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NSG 3600 MATERNAL-NEWBORN NURSING
EXAM 2 2026-2027 | 200+ PRACTICE QUESTIONS
& RATIONALES | HIGH-YIELD | PASS FIRST
ATTEMPT
Table of Contents
1. **Intrapartum Nursing Care (Labor & Delivery)** (Q1–Q35)
2. **Pain Management During Labor** (Q36–Q50)
3. **Postpartum Nursing Care** (Q51–Q80)
4. **Newborn Nursing Care** (Q81–Q110)
5. **High-Risk Pregnancy & Complications** (Q111–Q140)
6. **Pharmacology in Maternal-Newborn Nursing** (Q141–Q160)
7. **Postpartum Complications** (Q161–Q175)
8. **Newborn Complications & Special Conditions** (Q176–Q190)
9. **Breastfeeding & Newborn Nutrition** (Q191–Q200)
10. **High-Yield NGN Case Scenarios** (Q201–Q210)
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Section 1: Intrapartum Nursing Care (Labor & Delivery) (Q1–Q35)
**Q1.** A nurse is caring for a client in the active phase of the first
stage of labor. Which finding is expected?
A. Cervical dilation 4–7 cm with regular contractions every 3–5 minutes
B. Cervical dilation 0–3 cm with contractions every 10–15 minutes
C. Cervical dilation 8–10 cm with contractions every 2–3 minutes
D. Cervical dilation 10 cm with urge to push
**Correct Answer: A – Cervical dilation 4–7 cm with regular
contractions every 3–5 minutes**
*Rationale: The active phase of the first stage of labor is from 4–7 cm
dilation with contractions every 3–5 minutes. The latent phase is 0–3
cm, transition is 8–10 cm, and the second stage is 10 cm with pushing.*
**Q2.** A nurse assesses a client in the transition phase of labor. Which
finding is expected?
A. Irritability, trembling, nausea, and increased bloody show
B. Calm and cooperative behavior
C. Strong urge to push
D. Cervical dilation 4–6 cm
**Correct Answer: A – Irritability, trembling, nausea, and increased
bloody show**
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*Rationale: Transition (8–10 cm) is intense; the client may feel out of
control, irritable, nauseated, and may have increased bloody show
(bloody mucus).*
**Q3.** A client’s amniotic membranes rupture spontaneously. The
nurse immediately assesses:
A. Fetal heart rate (for cord prolapse)
B. Maternal blood pressure
C. Amniotic fluid color only
D. Maternal temperature
**Correct Answer: A – Fetal heart rate (for cord prolapse)**
*Rationale: Rupture of membranes may cause cord prolapse; assessing
FHR first is priority to detect bradycardia indicating cord compression.*
**Q4.** A nurse notes meconium-stained amniotic fluid. This may
indicate:
A. Fetal distress or post-term gestation
B. Normal finding
C. Preterm labor
D. Placenta previa
**Correct Answer: A – Fetal distress or post-term gestation**
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*Rationale: Meconium may indicate fetal hypoxia, especially if thick.
Post-term infants are also more likely to pass meconium.*
**Q5.** A nurse is caring for a client receiving oxytocin (Pitocin) for
induction of labor. Which finding requires stopping the infusion?
