NUR 203 MATERNITY EXAM AND ANSWERS
2026 UPDATE 100% CORRECT - FORTIS.
198 QUESTIONS
TABLE OF CONTENTS
Analyze complex maternal-fetal physiology Evaluate and prioritize nursing interventions
and apply it to clinical decision-making for high-risk obstetric conditions
Q1 - multiparous patient at 39 weeks Q21 - client at 28 weeks gestation
Q2 - postpartum patient who delivered vaginally Q22 - client at 41 weeks gestation
Q3 - During fetal heart rate monitoring, Q23 - client in active labor has
Q4 - primigravid patient at 35 weeks Q24 - client with a history of
Q5 - patient in active labor receives Q25 - client at 34 weeks gestation
Q6 - patient with preterm premature rupture Q26 - client in the second stage
Q7 - postpartum patient is diagnosed with Q27 - client at 39 weeks gestation
Q8 - pregnant patient with a history Q28 - client who is 6 cm
Q9 - nurse is counseling a patient Q29 - client at 30 weeks gestation
Q10 - a patient with a history Q30 - patient presents with a fundal
Q11 - patient with preeclampsia with severe Q31 - the context of fetal heart
Q12 - physiological adaptation in the pregnant Q32 - patient at term is in
Q13 - patient at 28 weeks gestation Q33 - physiological adaptation in the pregnant
Q14 - patient is in active labor Q34 - For a patient with preeclampsia
Q15 - pharmacokinetic change in pregnancy most Q35 - patient with a history of
Q16 - postpartum patient who delivered 6 Q36 - At 34 weeks gestation, a
Q17 - fetal heart rate pattern is Q37 - finding is most indicative of
Q18 - patient with preterm premature rupture Q38 - patient with gestational diabetes mellitus
Q19 - assessment finding in the postpartum Q39 - postpartum patient develops fever, uterine
Q20 - primigravid client at 39 weeks Q40 - a patient with preeclampsia with
Page 1
,Synthesize current evidence and guidelines NUR 203 Maternity Exam and Answers 2026
to manage emergent perinatal situations Update 100% Correct
Q41 - patient with a history of Q81 - patient with a prior classical
Q42 - a patient with preterm premature Q82 - finding is most indicative of
Q43 - patient at 39 weeks gestation Q83 - patient at 28 weeks gestation
Q44 - patient with type 1 diabetes Q84 - patient with gestational diabetes mellitus
Q45 - patient is receiving magnesium sulfate Q85 - maternal physiological adaptation during ...
Q46 - fetal heart rate pattern is Q86 - postpartum patient develops fever, tachyc...
Q47 - patient at 28 weeks gestation Q87 - patient at 41 weeks gestation
Q48 - During a nonstress test, the Q88 - patient who is Rh-negative and
Q49 - patient with placenta previa presents Q89 - multiparous client at 39 weeks
Q50 - a client with preeclampsia with Q90 - client at 34 weeks gestation
Q51 - of the following fetal heart Q91 - nurse is caring for a
Q52 - postpartum client who delivered vaginally Q92 - postpartum client who had a
Q53 - of the following best explains Q93 - client at 28 weeks gestation
Q54 - client at 39 weeks gestation Q94 - client at 32 weeks gestation
Q55 - of the following neonatal findings Q95 - nurse is teaching a client
Q56 - client with gestational diabetes is Q96 - client who is HIV-positive and
Q57 - of the following best describes Q97 - client at 41 weeks gestation
Q58 - nurse is assessing a client Q98 - postpartum client at 6 weeks
Q59 - of the following findings in Q99 - a term gestation, which fetal
Q60 - pregnant person at 28 weeks Q100 - patient at 28 weeks gestation
Interpret maternal and fetal assessment data Fortis.
