Perinatal Nursing Certification Practice Exam Verified
Questions, Correct Answers, and Detailed
Explanations for Science Students||Already Graded
A+
1. Which hormone is primarily responsible for uterine contractions
during labor?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: C
Oxytocin stimulates uterine smooth muscle contractions and plays a
key role in labor progression.
2. A normal fetal heart rate baseline is:
A. 90–110 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 140–180 bpm
Answer: C
The accepted normal baseline fetal heart rate is between 110 and
160 beats per minute.
3. Which finding indicates fetal well-being on electronic fetal
monitoring?
A. Late decelerations
B. Variable decelerations
,C. Tachycardia
D. Moderate variability
Answer: D
Moderate variability reflects adequate fetal oxygenation and intact
neurologic pathways.
4. The first stage of labor begins with:
A. Full cervical dilation
B. Rupture of membranes
C. Onset of regular uterine contractions
D. Engagement of the fetus
Answer: C
The first stage starts with regular contractions causing cervical
effacement and dilation.
5. Which position best promotes uteroplacental blood flow during
labor?
A. Supine
B. Prone
C. Side-lying
D. Lithotomy
Answer: C
Side-lying reduces vena cava compression and improves
uteroplacental perfusion.
6. The priority nursing action for a woman with late decelerations is
to:
,A. Administer oxytocin
B. Perform a vaginal exam
C. Reposition the patient
D. Encourage pushing
Answer: C
Repositioning improves uterine blood flow and fetal oxygenation.
7. Which maternal condition increases the risk for uterine atony?
A. Prolonged labor
B. Overdistended uterus
C. Grand multiparity
D. All of the above
Answer: D
Each condition contributes to decreased uterine muscle tone after
delivery.
8. Lochia rubra is expected to last approximately:
A. 24 hours
B. 1–2 days
C. 3–4 days
D. 7–10 days
Answer: C
Lochia rubra is the bloody discharge present for the first several days
postpartum.
9. Which sign suggests postpartum hemorrhage?
A. Firm uterus
B. Lochia serosa
, C. Boggy uterus
D. Mild uterine cramping
Answer: C
A boggy uterus indicates uterine atony, the most common cause of
postpartum hemorrhage.
10. The most important assessment immediately after birth is:
A. Maternal temperature
B. Placenta inspection
C. Airway and breathing of the newborn
D. Newborn weight
Answer: C
Airway and breathing are priorities in neonatal resuscitation.
11. Apgar scoring is performed at:
A. 30 seconds and 2 minutes
B. 1 and 5 minutes
C. 5 and 10 minutes
D. 10 and 15 minutes
Answer: B
Standard Apgar assessments occur at 1 and 5 minutes after birth.
12. Which finding in a newborn requires immediate intervention?
A. Acrocyanosis
B. Irregular respirations
C. Grunting respirations
D. Sneezing
Questions, Correct Answers, and Detailed
Explanations for Science Students||Already Graded
A+
1. Which hormone is primarily responsible for uterine contractions
during labor?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: C
Oxytocin stimulates uterine smooth muscle contractions and plays a
key role in labor progression.
2. A normal fetal heart rate baseline is:
A. 90–110 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 140–180 bpm
Answer: C
The accepted normal baseline fetal heart rate is between 110 and
160 beats per minute.
3. Which finding indicates fetal well-being on electronic fetal
monitoring?
A. Late decelerations
B. Variable decelerations
,C. Tachycardia
D. Moderate variability
Answer: D
Moderate variability reflects adequate fetal oxygenation and intact
neurologic pathways.
4. The first stage of labor begins with:
A. Full cervical dilation
B. Rupture of membranes
C. Onset of regular uterine contractions
D. Engagement of the fetus
Answer: C
The first stage starts with regular contractions causing cervical
effacement and dilation.
5. Which position best promotes uteroplacental blood flow during
labor?
A. Supine
B. Prone
C. Side-lying
D. Lithotomy
Answer: C
Side-lying reduces vena cava compression and improves
uteroplacental perfusion.
6. The priority nursing action for a woman with late decelerations is
to:
,A. Administer oxytocin
B. Perform a vaginal exam
C. Reposition the patient
D. Encourage pushing
Answer: C
Repositioning improves uterine blood flow and fetal oxygenation.
7. Which maternal condition increases the risk for uterine atony?
A. Prolonged labor
B. Overdistended uterus
C. Grand multiparity
D. All of the above
Answer: D
Each condition contributes to decreased uterine muscle tone after
delivery.
8. Lochia rubra is expected to last approximately:
A. 24 hours
B. 1–2 days
C. 3–4 days
D. 7–10 days
Answer: C
Lochia rubra is the bloody discharge present for the first several days
postpartum.
9. Which sign suggests postpartum hemorrhage?
A. Firm uterus
B. Lochia serosa
, C. Boggy uterus
D. Mild uterine cramping
Answer: C
A boggy uterus indicates uterine atony, the most common cause of
postpartum hemorrhage.
10. The most important assessment immediately after birth is:
A. Maternal temperature
B. Placenta inspection
C. Airway and breathing of the newborn
D. Newborn weight
Answer: C
Airway and breathing are priorities in neonatal resuscitation.
11. Apgar scoring is performed at:
A. 30 seconds and 2 minutes
B. 1 and 5 minutes
C. 5 and 10 minutes
D. 10 and 15 minutes
Answer: B
Standard Apgar assessments occur at 1 and 5 minutes after birth.
12. Which finding in a newborn requires immediate intervention?
A. Acrocyanosis
B. Irregular respirations
C. Grunting respirations
D. Sneezing
