NUR 206 MATERNAL &
NEWBORN NURSING –
COMPREHENSIVE EXAM (2026
UPDATE) QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Antepartum (Physiologic & Psychologic Changes)
1. A client at 10 weeks gestation reports nausea, breast tenderness, and fatigue.
Which hormone is primarily responsible for these early pregnancy symptoms?
a) Estrogen
b) Progesterone
c) Human chorionic gonadotropin (hCG)
d) Relaxin
Rationale: hCG peaks at 8-10 weeks and is linked to nausea/vomiting, while
progesterone relaxes smooth muscle.
2. During a routine prenatal visit at 24 weeks, the nurse measures the fundal height
at 22 cm. What is the priority action?
a) Document as normal
b) Notify the provider for possible intrauterine growth restriction
c) Schedule a glucose tolerance test
d) Instruct the client to increase caloric intake
Rationale: Fundal height in cm should equal weeks gestation ±2 cm. 22 cm at 24
weeks is below normal, suggesting IUGR or oligohydramnios.
, 3. A pregnant client asks about safe exercise. Which statement indicates correct
understanding?
a) "I can continue high-impact aerobics as before pregnancy."
b) "I should avoid lying flat on my back after the first trimester."
c) "Weight lifting is not allowed during pregnancy."
d) "I need to keep my heart rate above 150 during exercise."
Rationale: Supine position can cause supine hypotensive syndrome after 20 weeks
due to uterine compression of vena cava.
4. Which immunizations are recommended routinely during pregnancy? (Select all
that apply)
a) Influenza (inactivated)
b) Tdap (Tetanus, diphtheria, acellular pertussis)
c) MMR (Measles, mumps, rubella)
d) Varicella
e) HPV
Correct: A, B. Rationale: Inactivated flu vaccine and Tdap (27-36 weeks) are safe in
pregnancy. Live vaccines (MMR, varicella, HPV) are contraindicated.
5. A client with gestational diabetes at 32 weeks is NPO for a scheduled cesarean.
Her blood glucose is 65 mg/dL. What should the nurse do first?
a) Administer IV insulin bolus
b) Provide IV dextrose 5%
c) Give oral orange juice
d) Recheck glucose in 15 minutes
Rationale: Hypoglycemia in a NPO pregnant client requires immediate IV dextrose
to prevent maternal/fetal compromise. Oral is not allowed.
Section 2: Intrapartum (Labor & Delivery)
6. A nurse assesses a laboring client with contractions every 3 minutes, lasting 60
seconds, strong intensity. Cervical exam: 6 cm, 90% effaced, 0 station. Which phase of
labor is this?
a) Latent phase
b) Active phase
c) Transition phase
d) Second stage
Rationale: Active phase = 4-7 cm with strong contractions q2-3 min. Transition is 8-
10 cm.
NEWBORN NURSING –
COMPREHENSIVE EXAM (2026
UPDATE) QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Antepartum (Physiologic & Psychologic Changes)
1. A client at 10 weeks gestation reports nausea, breast tenderness, and fatigue.
Which hormone is primarily responsible for these early pregnancy symptoms?
a) Estrogen
b) Progesterone
c) Human chorionic gonadotropin (hCG)
d) Relaxin
Rationale: hCG peaks at 8-10 weeks and is linked to nausea/vomiting, while
progesterone relaxes smooth muscle.
2. During a routine prenatal visit at 24 weeks, the nurse measures the fundal height
at 22 cm. What is the priority action?
a) Document as normal
b) Notify the provider for possible intrauterine growth restriction
c) Schedule a glucose tolerance test
d) Instruct the client to increase caloric intake
Rationale: Fundal height in cm should equal weeks gestation ±2 cm. 22 cm at 24
weeks is below normal, suggesting IUGR or oligohydramnios.
, 3. A pregnant client asks about safe exercise. Which statement indicates correct
understanding?
a) "I can continue high-impact aerobics as before pregnancy."
b) "I should avoid lying flat on my back after the first trimester."
c) "Weight lifting is not allowed during pregnancy."
d) "I need to keep my heart rate above 150 during exercise."
Rationale: Supine position can cause supine hypotensive syndrome after 20 weeks
due to uterine compression of vena cava.
4. Which immunizations are recommended routinely during pregnancy? (Select all
that apply)
a) Influenza (inactivated)
b) Tdap (Tetanus, diphtheria, acellular pertussis)
c) MMR (Measles, mumps, rubella)
d) Varicella
e) HPV
Correct: A, B. Rationale: Inactivated flu vaccine and Tdap (27-36 weeks) are safe in
pregnancy. Live vaccines (MMR, varicella, HPV) are contraindicated.
5. A client with gestational diabetes at 32 weeks is NPO for a scheduled cesarean.
Her blood glucose is 65 mg/dL. What should the nurse do first?
a) Administer IV insulin bolus
b) Provide IV dextrose 5%
c) Give oral orange juice
d) Recheck glucose in 15 minutes
Rationale: Hypoglycemia in a NPO pregnant client requires immediate IV dextrose
to prevent maternal/fetal compromise. Oral is not allowed.
Section 2: Intrapartum (Labor & Delivery)
6. A nurse assesses a laboring client with contractions every 3 minutes, lasting 60
seconds, strong intensity. Cervical exam: 6 cm, 90% effaced, 0 station. Which phase of
labor is this?
a) Latent phase
b) Active phase
c) Transition phase
d) Second stage
Rationale: Active phase = 4-7 cm with strong contractions q2-3 min. Transition is 8-
10 cm.
