PRN1500 Maternal & Child Nursing Midterm Exam Questions & Answers 2026/2027 | Instant PDF Download

PRN1500 MATERNAL & CHILD NURSING MIDTERM EXAM
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QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
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PLUS RATIONALES 2026|2027 Q&A | INSTANT DOWNLOAD
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PDF

1. Which hormone maintains the uterine lining and prevents menstruation
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during early pregnancy?
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A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B v


Progesterone is produced by the corpus luteum (and later the placenta) and main
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tains the endometrium to support pregnancy.
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2. The normal range for fetal heart rate (FHR) in term fetus is:
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A. 60–100 bpm v


B. 100–140 bpm v


C. 110–160 bpm v


D. 160–200 bpm v


Answer: C v


110–
160 bpm is the accepted normal baseline fetal heart rate for a term fetus.
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3. Which of the following is a sign of placental abruptio (abruption p
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lacentae)?
A. Painless bright red bleeding v v v


B. Sudden severe abdominal pain with uterine tenderness and dark b
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leeding
C. No bleeding, only fetal movement reduction
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D. Gradual painless bleeding in late pregnancy
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Answer: B v

, Abruptio placentae typically presents with sudden severe pain, a tender/firm
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uterus, and dark (concealed) bleeding.
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4. What is the primary action of oxytocin in labor?
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A. Soften the cervix v v


B. Stimulate uterine contractions v v


C. Prevent hemorrhage by vasoconstriction only v v v v


D. Increase maternal blood glucose v v v


Answer: B v


Oxytocin stimulates uterine smooth muscle contraction and is used to induce/aug
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ment labor and control postpartum bleeding.
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5. A nonstress test (NST) is reactive if:
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A. No accelerations are present
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B. There are two or more accelerations of FHR ≥15 bpm lasting ≥15 seconds
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in 20 minutes (term)
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C. Baseline FHR is <110 bpm v v v v


D. There are repetitive late decelerations
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Answer: B v


A reactive NST requires two accelerations (≥15 bpm for ≥15 sec) within 20
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minutes for a term fetus, indicating fetal well-being.
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6. Which condition is characterized by hypertension after 20 weeks gestation
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with proteinuria or end-organ dysfunction?
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A. Gestational hypertension v


B. Preeclampsia
C. Eclampsia
D. Chronic hypertension v


Answer: B v


Preeclampsia is new- v v


onset hypertension after 20 weeks accompanied by proteinuria or signs of end-
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organ dysfunction.
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7. First-line treatment for severe preeclampsia to prevent seizures is:
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A. Magnesium sulfate v


B. Diazepam
C. Phenytoin
D. Calcium gluconate v

, Answer: A v


Magnesium sulfate is the drug of choice for seizure prophylaxis in severe preecla
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mpsia/eclampsia.
8. A positive contraction stress test (CST) indicates:
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A. Normal fetal oxygenation v v


B. Presence of late decelerations with contractions —
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possible fetal compromise
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C. Reactive NST v


D. Accelerations with fetal movement v v v


Answer: B v


A positive CST shows late decelerations with contractions, suggesting uteroplace
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ntal insufficiency and potential fetal compromise.
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9. The best position to measure the fundal height is:
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A. Supine with head elevated slightly v v v v


B. Left lateral onlyv v


C. Standing upright v


D. Prone
Answer: A v


Fundal height is measured with the patient supine and slightly head-
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elevated to avoid supine hypotension and to palpate the uterus properly.
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10. Lochia that is bright red and heavy, with clots, on postpartum day 2 is c
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alled:
A. Lochia alba v


B. Lochia serosa v


C. Lochia rubra v


D. Lochia scant v


Answer: C v


Lochia rubra is the early postpartum discharge (bright red) occurring in the fir
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st few days after birth.
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11. The APGAR score assesses newborn status at:
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A. 1 and 5 minutes after birth
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B. 10 and 20 minutes after birth
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C. During pregnancy to predict labor
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