to guide safe, patient-centered care Q101 - a pregnant patient with pregestational
Q61 - patient at 30 weeks gestation Q102 - During a nonstress test, a
Q62 - patient with a history of Q103 - patient in active labor receives
Q63 - During a nonstress test, a Q104 - a patient with preterm premature
Q64 - of the following findings is Q105 - pharmacokinetic principle explains the need
Q65 - patient with a prolonged second Q106 - patient in the postpartum period
Q66 - of the following is a Q107 - a newborn, which finding is
Q67 - postpartum patient develops fever, uterine Q108 - of the following is a
Q68 - of the following is a Q109 - a pregnant patient with a
Q69 - patient at 40 weeks gestation Q110 - multiparous patient at 39 weeks
Q70 - multiparous client with a history Q111 - finding on a fetal heart
Q71 - client at 28 weeks gestation Q112 - patient at 28 weeks with
Q72 - Following a prolonged second stage Q113 - maternal serum analyte pattern is
Q73 - client at 34 weeks gestation Q114 - patient with a history of
Q74 - client with preterm premature rupture Q115 - pathophysiological mechanism best explain...
Q75 - postpartum client who delivered 2 Q116 - patient with a BMI of
Q76 - client at 41 weeks gestation Q117 - multiparous patient has a prolonged
Q77 - client in active labor requests Q118 - finding on a biophysical profile
Q78 - newborn at 1 minute of Q119 - a patient with preeclampsia with
Q79 - a patient with preeclampsia with Q120 - multiparous patient at 39 weeks
Q80 - laboring patient has a contraction
Page 2
,Foundations of Maternity and Women's Advanced Maternity and Women's Health
Health Nursing Nursing
Q121 - assessment finding in a postpartum Q161 - of the following clinical scenarios
Q122 - patient at 32 weeks gestation Q162 - client at 32 weeks gestation
Q123 - patient with gestational diabetes mellitus Q163 - nurse is caring for a
Q124 - nurse is assessing a patient Q164 - nurse is preparing to administer
Q125 - factor in a patient's history Q165 - client at 28 weeks gestation
Q126 - newborn at 5 minutes of Q166 - nurse is assessing a client
Q127 - laboring patient is requesting nonpharmac... Q167 - client at 40 weeks gestation
Q128 - maternal antibody is most likely Q168 - postpartum client who is breastfeeding
Q129 - patient at 32 weeks gestation Q169 - patient with preeclampsia is receiving
Q130 - placental finding is most consistent Q170 - nurse is assessing fetal heart
Q131 - primigravid patient in active labor Q171 - patient with preterm premature rupture
Q132 - postpartum patient is Rh-negative and Q172 - postpartum patient is receiving oxytocin
Q133 - patient with gestational diabetes mellitus Q173 - patient at 28 weeks gestation
Q134 - maternal serum analyte is most Q174 - nurse is caring for a
Q135 - patient in the second stage Q175 - finding in a postpartum patient
Q136 - patient with prelabor rupture of Q176 - patient is receiving an epidural
Q137 - patient is receiving magnesium sulfate Q177 - nurse is reviewing the laboratory
Q138 - patient at 41 weeks gestation Q178 - nursing action is most appropriate
Q139 - patient at 32 weeks gestation Q179 - patient at 28 weeks gestation
Q140 - a patient with pregestational diabetes,
Maternity and Women's Health Nursing
Applied Maternity and Women's Health Review
Nursing Q180 - a patient with preeclampsia with
Q141 - multiparous patient at 39 weeks Q181 - patient with a history of
Q142 - patient at 28 weeks gestation Q182 - fetal heart rate pattern is
Q143 - postpartum patient on the second Q183 - patient at 32 weeks gestation
Q144 - fetal heart rate pattern most Q184 - assessment finding in a postpartum
Q145 - patient at 41 weeks gestation Q185 - maternal serum marker is most
Q146 - patient with premature rupture of Q186 - patient with a history of
Q147 - patient at 8 weeks gestation Q187 - finding in a neonate is
Q148 - statement best describes the recommended Q188 - patient at 41 weeks gestation
Q149 - patient at 28 weeks gestation Q189 - a twin pregnancy with dichorionic-diamniotic
Q150 - patient with preeclampsia with severe Q190 - primigravid client at 39 weeks
Q151 - postpartum patient who delivered vaginally Q191 - intrapartum fetal heart rate pattern
Q152 - neonate born at 35 weeks Q192 - Based on the 2020 American
Q153 - patient at 39 weeks gestation Q193 - client with a history of
Q154 - patient with gestational diabetes is Q194 - of the following clinical scenarios
Q155 - patient in the third trimester Q195 - nurse is reviewing the electronic
Q156 - patient with a history of Q196 - maternal physiological adaptation during ...
