Final Practice Exam Questions And Correct Answers
(Verified Answers) Plus Rationales |2026 Q&A |
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1. A postpartum patient is at risk for hemorrhage. Which assessment
finding requires immediate intervention?
a. Lochia rubra scant amount
b. Fundus firm and midline
c. Saturating a peripad within 15 minutes
d. Uterus palpable at the umbilicus
Excessive bleeding indicated by rapid pad saturation suggests
postpartum hemorrhage and requires urgent intervention.
2. A woman with preeclampsia is receiving magnesium sulfate. Which
finding indicates magnesium toxicity?
a. Blood pressure 150/92 mmHg
, b. Respiratory rate of 10 breaths per minute
c. Deep tendon reflexes +2
d. Urine output 45 mL/hr
Respiratory depression (<12/min) is a key sign of magnesium toxicity.
3. The nurse is caring for a newborn with hypoglycemia. Which clinical
manifestation is expected?
a. Flushed skin
b. Jitteriness and tremors
c. Strong cry
d. Relaxed posture
Hypoglycemia in newborns often presents with jitteriness, tremors,
and irritability.
4. A mother asks when her infant should receive the first hepatitis B
vaccine. The correct response is:
a. At 2 months of age
b. At 6 months of age
c. Within 24 hours after birth
d. At 1 year of age
The first dose of the hepatitis B vaccine should be administered
within 24 hours of birth.
5. Which newborn finding requires immediate intervention?
a. Vernix caseosa on the skin
b. Overlapping cranial sutures
, c. Respiratory grunting with retractions
d. Acrocyanosis of hands and feet
Grunting with retractions indicates respiratory distress and requires
immediate action.
6. The nurse is assessing a newborn for jaundice. Which factor increases
the infant’s risk?
a. Formula feeding
b. Prematurity
c. Term gestation
d. Vaginal delivery
Premature infants have immature liver function and are at higher
risk for jaundice.
7. A patient in labor is receiving oxytocin. Which finding indicates the
infusion should be stopped?
a. Contractions every 3 minutes
b. Fetal heart rate baseline 140 bpm
c. Contractions lasting 120 seconds
d. Cervical dilation progressing
Prolonged contractions (>90 seconds) suggest uterine
hyperstimulation and require stopping oxytocin.
8. Which position best facilitates uteroplacental blood flow in a woman
with supine hypotensive syndrome?
a. High Fowler’s
, b. Supine with pillow under knees
c. Left lateral position
d. Semi-Fowler’s
The left lateral position relieves pressure on the vena cava and
improves circulation.
9. A nurse is preparing to administer Rho(D) immune globulin (RhoGAM).
Which condition requires this medication?
a. Rh-positive mother, Rh-negative infant
b. Rh-negative mother, Rh-positive infant
c. Rh-positive mother, Rh-positive infant
d. Rh-negative mother, Rh-negative infant
RhoGAM prevents sensitization in Rh-negative mothers with Rh-
positive infants.
10. A postpartum woman has a temperature of 38.4°C (101.1°F) on
day 3. The nurse suspects:
a. Endometritis
b. Mastitis
c. Normal postpartum response
d. Dehydration
Fever after the first 24 hours postpartum often indicates
endometritis, a uterine infection.