Maternal/Child CJE Exam Questions & Answers | Verified
Complete Solutions (Graded A+ 2026/2027)
Question 1
What is the primary non-pharmacologic nursing intervention for a client
experiencing mild nausea and vomiting in the first trimester of
pregnancy?
• A. Eat three large meals daily spaced evenly apart
• B. Eat dry crackers or toast before getting out of bed in the
morning
• C. Drink a large glass of citrus juice immediately upon waking
• D. Lie flat in bed for 30 minutes after eating
Correct Answer: B. Eat dry crackers or toast before getting out of bed in
the morning
Detailed Rationale: Eating dry, carbohydrate-rich foods before rising
helps stabilize blood glucose levels and minimizes morning sickness
symptoms associated with early pregnancy.
Question 2
At what gestational age can fetal heart tones typically first be detected
using a standard Doppler ultrasound device?
• A. 4 to 6 weeks gestation
• B. 10 to 12 weeks gestation
• C. 16 to 18 weeks gestation
, • D. 22 to 24 weeks gestation
Correct Answer: B. 10 to 12 weeks gestation
Detailed Rationale:* Fetal heart tones can be detected by Doppler
ultrasound between 10 and 12 weeks of gestation. A fetoscope can
typically detect them later, around 18 to 20 weeks.
Question 3
A client at 16 weeks gestation asks when she can expect to reliably feel
quickening (fetal movement). How should the nurse respond?
• A. "You should have felt movement by week 10."
• B. "First-time mothers typically feel movement between 18 and 20
weeks gestation."
• C. "Quickening is not felt until the final month of pregnancy."
• D. "If you do not feel movement by week 14, report it
immediately."
Correct Answer: B. "First-time mothers typically feel movement
between 18 and 20 weeks gestation."
Detailed Rationale: Primigravidas usually notice quickening between 18
and 20 weeks, whereas multiparous clients may feel it earlier, around
14 to 16 weeks, due to prior awareness.
Question 4
Which laboratory screening test is routinely recommended for pregnant
clients between 24 and 28 weeks gestation to screen for gestational
diabetes mellitus?
• A. 3-hour oral glucose tolerance test (OGTT)
, • B. Fasting blood glucose level
• C. 1-hour 50-g oral glucose screening test
• D. Hemoglobin A1c test
Correct Answer: C. 1-hour 50-g oral glucose screening test
Detailed Rationale: A 1-hour glucose screening test using 50 grams of
oral glucose is standard between 24 and 28 weeks. If the blood glucose
level is elevated (typically ≥ 130 to 140 mg/dL), a diagnostic 3-hour
OGTT is performed.
Question 5
A pregnant client at 32 weeks gestation calls the clinic reporting
painless, bright red vaginal bleeding. What condition should the nurse
suspect?
• A. Abruptio placentae
• B. Placenta previa
• C. Uterine rupture
• D. Spontaneous abortion
Correct Answer: B. Placenta previa
Detailed Rationale: Placenta previa involves the implantation of the
placenta over or near the cervical os, resulting in painless, bright red
vaginal bleeding in the second or third trimester. Abruptio placentae
presents with painful, dark red bleeding and a rigid uterus.
Question 6
, Which diagnostic procedure is strictly contraindicated when a client
presents with unexplained vaginal bleeding in the third trimester prior
to confirming placental location?
• A. Abdominal ultrasound
• B. Sterile speculum vaginal examination
• C. External electronic fetal monitoring
• D. Maternal vital sign assessment
Correct Answer: B. Sterile speculum vaginal examination
Detailed Rationale: Performing a digital vaginal examination when
placenta previa is suspected can disrupt the placenta and cause
catastrophic hemorrhage. An ultrasound must be performed first to
verify placental placement.
Question 7
What is the classic triad of symptoms associated with preeclampsia?
• A. Hypertension, proteinuria, and generalized edema
• B. Hypotension, tachycardia, and vaginal bleeding
• C. Fever, chills, and lower abdominal pain
• D. Hyperglycemia, polyuria, and weight loss
Correct Answer: A. Hypertension, proteinuria, and generalized edema
Detailed Rationale: Preeclampsia is characterized by new-onset
hypertension (≥ 140/90 mmHg) and proteinuria developing after 20
weeks of gestation. Generalized edema was once part of the formal
triad but is now monitored as a supportive clinical sign.