Q157 - patient at 32 weeks gestation Q197 - client with a history of
Q158 - patient is receiving terbutaline for Q198 - postpartum client who had a
Q159 - multiparous client at 39 weeks
Q160 - postpartum client on the first
Page 3
, Q1 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND APPLY IT TO CLINICAL
DECISION-MAKING
A multiparous patient at 39 weeks gestation presents with premature rupture of
membranes. Her group B Streptococcus status is unknown, and she has no other
risk factors. Which management approach best aligns with current ACOG
guidelines?
A. Administer intrapartum antibiotic prophylaxis immediately, regardless of culture status.
B. Obtain a rectovaginal culture and initiate antibiotics only if the result is positive.
C. Initiate antibiotic prophylaxis if labor begins or if membranes have been ruptured for 18 hours.
CORRECT
D. Defer antibiotics until neonatal symptoms appear, as the risk is low without prior history.
RATIONALE: For women with unknown GBS status and no other risk factors, ACOG
recommends obtaining a culture at admission and starting antibiotics once labor begins or after
prolonged rupture of membranes (18 hours). Immediate prophylaxis without culture is not
indicated unless risk factors are present. Waiting for neonatal symptoms is unsafe.
Q2 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND APPLY IT TO CLINICAL
DECISION-MAKING
A postpartum patient who delivered vaginally 8 hours ago has a fundus that is
boggy, deviated to the right, and located 2 cm above the umbilicus. What is the
priority nursing action?
A. Document the findings and recheck in 1 hour.
B. Ask the patient to void, then reassess the fundus. CORRECT
C. Massage the fundus firmly in a circular motion.
D. Administer methylergonovine 0.2 mg IM immediately.
RATIONALE: A boggy fundus displaced to the right suggests a distended bladder elevating the
uterus. The priority is to have the patient void, then reassess. Massage may be needed after
voiding if the fundus remains boggy. Methylergonovine is used for hemorrhage not caused by
bladder distension and after checking blood pressure. Simply documenting and rechecking
delays intervention.
Page 4
2026 UPDATE 100% CORRECT - FORTIS.
198 QUESTIONS
TABLE OF CONTENTS
Analyze complex maternal-fetal physiology Evaluate and prioritize nursing interventions
and apply it to clinical decision-making for high-risk obstetric conditions
Q1 - multiparous patient at 39 weeks Q21 - client at 28 weeks gestation
Q2 - postpartum patient who delivered vaginally Q22 - client at 41 weeks gestation
Q3 - During fetal heart rate monitoring, Q23 - client in active labor has
Q4 - primigravid patient at 35 weeks Q24 - client with a history of
Q5 - patient in active labor receives Q25 - client at 34 weeks gestation
Q6 - patient with preterm premature rupture Q26 - client in the second stage
Q7 - postpartum patient is diagnosed with Q27 - client at 39 weeks gestation
Q8 - pregnant patient with a history Q28 - client who is 6 cm
Q9 - nurse is counseling a patient Q29 - client at 30 weeks gestation
Q10 - a patient with a history Q30 - patient presents with a fundal
Q11 - patient with preeclampsia with severe Q31 - the context of fetal heart
Q12 - physiological adaptation in the pregnant Q32 - patient at term is in
Q13 - patient at 28 weeks gestation Q33 - physiological adaptation in the pregnant
Q14 - patient is in active labor Q34 - For a patient with preeclampsia
Q15 - pharmacokinetic change in pregnancy most Q35 - patient with a history of
Q16 - postpartum patient who delivered 6 Q36 - At 34 weeks gestation, a
Q17 - fetal heart rate pattern is Q37 - finding is most indicative of
Q18 - patient with preterm premature rupture Q38 - patient with gestational diabetes mellitus
Q19 - assessment finding in the postpartum Q39 - postpartum patient develops fever, uterine
Q20 - primigravid client at 39 weeks Q40 - a patient with preeclampsia with
Page 1
,Synthesize current evidence and guidelines NUR 203 Maternity Exam and Answers 2026
to manage emergent perinatal situations Update 100% Correct
Q41 - patient with a history of Q81 - patient with a prior classical
Q42 - a patient with preterm premature Q82 - finding is most indicative of
Q43 - patient at 39 weeks gestation Q83 - patient at 28 weeks gestation
Q44 - patient with type 1 diabetes Q84 - patient with gestational diabetes mellitus
Q45 - patient is receiving magnesium sulfate Q85 - maternal physiological adaptation during ...
