NUR 418 Exam 1 – Nursing Care of the
Childbearing Family – Verified Questions and
Answers with Detailed Explanations
Question 1
A nurse is teaching a client who is 10 weeks pregnant about nutrition. Which statement by the
client indicates understanding of the teaching?
A. "I should avoid taking folic acid during pregnancy."
B. "I need to increase my protein intake each day."
C. "I should limit all dairy products."
D. "I do not need extra calories during pregnancy."
Correct Answer
✅ B. I need to increase my protein intake each day.
Solution
Protein supports fetal growth, placental development, and maternal tissue expansion.
Rationales
✅
● A. Incorrect. Folic acid helps prevent neural tube defects.
● B. Correct. Pregnant women require additional protein.
● C. Incorrect. Dairy provides calcium and vitamin D.
● D. Incorrect. Extra calories are needed, particularly during the second and third
trimesters.
,Question 2
A pregnant client reports nausea every morning. Which nursing intervention is most
appropriate?
A. Eat several small meals throughout the day.
B. Skip breakfast.
C. Drink large amounts of fluids with meals.
D. Eat spicy foods.
Correct Answer
✅ A. Eat several small meals throughout the day.
Solution
Small, frequent meals help reduce nausea associated with early pregnancy.
Rationales
● A.✅ Correct.
● B. Incorrect. An empty stomach can worsen nausea.
● C. Incorrect. Fluids between meals are preferred.
● D. Incorrect. Spicy foods may aggravate nausea.
Question 3
A nurse is assessing a client in labor. Which finding indicates the client is entering the second
stage of labor?
A. Cervix dilated 4 cm
B. Cervix fully dilated to 10 cm
C. Placenta is delivered
D. Mild uterine contractions every 20 minutes
Correct Answer
,✅ B. Cervix fully dilated to 10 cm
Solution
The second stage begins with complete cervical dilation and ends with birth of the baby.
Rationales
✅
● A. Incorrect. First stage.
● B. Correct.
● C. Incorrect. Third stage.
● D. Incorrect. Early labor.
Question 4
Immediately after delivery, the nurse's priority assessment of the newborn is:
A. Weight
B. APGAR score
C. Head circumference
D. Length
Correct Answer
✅ B. APGAR score
Solution
The APGAR score assesses the newborn's transition to extrauterine life at 1 and 5 minutes.
Rationales
✅
● A. Incorrect. Done after stabilization.
● B. Correct.
● C. Incorrect.
● D. Incorrect.
Question 5
, Which assessment finding is most concerning in a postpartum client?
A. Firm uterus
B. Moderate lochia rubra
C. Saturating one perineal pad in 15 minutes
D. Mild uterine cramping
Correct Answer
✅ C. Saturating one perineal pad in 15 minutes
Solution
This finding suggests postpartum hemorrhage requiring immediate intervention.
Rationales
● A. Incorrect. Expected.
✅
● B. Incorrect. Normal.
● C. Correct.
● D. Incorrect. Expected.
Question 6
Which hormone is primarily responsible for maintaining pregnancy during the first trimester?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Estrogen
Correct Answer
✅ B. Progesterone
Solution
Progesterone maintains the uterine lining and suppresses contractions.
Childbearing Family – Verified Questions and
Answers with Detailed Explanations
Question 1
A nurse is teaching a client who is 10 weeks pregnant about nutrition. Which statement by the
client indicates understanding of the teaching?
A. "I should avoid taking folic acid during pregnancy."
B. "I need to increase my protein intake each day."
C. "I should limit all dairy products."
D. "I do not need extra calories during pregnancy."
Correct Answer
✅ B. I need to increase my protein intake each day.
Solution
Protein supports fetal growth, placental development, and maternal tissue expansion.
Rationales
✅
● A. Incorrect. Folic acid helps prevent neural tube defects.
● B. Correct. Pregnant women require additional protein.
● C. Incorrect. Dairy provides calcium and vitamin D.
● D. Incorrect. Extra calories are needed, particularly during the second and third
trimesters.
,Question 2
A pregnant client reports nausea every morning. Which nursing intervention is most
appropriate?
A. Eat several small meals throughout the day.
B. Skip breakfast.
C. Drink large amounts of fluids with meals.
D. Eat spicy foods.
Correct Answer
✅ A. Eat several small meals throughout the day.
Solution
Small, frequent meals help reduce nausea associated with early pregnancy.
Rationales
● A.✅ Correct.
● B. Incorrect. An empty stomach can worsen nausea.
● C. Incorrect. Fluids between meals are preferred.
● D. Incorrect. Spicy foods may aggravate nausea.
Question 3
A nurse is assessing a client in labor. Which finding indicates the client is entering the second
stage of labor?
A. Cervix dilated 4 cm
B. Cervix fully dilated to 10 cm
C. Placenta is delivered
D. Mild uterine contractions every 20 minutes
Correct Answer
,✅ B. Cervix fully dilated to 10 cm
Solution
The second stage begins with complete cervical dilation and ends with birth of the baby.
Rationales
✅
● A. Incorrect. First stage.
● B. Correct.
● C. Incorrect. Third stage.
● D. Incorrect. Early labor.
Question 4
Immediately after delivery, the nurse's priority assessment of the newborn is:
A. Weight
B. APGAR score
C. Head circumference
D. Length
Correct Answer
✅ B. APGAR score
Solution
The APGAR score assesses the newborn's transition to extrauterine life at 1 and 5 minutes.
Rationales
✅
● A. Incorrect. Done after stabilization.
● B. Correct.
● C. Incorrect.
● D. Incorrect.
Question 5
, Which assessment finding is most concerning in a postpartum client?
A. Firm uterus
B. Moderate lochia rubra
C. Saturating one perineal pad in 15 minutes
D. Mild uterine cramping
Correct Answer
✅ C. Saturating one perineal pad in 15 minutes
Solution
This finding suggests postpartum hemorrhage requiring immediate intervention.
Rationales
● A. Incorrect. Expected.
✅
● B. Incorrect. Normal.
● C. Correct.
● D. Incorrect. Expected.
Question 6
Which hormone is primarily responsible for maintaining pregnancy during the first trimester?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Estrogen
Correct Answer
✅ B. Progesterone
Solution
Progesterone maintains the uterine lining and suppresses contractions.
