NR-327 Maternal-Child Nursing — Certification
Exam Newest 2025-2026 Update Practice
Questions Fast Reviewed From Actual Exams
170 Questions And 100% Verified Answers
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1. A pregnant client at 30 weeks’ gestation reports sudden swelling of the face
and hands, severe headache, and visual disturbances. Which condition is
most likely?
A. Gestational diabetes mellitus
B. Preeclampsia
C. Placenta previa
D. Iron-deficiency anemia
Answer: B. Preeclampsia ✔
Rationale: Key signs of preeclampsia include hypertension-related
symptoms such as edema, headache, and visual changes, indicating
vascular endothelial dysfunction.
2. Which finding is most concerning in a client at 36 weeks gestation?
A. Mild ankle edema
B. Fundal height at 36 cm
C. Blood pressure 160/110 mmHg
D. Braxton Hicks contractions
Answer: C. Blood pressure 160/110 mmHg ✔
, Rationale: Severe hypertension indicates risk of eclampsia and stroke,
requiring immediate intervention.
3. A newborn has an Apgar score of 6 at 1 minute. The nurse should:
A. Begin resuscitation measures
B. Continue routine care
C. Document and reassess at 5 minutes
D. Administer oxygen immediately
Answer: C. Document and reassess at 5 minutes ✔
Rationale: An Apgar of 6 is moderately depressed, requiring reassessment
rather than immediate intervention unless deterioration occurs.
4. Which hormone maintains pregnancy during the first trimester?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B. Progesterone ✔
Rationale: Progesterone maintains the uterine lining and prevents
contractions during early pregnancy.
5. A client in labor is 6 cm dilated and reports increased pressure. This stage is:
A. Latent phase
B. Active phase
C. Transition phase
D. Second stage
Answer: B. Active phase ✔
Rationale: The active phase (4–7 cm dilation) involves stronger, more
regular contractions.
,6. Which finding indicates magnesium sulfate toxicity?
A. Hyperactive reflexes
B. Respiratory rate 10/min
C. Increased urine output
D. Tachycardia
Answer: B. Respiratory rate 10/min ✔
Rationale: Respiratory depression (<12/min) is a critical sign of magnesium
sulfate toxicity.
7. A newborn’s normal heart rate range is:
A. 60–80 bpm
B. 80–100 bpm
C. 110–160 bpm
D. 160–200 bpm
Answer: C. 110–160 bpm ✔
Rationale: Normal newborn heart rate is 110–160 bpm at rest.
8. Which complication is associated with placenta previa?
A. Painless vaginal bleeding
B. Severe abdominal pain
C. Hypertension
D. Proteinuria
Answer: A. Painless vaginal bleeding ✔
Rationale: Placenta previa presents with painless bright red bleeding in
the third trimester.
9. A postpartum client reports heavy lochia rubra with clots. The nurse should
first:
, A. Document findings
B. Increase oral fluids
C. Assess fundal firmness
D. Encourage ambulation
Answer: C. Assess fundal firmness ✔
Rationale: A boggy uterus suggests uterine atony, a leading cause of
postpartum hemorrhage.
10.The best position for a pregnant client with hypotension is:
A. Supine
B. Trendelenburg
C. Left lateral
D. High Fowler’s
Answer: C. Left lateral ✔
Rationale: The left lateral position improves uteroplacental blood flow and
reduces vena cava compression.
11.Which lab result indicates gestational diabetes?
A. Low fasting glucose
B. Elevated oral glucose tolerance test
C. Decreased hemoglobin
D. Low platelet count
Answer: B. Elevated oral glucose tolerance test ✔
Rationale: Abnormal OGTT confirms gestational diabetes mellitus.
12.A newborn with jaundice is most likely to receive:
A. Phototherapy
B. Antibiotics
C. Steroids
D. Insulin
Exam Newest 2025-2026 Update Practice
Questions Fast Reviewed From Actual Exams
170 Questions And 100% Verified Answers
With Convenient Explanations Grade A+ Q&A |
Instant Download Pdf
1. A pregnant client at 30 weeks’ gestation reports sudden swelling of the face
and hands, severe headache, and visual disturbances. Which condition is
most likely?
A. Gestational diabetes mellitus
B. Preeclampsia
C. Placenta previa
D. Iron-deficiency anemia
Answer: B. Preeclampsia ✔
Rationale: Key signs of preeclampsia include hypertension-related
symptoms such as edema, headache, and visual changes, indicating
vascular endothelial dysfunction.
2. Which finding is most concerning in a client at 36 weeks gestation?
A. Mild ankle edema
B. Fundal height at 36 cm
C. Blood pressure 160/110 mmHg
D. Braxton Hicks contractions
Answer: C. Blood pressure 160/110 mmHg ✔
, Rationale: Severe hypertension indicates risk of eclampsia and stroke,
requiring immediate intervention.
3. A newborn has an Apgar score of 6 at 1 minute. The nurse should:
A. Begin resuscitation measures
B. Continue routine care
C. Document and reassess at 5 minutes
D. Administer oxygen immediately
Answer: C. Document and reassess at 5 minutes ✔
Rationale: An Apgar of 6 is moderately depressed, requiring reassessment
rather than immediate intervention unless deterioration occurs.
4. Which hormone maintains pregnancy during the first trimester?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B. Progesterone ✔
Rationale: Progesterone maintains the uterine lining and prevents
contractions during early pregnancy.
5. A client in labor is 6 cm dilated and reports increased pressure. This stage is:
A. Latent phase
B. Active phase
C. Transition phase
D. Second stage
Answer: B. Active phase ✔
Rationale: The active phase (4–7 cm dilation) involves stronger, more
regular contractions.
,6. Which finding indicates magnesium sulfate toxicity?
A. Hyperactive reflexes
B. Respiratory rate 10/min
C. Increased urine output
D. Tachycardia
Answer: B. Respiratory rate 10/min ✔
Rationale: Respiratory depression (<12/min) is a critical sign of magnesium
sulfate toxicity.
7. A newborn’s normal heart rate range is:
A. 60–80 bpm
B. 80–100 bpm
C. 110–160 bpm
D. 160–200 bpm
Answer: C. 110–160 bpm ✔
Rationale: Normal newborn heart rate is 110–160 bpm at rest.
8. Which complication is associated with placenta previa?
A. Painless vaginal bleeding
B. Severe abdominal pain
C. Hypertension
D. Proteinuria
Answer: A. Painless vaginal bleeding ✔
Rationale: Placenta previa presents with painless bright red bleeding in
the third trimester.
9. A postpartum client reports heavy lochia rubra with clots. The nurse should
first:
, A. Document findings
B. Increase oral fluids
C. Assess fundal firmness
D. Encourage ambulation
Answer: C. Assess fundal firmness ✔
Rationale: A boggy uterus suggests uterine atony, a leading cause of
postpartum hemorrhage.
10.The best position for a pregnant client with hypotension is:
A. Supine
B. Trendelenburg
C. Left lateral
D. High Fowler’s
Answer: C. Left lateral ✔
Rationale: The left lateral position improves uteroplacental blood flow and
reduces vena cava compression.
11.Which lab result indicates gestational diabetes?
A. Low fasting glucose
B. Elevated oral glucose tolerance test
C. Decreased hemoglobin
D. Low platelet count
Answer: B. Elevated oral glucose tolerance test ✔
Rationale: Abnormal OGTT confirms gestational diabetes mellitus.
12.A newborn with jaundice is most likely to receive:
A. Phototherapy
B. Antibiotics
C. Steroids
D. Insulin
