CONCORDIA NUR 418 PEDS/OB EXAM 1
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
CORE DOMAINS
Foundations of Pediatric and Obstetric Nursing
Growth, Development, and Health Promotion
Antepartum Care and Fetal Assessment
Intrapartum Care and Labor Management
Postpartum and Newborn Care
High-Risk Pregnancy and Complications
Pediatric Assessment and Medication Safety
Ethics, Legal Standards, and Cultural Competence in Family Care
INTRODUCTION
This examination assesses the knowledge, clinical judgment, and professional decision-
making required for safe nursing practice across pediatric and obstetric populations. It
evaluates foundational theory, applied professional knowledge, regulatory and legal
compliance, ethical standards, and real-world scenario management. The multiple-
choice and scenario-based structure emphasizes critical thinking, prioritization, and
evidence-based intervention. Questions are designed to reflect the complexity of family-
centered care, from antenatal risk identification through pediatric health promotion,
ensuring readiness for contemporary nursing practice.
SECTION ONE: QUESTIONS 1–300
Question 1
,A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to demonstrate?
A. Walking independently
B. Saying two-word phrases
C. Rolling from back to abdomen
D. Sitting without support
C
RATIONALE: At 6 months, an infant should be able to roll from back to abdomen.
Walking independently and saying two-word phrases are expected at 12–15 months and
18–24 months, respectively. Sitting without support is typically achieved by 8 months.
Question 2
A pregnant client at 32 weeks' gestation presents with blood pressure 148/94 mm Hg,
mild headache, facial edema, and 2+ proteinuria. Which nursing action is the priority?
A. Administer oral labetalol as ordered
B. Place the client in left lateral position, initiate continuous fetal monitoring, and notify
the provider
C. Encourage increased oral fluid intake
D. Recheck blood pressure in 1 hour
B
RATIONALE: The client exhibits signs of preeclampsia with severe features
(headache, proteinuria, elevated blood pressure). Priority action is maternal-fetal
stabilization: left lateral positioning to improve uteroplacental perfusion, continuous
fetal monitoring, and provider notification for further orders. Antihypertensives may be
ordered but are not the immediate independent nursing priority.
Question 3
A nurse is preparing to administer immunizations to a 2-month-old infant. Which vaccine
is routinely recommended at this age according to the CDC schedule?
A. Measles, mumps, rubella (MMR)
B. Varicella
C. Diphtheria, tetanus, acellular pertussis (DTaP)
D. Hepatitis A
,C
RATIONALE: DTaP is routinely administered at 2, 4, and 6 months. MMR and varicella
are recommended at 12–15 months. Hepatitis A is recommended at 12–23 months.
Question 4
A laboring client at 9 cm dilation and 100% effacement has a fetal heart rate tracing that
begins to decelerate with each contraction and returns to baseline after the contraction
ends. What is the most appropriate nursing action?
A. Increase the IV oxytocin rate
B. Change the maternal position and continue monitoring
C. Administer oxygen by mask at 10 L/min
D. Prepare for immediate cesarean delivery
B
RATIONALE: This describes an early deceleration, which is a benign head
compression pattern. Repositioning is a appropriate first intervention to promote
comfort and fetal oxygenation while continuing surveillance. Oxytocin increase is
contraindicated. Oxygen and cesarean are not indicated for early decelerations.
Question 5
A 3-year-old child weighing 15 kg is prescribed amoxicillin 250 mg every 8 hours. The
safe dose recommendation is 20–40 mg/kg/day divided every 8 hours. What is the
nurse's best action?
A. Administer the dose as ordered because it is within the safe range
B. Hold the dose and clarify the order with the provider because it exceeds the safe
range
C. Administer half the dose and document the variation
D. Administer the dose and monitor for diarrhea
B
RATIONALE: The safe daily dose range is 300–600 mg/day (20–40 mg/kg × 15 kg). The
ordered dose is 750 mg/day (250 mg × 3), which exceeds the maximum safe dose. The
nurse must hold the medication and clarify the order.
Question 6
, A 28-year-old primigravida at 28 weeks' gestation has a 1-hour glucose tolerance test
result of 156 mg/dL. Which statement indicates the client needs further education about
gestational diabetes?
A. "I will need to monitor my blood glucose levels at home."
B. "I can continue my current diet because I feel fine."
C. "I understand that gestational diabetes can affect my baby's size."
D. "I will attend the diabetes education class scheduled by my provider."
B
RATIONALE: Gestational diabetes requires dietary modification, glucose monitoring,
and often medication. Continuing the current diet without modification indicates a lack
of understanding. The other statements reflect appropriate knowledge.
Question 7
A nurse is caring for a 4-year-old child who is scheduled for surgery. The parents ask
who can provide informed consent. What is the nurse's best response?
A. "The child can sign the consent if they understand the procedure."
B. "Only the legal guardian can provide informed consent."
C. "A grandparent can sign if the parents are unavailable."
D. "The nurse can witness the child's assent and proceed."
B
RATIONALE: Informed consent for a minor must be obtained from the legal guardian
or parent. The child's assent should be obtained when developmentally appropriate, but
it does not replace legal consent. Grandparents require legal authorization.
Question 8
A client in active labor with ruptured membranes suddenly experiences a gush of fluid
and a fetal heart rate deceleration to 80 beats/min. What is the nurse's immediate
priority?
