NUR 203 MATERNITY EXAM AND ANSWERS
2026 UPDATE 100% CORRECT - FORTIS.
180 QUESTIONS
TABLE OF CONTENTS
Analyze complex maternal-fetal physiology Evaluate pharmacological and
and identify deviations from normal non-pharmacological management in
Q1 - patient with a history of Q35 - postpartum patient who delivered vaginally
Q2 - primigravid patient at 39 weeks Q36 - patient at 28 weeks gestation
Q3 - postpartum patient who delivered vaginally Q37 - maternal physiological change during preg...
Q4 - neonate born at 35 weeks Q38 - newborn is suspected of having
Q5 - patient at 28 weeks gestation Q39 - patient with preterm premature rupture
Q6 - patient with gestational diabetes mellitus Q40 - During the active phase of
Q7 - patient at 41 weeks gestation Q41 - pregnant patient at 28 weeks
Q8 - patient who is Rh-negative and Q42 - of the following assessment findings
Q9 - patient in the postpartum unit Q43 - newborn is exhibiting respiratory distress
Q10 - patient at 32 weeks gestation Q44 - patient at 39 weeks gestation
Q11 - woman at 32 weeks gestation Q45 - of the following findings is
Q12 - fetal heart rate pattern is Q46 - patient with gestational diabetes mellitus
Q13 - patient with a history of Q47 - of the following is a
Q14 - the third stage of labor, Q48 - primiparous patient at 40 weeks
Q15 - client at 20 weeks gestation Q49 - of the following is the
Q16 - neonate born at 34 weeks Q50 - patient at 32 weeks gestation
Q17 - woman at 28 weeks gestation Q51 - a patient with placenta accreta
Apply evidence-based nursing interventions Integrate ethical, legal, and cultural
in high-risk obstetric scenarios considerations into nursing practice
Q18 - patient in active labor is Q52 - patient at 32 weeks gestation
Q19 - woman with a history of Q53 - of the following best explains
Q20 - patient at 40 weeks gestation Q54 - patient with gestational diabetes mellitus
Q21 - a client with preeclampsia receiving Q55 - of the following mechanisms best
Q22 - multiparous client in active labor Q56 - patient at 41 weeks gestation
Q23 - client at 32 weeks gestation Q57 - of the following is the
Q24 - finding should the nurse prioritize Q58 - patient with a history of
Q25 - client at 39 weeks gestation Q59 - of the following findings in
Q26 - postpartum client is exhibiting excessive Q60 - of the following is the
Q27 - client at 28 weeks gestation Q61 - a patient with preeclampsia with
Q28 - fetal heart rate pattern is Q62 - patient with gestational diabetes mellitus
Q29 - client is receiving terbutaline for Q63 - During a nonstress test (NST),
Q30 - maternal condition is most likely Q64 - patient at 28 weeks gestation
Q31 - patient at 32 weeks gestation Q65 - patient in active labor with
Q32 - finding on a biophysical profile Q66 - of the following findings is
Q33 - patient with preeclampsia with severe Q67 - postpartum patient who delivered vaginally
Q34 - fetal heart rate pattern is Q68 - a patient with preterm premature
Page 1
,Synthesize data from multiple sources to Fortis.