Q46 - fetal heart rate pattern is Q86 - postpartum patient develops fever, tachyc...
Q47 - patient at 28 weeks gestation Q87 - patient at 41 weeks gestation
Q48 - During a nonstress test, the Q88 - patient who is Rh-negative and
Q49 - patient with placenta previa presents Q89 - multiparous client at 39 weeks
Q50 - a client with preeclampsia with Q90 - client at 34 weeks gestation
Q51 - of the following fetal heart Q91 - nurse is caring for a
Q52 - postpartum client who delivered vaginally Q92 - postpartum client who had a
Q53 - of the following best explains Q93 - client at 28 weeks gestation
Q54 - client at 39 weeks gestation Q94 - client at 32 weeks gestation
Q55 - of the following neonatal findings Q95 - nurse is teaching a client
Q56 - client with gestational diabetes is Q96 - client who is HIV-positive and
Q57 - of the following best describes Q97 - client at 41 weeks gestation
Q58 - nurse is assessing a client Q98 - postpartum client at 6 weeks
Q59 - of the following findings in Q99 - a term gestation, which fetal
Q60 - pregnant person at 28 weeks Q100 - patient at 28 weeks gestation
Interpret maternal and fetal assessment data Fortis.
to guide safe, patient-centered care Q101 - a pregnant patient with pregestational
Q61 - patient at 30 weeks gestation Q102 - During a nonstress test, a
Q62 - patient with a history of Q103 - patient in active labor receives
Q63 - During a nonstress test, a Q104 - a patient with preterm premature
Q64 - of the following findings is Q105 - pharmacokinetic principle explains the need
Q65 - patient with a prolonged second Q106 - patient in the postpartum period
Q66 - of the following is a Q107 - a newborn, which finding is
Q67 - postpartum patient develops fever, uterine Q108 - of the following is a
Q68 - of the following is a Q109 - a pregnant patient with a
Q69 - patient at 40 weeks gestation Q110 - multiparous patient at 39 weeks
Q70 - multiparous client with a history Q111 - finding on a fetal heart
Q71 - client at 28 weeks gestation Q112 - patient at 28 weeks with
Q72 - Following a prolonged second stage Q113 - maternal serum analyte pattern is
Q73 - client at 34 weeks gestation Q114 - patient with a history of
Q74 - client with preterm premature rupture Q115 - pathophysiological mechanism best explain...
Q75 - postpartum client who delivered 2 Q116 - patient with a BMI of
Q76 - client at 41 weeks gestation Q117 - multiparous patient has a prolonged
Q77 - client in active labor requests Q118 - finding on a biophysical profile
Q78 - newborn at 1 minute of Q119 - a patient with preeclampsia with
Q79 - a patient with preeclampsia with Q120 - multiparous patient at 39 weeks
Q80 - laboring patient has a contraction
Page 2
,Foundations of Maternity and Women's Advanced Maternity and Women's Health
Health Nursing Nursing
Q121 - assessment finding in a postpartum Q161 - of the following clinical scenarios
Q122 - patient at 32 weeks gestation Q162 - client at 32 weeks gestation
Q123 - patient with gestational diabetes mellitus Q163 - nurse is caring for a
Q124 - nurse is assessing a patient Q164 - nurse is preparing to administer
Q125 - factor in a patient's history Q165 - client at 28 weeks gestation
Q126 - newborn at 5 minutes of Q166 - nurse is assessing a client
Q127 - laboring patient is requesting nonpharmac... Q167 - client at 40 weeks gestation
Q128 - maternal antibody is most likely Q168 - postpartum client who is breastfeeding
Q129 - patient at 32 weeks gestation Q169 - patient with preeclampsia is receiving
Q130 - placental finding is most consistent Q170 - nurse is assessing fetal heart
Q131 - primigravid patient in active labor Q171 - patient with preterm premature rupture
Q132 - postpartum patient is Rh-negative and Q172 - postpartum patient is receiving oxytocin
Q133 - patient with gestational diabetes mellitus Q173 - patient at 28 weeks gestation
Q134 - maternal serum analyte is most Q174 - nurse is caring for a
Q135 - patient in the second stage Q175 - finding in a postpartum patient
