CJE MATERNAL EXAM NEWEST
2026/2027 ACTUAL EXAM TEST BANK|
MATERNAL CJE EXAM PREP WITH
COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!) QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF.
Core Domains
Antepartum Care & Complications
Intrapartum Care & Complications
Postpartum Care & Complications
Newborn Assessment & Care
High-Risk Newborn Complications
Gynecologic & Reproductive Health
Maternity Pharmacology & Medication Safety
Clinical Judgment & Prioritization
Introduction
This comprehensive examination assesses the clinical judgment,
,maternal-newborn nursing knowledge, and decision-making skills
required of candidates preparing for the Clinical Judgment Exam (CJE) in
Maternal Health. The assessment evaluates proficiency in antepartum,
intrapartum, postpartum, and newborn care, with emphasis on high-risk
complications and evidence-based interventions. Items are presented in
multiple-choice and scenario-based formats designed to simulate
realistic clinical encounters. Emphasis is placed on prioritization, patient
safety, medication administration, and clinical decision-making. The
examination challenges candidates to integrate pathophysiology, nursing
process, and critical thinking to deliver safe and effective maternal-child
nursing care.
Section One: Questions 1–300
1. A 32-year-old primigravida at 39 weeks gestation presents with a
blood pressure of 148/92 mm Hg and 2+ proteinuria. She reports a
headache and visual disturbances. Which of the following is the
priority nursing intervention?
A. Administer labetalol as prescribed
B. Prepare for immediate cesarean delivery
C. Initiate a magnesium sulfate infusion
D. Place the patient in a left lateral position
D. Place the patient in a left lateral position
RATIONALE: The left lateral position improves venous return and
renal perfusion, which can help lower blood pressure and enhance
uteroplacental blood flow. While administering antihypertensives and
magnesium sulfate are important, positioning is the immediate non-
pharmacologic intervention to optimize hemodynamics. Preparing for
,cesarean delivery is not indicated unless fetal or maternal compromise is
imminent; the priority is stabilizing the mother.
2. A patient at 41 weeks gestation is undergoing a biophysical profile
(BPP). The score is 6 out of 10. Which component of the BPP is
most indicative of chronic hypoxia?
A. Fetal breathing movements
B. Amniotic fluid volume
C. Fetal tone
D. Non-stress test (NST)
B. Amniotic fluid volume
RATIONALE: Amniotic fluid volume reflects fetal renal perfusion and
long-term placental function. A decrease in amniotic fluid
(oligohydramnios) is a sign of chronic placental insufficiency. While fetal
breathing, tone, and NST reflect acute central nervous system status,
amniotic fluid volume is the best indicator of chronic uteroplacental
function.
3. A postpartum patient who delivered 12 hours ago has a fundus that
is firm and midline but displaced to the right. She has a moderate
amount of lochia rubra and reports severe pain. What is the most
likely cause?
A. Uterine atony
B. Retained placental fragments
C. A full bladder
D. Endometritis
C. A full bladder
, RATIONALE: A full bladder displaces the uterus upward and to the
right, which can interfere with uterine contraction and increase bleeding.
The fundus is firm, which rules out atony. Retained fragments would
cause a boggy uterus and heavier bleeding; endometritis typically
presents with fever and foul-smelling lochia later in the postpartum
period.
4. A nurse is assessing a patient with preeclampsia who is receiving
magnesium sulfate. Which finding indicates magnesium toxicity?
A. Respiratory rate of 14 breaths per minute
B. Urine output of 35 mL/hour
C. Deep tendon reflexes of 2+
D. Serum magnesium level of 8 mEq/L
D. Serum magnesium level of 8 mEq/L
RATIONALE: The therapeutic range for magnesium sulfate is 4 to 7
mEq/L. A level of 8 mEq/L is above the therapeutic range and indicates
toxicity. Early signs include loss of deep tendon reflexes, followed by
respiratory depression and cardiac arrest. A respiratory rate of 14 is
normal, urine output above 30 mL/hour is adequate, and reflexes of 2+
are normal.
5. A patient in active labor has an intrauterine pressure catheter
(IUPC) placed. The resting tone is 25 mm Hg. What does this finding
indicate?