make clinical judgments Q101 - patient with preeclampsia is receiving
Q69 - patient with a history of Q102 - term newborn is jittery, has
Q70 - maternal physiologic adaptation to pregnancy Q103 - patient at 39 weeks reports
Q71 - client at 28 weeks gestation Q104 - client at 32 weeks gestation
Q72 - the management of postpartum hemorrhage, Q105 - assessment finding in a postpartum
Q73 - client at 39 weeks gestation Q106 - patient at 28 weeks gestation
Q74 - assessment finding in a client Q107 - patient in active labor has
Q75 - client at 8 weeks gestation Q108 - newborn has Apgar scores of
Q76 - postpartum client is Rh-negative and Q109 - patient at 41 weeks gestation
Q77 - of the following findings is Q110 - patient who delivered 2 hours
Q78 - client at 34 weeks gestation Q111 - multiparous client at 28 weeks
Q79 - of the following is the Q112 - client with preeclampsia with severe
Q80 - client with gestational diabetes is Q113 - client at 39 weeks gestation
Q81 - a patient with preeclampsia with Q114 - primigravid client at 41 weeks
Q82 - patient at 28 weeks gestation Q115 - nurse is assessing a client
Q83 - During a prolonged labor, the Q116 - client at 32 weeks gestation
Q84 - of the following best describes
Foundations of Maternity Nursing
NUR 203 Maternity Exam and Answers 2026 Q117 - client with a history of
Update 100% Correct Q118 - nurse is providing education to
Q85 - postpartum patient is experiencing heavy Q119 - client at 10 weeks gestation
Q86 - patient at 42 weeks gestation Q120 - nurse is reviewing the laboratory
Q87 - of the following clinical scenarios Q121 - a patient with severe preeclampsia
Q88 - patient is receiving magnesium sulfate Q122 - patient at 28 weeks gestation
Q89 - patient is Rh-negative and has Q123 - multiparous patient at 39 weeks
Q90 - patient with gestational diabetes is Q124 - finding is most indicative of
Q91 - patient at 28 weeks gestation Q125 - patient with preeclampsia is receiving
Q92 - patient at 35 weeks gestation Q126 - fetal heart rate pattern is
Q93 - postpartum patient has a saturated Q127 - patient at 34 weeks gestation
Q94 - fetal heart rate pattern is Q128 - assessment finding is most indicative
Q95 - newborn at 40 weeks gestation Q129 - patient at 30 weeks gestation
Q96 - medication is used to treat Q130 - patient with gestational diabetes at
Q97 - patient with preterm premature rupture Q131 - pregnant individual at 32 weeks
Q98 - patient at 16 weeks gestation Q132 - patient at 28 weeks gestation
Q99 - During a nonstress test, the
Q100 - patient is receiving magnesium sulfate Applied Maternity Nursing
Q133 - patient in active labor is
Q134 - of the following fetal heart
Q135 - postpartum patient who had a
Q136 - newborn born at 39 weeks
Q137 - patient at 41 weeks gestation
Q138 - patient with preeclampsia is receiving
Q139 - of the following is a
Q140 - postpartum patient is Rh-negative and
Q141 - a pregnant patient with a
Q142 - patient at 28 weeks gestation
Q143 - maternal serum analyte pattern is
Q144 - multiparous patient at 39 weeks
Q145 - patient is receiving magnesium sulfate
Q146 - fetal heart rate pattern is
Q147 - patient with an epidural is
Q148 - parameter is most important when
Page 2
,Advanced Maternity Nursing
Q149 - postpartum patient who is breastfeeding
Q150 - patient at 36 weeks gestation
Q151 - a patient with a history
Q152 - patient at 32 weeks gestation
Q153 - of the following physiological adaptations
Q154 - patient at 28 weeks gestation
Q155 - multiparous patient at 39 weeks
Q156 - of the following is the
Q157 - patient at 10 weeks gestation
Q158 - of the following is the
Q159 - patient at 41 weeks gestation
Q160 - of the following is a
Q161 - patient with a history of
Q162 - fetal heart rate pattern most
Q163 - patient at 39 weeks with
Q164 - patient at 28 weeks reports
Maternity Nursing Review
Q165 - of the following best describes
Q166 - patient with severe preeclampsia is
Q167 - of the following is the
Q168 - patient at 34 weeks is
Q169 - of the following is the
Q170 - patient at 41 weeks is
Q171 - client at 28 weeks gestation
Q172 - pathophysiologic mechanism best explains the
Q173 - client at 39 weeks gestation
Q174 - client with preeclampsia with severe
Q175 - nursing intervention is most appropriate
Q176 - client at 32 weeks gestation
Q177 - client with gestational diabetes mellitus
Q178 - postpartum client has a white
Q179 - nurse caring for a client
Q180 - client is receiving an oxytocin
Page 3
, Q1 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND IDENTIFY DEVIATIONS FROM
NORMAL
A patient with a history of recurrent early pregnancy loss presents at 8 weeks
gestation with vaginal bleeding and a serum hCG level that is rising abnormally
slowly. Transvaginal ultrasound shows a gestational sac without a yolk sac. Which
finding is most indicative of a poor prognosis?
