Please write clearly in block capitals.
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A+/level
PN 3003 – Maternity and Pediatrics Exam: A+ Graded End Term Exam
with Verified Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
IB/G/Jun21/E8
,8. Which nursing intervention would the nurse perform during the fourth stage of labour?
A. Administer pain medication and monitor vital signs.
B. Assess uterine contractions every 30 minutes.
C. Coach for effective maternal pushing.
D. Promote parent-newborn interactions - ✔✔A. Administer pain medication and monitor vital signs.
9. Isabelle tells the nurse, "This is the fourth time I have been pregnant. I had an abortion when I was a teenager and
then delivered a baby girl when I was 20. Last year, I had a miscarriage when I was 8 weeks pregnant." How would the
nurse record Isabelle's pregnancy status?
A. G.3, P.1, A.1
B. G.3, P.0, A.2
C. G.4, P.1, A.2
D. G.4, P.1, A.1 - ✔✔B. G.3, P.0, A.2
10. A woman's pregnancy weight is average for her height. The nurse would advise the woman that her recommended
weight gain during pregnancy would be pounds.
A. 10 to 20
B. 15 to 25
C. 25 to 35
D. 28 to 40 - ✔✔A. 10 to 20
11. A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse
should include what information?
A. Exercise lowers the mother's temperature and hinders fetal circulation
B. Exercise decreases catecholamines, which can encourage preterm labour
C. A regular schedule of moderate exercise during pregnancy is beneficial
, D. Pregnant women should increase water intake during exercise - ✔✔D. Pregnant women should increase water intake
during exercise
12. The nurse assesses a pregnant woman for pregnancy-induced hypertension. The first sign of fluid retention
suggestive of this complication is:
A. Abdominal enlargement
B. Hand numbness
C. Sudden weight gain
D. Swelling of the feet and ankles - ✔✔D. Swelling of the feet and ankles
Case Study # 4
Questions 13-17 refer to this study
Andrea is a 20-year-old multipara who is on the late discharge program.
13. The nurse advises Andrea that her colostrum is the first nutrient the newborn will receive. Why is colostrum very
important to the newborn?
A. It contains large amounts of fat needed to help the newborn gain weight
B. It contains high levels of antibodies for the newborn's protection
C. It contains hormones that will help the mother's uterus return to normal
D. It contains laxatives to remove bacteria from the newborn's G.I. system - ✔✔C. It contains hormones that will help
the mother's uterus return to normal
14. Andrea is discharged 24 hours after the delivery of her first child. She will be followed by the community care nurses
at home. For her safety, the LPN must ensure that Andrea is aware of how to monitor for various signs and symptoms
before the community nurses visit. Andrea is directed to contact her care provider immediately about all of the
following signs and symptoms except which one?
A. Fever above 38' C
B. Foul-smelling vaginal discharge
C. Leaking of yellowish fluid from her breasts
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A+/level
PN 3003 – Maternity and Pediatrics Exam: A+ Graded End Term Exam
with Verified Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
IB/G/Jun21/E8
,8. Which nursing intervention would the nurse perform during the fourth stage of labour?
A. Administer pain medication and monitor vital signs.
B. Assess uterine contractions every 30 minutes.
C. Coach for effective maternal pushing.
D. Promote parent-newborn interactions - ✔✔A. Administer pain medication and monitor vital signs.
9. Isabelle tells the nurse, "This is the fourth time I have been pregnant. I had an abortion when I was a teenager and
then delivered a baby girl when I was 20. Last year, I had a miscarriage when I was 8 weeks pregnant." How would the
nurse record Isabelle's pregnancy status?
A. G.3, P.1, A.1
B. G.3, P.0, A.2
C. G.4, P.1, A.2
D. G.4, P.1, A.1 - ✔✔B. G.3, P.0, A.2
10. A woman's pregnancy weight is average for her height. The nurse would advise the woman that her recommended
weight gain during pregnancy would be pounds.
A. 10 to 20
B. 15 to 25
C. 25 to 35
D. 28 to 40 - ✔✔A. 10 to 20
11. A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse
should include what information?
A. Exercise lowers the mother's temperature and hinders fetal circulation
B. Exercise decreases catecholamines, which can encourage preterm labour
C. A regular schedule of moderate exercise during pregnancy is beneficial
, D. Pregnant women should increase water intake during exercise - ✔✔D. Pregnant women should increase water intake
during exercise
12. The nurse assesses a pregnant woman for pregnancy-induced hypertension. The first sign of fluid retention
suggestive of this complication is:
A. Abdominal enlargement
B. Hand numbness
C. Sudden weight gain
D. Swelling of the feet and ankles - ✔✔D. Swelling of the feet and ankles
Case Study # 4
Questions 13-17 refer to this study
Andrea is a 20-year-old multipara who is on the late discharge program.
13. The nurse advises Andrea that her colostrum is the first nutrient the newborn will receive. Why is colostrum very
important to the newborn?
A. It contains large amounts of fat needed to help the newborn gain weight
B. It contains high levels of antibodies for the newborn's protection
C. It contains hormones that will help the mother's uterus return to normal
D. It contains laxatives to remove bacteria from the newborn's G.I. system - ✔✔C. It contains hormones that will help
the mother's uterus return to normal
14. Andrea is discharged 24 hours after the delivery of her first child. She will be followed by the community care nurses
at home. For her safety, the LPN must ensure that Andrea is aware of how to monitor for various signs and symptoms
before the community nurses visit. Andrea is directed to contact her care provider immediately about all of the
following signs and symptoms except which one?
A. Fever above 38' C
B. Foul-smelling vaginal discharge
C. Leaking of yellowish fluid from her breasts
