HESI MATERNITY PEDIATRICS COMPREHENSIVE
EXAM 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ The nurse understands which antihypertensive medication is
contraindicated in lactating women?
a. atenolol
b. labetalol
c. metoprolol
d. propranolol. Answer: a. atenolol
Atenolol is contraindicated in lactating women because it enters the
breastmilk and may cause adverse effects to the neonate. Labetalol and
propanolol are safe to administer during lactation. Metoprolol is
considered a safe medication to be taken during lactation
◉ Which hormone levels do not require monitoring during the
ministration of menotropins for infertility?
a. estrogen
b. luteinizing hormone
c. follicle-stimulating hormone
,d. gonadotropin-releasing hormone. Answer: d. gonadotropin-releasing
hormone
Menotropins that are administered for infertility act at the pituitary level.
Gonadotropin-releasing hormones act at the hypothalamus level;
therefore this hormone does not need to be monitored. Menotropins is a
standardized mixture of follicle-stimulating hormone and luteinizing;
these hormones should be monitored. Also, estrogen levels need to be
monitored because the luteinizing hormone directly stimulates the
production of estrogen
◉ Which birth control agent requires administration once every three
months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms. Answer: b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection
every three months. Progressed-only oral contraceptive pills should be
taken on a daily basis because of a higher incidence of ovulatory cycles.
Combination biphasic and monophasic forms are administered as either
a 21 or 28 day course.
,◉ Which medication with the nurse identify as being used both for
cervical ripening during labor and has a stomach protectant?
a. raloxifene
b. clomiphene
c. misoprostol
d. dinoprostone. Answer: c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach
protectant. Raloxifene is used to prevent postmenopausal osteoporosis.
Clomiphene is used for ovulation. Dinoprostone can be used for cervical
ripening, but this medication does not act as a stomach protectant.
◉ Which effect with the nurse identify as seen when the fetus is exposed
to a teratogen during embryonic period?
a. delay in growth
b. gross malformations
c. death of the conceptus
d. disruption of brain development. Answer: b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the
embryonic period or the first trimester. During the fetal period, exposure
to a teratogen causes delays in growth and development of the fetus.
Death of the conceptus occurs if exposed to a lethal dose of teratogen
during the pre-implantation period. Exposure to a teratogen during the
, fetal period (second or third trimester) causes disruption of brain
development.
◉ Which medication may be used to treat postpartum hemorrhage?
a. clomiphene
b. menotropins
c. dinoprostone
d. methylergonovine. Answer: d. methylergonovine
Methylergonovine is a medication of choice used to treat postpartum
hemorrhage. Clomiphene and menotropins are ovulation stimulants
given to induce ovulation in infertile women. Dinoprostone is used to
induce cervical ripening and cause termination of a pregnancy.
◉ Which teratogenic effect is seen because of lithium?
a. stillbirth
b. shortened limbs
c. Ebstein anomaly
d. neural tube defects. Answer: c. Ebstein anomaly
Ebstein anomaly (cardiac defects) in the newborn occurs because of
taking lithium during pregnancy. Stillbirth may occur because of alcohol
use. Shortened limbs may occur because of thalidomide. Neural tube
defects are due to anti seizure medications.
EXAM 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ The nurse understands which antihypertensive medication is
contraindicated in lactating women?
a. atenolol
b. labetalol
c. metoprolol
d. propranolol. Answer: a. atenolol
Atenolol is contraindicated in lactating women because it enters the
breastmilk and may cause adverse effects to the neonate. Labetalol and
propanolol are safe to administer during lactation. Metoprolol is
considered a safe medication to be taken during lactation
◉ Which hormone levels do not require monitoring during the
ministration of menotropins for infertility?
a. estrogen
b. luteinizing hormone
c. follicle-stimulating hormone
,d. gonadotropin-releasing hormone. Answer: d. gonadotropin-releasing
hormone
Menotropins that are administered for infertility act at the pituitary level.
Gonadotropin-releasing hormones act at the hypothalamus level;
therefore this hormone does not need to be monitored. Menotropins is a
standardized mixture of follicle-stimulating hormone and luteinizing;
these hormones should be monitored. Also, estrogen levels need to be
monitored because the luteinizing hormone directly stimulates the
production of estrogen
◉ Which birth control agent requires administration once every three
months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms. Answer: b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection
every three months. Progressed-only oral contraceptive pills should be
taken on a daily basis because of a higher incidence of ovulatory cycles.
Combination biphasic and monophasic forms are administered as either
a 21 or 28 day course.
,◉ Which medication with the nurse identify as being used both for
cervical ripening during labor and has a stomach protectant?
a. raloxifene
b. clomiphene
c. misoprostol
d. dinoprostone. Answer: c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach
protectant. Raloxifene is used to prevent postmenopausal osteoporosis.
Clomiphene is used for ovulation. Dinoprostone can be used for cervical
ripening, but this medication does not act as a stomach protectant.
◉ Which effect with the nurse identify as seen when the fetus is exposed
to a teratogen during embryonic period?
a. delay in growth
b. gross malformations
c. death of the conceptus
d. disruption of brain development. Answer: b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the
embryonic period or the first trimester. During the fetal period, exposure
to a teratogen causes delays in growth and development of the fetus.
Death of the conceptus occurs if exposed to a lethal dose of teratogen
during the pre-implantation period. Exposure to a teratogen during the
, fetal period (second or third trimester) causes disruption of brain
development.
◉ Which medication may be used to treat postpartum hemorrhage?
a. clomiphene
b. menotropins
c. dinoprostone
d. methylergonovine. Answer: d. methylergonovine
Methylergonovine is a medication of choice used to treat postpartum
hemorrhage. Clomiphene and menotropins are ovulation stimulants
given to induce ovulation in infertile women. Dinoprostone is used to
induce cervical ripening and cause termination of a pregnancy.
◉ Which teratogenic effect is seen because of lithium?
a. stillbirth
b. shortened limbs
c. Ebstein anomaly
d. neural tube defects. Answer: c. Ebstein anomaly
Ebstein anomaly (cardiac defects) in the newborn occurs because of
taking lithium during pregnancy. Stillbirth may occur because of alcohol
use. Shortened limbs may occur because of thalidomide. Neural tube
defects are due to anti seizure medications.
