NUR 254 Maternal & Child Nursing Comprehensive
Exam Bundle | 190+ Questions, Step-by-Step
Rationales, Case-Based Learning, and A+ Graded
Study Resource (Latest 2025/2026 Update)
Maternal Health (Questions 1–95)
1. A nurse is assessing a client at 34 weeks gestation. Which finding
requires immediate intervention?
A) Blood pressure 140/90 mmHg
B) Mild ankle edema
C) Fetal heart rate 150 bpm
D) Urine protein 2+
Correct Answer: D
Rationale: Proteinuria (2+) with elevated BP suggests preeclampsia.
Mild edema and normal FHR are common. BP 140/90 is borderline
but proteinuria is more concerning.
2. A pregnant client reports “quickening.” What does this indicate?
A) First fetal movements felt by mother
B) Braxton Hicks contractions
C) Lightening
D) Rupture of membranes
, Correct Answer: A
Rationale: Quickening is the mother’s perception of fetal movement,
usually at 18–20 weeks.
3. A nurse is teaching a G1P0 about signs of true labor. Which is a
sign?
A) Contractions decrease with walking
B) Irregular contractions
C) Cervical dilation and effacement
D) Bloody show only
Correct Answer: C
Rationale: True labor causes progressive cervical change. False
labor contractions are irregular and often relieve with activity.
4. Leopold maneuvers are performed to:
A) Determine fetal position and presentation
B) Assess cervical dilation
C) Auscultate fetal heart tones
D) Measure fundal height
Correct Answer: A
Rationale: Leopold maneuvers palpate the fetus to identify lie,
presentation, and position.
5. A patient with gestational diabetes at 38 weeks has an amniotic
fluid index (AFI) of 4 cm. What is the priority?
A) Encourage oral hydration
B) Prepare for induction
Exam Bundle | 190+ Questions, Step-by-Step
Rationales, Case-Based Learning, and A+ Graded
Study Resource (Latest 2025/2026 Update)
Maternal Health (Questions 1–95)
1. A nurse is assessing a client at 34 weeks gestation. Which finding
requires immediate intervention?
A) Blood pressure 140/90 mmHg
B) Mild ankle edema
C) Fetal heart rate 150 bpm
D) Urine protein 2+
Correct Answer: D
Rationale: Proteinuria (2+) with elevated BP suggests preeclampsia.
Mild edema and normal FHR are common. BP 140/90 is borderline
but proteinuria is more concerning.
2. A pregnant client reports “quickening.” What does this indicate?
A) First fetal movements felt by mother
B) Braxton Hicks contractions
C) Lightening
D) Rupture of membranes
, Correct Answer: A
Rationale: Quickening is the mother’s perception of fetal movement,
usually at 18–20 weeks.
3. A nurse is teaching a G1P0 about signs of true labor. Which is a
sign?
A) Contractions decrease with walking
B) Irregular contractions
C) Cervical dilation and effacement
D) Bloody show only
Correct Answer: C
Rationale: True labor causes progressive cervical change. False
labor contractions are irregular and often relieve with activity.
4. Leopold maneuvers are performed to:
A) Determine fetal position and presentation
B) Assess cervical dilation
C) Auscultate fetal heart tones
D) Measure fundal height
Correct Answer: A
Rationale: Leopold maneuvers palpate the fetus to identify lie,
presentation, and position.
5. A patient with gestational diabetes at 38 weeks has an amniotic
fluid index (AFI) of 4 cm. What is the priority?
A) Encourage oral hydration
B) Prepare for induction