A. Perform a sterile vaginal examination to assess for cord prolapse
B. Reposition the client to a knee-chest position and call for assistance
C. Increase the IV fluid rate
D. Administer terbutaline as ordered
B
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
CORE DOMAINS
Foundations of Pediatric and Obstetric Nursing
Growth, Development, and Health Promotion
Antepartum Care and Fetal Assessment
Intrapartum Care and Labor Management
Postpartum and Newborn Care
High-Risk Pregnancy and Complications
Pediatric Assessment and Medication Safety
Ethics, Legal Standards, and Cultural Competence in Family Care
INTRODUCTION
This examination assesses the knowledge, clinical judgment, and professional decision-
making required for safe nursing practice across pediatric and obstetric populations. It
evaluates foundational theory, applied professional knowledge, regulatory and legal
compliance, ethical standards, and real-world scenario management. The multiple-
choice and scenario-based structure emphasizes critical thinking, prioritization, and
evidence-based intervention. Questions are designed to reflect the complexity of family-
centered care, from antenatal risk identification through pediatric health promotion,
ensuring readiness for contemporary nursing practice.
SECTION ONE: QUESTIONS 1–300
Question 1
,A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to demonstrate?
A. Walking independently
B. Saying two-word phrases
C. Rolling from back to abdomen
D. Sitting without support
C
RATIONALE: At 6 months, an infant should be able to roll from back to abdomen.
Walking independently and saying two-word phrases are expected at 12–15 months and
18–24 months, respectively. Sitting without support is typically achieved by 8 months.
Question 2
A pregnant client at 32 weeks' gestation presents with blood pressure 148/94 mm Hg,
mild headache, facial edema, and 2+ proteinuria. Which nursing action is the priority?
A. Administer oral labetalol as ordered
B. Place the client in left lateral position, initiate continuous fetal monitoring, and notify
the provider
C. Encourage increased oral fluid intake
D. Recheck blood pressure in 1 hour
B
RATIONALE: The client exhibits signs of preeclampsia with severe features
(headache, proteinuria, elevated blood pressure). Priority action is maternal-fetal
stabilization: left lateral positioning to improve uteroplacental perfusion, continuous
fetal monitoring, and provider notification for further orders. Antihypertensives may be
ordered but are not the immediate independent nursing priority.
Question 3
A nurse is preparing to administer immunizations to a 2-month-old infant. Which vaccine
is routinely recommended at this age according to the CDC schedule?
A. Measles, mumps, rubella (MMR)
B. Varicella
C. Diphtheria, tetanus, acellular pertussis (DTaP)
D. Hepatitis A
,C
RATIONALE: DTaP is routinely administered at 2, 4, and 6 months. MMR and varicella
are recommended at 12–15 months. Hepatitis A is recommended at 12–23 months.
Question 4
A laboring client at 9 cm dilation and 100% effacement has a fetal heart rate tracing that
begins to decelerate with each contraction and returns to baseline after the contraction
ends. What is the most appropriate nursing action?
A. Increase the IV oxytocin rate
B. Change the maternal position and continue monitoring
C. Administer oxygen by mask at 10 L/min
D. Prepare for immediate cesarean delivery
B
RATIONALE: This describes an early deceleration, which is a benign head
compression pattern. Repositioning is a appropriate first intervention to promote
comfort and fetal oxygenation while continuing surveillance. Oxytocin increase is
contraindicated. Oxygen and cesarean are not indicated for early decelerations.
Question 5
A 3-year-old child weighing 15 kg is prescribed amoxicillin 250 mg every 8 hours. The
safe dose recommendation is 20–40 mg/kg/day divided every 8 hours. What is the
nurse's best action?
A. Administer the dose as ordered because it is within the safe range
B. Hold the dose and clarify the order with the provider because it exceeds the safe
range
C. Administer half the dose and document the variation
D. Administer the dose and monitor for diarrhea
B
RATIONALE: The safe daily dose range is 300–600 mg/day (20–40 mg/kg × 15 kg). The
ordered dose is 750 mg/day (250 mg × 3), which exceeds the maximum safe dose. The
nurse must hold the medication and clarify the order.
Question 6
, A 28-year-old primigravida at 28 weeks' gestation has a 1-hour glucose tolerance test
result of 156 mg/dL. Which statement indicates the client needs further education about
gestational diabetes?
A. "I will need to monitor my blood glucose levels at home."
B. "I can continue my current diet because I feel fine."
C. "I understand that gestational diabetes can affect my baby's size."
D. "I will attend the diabetes education class scheduled by my provider."
B
RATIONALE: Gestational diabetes requires dietary modification, glucose monitoring,
and often medication. Continuing the current diet without modification indicates a lack
of understanding. The other statements reflect appropriate knowledge.
Question 7
A nurse is caring for a 4-year-old child who is scheduled for surgery. The parents ask
who can provide informed consent. What is the nurse's best response?
A. "The child can sign the consent if they understand the procedure."
B. "Only the legal guardian can provide informed consent."
C. "A grandparent can sign if the parents are unavailable."
D. "The nurse can witness the child's assent and proceed."
B
RATIONALE: Informed consent for a minor must be obtained from the legal guardian
or parent. The child's assent should be obtained when developmentally appropriate, but
it does not replace legal consent. Grandparents require legal authorization.
Question 8
A client in active labor with ruptured membranes suddenly experiences a gush of fluid
and a fetal heart rate deceleration to 80 beats/min. What is the nurse's immediate
priority?
A. Perform a sterile vaginal examination to assess for cord prolapse
B. Reposition the client to a knee-chest position and call for assistance
C. Increase the IV fluid rate
D. Administer terbutaline as ordered
B
