NSG 140 MATERNAL-NEWBORN NURSING EXAM 1 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Antepartum Nursing Care and Fetal Development
Intrapartum Nursing Care and Labor Process
Postpartum Nursing Care and Adaptations
Newborn Assessment and Transitional Period
Maternal Nutrition and Health Promotion
High-Risk Pregnancy Complications
Legal, Ethical, and Cultural Considerations
Pharmacology in Maternal-Newborn Nursing
Breastfeeding and Newborn Feeding Methods
Family Dynamics and Psychosocial Support
Introduction
*This comprehensive examination is designed to assess foundational knowledge and clinical judgment in
maternal-newborn nursing. It evaluates the student’s ability to apply theoretical concepts, recognize normal and
abnormal findings, and prioritize safe, evidence-based care during the antepartum, intrapartum, postpartum,
and neonatal periods. Questions range from basic recall of developmental milestones to complex clinical
scenarios requiring critical thinking, ethical reasoning, and regulatory awareness. Each item includes a verified
,correct answer and a detailed rationale. The 200 multiple-choice questions are divided into two sections,
emphasizing real-world decision-making and professional standards essential for success on NSG 140 Exam 1.*
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is teaching a primigravida client about expected body changes in the first trimester. Which statement
indicates correct understanding?
A. “I should expect my uterus to remain at the same size until the second trimester.”
B. “Increased urination is common because of hormonal changes and uterine pressure.”
C. “My blood pressure will rise significantly to support the growing baby.”
D. “Heartburn is unlikely during the first three months of pregnancy.”
🟢 B. Increased urination is common because of hormonal changes and uterine pressure.
🔴 RATIONALE: Increased urinary frequency in the first trimester results from elevated progesterone and
human chorionic gonadotropin (hCG), plus pressure of the enlarging uterus on the bladder. Option A is
incorrect because the uterus enlarges throughout pregnancy. Option C is incorrect because blood pressure
typically decreases slightly in the first trimester. Option D is incorrect because heartburn may occur due to
hormonal relaxation of the lower esophageal sphincter.
Question 2
,A nurse is assessing a client at 36 weeks gestation. Which finding requires immediate notification of the
healthcare provider?
A. Mild ankle edema after standing for 4 hours
B. Braxton Hicks contractions every 20 minutes
C. A persistent headache with blurred vision
D. Occasional difficulty sleeping due to fetal movement
🟢 C. A persistent headache with blurred vision
🔴 RATIONALE: Persistent headache with blurred vision at 36 weeks may indicate preeclampsia, a hypertensive
disorder requiring immediate evaluation. Mild edema (A) is common in late pregnancy. Braxton Hicks
contractions (B) are irregular and normal. Difficulty sleeping (D) is typical near term.
Question 3
A nurse is reviewing prenatal laboratory results. Which Rubella titer result indicates that the client is not immune
and should receive vaccination postpartum?
A. 1:8
B. 1:10
C. 1:12
D. 1:15
🟢 A. 1:8
🔴 RATIONALE: Rubella immunity is typically defined as a titer of 1:10 or greater. A titer of 1:8 indicates non-
immunity. The client should be vaccinated postpartum before discharge because Rubella vaccine is
, contraindicated during pregnancy.
Question 4
A nurse is caring for a client in active labor. The fetal heart rate baseline is 140 bpm with moderate variability
and no decelerations. Which action should the nurse take?
A. Apply oxygen via face mask at 10 L/min
B. Reposition the client to left lateral
C. Document the findings as reassuring
D. Notify the provider immediately
🟢 C. Document the findings as reassuring
🔴 RATIONALE: A baseline of 140 bpm, moderate variability (6-25 bpm), and absence of decelerations indicates
a well-oxygenated fetus. No intervention is needed; documentation of reassuring status is appropriate.
Question 5
A nurse is providing discharge teaching to a postpartum client who is Rh-negative and delivered an Rh-positive
newborn. Which statement indicates understanding of Rho(D) immune globulin?
A. “I will receive this vaccine during my next pregnancy only.”
B. “This injection prevents me from becoming anemic after birth.”
C. “The medication stops my body from making antibodies against future Rh-positive babies.”
D. “One dose protects me for the rest of my childbearing years.”
🟢 C. The medication stops my body from making antibodies against future Rh-positive babies.