A. Serum progesterone level of 15 ng/mL
B. hCG rise of 25% over 48 hours CORRECT
C. Gestational sac diameter of 20 mm without an embryo
D. Presence of a subchorionic hemorrhage
RATIONALE: In early pregnancy, a normal hCG rise is at least 53% in 48 hours. A rise of only
25% indicates abnormal trophoblastic activity, often seen in ectopic pregnancy or impending
miscarriage. A progesterone level of 15 ng/mL is borderline but not definitive. A gestational sac of
20 mm without an embryo is suspicious for anembryonic pregnancy, but the hCG trend is more
dynamic and predictive. Subchorionic hemorrhage can be a complication but does not
necessarily indicate poor prognosis.
Q2 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND IDENTIFY DEVIATIONS FROM
NORMAL
A primigravid patient at 39 weeks gestation presents with contractions every 3
minutes, cervical dilation of 6 cm, and fetal heart rate with moderate variability and
no decelerations. She requests epidural analgesia. Which maternal cardiovascular
change should the nurse anticipate after the epidural is administered?
A. Increased cardiac output due to pain relief
B. Decreased maternal blood pressure due to sympathetic blockade CORRECT
C. Increased uterine blood flow due to reduced catecholamines
D. Decreased maternal heart rate due to vagal stimulation
RATIONALE: Epidural analgesia blocks sympathetic fibers, causing peripheral vasodilation and
hypotension. This is the most common side effect and requires monitoring and interventions such
as IV fluids and positioning. Cardiac output may initially increase due to pain relief but not directly
due to the block. Uterine blood flow may improve if hypotension is corrected, but the immediate
effect is not increased. Maternal heart rate may increase, not decrease, due to compensatory
tachycardia.
Page 4
2026 UPDATE 100% CORRECT - FORTIS.
180 QUESTIONS
TABLE OF CONTENTS
Analyze complex maternal-fetal physiology Evaluate pharmacological and
and identify deviations from normal non-pharmacological management in
Q1 - patient with a history of Q35 - postpartum patient who delivered vaginally
Q2 - primigravid patient at 39 weeks Q36 - patient at 28 weeks gestation
Q3 - postpartum patient who delivered vaginally Q37 - maternal physiological change during preg...
Q4 - neonate born at 35 weeks Q38 - newborn is suspected of having
Q5 - patient at 28 weeks gestation Q39 - patient with preterm premature rupture
Q6 - patient with gestational diabetes mellitus Q40 - During the active phase of
Q7 - patient at 41 weeks gestation Q41 - pregnant patient at 28 weeks
Q8 - patient who is Rh-negative and Q42 - of the following assessment findings
Q9 - patient in the postpartum unit Q43 - newborn is exhibiting respiratory distress
Q10 - patient at 32 weeks gestation Q44 - patient at 39 weeks gestation
Q11 - woman at 32 weeks gestation Q45 - of the following findings is
Q12 - fetal heart rate pattern is Q46 - patient with gestational diabetes mellitus
Q13 - patient with a history of Q47 - of the following is a
Q14 - the third stage of labor, Q48 - primiparous patient at 40 weeks
Q15 - client at 20 weeks gestation Q49 - of the following is the
Q16 - neonate born at 34 weeks Q50 - patient at 32 weeks gestation
Q17 - woman at 28 weeks gestation Q51 - a patient with placenta accreta
Apply evidence-based nursing interventions Integrate ethical, legal, and cultural
in high-risk obstetric scenarios considerations into nursing practice
Q18 - patient in active labor is Q52 - patient at 32 weeks gestation
Q19 - woman with a history of Q53 - of the following best explains
Q20 - patient at 40 weeks gestation Q54 - patient with gestational diabetes mellitus
Q21 - a client with preeclampsia receiving Q55 - of the following mechanisms best
Q22 - multiparous client in active labor Q56 - patient at 41 weeks gestation
Q23 - client at 32 weeks gestation Q57 - of the following is the
Q24 - finding should the nurse prioritize Q58 - patient with a history of
Q25 - client at 39 weeks gestation Q59 - of the following findings in
Q26 - postpartum client is exhibiting excessive Q60 - of the following is the
Q27 - client at 28 weeks gestation Q61 - a patient with preeclampsia with
Q28 - fetal heart rate pattern is Q62 - patient with gestational diabetes mellitus
Q29 - client is receiving terbutaline for Q63 - During a nonstress test (NST),
Q30 - maternal condition is most likely Q64 - patient at 28 weeks gestation
Q31 - patient at 32 weeks gestation Q65 - patient in active labor with
Q32 - finding on a biophysical profile Q66 - of the following findings is
Q33 - patient with preeclampsia with severe Q67 - postpartum patient who delivered vaginally
Q34 - fetal heart rate pattern is Q68 - a patient with preterm premature
Page 1
,Synthesize data from multiple sources to Fortis.
