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Leifer’s Introduction to Maternity & Pediatric Nursing Exam 2026-
2027 BANK QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS A+ GRADED
1. A nurse is teaching a group of adolescents about the menstrual cycle.
Which hormone is primarily responsible for the maturation of the
ovarian follicle?
A. Estrogen
B. Progesterone
C. Follicle-stimulating hormone (FSH)
D. Luteinizing hormone (LH)
Answer: C
Explanation: Follicle-stimulating hormone (FSH) is secreted by the
anterior pituitary gland and is responsible for stimulating the growth
and maturation of the ovarian follicle. Estrogen is produced by the
maturing follicle, while LH triggers ovulation.
2. A pregnant patient at 12 weeks' gestation asks when her baby's
heartbeat can first be heard with a Doppler. The nurse's response is
based on the knowledge that fetal heart tones are typically audible by
Doppler at:
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A. 2 to 4 weeks
B. 5 to 7 weeks
C. 8 to 12 weeks
D. 16 to 20 weeks
Answer: C
Explanation: Fetal heart tones are generally audible with an electronic
Doppler device between 8 and 12 weeks of gestation. A fetoscope can
detect heart tones later, typically around 17 to 20 weeks.
3. A nurse is assessing a patient with preeclampsia. Which finding
indicates a progression to severe preeclampsia?
A. Blood pressure of 140/90 mm Hg
B. Generalized edema
C. Proteinuria of 1+ on a dipstick
D. Epigastric pain
Answer: D
Explanation: Epigastric or right upper quadrant pain is an ominous sign
in severe preeclampsia, often indicating liver capsule distension or
ischemia. While hypertension and proteinuria are present, the location
of the pain signifies increasing severity and risk for HELLP syndrome.
4. A patient in her first trimester reports frequent nausea. To minimize
morning sickness, the nurse advises the patient to:
A. Drink fluids with meals
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B. Eat small, frequent, low-fat meals
C. Lie down after eating
D. Consume spicy foods to stimulate digestion
Answer: B
Explanation: This approach helps prevent an empty stomach and avoids
overdistention, both of which can trigger nausea. High-carbohydrate,
low-fat foods like crackers are easily tolerated. Lying down and drinking
fluids with meals can worsen reflux and nausea.
5. Which immunoglobulin is capable of crossing the placenta to provide
passive immunity to the fetus?
A. IgA
B. IgM
C. IgG
D. IgE
Answer: C
Explanation: IgG is the only immunoglobulin that crosses the placental
barrier. This provides the newborn with passive immunity against
various bacterial and viral pathogens for the first months after birth.
6. The nurse explains that the primary purpose of amniotic fluid is to:
A. Provide nutrition to the fetus
B. Cushion the fetus from injury
C. Facilitate gas exchange
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D. Produce fetal hemoglobin
Answer: B
Explanation: Amniotic fluid serves several purposes, but its primary role
is mechanical protection, acting as a shock absorber to cushion the
fetus from external injury. It also helps maintain a stable temperature,
allows movement, and prevents the membranes from adhering to the
fetus.
7. A postpartum patient states she is not planning to breastfeed. To
suppress lactation, the nurse informs her that the current standard of
care is:
A. Binding the breasts tightly
B. Applying ice packs and a supportive bra
C. Administering estrogen injections
D. Restricting all oral fluids
Answer: B
Explanation: Pharmacologic methods like estrogen are no longer used
due to thromboembolic risks. The contemporary approach involves
non-pharmacologic comfort measures such as wearing a tight,
supportive bra, applying cold compresses, and avoiding breast
stimulation.
8. The neonatal nurse understands that brown fat in the newborn
serves which vital function?
A. Facilitating stool passage
Leifer’s Introduction to Maternity & Pediatric Nursing Exam 2026-
2027 BANK QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS A+ GRADED
1. A nurse is teaching a group of adolescents about the menstrual cycle.
Which hormone is primarily responsible for the maturation of the
ovarian follicle?
A. Estrogen
B. Progesterone
C. Follicle-stimulating hormone (FSH)
D. Luteinizing hormone (LH)
Answer: C
Explanation: Follicle-stimulating hormone (FSH) is secreted by the
anterior pituitary gland and is responsible for stimulating the growth
and maturation of the ovarian follicle. Estrogen is produced by the
maturing follicle, while LH triggers ovulation.
2. A pregnant patient at 12 weeks' gestation asks when her baby's
heartbeat can first be heard with a Doppler. The nurse's response is
based on the knowledge that fetal heart tones are typically audible by
Doppler at:
,2|Page
A. 2 to 4 weeks
B. 5 to 7 weeks
C. 8 to 12 weeks
D. 16 to 20 weeks
Answer: C
Explanation: Fetal heart tones are generally audible with an electronic
Doppler device between 8 and 12 weeks of gestation. A fetoscope can
detect heart tones later, typically around 17 to 20 weeks.
3. A nurse is assessing a patient with preeclampsia. Which finding
indicates a progression to severe preeclampsia?
A. Blood pressure of 140/90 mm Hg
B. Generalized edema
C. Proteinuria of 1+ on a dipstick
D. Epigastric pain
Answer: D
Explanation: Epigastric or right upper quadrant pain is an ominous sign
in severe preeclampsia, often indicating liver capsule distension or
ischemia. While hypertension and proteinuria are present, the location
of the pain signifies increasing severity and risk for HELLP syndrome.
4. A patient in her first trimester reports frequent nausea. To minimize
morning sickness, the nurse advises the patient to:
A. Drink fluids with meals
,3|Page
B. Eat small, frequent, low-fat meals
C. Lie down after eating
D. Consume spicy foods to stimulate digestion
Answer: B
Explanation: This approach helps prevent an empty stomach and avoids
overdistention, both of which can trigger nausea. High-carbohydrate,
low-fat foods like crackers are easily tolerated. Lying down and drinking
fluids with meals can worsen reflux and nausea.
5. Which immunoglobulin is capable of crossing the placenta to provide
passive immunity to the fetus?
A. IgA
B. IgM
C. IgG
D. IgE
Answer: C
Explanation: IgG is the only immunoglobulin that crosses the placental
barrier. This provides the newborn with passive immunity against
various bacterial and viral pathogens for the first months after birth.
6. The nurse explains that the primary purpose of amniotic fluid is to:
A. Provide nutrition to the fetus
B. Cushion the fetus from injury
C. Facilitate gas exchange
, 4|Page
D. Produce fetal hemoglobin
Answer: B
Explanation: Amniotic fluid serves several purposes, but its primary role
is mechanical protection, acting as a shock absorber to cushion the
fetus from external injury. It also helps maintain a stable temperature,
allows movement, and prevents the membranes from adhering to the
fetus.
7. A postpartum patient states she is not planning to breastfeed. To
suppress lactation, the nurse informs her that the current standard of
care is:
A. Binding the breasts tightly
B. Applying ice packs and a supportive bra
C. Administering estrogen injections
D. Restricting all oral fluids
Answer: B
Explanation: Pharmacologic methods like estrogen are no longer used
due to thromboembolic risks. The contemporary approach involves
non-pharmacologic comfort measures such as wearing a tight,
supportive bra, applying cold compresses, and avoiding breast
stimulation.
8. The neonatal nurse understands that brown fat in the newborn
serves which vital function?
A. Facilitating stool passage
