with Larry and her new baby, a cautious nurse would do which of the following? A. Contact the police immediately and insist they arrest Larry B. Ignore the situation as the patient is discharged C. Contact the community care nurse and advise her of the situation D. Discuss your concerns with the RN on duty. The nurse's initial action when Julie has not voided after vaginal delivery. By palpating the suprapubic area, the nurse assesses for any bladder distension, which can be a sign of urinary retention. 17. Two days later, you see Andrea with her newborn baby girl standing beside the road crying. The weather is warm, and it is sunny. You approach her; she states she must leave the apartment whenever Larry is sleeping for fear he will be angry at the baby. What action do you take? A. Tell her she should leave Larry B. Walk away. She is no longer your patient, and this is not your business C. As she was discharged D. Take her to the community center and show her the list of safe houses for mothers 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 12/56 into the care of community care nurses, offer to leave her at their office. D. Take her to the community center and show her the list of safe houses for mothers 18. Sperm can fertilize an ovum up to 7 days after ejaculation. The ovum remains fertile for 24 hours after ovulation. What is the fertile period where intercourse can result in conception? A. For two weeks after ovulation B. 60 days after menses C. 5 days before until 1 day after ovulation D. The same day as ovulation occurs. D. The same day as ovulation occurs. 19. The pregnant woman is monitored for signs and symptoms of preeclampsia during pregnancy. The following are signs of preeclampsia, except: A. Sluggish reflexes B. Protein in the urine C. Edema of hands or face D. Visual enhancements B. Protein in the urine 10/21/25, 8:02 PM PN 3003 Mat Ped Exam / 13/56 20. Maggie conceived 9 weeks ago. This 'developing human' in her uterus is now correctly referred to as what? A. Embryo B. Zygote C. Fetus D. Fertilized ovum B. Zygote 21. When does a 'developing human' meet the criteria to be referred to as a fetus? A. The time the fetal heart is heard B. The beginning of the ninth week to the time of birth C. Implantation of the fertilized ovum D. End of the third week to the onset of labour A. The time the fetal heart is heard 22. Implantation bleeding can occur in some women when the blastocyst burrows into the endometrium. This scant bleeding can be mistaken for small menses. What safety problem(s) could this create? A. Avoidance of teratogens because the mother does not know she is pregnant B. Accurate of expected fetal age C. Swimming her usual 35 E. None of the above