make clinical judgments Q101 - patient with preeclampsia is receiving
Q69 - patient with a history of Q102 - term newborn is jittery, has
Q70 - maternal physiologic adaptation to pregnancy Q103 - patient at 39 weeks reports
Q71 - client at 28 weeks gestation Q104 - client at 32 weeks gestation
Q72 - the management of postpartum hemorrhage, Q105 - assessment finding in a postpartum
Q73 - client at 39 weeks gestation Q106 - patient at 28 weeks gestation
Q74 - assessment finding in a client Q107 - patient in active labor has
Q75 - client at 8 weeks gestation Q108 - newborn has Apgar scores of
Q76 - postpartum client is Rh-negative and Q109 - patient at 41 weeks gestation
Q77 - of the following findings is Q110 - patient who delivered 2 hours
Q78 - client at 34 weeks gestation Q111 - multiparous client at 28 weeks
Q79 - of the following is the Q112 - client with preeclampsia with severe
Q80 - client with gestational diabetes is Q113 - client at 39 weeks gestation
Q81 - a patient with preeclampsia with Q114 - primigravid client at 41 weeks
Q82 - patient at 28 weeks gestation Q115 - nurse is assessing a client
Q83 - During a prolonged labor, the Q116 - client at 32 weeks gestation
Q84 - of the following best describes
Foundations of Maternity Nursing
NUR 203 Maternity Exam and Answers 2026 Q117 - client with a history of
Update 100% Correct Q118 - nurse is providing education to
Q85 - postpartum patient is experiencing heavy Q119 - client at 10 weeks gestation
Q86 - patient at 42 weeks gestation Q120 - nurse is reviewing the laboratory
Q87 - of the following clinical scenarios Q121 - a patient with severe preeclampsia
Q88 - patient is receiving magnesium sulfate Q122 - patient at 28 weeks gestation
Q89 - patient is Rh-negative and has Q123 - multiparous patient at 39 weeks
Q90 - patient with gestational diabetes is Q124 - finding is most indicative of
Q91 - patient at 28 weeks gestation Q125 - patient with preeclampsia is receiving
Q92 - patient at 35 weeks gestation Q126 - fetal heart rate pattern is
Q93 - postpartum patient has a saturated Q127 - patient at 34 weeks gestation
Q94 - fetal heart rate pattern is Q128 - assessment finding is most indicative
Q95 - newborn at 40 weeks gestation Q129 - patient at 30 weeks gestation
Q96 - medication is used to treat Q130 - patient with gestational diabetes at
Q97 - patient with preterm premature rupture Q131 - pregnant individual at 32 weeks
Q98 - patient at 16 weeks gestation Q132 - patient at 28 weeks gestation
Q99 - During a nonstress test, the
Q100 - patient is receiving magnesium sulfate Applied Maternity Nursing
Q133 - patient in active labor is
Q134 - of the following fetal heart
Q135 - postpartum patient who had a
Q136 - newborn born at 39 weeks
Q137 - patient at 41 weeks gestation
Q138 - patient with preeclampsia is receiving
Q139 - of the following is a
Q140 - postpartum patient is Rh-negative and
Q141 - a pregnant patient with a
Q142 - patient at 28 weeks gestation
Q143 - maternal serum analyte pattern is
Q144 - multiparous patient at 39 weeks
Q145 - patient is receiving magnesium sulfate
Q146 - fetal heart rate pattern is
Q147 - patient with an epidural is
Q148 - parameter is most important when
Page 2
,Advanced Maternity Nursing
Q149 - postpartum patient who is breastfeeding
Q150 - patient at 36 weeks gestation
