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Maternal Exam-3

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Exam Details !

Title : Maternal Exam-3

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Maternal & Newborn (General RN)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2026

Duration : 100 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Maternal & Newborn questions tailored for RN students.

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1 :
A woman who is 34 weeks pregnant is admitted with contractions every 2 minutes, lasting 60 seconds. She says she had some vaginal bleeding at home, and there is a small amount of blood on her perineal pad. The priority action of the nurse is to:

Establish whether she is in labor by performing a vaginal examination

Ask her whether she has had recent intercourse

Evaluate the maternal and fetal circulation and oxygenation

Determine whether this is the first episode of pain she has had

Hint : 🚨Focus on identifying whether the mother or fetus is experiencing signs of circulatory compromise before collecting additional history details.

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2 :
A woman with gestational diabetes has continued high blood glucose levels even after adjusting her diet. Which of the following medications would the nurse anticipate being ordered at this time?

Glyburide (Glynase)

Metformin (Glucophage)

Nifedipine (Procardia)

Magnesium Sulfate

Hint : 🍽️Think about which medication specifically helps lower blood sugar levels during pregnancy.

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3 :
A patient telephones the labor unit and says that she is 32 weeks gestation and reports having a backache and diarrhea all day. The nurse should advise the woman that she:

Can increase her fluid intake to reduce the Braxton-Hicks contractions

Is experiencing discomfort that is typical of a late pregnancy

Should come to the hospital for further evaluation

Should come to the hospital if she has increased vaginal bleeding

Hint : 📞Consider which symptoms may signal the body is preparing for early labor before term.

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4 :
A woman who is 22 weeks pregnant has a blood pressure of 148/100, but states she has not been having headaches or blurred vision and her urine is negative for protein. The nurse anticipates which of the following antihypertensives to be prescribed at this time?

Nifedipine (Procardia)

Furosemide (Lasix)

Enalopril (Vasotec)

Losartan (Cozaar)

Hint : ❤️Focus on antihypertensive medications that are considered safe during pregnancy.

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5 :
List one (and only one) intervention to avoid when a patient who is HIV+ is in labor.

Hint : 🧤Think about interventions that may increase the baby’s exposure to maternal blood during labor.

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6 :
One sign of Magnesium toxicity is:

Hint : 🧠Monitor for changes in the patient’s neuromuscular response while receiving magnesium sulfate.

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7 :
Which of the below symptoms are common in patients diagnosed with gestational hypertension?

Persistent constipation

Visual disturbances

Hypertension diagnosed after 20 weeks

Seizures or coma

Hint : 📆Focus on the defining feature involving the timing of elevated blood pressure during pregnancy.

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8 :
A pregnant woman in her first trimester presents to the emergency department with vaginal bleeding. She looks pale and clammy. She complains of a stabbing pain on the left side of her lower abdomen, as well as referred shoulder pain. What condition do you suspect?

Hint : 🩺Unilateral pain with signs of internal bleeding in early pregnancy should raise concern for a life-threatening complication.

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9 :
Describe one (and only one) way that gestational diabetes might negatively impact either a woman or newborn. Be specific.

Hint : 🍼Think about how elevated maternal glucose can affect the baby’s size and delivery process.

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10 :
You are part of a team caring for a postpartum woman who has disseminated intravascular coagulation (DIC). Which prenatal complication put this patient at risk for developing DIC?

Hyperemesis gravidarum

Iron deficiency anemia

Severe preeclampsia

Gestational diabetes

Hint : 🧪Consider which prenatal complication causes significant vascular and clotting abnormalities during pregnancy.

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Total Questions: 10

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Ans

Maternal Exam-3

No.

1 : A woman who is 34 weeks pregnant is admitted with contractions every 2 minutes, lasting 60 seconds. She says she had some vaginal bleeding at home, and there is a small amount of blood on her perineal pad. The priority action of the nurse is to:

2 : A woman with gestational diabetes has continued high blood glucose levels even after adjusting her diet. Which of the following medications would the nurse anticipate being ordered at this time?

3 : A patient telephones the labor unit and says that she is 32 weeks gestation and reports having a backache and diarrhea all day. The nurse should advise the woman that she:

4 : A woman who is 22 weeks pregnant has a blood pressure of 148/100, but states she has not been having headaches or blurred vision and her urine is negative for protein. The nurse anticipates which of the following antihypertensives to be prescribed at this time?

5 : List one (and only one) intervention to avoid when a patient who is HIV+ is in labor.

6 : One sign of Magnesium toxicity is:

7 : Which of the below symptoms are common in patients diagnosed with gestational hypertension?

8 : A pregnant woman in her first trimester presents to the emergency department with vaginal bleeding. She looks pale and clammy. She complains of a stabbing pain on the left side of her lower abdomen, as well as referred shoulder pain. What condition do you suspect?

9 : Describe one (and only one) way that gestational diabetes might negatively impact either a woman or newborn. Be specific.

10 : You are part of a team caring for a postpartum woman who has disseminated intravascular coagulation (DIC). Which prenatal complication put this patient at risk for developing DIC?

1 :
A woman who is 34 weeks pregnant is admitted with contractions every 2 minutes, lasting 60 seconds. She says she had some vaginal bleeding at home, and there is a small amount of blood on her perineal pad. The priority action of the nurse is to:

2 :
A woman with gestational diabetes has continued high blood glucose levels even after adjusting her diet. Which of the following medications would the nurse anticipate being ordered at this time?

3 :
A patient telephones the labor unit and says that she is 32 weeks gestation and reports having a backache and diarrhea all day. The nurse should advise the woman that she:

4 :
A woman who is 22 weeks pregnant has a blood pressure of 148/100, but states she has not been having headaches or blurred vision and her urine is negative for protein. The nurse anticipates which of the following antihypertensives to be prescribed at this time?

5 :
List one (and only one) intervention to avoid when a patient who is HIV+ is in labor.

6 :
One sign of Magnesium toxicity is:

7 :
Which of the below symptoms are common in patients diagnosed with gestational hypertension?

8 :
A pregnant woman in her first trimester presents to the emergency department with vaginal bleeding. She looks pale and clammy. She complains of a stabbing pain on the left side of her lower abdomen, as well as referred shoulder pain. What condition do you suspect?

9 :
Describe one (and only one) way that gestational diabetes might negatively impact either a woman or newborn. Be specific.

10 :
You are part of a team caring for a postpartum woman who has disseminated intravascular coagulation (DIC). Which prenatal complication put this patient at risk for developing DIC?