Q136 - patient with prelabor rupture of Q176 - patient is receiving an epidural
Q137 - patient is receiving magnesium sulfate Q177 - nurse is reviewing the laboratory
Q138 - patient at 41 weeks gestation Q178 - nursing action is most appropriate
Q139 - patient at 32 weeks gestation Q179 - patient at 28 weeks gestation
Q140 - a patient with pregestational diabetes,
Maternity and Women's Health Nursing
Applied Maternity and Women's Health Review
Nursing Q180 - a patient with preeclampsia with
Q141 - multiparous patient at 39 weeks Q181 - patient with a history of
Q142 - patient at 28 weeks gestation Q182 - fetal heart rate pattern is
Q143 - postpartum patient on the second Q183 - patient at 32 weeks gestation
Q144 - fetal heart rate pattern most Q184 - assessment finding in a postpartum
Q145 - patient at 41 weeks gestation Q185 - maternal serum marker is most
Q146 - patient with premature rupture of Q186 - patient with a history of
Q147 - patient at 8 weeks gestation Q187 - finding in a neonate is
Q148 - statement best describes the recommended Q188 - patient at 41 weeks gestation
Q149 - patient at 28 weeks gestation Q189 - a twin pregnancy with dichorionic-diamniotic
Q150 - patient with preeclampsia with severe Q190 - primigravid client at 39 weeks
Q151 - postpartum patient who delivered vaginally Q191 - intrapartum fetal heart rate pattern
Q152 - neonate born at 35 weeks Q192 - Based on the 2020 American
Q153 - patient at 39 weeks gestation Q193 - client with a history of
Q154 - patient with gestational diabetes is Q194 - of the following clinical scenarios
Q155 - patient in the third trimester Q195 - nurse is reviewing the electronic
Q156 - patient with a history of Q196 - maternal physiological adaptation during ...
Q157 - patient at 32 weeks gestation Q197 - client with a history of
Q158 - patient is receiving terbutaline for Q198 - postpartum client who had a
Q159 - multiparous client at 39 weeks
Q160 - postpartum client on the first
Page 3
, Q1 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND APPLY IT TO CLINICAL
DECISION-MAKING
A multiparous patient at 39 weeks gestation presents with premature rupture of
membranes. Her group B Streptococcus status is unknown, and she has no other
risk factors. Which management approach best aligns with current ACOG
guidelines?
A. Administer intrapartum antibiotic prophylaxis immediately, regardless of culture status.
B. Obtain a rectovaginal culture and initiate antibiotics only if the result is positive.
C. Initiate antibiotic prophylaxis if labor begins or if membranes have been ruptured for 18 hours.
CORRECT
D. Defer antibiotics until neonatal symptoms appear, as the risk is low without prior history.
RATIONALE: For women with unknown GBS status and no other risk factors, ACOG
recommends obtaining a culture at admission and starting antibiotics once labor begins or after
prolonged rupture of membranes (18 hours). Immediate prophylaxis without culture is not
indicated unless risk factors are present. Waiting for neonatal symptoms is unsafe.
Q2 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND APPLY IT TO CLINICAL
DECISION-MAKING
A postpartum patient who delivered vaginally 8 hours ago has a fundus that is
boggy, deviated to the right, and located 2 cm above the umbilicus. What is the
priority nursing action?
A. Document the findings and recheck in 1 hour.
B. Ask the patient to void, then reassess the fundus. CORRECT
C. Massage the fundus firmly in a circular motion.
D. Administer methylergonovine 0.2 mg IM immediately.
RATIONALE: A boggy fundus displaced to the right suggests a distended bladder elevating the
uterus. The priority is to have the patient void, then reassess. Massage may be needed after
voiding if the fundus remains boggy. Methylergonovine is used for hemorrhage not caused by
bladder distension and after checking blood pressure. Simply documenting and rechecking
delays intervention.
Page 4