A. Adequate uterine relaxation
B. Hyperstimulation of the uterus
C. Normal resting tone
D. Inadequate contraction strength
2026/2027 ACTUAL EXAM TEST BANK|
MATERNAL CJE EXAM PREP WITH
COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!) QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF.
Core Domains
Antepartum Care & Complications
Intrapartum Care & Complications
Postpartum Care & Complications
Newborn Assessment & Care
High-Risk Newborn Complications
Gynecologic & Reproductive Health
Maternity Pharmacology & Medication Safety
Clinical Judgment & Prioritization
Introduction
This comprehensive examination assesses the clinical judgment,
,maternal-newborn nursing knowledge, and decision-making skills
required of candidates preparing for the Clinical Judgment Exam (CJE) in
Maternal Health. The assessment evaluates proficiency in antepartum,
intrapartum, postpartum, and newborn care, with emphasis on high-risk
complications and evidence-based interventions. Items are presented in
multiple-choice and scenario-based formats designed to simulate
realistic clinical encounters. Emphasis is placed on prioritization, patient
safety, medication administration, and clinical decision-making. The
examination challenges candidates to integrate pathophysiology, nursing
process, and critical thinking to deliver safe and effective maternal-child
nursing care.
Section One: Questions 1–300
1. A 32-year-old primigravida at 39 weeks gestation presents with a
blood pressure of 148/92 mm Hg and 2+ proteinuria. She reports a
headache and visual disturbances. Which of the following is the
priority nursing intervention?
A. Administer labetalol as prescribed
B. Prepare for immediate cesarean delivery
C. Initiate a magnesium sulfate infusion
D. Place the patient in a left lateral position
D. Place the patient in a left lateral position
RATIONALE: The left lateral position improves venous return and
renal perfusion, which can help lower blood pressure and enhance
uteroplacental blood flow. While administering antihypertensives and
magnesium sulfate are important, positioning is the immediate non-
pharmacologic intervention to optimize hemodynamics. Preparing for
,cesarean delivery is not indicated unless fetal or maternal compromise is
imminent; the priority is stabilizing the mother.
2. A patient at 41 weeks gestation is undergoing a biophysical profile
(BPP). The score is 6 out of 10. Which component of the BPP is
most indicative of chronic hypoxia?
A. Fetal breathing movements
B. Amniotic fluid volume
C. Fetal tone
D. Non-stress test (NST)
B. Amniotic fluid volume
RATIONALE: Amniotic fluid volume reflects fetal renal perfusion and
long-term placental function. A decrease in amniotic fluid
(oligohydramnios) is a sign of chronic placental insufficiency. While fetal
breathing, tone, and NST reflect acute central nervous system status,
amniotic fluid volume is the best indicator of chronic uteroplacental
function.
3. A postpartum patient who delivered 12 hours ago has a fundus that
is firm and midline but displaced to the right. She has a moderate
amount of lochia rubra and reports severe pain. What is the most
likely cause?
A. Uterine atony
B. Retained placental fragments
C. A full bladder
D. Endometritis
C. A full bladder
, RATIONALE: A full bladder displaces the uterus upward and to the
right, which can interfere with uterine contraction and increase bleeding.
The fundus is firm, which rules out atony. Retained fragments would
cause a boggy uterus and heavier bleeding; endometritis typically
presents with fever and foul-smelling lochia later in the postpartum
period.
4. A nurse is assessing a patient with preeclampsia who is receiving
magnesium sulfate. Which finding indicates magnesium toxicity?
A. Respiratory rate of 14 breaths per minute
B. Urine output of 35 mL/hour
C. Deep tendon reflexes of 2+
D. Serum magnesium level of 8 mEq/L
D. Serum magnesium level of 8 mEq/L
RATIONALE: The therapeutic range for magnesium sulfate is 4 to 7
mEq/L. A level of 8 mEq/L is above the therapeutic range and indicates
toxicity. Early signs include loss of deep tendon reflexes, followed by
respiratory depression and cardiac arrest. A respiratory rate of 14 is
normal, urine output above 30 mL/hour is adequate, and reflexes of 2+
are normal.
5. A patient in active labor has an intrauterine pressure catheter
(IUPC) placed. The resting tone is 25 mm Hg. What does this finding
indicate?
A. Adequate uterine relaxation
B. Hyperstimulation of the uterus
C. Normal resting tone
D. Inadequate contraction strength
