Clinical Judgment Exam (CJE) Maternal Questions & Answers 2026 Latest Update
1. A nurse is assessing a client at 34 weeks gestation with a BP of 152/96 mmHg. Which
additional finding is the priority to report?
o A) Trace proteinuria
o B) 2+ pedal edema
o C) Frontal headache and blurred vision
o D) Weight gain of 1 lb in a week
2. Which laboratory result is the most significant indicator of HELLP syndrome?
o A) Elevated blood glucose
o B) Decreased serum creatinine
o C) Low platelet count (<100,000/mm³)
o D) Increased hemoglobin
3. A client at 38 weeks gestation reports a sudden gush of vaginal fluid. What is the nurse's first
action?
o A) Perform a vaginal exam
o B) Check the fluid with Nitrazine paper
o C) Assess the fetal heart rate (FHR)
o D) Notify the healthcare provider
4. Using Nägele’s rule, if a client’s LMP was August 19, 2025, what is the EDB?
o A) May 12, 2026
o B) May 26, 2026
o C) May 19, 2026
o D) June 2, 2026
, Clinical Judgment Exam (CJE) Maternal Questions & Answers 2026 Latest Update
5. A nurse is monitoring a FHR tracing and notes late decelerations. What is the priority
intervention?
o A) Turn the mother to the left side and increase IV fluids
o B) Administer oxygen via nasal cannula at 2L/min
o C) Prepare for immediate forceps delivery
o D) Continue to monitor for 15 minutes
6. A client is diagnosed with Placenta Previa. Which procedure is strictly contraindicated?
o A) External fetal monitoring
o B) Abdominal ultrasound
o C) Vaginal examination
o D) Blood type and cross-match
7. What is the primary purpose of administering Betamethasone to a client in preterm labor?
o A) To stop uterine contractions
o B) To promote fetal lung maturity
o C) To prevent maternal infection
o D) To increase maternal blood pressure
8. A nurse observes a "turtle sign" during delivery. Which maneuver should the nurse prepare
for?
o A) Leopold Maneuvers
o B) McRoberts Maneuver
o C) Valsalva Maneuver
o D) Credé Maneuver
9. A client receiving Magnesium Sulfate for preeclampsia has a respiratory rate of 10/min and
absent DTRs. What is the immediate action?
o A) Increase the infusion rate
o B) Stop the infusion and prepare Calcium Gluconate
o C) Draw a stat magnesium level
1. A nurse is assessing a client at 34 weeks gestation with a BP of 152/96 mmHg. Which
additional finding is the priority to report?
o A) Trace proteinuria
o B) 2+ pedal edema
o C) Frontal headache and blurred vision
o D) Weight gain of 1 lb in a week
2. Which laboratory result is the most significant indicator of HELLP syndrome?
o A) Elevated blood glucose
o B) Decreased serum creatinine
o C) Low platelet count (<100,000/mm³)
o D) Increased hemoglobin
3. A client at 38 weeks gestation reports a sudden gush of vaginal fluid. What is the nurse's first
action?
o A) Perform a vaginal exam
o B) Check the fluid with Nitrazine paper
o C) Assess the fetal heart rate (FHR)
o D) Notify the healthcare provider
4. Using Nägele’s rule, if a client’s LMP was August 19, 2025, what is the EDB?
o A) May 12, 2026
o B) May 26, 2026
o C) May 19, 2026
o D) June 2, 2026
, Clinical Judgment Exam (CJE) Maternal Questions & Answers 2026 Latest Update
5. A nurse is monitoring a FHR tracing and notes late decelerations. What is the priority
intervention?
o A) Turn the mother to the left side and increase IV fluids
o B) Administer oxygen via nasal cannula at 2L/min
o C) Prepare for immediate forceps delivery
o D) Continue to monitor for 15 minutes
6. A client is diagnosed with Placenta Previa. Which procedure is strictly contraindicated?
o A) External fetal monitoring
o B) Abdominal ultrasound
o C) Vaginal examination
o D) Blood type and cross-match
7. What is the primary purpose of administering Betamethasone to a client in preterm labor?
o A) To stop uterine contractions
o B) To promote fetal lung maturity
o C) To prevent maternal infection
o D) To increase maternal blood pressure
8. A nurse observes a "turtle sign" during delivery. Which maneuver should the nurse prepare
for?
o A) Leopold Maneuvers
o B) McRoberts Maneuver
o C) Valsalva Maneuver
o D) Credé Maneuver
9. A client receiving Magnesium Sulfate for preeclampsia has a respiratory rate of 10/min and
absent DTRs. What is the immediate action?
o A) Increase the infusion rate
o B) Stop the infusion and prepare Calcium Gluconate
o C) Draw a stat magnesium level