Complete Solutions (Graded A+ 2026/2027)
Question 1
What is the primary non-pharmacologic nursing intervention for a client
experiencing mild nausea and vomiting in the first trimester of
pregnancy?
• A. Eat three large meals daily spaced evenly apart
• B. Eat dry crackers or toast before getting out of bed in the
morning
• C. Drink a large glass of citrus juice immediately upon waking
• D. Lie flat in bed for 30 minutes after eating
Correct Answer: B. Eat dry crackers or toast before getting out of bed in
the morning
Detailed Rationale: Eating dry, carbohydrate-rich foods before rising
helps stabilize blood glucose levels and minimizes morning sickness
symptoms associated with early pregnancy.
Question 2
At what gestational age can fetal heart tones typically first be detected
using a standard Doppler ultrasound device?
• A. 4 to 6 weeks gestation
• B. 10 to 12 weeks gestation
• C. 16 to 18 weeks gestation
, • D. 22 to 24 weeks gestation
Correct Answer: B. 10 to 12 weeks gestation
Detailed Rationale:* Fetal heart tones can be detected by Doppler
ultrasound between 10 and 12 weeks of gestation. A fetoscope can
typically detect them later, around 18 to 20 weeks.
Question 3
A client at 16 weeks gestation asks when she can expect to reliably feel
quickening (fetal movement). How should the nurse respond?
• A. "You should have felt movement by week 10."
• B. "First-time mothers typically feel movement between 18 and 20
weeks gestation."
• C. "Quickening is not felt until the final month of pregnancy."
• D. "If you do not feel movement by week 14, report it
immediately."
Correct Answer: B. "First-time mothers typically feel movement
between 18 and 20 weeks gestation."
Detailed Rationale: Primigravidas usually notice quickening between 18
and 20 weeks, whereas multiparous clients may feel it earlier, around
14 to 16 weeks, due to prior awareness.
Question 4
Which laboratory screening test is routinely recommended for pregnant
clients between 24 and 28 weeks gestation to screen for gestational
diabetes mellitus?
• A. 3-hour oral glucose tolerance test (OGTT)
, • B. Fasting blood glucose level
• C. 1-hour 50-g oral glucose screening test
• D. Hemoglobin A1c test
Correct Answer: C. 1-hour 50-g oral glucose screening test
Detailed Rationale: A 1-hour glucose screening test using 50 grams of
oral glucose is standard between 24 and 28 weeks. If the blood glucose
level is elevated (typically ≥ 130 to 140 mg/dL), a diagnostic 3-hour
OGTT is performed.
Question 5
A pregnant client at 32 weeks gestation calls the clinic reporting
painless, bright red vaginal bleeding. What condition should the nurse
suspect?
• A. Abruptio placentae
• B. Placenta previa
• C. Uterine rupture
• D. Spontaneous abortion
Correct Answer: B. Placenta previa
Detailed Rationale: Placenta previa involves the implantation of the
placenta over or near the cervical os, resulting in painless, bright red
vaginal bleeding in the second or third trimester. Abruptio placentae
presents with painful, dark red bleeding and a rigid uterus.
Question 6
, Which diagnostic procedure is strictly contraindicated when a client
presents with unexplained vaginal bleeding in the third trimester prior
to confirming placental location?
• A. Abdominal ultrasound
• B. Sterile speculum vaginal examination
• C. External electronic fetal monitoring
• D. Maternal vital sign assessment
Correct Answer: B. Sterile speculum vaginal examination
Detailed Rationale: Performing a digital vaginal examination when
placenta previa is suspected can disrupt the placenta and cause
catastrophic hemorrhage. An ultrasound must be performed first to
verify placental placement.
Question 7
What is the classic triad of symptoms associated with preeclampsia?
• A. Hypertension, proteinuria, and generalized edema
• B. Hypotension, tachycardia, and vaginal bleeding
• C. Fever, chills, and lower abdominal pain
• D. Hyperglycemia, polyuria, and weight loss
Correct Answer: A. Hypertension, proteinuria, and generalized edema
Detailed Rationale: Preeclampsia is characterized by new-onset
hypertension (≥ 140/90 mmHg) and proteinuria developing after 20
weeks of gestation. Generalized edema was once part of the formal
triad but is now monitored as a supportive clinical sign.
