MATERNAL-NEWBORN NURSING &
WOMEN’S HEALTH FINAL PAPER 2026
EXAM Q&A STUDY GUIDE COMPLETE
SOLUTION
◉What is always considered abnormal during pregnancy? Answer:
Vaginal bleeding
◉What is the first action after rupture of membranes? Answer:
Check fetal heart rate (FHR) first
◉What indicates true labor? Answer: Regular contractions +
cervical dilation
◉What is the normal baseline fetal heart rate? Answer: 110-160
beats per minute
◉What should be done for variable decelerations in FHR? Answer:
Reposition the mother
,◉What is the first action for late decelerations in FHR? Answer: Left
side position + oxygen + stop oxytocin
◉What are the signs of postpartum hemorrhage? Answer:
Saturating a pad in 1 hour, pale clammy skin, tachycardia
◉What indicates endometritis after childbirth? Answer:
Temperature >100.4°F after 24 hours
◉What is the first-line treatment for primary dysmenorrhea?
Answer: NSAIDs such as ibuprofen
◉What is the priority action for a client with amenorrhea? Answer:
Obtain a pregnancy test
◉What are the red flags for abnormal uterine bleeding? Answer:
Heavy bleeding, passing large clots, bleeding between periods
◉What is the first action for a newborn with HR <100? Answer:
Positive pressure ventilation
◉What is the antidote for magnesium sulfate toxicity? Answer:
Calcium gluconate
,◉What should be monitored in infants of diabetic mothers?
Answer: Blood glucose levels
◉What is a sign of meconium fluid during labor? Answer:
Preparation for neonatal resuscitation
◉What is the contraindication for methylergonovine? Answer:
Hypertension
◉What should be done if a mother refuses vitamin K for her
newborn? Answer: Educate on bleeding risk
◉What is the nursing priority for heavy menstrual bleeding?
Answer: Assess hemodynamic status
◉What is the expected finding in a newborn during the first 24
hours? Answer: Acrocyanosis
◉What is the first-line management for endometriosis? Answer:
NSAIDs and hormonal therapy
◉What are the serious complications associated with oral
contraceptives? Answer: ACHES: Abdominal pain, Chest pain,
Headache (severe), Eye problems, Severe leg pain
, ◉What is the priority assessment for a client with abnormal uterine
bleeding? Answer: Assess hemodynamic stability
◉What should be avoided in late pregnancy regarding NSAIDs?
Answer: Risk of ductus arteriosus closure
◉What is a common side effect of oral contraceptives? Answer:
Nausea and breast tenderness
◉What is the nursing action for a client with severe migraines with
aura? Answer: Stop oral contraceptives and notify provider
◉In which situation is a pelvic exam contraindicated? Answer:
Suspected placenta previa
◉Which symptom is most characteristic of endometriosis? Answer:
Severe dysmenorrhea and dyspareunia
◉Which statement indicates correct understanding of NSAID use for
menstrual pain? Answer: I'll take it with food.
◉Which symptom requires immediate provider notification in a
client taking oral contraceptives? Answer: Severe unilateral leg pain
WOMEN’S HEALTH FINAL PAPER 2026
EXAM Q&A STUDY GUIDE COMPLETE
SOLUTION
◉What is always considered abnormal during pregnancy? Answer:
Vaginal bleeding
◉What is the first action after rupture of membranes? Answer:
Check fetal heart rate (FHR) first
◉What indicates true labor? Answer: Regular contractions +
cervical dilation
◉What is the normal baseline fetal heart rate? Answer: 110-160
beats per minute
◉What should be done for variable decelerations in FHR? Answer:
Reposition the mother
,◉What is the first action for late decelerations in FHR? Answer: Left
side position + oxygen + stop oxytocin
◉What are the signs of postpartum hemorrhage? Answer:
Saturating a pad in 1 hour, pale clammy skin, tachycardia
◉What indicates endometritis after childbirth? Answer:
Temperature >100.4°F after 24 hours
◉What is the first-line treatment for primary dysmenorrhea?
Answer: NSAIDs such as ibuprofen
◉What is the priority action for a client with amenorrhea? Answer:
Obtain a pregnancy test
◉What are the red flags for abnormal uterine bleeding? Answer:
Heavy bleeding, passing large clots, bleeding between periods
◉What is the first action for a newborn with HR <100? Answer:
Positive pressure ventilation
◉What is the antidote for magnesium sulfate toxicity? Answer:
Calcium gluconate
,◉What should be monitored in infants of diabetic mothers?
Answer: Blood glucose levels
◉What is a sign of meconium fluid during labor? Answer:
Preparation for neonatal resuscitation
◉What is the contraindication for methylergonovine? Answer:
Hypertension
◉What should be done if a mother refuses vitamin K for her
newborn? Answer: Educate on bleeding risk
◉What is the nursing priority for heavy menstrual bleeding?
Answer: Assess hemodynamic status
◉What is the expected finding in a newborn during the first 24
hours? Answer: Acrocyanosis
◉What is the first-line management for endometriosis? Answer:
NSAIDs and hormonal therapy
◉What are the serious complications associated with oral
contraceptives? Answer: ACHES: Abdominal pain, Chest pain,
Headache (severe), Eye problems, Severe leg pain
, ◉What is the priority assessment for a client with abnormal uterine
bleeding? Answer: Assess hemodynamic stability
◉What should be avoided in late pregnancy regarding NSAIDs?
Answer: Risk of ductus arteriosus closure
◉What is a common side effect of oral contraceptives? Answer:
Nausea and breast tenderness
◉What is the nursing action for a client with severe migraines with
aura? Answer: Stop oral contraceptives and notify provider
◉In which situation is a pelvic exam contraindicated? Answer:
Suspected placenta previa
◉Which symptom is most characteristic of endometriosis? Answer:
Severe dysmenorrhea and dyspareunia
◉Which statement indicates correct understanding of NSAID use for
menstrual pain? Answer: I'll take it with food.
◉Which symptom requires immediate provider notification in a
client taking oral contraceptives? Answer: Severe unilateral leg pain