Q151 - a patient with a history
Q152 - patient at 32 weeks gestation
Q153 - of the following physiological adaptations
Q154 - patient at 28 weeks gestation
Q155 - multiparous patient at 39 weeks
Q156 - of the following is the
Q157 - patient at 10 weeks gestation
Q158 - of the following is the
Q159 - patient at 41 weeks gestation
Q160 - of the following is a
Q161 - patient with a history of
Q162 - fetal heart rate pattern most
Q163 - patient at 39 weeks with
Q164 - patient at 28 weeks reports
Maternity Nursing Review
Q165 - of the following best describes
Q166 - patient with severe preeclampsia is
Q167 - of the following is the
Q168 - patient at 34 weeks is
Q169 - of the following is the
Q170 - patient at 41 weeks is
Q171 - client at 28 weeks gestation
Q172 - pathophysiologic mechanism best explains the
Q173 - client at 39 weeks gestation
Q174 - client with preeclampsia with severe
Q175 - nursing intervention is most appropriate
Q176 - client at 32 weeks gestation
Q177 - client with gestational diabetes mellitus
Q178 - postpartum client has a white
Q179 - nurse caring for a client
Q180 - client is receiving an oxytocin
Page 3
, Q1 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND IDENTIFY DEVIATIONS FROM
NORMAL
A patient with a history of recurrent early pregnancy loss presents at 8 weeks
gestation with vaginal bleeding and a serum hCG level that is rising abnormally
slowly. Transvaginal ultrasound shows a gestational sac without a yolk sac. Which
finding is most indicative of a poor prognosis?
A. Serum progesterone level of 15 ng/mL
B. hCG rise of 25% over 48 hours CORRECT
C. Gestational sac diameter of 20 mm without an embryo
D. Presence of a subchorionic hemorrhage
RATIONALE: In early pregnancy, a normal hCG rise is at least 53% in 48 hours. A rise of only
25% indicates abnormal trophoblastic activity, often seen in ectopic pregnancy or impending
miscarriage. A progesterone level of 15 ng/mL is borderline but not definitive. A gestational sac of
20 mm without an embryo is suspicious for anembryonic pregnancy, but the hCG trend is more
dynamic and predictive. Subchorionic hemorrhage can be a complication but does not
necessarily indicate poor prognosis.
Q2 ANALYZE COMPLEX MATERNAL-FETAL PHYSIOLOGY AND IDENTIFY DEVIATIONS FROM
NORMAL
A primigravid patient at 39 weeks gestation presents with contractions every 3
minutes, cervical dilation of 6 cm, and fetal heart rate with moderate variability and
no decelerations. She requests epidural analgesia. Which maternal cardiovascular
change should the nurse anticipate after the epidural is administered?
A. Increased cardiac output due to pain relief
B. Decreased maternal blood pressure due to sympathetic blockade CORRECT
C. Increased uterine blood flow due to reduced catecholamines
D. Decreased maternal heart rate due to vagal stimulation
RATIONALE: Epidural analgesia blocks sympathetic fibers, causing peripheral vasodilation and
hypotension. This is the most common side effect and requires monitoring and interventions such
as IV fluids and positioning. Cardiac output may initially increase due to pain relief but not directly
due to the block. Uterine blood flow may improve if hypotension is corrected, but the immediate
effect is not increased. Maternal heart rate may increase, not decrease, due to compensatory
tachycardia.
Page 4