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Antepartum Nursing Care and Fetal Development
Intrapartum Nursing Care and Labor Process
Postpartum Nursing Care and Adaptations
Newborn Assessment and Transitional Period
Maternal Nutrition and Health Promotion
High-Risk Pregnancy Complications
Legal, Ethical, and Cultural Considerations
Pharmacology in Maternal-Newborn Nursing
Breastfeeding and Newborn Feeding Methods
Family Dynamics and Psychosocial Support
Introduction
*This comprehensive examination is designed to assess foundational knowledge and clinical judgment in
maternal-newborn nursing. It evaluates the student’s ability to apply theoretical concepts, recognize normal and
abnormal findings, and prioritize safe, evidence-based care during the antepartum, intrapartum, postpartum,
and neonatal periods. Questions range from basic recall of developmental milestones to complex clinical
scenarios requiring critical thinking, ethical reasoning, and regulatory awareness. Each item includes a verified
,correct answer and a detailed rationale. The 200 multiple-choice questions are divided into two sections,
emphasizing real-world decision-making and professional standards essential for success on NSG 140 Exam 1.*
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is teaching a primigravida client about expected body changes in the first trimester. Which statement
indicates correct understanding?
A. “I should expect my uterus to remain at the same size until the second trimester.”
B. “Increased urination is common because of hormonal changes and uterine pressure.”
C. “My blood pressure will rise significantly to support the growing baby.”
D. “Heartburn is unlikely during the first three months of pregnancy.”
🟢 B. Increased urination is common because of hormonal changes and uterine pressure.
🔴 RATIONALE: Increased urinary frequency in the first trimester results from elevated progesterone and
human chorionic gonadotropin (hCG), plus pressure of the enlarging uterus on the bladder. Option A is
incorrect because the uterus enlarges throughout pregnancy. Option C is incorrect because blood pressure
typically decreases slightly in the first trimester. Option D is incorrect because heartburn may occur due to
hormonal relaxation of the lower esophageal sphincter.
Question 2
,A nurse is assessing a client at 36 weeks gestation. Which finding requires immediate notification of the
healthcare provider?
A. Mild ankle edema after standing for 4 hours
B. Braxton Hicks contractions every 20 minutes
C. A persistent headache with blurred vision
D. Occasional difficulty sleeping due to fetal movement
🟢 C. A persistent headache with blurred vision
🔴 RATIONALE: Persistent headache with blurred vision at 36 weeks may indicate preeclampsia, a hypertensive
disorder requiring immediate evaluation. Mild edema (A) is common in late pregnancy. Braxton Hicks
contractions (B) are irregular and normal. Difficulty sleeping (D) is typical near term.
Question 3
A nurse is reviewing prenatal laboratory results. Which Rubella titer result indicates that the client is not immune
and should receive vaccination postpartum?
A. 1:8
B. 1:10
C. 1:12
D. 1:15
🟢 A. 1:8
🔴 RATIONALE: Rubella immunity is typically defined as a titer of 1:10 or greater. A titer of 1:8 indicates non-
immunity. The client should be vaccinated postpartum before discharge because Rubella vaccine is
, contraindicated during pregnancy.
Question 4
A nurse is caring for a client in active labor. The fetal heart rate baseline is 140 bpm with moderate variability
and no decelerations. Which action should the nurse take?
A. Apply oxygen via face mask at 10 L/min
B. Reposition the client to left lateral
C. Document the findings as reassuring
D. Notify the provider immediately
🟢 C. Document the findings as reassuring
🔴 RATIONALE: A baseline of 140 bpm, moderate variability (6-25 bpm), and absence of decelerations indicates
a well-oxygenated fetus. No intervention is needed; documentation of reassuring status is appropriate.
Question 5
A nurse is providing discharge teaching to a postpartum client who is Rh-negative and delivered an Rh-positive
newborn. Which statement indicates understanding of Rho(D) immune globulin?
A. “I will receive this vaccine during my next pregnancy only.”
B. “This injection prevents me from becoming anemic after birth.”
C. “The medication stops my body from making antibodies against future Rh-positive babies.”
D. “One dose protects me for the rest of my childbearing years.”
🟢 C. The medication stops my body from making antibodies against future Rh-positive babies.
