1|Page
Maternal/Child CJE Exam Complete Questions &
Answers | Verified Complete Solutions (Graded A+
2026/2027) High-Yield Clinical Judgment Exam Study
Guide with Detailed Rationales
Exam (elaborations)
MATERNAL/CHILD CJE EXAM
Complete Questions and Verified Answers with Detailed Rationales
2026/2027 | Already Graded A+
*Course: NR327 / NURS 3252 / Maternal-Child Nursing*
📚 TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Antepartum Care & Complications 1-35
Section 2 Intrapartum Care & Complications 36-65
Section 3 Postpartum Care & Complications 66-90
Section 4 Newborn Assessment & Care 91-115
Section 5 High-Risk Newborn Complications 116-135
Section 6 Gynecologic & Reproductive Health 136-150
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Section Topic Area Questions
Section 7 NGN Case Studies & Unfolding Reasoning 151-175
About This Study Guide
This comprehensive study guide contains 175 practice questions with
detailed rationales designed to simulate the Maternal/Child CJE
(Clinical Judgment Exam) format for the 2026-2027 testing cycle. Each
question includes the correct answer, a detailed evidence-based
rationale, and clinical pearls to reinforce understanding of maternal-
newborn and pediatric nursing concepts.
Key Features:
• ✓ 175+ exam-style questions covering all major maternal-child
topics
• ✓ Verified correct answers with detailed rationales
• ✓ Includes NGN item types: Matrix/Grid, Drag-and-Drop, Bowtie,
and Trend questions
• ✓ High-yield content focused on frequently tested concepts
• ✓ Updated for 2026/2027 with latest clinical guidelines
• ✓ Perfect for nursing students preparing for CJE exams and
NCLEX
SECTION 1: ANTEPARTUM CARE & COMPLICATIONS
(Questions 1-35)
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Question 1
A nurse is calculating a client's estimated date of delivery (EDD) using
Naegele's rule. The client's first day of her last menstrual period (LMP)
was May 10, 2025. What is the EDD?
A. February 17, 2026
B. February 3, 2026
C. February 10, 2026
D. March 10, 2026
Answer: A. February 17, 2026
Rationale: Naegele's rule: Subtract 3 months from the first day of the
LMP and add 7 days. May 10, 2025 minus 3 months = February 10,
2025. Add 7 days = February 17, 2026. This calculation assumes a 28-
day menstrual cycle .
Clinical Pearl: For cycles longer or shorter than 28 days, the EDD may
need adjustment (add or subtract the difference in days).
Question 2
A client at 12 weeks gestation reports nausea and vomiting that is worse
in the morning. Which intervention should the nurse recommend first?
A. Eat three large meals per day
B. Drink fluids with meals
C. Eat dry crackers before getting out of bed
D. Take an over-the-counter antiemetic
Answer: C. Eat dry crackers before getting out of bed
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Rationale: Nausea and vomiting of pregnancy (morning sickness) is
common in the first trimester. Non-pharmacologic interventions include
eating dry crackers or toast before rising, eating small frequent meals,
avoiding spicy/fatty foods, and avoiding fluids with meals.
Pharmacologic interventions are used if severe .
Clinical Pearl: Ginger supplements and vitamin B6 (pyridoxine) are
safe and effective for nausea in pregnancy.
Question 3
A client at 28 weeks gestation reports a gush of fluid from the vagina.
Which action should the nurse take first?
A. Notify the healthcare provider
B. Assess the fluid with nitrazine paper
C. Perform a sterile speculum exam
D. Check fetal heart rate
Answer: D. Check fetal heart rate
Rationale: If rupture of membranes is suspected, the priority is to assess
fetal well-being by checking the fetal heart rate. Cord prolapse is a risk
after ROM, which would cause fetal bradycardia. After ensuring fetal
stability, the nurse would then assess the fluid with nitrazine paper (turns
blue if amniotic fluid) and fern test .
Clinical Pearl: Nitrazine paper turns blue (alkaline) with amniotic fluid
(pH 7.0-7.5) and remains yellow/orange with urine (acidic).
