RN Maternal Newborn Online Practice A & B Actual
2026/2027 with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 70
Recommended Time: 105 Minutes
Passing Threshold: 80%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Clinical Decision-Making Questions
Difficulty Level: Comprehensive
==============================
SECTION 1: Antepartum Care and Prenatal Assessment
Question 1
A 28-year-old primigravida at 8 weeks gestation asks about prenatal vitamin
supplementation. The nurse emphasizes the importance of folic acid.
A. 200 mcg daily to prevent macrosomia
B. 400 mcg daily to reduce neural tube defects
C. 800 mcg daily only if she has a history of neural tube defects
D. 1 mg daily is the standard for all pregnant women
Correct Answer: B
,Rationale: The Centers for Disease Control and Prevention and ACOG recommend 400
mcg of folic acid daily for all women of reproductive age beginning at least one month
before conception and continuing through the first trimester to reduce neural tube
defect risk. Higher doses are reserved for high-risk women with a prior affected
pregnancy.
Question 2
A pregnant patient asks when she should expect to feel fetal movement. At what
gestational age does quickening typically occur in a primigravida?
A. 12 to 14 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 32 to 34 weeks
Correct Answer: B
Rationale: Quickening, or the first perception of fetal movement, typically occurs
between 16 and 20 weeks gestation in primigravidas. Multigravidas may perceive
movement earlier, around 16 to 18 weeks, due to prior experience recognizing fetal
activity.
Question 3
,A patient at 28 weeks gestation asks about kick counts. The nurse provides instructions
based on standard recommendations.
A. Count fetal movements for 30 minutes and expect at least 10 movements
B. Count fetal movements for up to 2 hours and expect at least 10 movements
C. Count fetal movements for 12 hours and expect at least 30 movements
D. Count fetal movements for 1 hour and expect at least 20 movements
Correct Answer: B
Rationale: Fetal kick counting involves the patient counting fetal movements during a
period of fetal activity. Most women feel 10 movements within 2 hours. Fewer than 10
movements in 2 hours warrants further evaluation with a nonstress test or biophysical
profile.
Question 4
A 30-year-old Rh-negative woman at 28 weeks gestation has an antibody screen that is
negative. What is the appropriate nursing action?
A. Administer RhoGAM 300 mcg intramuscularly at 28 weeks
B. Administer RhoGAM only after delivery if the baby is Rh-positive
C. No RhoGAM is needed because the antibody screen is negative
D. Administer RhoGAM 50 mcg intravenously at 28 weeks
Correct Answer: A
, Rationale: Rh-negative women with a negative antibody screen should receive RhoGAM
300 mcg intramuscularly at approximately 28 weeks gestation to prevent
alloimmunization, and again within 72 hours after delivery if the infant is Rh-positive.
Option B is incorrect because antenatal dosing is required. Option C is incorrect
because the absence of antibodies indicates susceptibility, not protection. Option D is
incorrect because the dose and route are wrong.
Question 5
A pregnant patient at 35 weeks gestation is screened for Group B Streptococcus. The
culture is positive. What is the standard management?
A. Treat with oral penicillin for 10 days immediately
B. Administer intrapartum antibiotic prophylaxis with penicillin G during labor
C. Perform a Cesarean section to prevent vertical transmission
D. Administer ampicillin orally for the remainder of the pregnancy
Correct Answer: B
Rationale: Intrapartum antibiotic prophylaxis with penicillin G or ampicillin is
administered during labor to GBS-positive women to reduce vertical transmission. Oral
antibiotics during pregnancy are not recommended because colonization recurs.
Cesarean section is not indicated solely for GBS status.
2026/2027 with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 70
Recommended Time: 105 Minutes
Passing Threshold: 80%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Clinical Decision-Making Questions
Difficulty Level: Comprehensive
==============================
SECTION 1: Antepartum Care and Prenatal Assessment
Question 1
A 28-year-old primigravida at 8 weeks gestation asks about prenatal vitamin
supplementation. The nurse emphasizes the importance of folic acid.
A. 200 mcg daily to prevent macrosomia
B. 400 mcg daily to reduce neural tube defects
C. 800 mcg daily only if she has a history of neural tube defects
D. 1 mg daily is the standard for all pregnant women
Correct Answer: B
,Rationale: The Centers for Disease Control and Prevention and ACOG recommend 400
mcg of folic acid daily for all women of reproductive age beginning at least one month
before conception and continuing through the first trimester to reduce neural tube
defect risk. Higher doses are reserved for high-risk women with a prior affected
pregnancy.
Question 2
A pregnant patient asks when she should expect to feel fetal movement. At what
gestational age does quickening typically occur in a primigravida?
A. 12 to 14 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 32 to 34 weeks
Correct Answer: B
Rationale: Quickening, or the first perception of fetal movement, typically occurs
between 16 and 20 weeks gestation in primigravidas. Multigravidas may perceive
movement earlier, around 16 to 18 weeks, due to prior experience recognizing fetal
activity.
Question 3
,A patient at 28 weeks gestation asks about kick counts. The nurse provides instructions
based on standard recommendations.
A. Count fetal movements for 30 minutes and expect at least 10 movements
B. Count fetal movements for up to 2 hours and expect at least 10 movements
C. Count fetal movements for 12 hours and expect at least 30 movements
D. Count fetal movements for 1 hour and expect at least 20 movements
Correct Answer: B
Rationale: Fetal kick counting involves the patient counting fetal movements during a
period of fetal activity. Most women feel 10 movements within 2 hours. Fewer than 10
movements in 2 hours warrants further evaluation with a nonstress test or biophysical
profile.
Question 4
A 30-year-old Rh-negative woman at 28 weeks gestation has an antibody screen that is
negative. What is the appropriate nursing action?
A. Administer RhoGAM 300 mcg intramuscularly at 28 weeks
B. Administer RhoGAM only after delivery if the baby is Rh-positive
C. No RhoGAM is needed because the antibody screen is negative
D. Administer RhoGAM 50 mcg intravenously at 28 weeks
Correct Answer: A
, Rationale: Rh-negative women with a negative antibody screen should receive RhoGAM
300 mcg intramuscularly at approximately 28 weeks gestation to prevent
alloimmunization, and again within 72 hours after delivery if the infant is Rh-positive.
Option B is incorrect because antenatal dosing is required. Option C is incorrect
because the absence of antibodies indicates susceptibility, not protection. Option D is
incorrect because the dose and route are wrong.
Question 5
A pregnant patient at 35 weeks gestation is screened for Group B Streptococcus. The
culture is positive. What is the standard management?
A. Treat with oral penicillin for 10 days immediately
B. Administer intrapartum antibiotic prophylaxis with penicillin G during labor
C. Perform a Cesarean section to prevent vertical transmission
D. Administer ampicillin orally for the remainder of the pregnancy
Correct Answer: B
Rationale: Intrapartum antibiotic prophylaxis with penicillin G or ampicillin is
administered during labor to GBS-positive women to reduce vertical transmission. Oral
antibiotics during pregnancy are not recommended because colonization recurs.
Cesarean section is not indicated solely for GBS status.