A. Contractions every 1.5 minutes lasting 100 seconds (tachysystole)
B. Contractions every 3 minutes lasting 50 seconds
C. Fetal heart rate 140 bpm with accelerations
D. Cervical dilation 1 cm per hour
**Correct Answer: A – Contractions every 1.5 minutes lasting 100
seconds (tachysystole)**
*Rationale: Tachysystole (more than 5 contractions in 10 minutes or
contractions lasting >90 seconds) can cause fetal compromise; oxytocin
should be stopped.*
**Q6.** A client’s membranes rupture and the umbilical cord is visible
at the introitus. The nurse’s priority action is:
A. Apply manual pressure to the presenting part to relieve cord
compression and position the client in knee-chest or Trendelenburg
B. Push the cord back into the vagina
C. Clamp and cut the cord
D. Start oxytocin
NSG 3600 MATERNAL-NEWBORN NURSING
EXAM 2 2026-2027 | 200+ PRACTICE QUESTIONS
& RATIONALES | HIGH-YIELD | PASS FIRST
ATTEMPT
Table of Contents
1. **Intrapartum Nursing Care (Labor & Delivery)** (Q1–Q35)
2. **Pain Management During Labor** (Q36–Q50)
3. **Postpartum Nursing Care** (Q51–Q80)
4. **Newborn Nursing Care** (Q81–Q110)
5. **High-Risk Pregnancy & Complications** (Q111–Q140)
6. **Pharmacology in Maternal-Newborn Nursing** (Q141–Q160)
7. **Postpartum Complications** (Q161–Q175)
8. **Newborn Complications & Special Conditions** (Q176–Q190)
9. **Breastfeeding & Newborn Nutrition** (Q191–Q200)
10. **High-Yield NGN Case Scenarios** (Q201–Q210)
---
,2|Page
Section 1: Intrapartum Nursing Care (Labor & Delivery) (Q1–Q35)
**Q1.** A nurse is caring for a client in the active phase of the first
stage of labor. Which finding is expected?
A. Cervical dilation 4–7 cm with regular contractions every 3–5 minutes
B. Cervical dilation 0–3 cm with contractions every 10–15 minutes
C. Cervical dilation 8–10 cm with contractions every 2–3 minutes
D. Cervical dilation 10 cm with urge to push
**Correct Answer: A – Cervical dilation 4–7 cm with regular
contractions every 3–5 minutes**
*Rationale: The active phase of the first stage of labor is from 4–7 cm
dilation with contractions every 3–5 minutes. The latent phase is 0–3
cm, transition is 8–10 cm, and the second stage is 10 cm with pushing.*
**Q2.** A nurse assesses a client in the transition phase of labor. Which
finding is expected?
A. Irritability, trembling, nausea, and increased bloody show
B. Calm and cooperative behavior
C. Strong urge to push
D. Cervical dilation 4–6 cm
**Correct Answer: A – Irritability, trembling, nausea, and increased
bloody show**
,3|Page
*Rationale: Transition (8–10 cm) is intense; the client may feel out of
control, irritable, nauseated, and may have increased bloody show
(bloody mucus).*
**Q3.** A client’s amniotic membranes rupture spontaneously. The
nurse immediately assesses:
A. Fetal heart rate (for cord prolapse)
B. Maternal blood pressure
C. Amniotic fluid color only
D. Maternal temperature
**Correct Answer: A – Fetal heart rate (for cord prolapse)**
*Rationale: Rupture of membranes may cause cord prolapse; assessing
FHR first is priority to detect bradycardia indicating cord compression.*
**Q4.** A nurse notes meconium-stained amniotic fluid. This may
indicate:
A. Fetal distress or post-term gestation
B. Normal finding
C. Preterm labor
D. Placenta previa
**Correct Answer: A – Fetal distress or post-term gestation**
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*Rationale: Meconium may indicate fetal hypoxia, especially if thick.
Post-term infants are also more likely to pass meconium.*
**Q5.** A nurse is caring for a client receiving oxytocin (Pitocin) for
induction of labor. Which finding requires stopping the infusion?
A. Contractions every 1.5 minutes lasting 100 seconds (tachysystole)
B. Contractions every 3 minutes lasting 50 seconds
C. Fetal heart rate 140 bpm with accelerations
D. Cervical dilation 1 cm per hour
**Correct Answer: A – Contractions every 1.5 minutes lasting 100
seconds (tachysystole)**
*Rationale: Tachysystole (more than 5 contractions in 10 minutes or
contractions lasting >90 seconds) can cause fetal compromise; oxytocin
should be stopped.*
**Q6.** A client’s membranes rupture and the umbilical cord is visible
at the introitus. The nurse’s priority action is:
A. Apply manual pressure to the presenting part to relieve cord
compression and position the client in knee-chest or Trendelenburg
B. Push the cord back into the vagina
C. Clamp and cut the cord
D. Start oxytocin
