NCM 109 - Care of At-Risk / High Risk
and Sick Mother and Child Exam
Questions and Answers Graded A+
C - Correct answer-A nurse is monitoring a pregnant woman with preeclampsia.
Which finding requires immediate intervention?
A. Blood pressure of 140/90 mmHg
B. 2+ pitting edema of the ankles
C. Urinary output of 20 mL/hr
D. Mild headache relieved with rest
B - Correct answer-Which assessment finding in a postpartum woman requires
immediate intervention?
A. Fundus at the level of the umbilicus
B. Saturating a perineal pad every 15 minutes
C. Lochia rubra present at 24 hours postpartum
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,D. Mild perineal pain
B - Correct answer-A nurse is teaching a pregnant woman with gestational diabetes
about diet control. Which statement indicates understanding?
A. "I will avoid all carbohydrates completely."
B. "I should include complex carbohydrates and high-fiber foods."
C. "I can eat sweets in moderation without affecting my blood sugar."
D. "Skipping meals will help me maintain stable blood sugar levels."
C - Correct answer-A woman in labor is receiving oxytocin. Which finding
requires immediate intervention?
A. Contractions occurring every 3 minutes
B. Fetal heart rate of 110 bpm with variability
C. Contractions lasting longer than 90 seconds
D. Maternal blood pressure of 120/80 mmHg
B - Correct answer-A newborn is placed on the mother's chest immediately after
birth. What is the primary benefit of this intervention?
A. Prevents neonatal hyperglycemia
B. Promotes maternal bonding and thermoregulation
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, C. Reduces the risk of jaundice
D. Eliminates the need for newborn assessments
B - Correct answer-A pregnant woman is receiving magnesium sulfate for
preeclampsia. Which finding suggests toxicity?
A. Hyperactive deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 50 mL/hr
D. Blood pressure of 140/90 mmHg
B - Correct answer-A woman is in active labor and reports the urge to push. The
cervix is 8 cm dilated. What is the priority nursing action?
A. Encourage her to push with contractions
B. Have her pant through contractions
C. Administer an opioid analgesic
D. Perform fundal pressure
B - Correct answer-A nurse is assessing a newborn. Which finding requires
immediate intervention?
A. Heart rate of 150 bpm
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
and Sick Mother and Child Exam
Questions and Answers Graded A+
C - Correct answer-A nurse is monitoring a pregnant woman with preeclampsia.
Which finding requires immediate intervention?
A. Blood pressure of 140/90 mmHg
B. 2+ pitting edema of the ankles
C. Urinary output of 20 mL/hr
D. Mild headache relieved with rest
B - Correct answer-Which assessment finding in a postpartum woman requires
immediate intervention?
A. Fundus at the level of the umbilicus
B. Saturating a perineal pad every 15 minutes
C. Lochia rubra present at 24 hours postpartum
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,D. Mild perineal pain
B - Correct answer-A nurse is teaching a pregnant woman with gestational diabetes
about diet control. Which statement indicates understanding?
A. "I will avoid all carbohydrates completely."
B. "I should include complex carbohydrates and high-fiber foods."
C. "I can eat sweets in moderation without affecting my blood sugar."
D. "Skipping meals will help me maintain stable blood sugar levels."
C - Correct answer-A woman in labor is receiving oxytocin. Which finding
requires immediate intervention?
A. Contractions occurring every 3 minutes
B. Fetal heart rate of 110 bpm with variability
C. Contractions lasting longer than 90 seconds
D. Maternal blood pressure of 120/80 mmHg
B - Correct answer-A newborn is placed on the mother's chest immediately after
birth. What is the primary benefit of this intervention?
A. Prevents neonatal hyperglycemia
B. Promotes maternal bonding and thermoregulation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, C. Reduces the risk of jaundice
D. Eliminates the need for newborn assessments
B - Correct answer-A pregnant woman is receiving magnesium sulfate for
preeclampsia. Which finding suggests toxicity?
A. Hyperactive deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 50 mL/hr
D. Blood pressure of 140/90 mmHg
B - Correct answer-A woman is in active labor and reports the urge to push. The
cervix is 8 cm dilated. What is the priority nursing action?
A. Encourage her to push with contractions
B. Have her pant through contractions
C. Administer an opioid analgesic
D. Perform fundal pressure
B - Correct answer-A nurse is assessing a newborn. Which finding requires
immediate intervention?
A. Heart rate of 150 bpm
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