Question 4
Maternal/Child CJE Exam Complete Questions &
Answers | Verified Complete Solutions (Graded A+
2026/2027) High-Yield Clinical Judgment Exam Study
Guide with Detailed Rationales
Exam (elaborations)
MATERNAL/CHILD CJE EXAM
Complete Questions and Verified Answers with Detailed Rationales
2026/2027 | Already Graded A+
*Course: NR327 / NURS 3252 / Maternal-Child Nursing*
📚 TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Antepartum Care & Complications 1-35
Section 2 Intrapartum Care & Complications 36-65
Section 3 Postpartum Care & Complications 66-90
Section 4 Newborn Assessment & Care 91-115
Section 5 High-Risk Newborn Complications 116-135
Section 6 Gynecologic & Reproductive Health 136-150
,2|Page
Section Topic Area Questions
Section 7 NGN Case Studies & Unfolding Reasoning 151-175
About This Study Guide
This comprehensive study guide contains 175 practice questions with
detailed rationales designed to simulate the Maternal/Child CJE
(Clinical Judgment Exam) format for the 2026-2027 testing cycle. Each
question includes the correct answer, a detailed evidence-based
rationale, and clinical pearls to reinforce understanding of maternal-
newborn and pediatric nursing concepts.
Key Features:
• ✓ 175+ exam-style questions covering all major maternal-child
topics
• ✓ Verified correct answers with detailed rationales
• ✓ Includes NGN item types: Matrix/Grid, Drag-and-Drop, Bowtie,
and Trend questions
• ✓ High-yield content focused on frequently tested concepts
• ✓ Updated for 2026/2027 with latest clinical guidelines
• ✓ Perfect for nursing students preparing for CJE exams and
NCLEX
SECTION 1: ANTEPARTUM CARE & COMPLICATIONS
(Questions 1-35)
,3|Page
Question 1
A nurse is calculating a client's estimated date of delivery (EDD) using
Naegele's rule. The client's first day of her last menstrual period (LMP)
was May 10, 2025. What is the EDD?
A. February 17, 2026
B. February 3, 2026
C. February 10, 2026
D. March 10, 2026
Answer: A. February 17, 2026
Rationale: Naegele's rule: Subtract 3 months from the first day of the
LMP and add 7 days. May 10, 2025 minus 3 months = February 10,
2025. Add 7 days = February 17, 2026. This calculation assumes a 28-
day menstrual cycle .
Clinical Pearl: For cycles longer or shorter than 28 days, the EDD may
need adjustment (add or subtract the difference in days).
Question 2
A client at 12 weeks gestation reports nausea and vomiting that is worse
in the morning. Which intervention should the nurse recommend first?
A. Eat three large meals per day
B. Drink fluids with meals
C. Eat dry crackers before getting out of bed
D. Take an over-the-counter antiemetic
Answer: C. Eat dry crackers before getting out of bed
, 4|Page
Rationale: Nausea and vomiting of pregnancy (morning sickness) is
common in the first trimester. Non-pharmacologic interventions include
eating dry crackers or toast before rising, eating small frequent meals,
avoiding spicy/fatty foods, and avoiding fluids with meals.
Pharmacologic interventions are used if severe .
Clinical Pearl: Ginger supplements and vitamin B6 (pyridoxine) are
safe and effective for nausea in pregnancy.
Question 3
A client at 28 weeks gestation reports a gush of fluid from the vagina.
Which action should the nurse take first?
A. Notify the healthcare provider
B. Assess the fluid with nitrazine paper
C. Perform a sterile speculum exam
D. Check fetal heart rate
Answer: D. Check fetal heart rate
Rationale: If rupture of membranes is suspected, the priority is to assess
fetal well-being by checking the fetal heart rate. Cord prolapse is a risk
after ROM, which would cause fetal bradycardia. After ensuring fetal
stability, the nurse would then assess the fluid with nitrazine paper (turns
blue if amniotic fluid) and fern test .
Clinical Pearl: Nitrazine paper turns blue (alkaline) with amniotic fluid
(pH 7.0-7.5) and remains yellow/orange with urine (acidic).
Question 4
