MVU NURS 629 EXAM 1 – 250 PRACTICE
QUESTIONS WITH ANSWERS &
RATIONALES|2026/2027 ACADEMIC YEAR
Section 1: Maternal Newborn Assessment & Prenatal Care (Questions 1–50)
1. How do you measure fundal height?
A) Xiphoid process to pubic symphysis
B) Symphysis pubis to top of uterus
C) Umbilicus to xiphoid process
D) Fundus to iliac crest
Correct Answer: B
Rationale: Fundal height is measured from the symphysis pubis to the top of
the uterus (fundus) using a tape measure. This measurement correlates with
gestational age after 20 weeks.
2. When can you first start to hear fetal heart tones with a Doppler?
A) 6–8 weeks
B) 10–12 weeks
,C) 16–18 weeks
D) 20–22 weeks
Correct Answer: B
Rationale: Fetal heart tones can typically be heard with a Doppler around 10–
12 weeks of gestation. A fetoscope may detect them later, around 18–20
weeks.
3. What is quickening?
A) Fetal heartbeat detected by ultrasound
B) Fetal movements felt by the mother
C) Uterine contractions felt by the mother
D) Cervical changes indicating labor
Correct Answer: B
Rationale: Quickening refers to the first fetal movements felt by the mother,
typically described as fluttering sensations. This is a presumptive sign of
pregnancy.
4. When is quickening typically felt?
,A) 10–12 weeks
B) 12–14 weeks
C) 16–20 weeks
D) 24–28 weeks
Correct Answer: C
Rationale: Quickening is usually felt between 16 and 20 weeks of gestation.
Primigravidas may feel it later (18–20 weeks), while multigravidas may feel it
earlier (16–18 weeks).
5. Which of the following is an abnormal complaint in the first trimester?
A) Nausea and vomiting
B) Breast tenderness
C) Vaginal bleeding
D) Urinary frequency
Correct Answer: C
Rationale: Vaginal bleeding in the first trimester is abnormal and may indicate
miscarriage, ectopic pregnancy, or other complications. Nausea, breast
tenderness, and urinary frequency are common normal findings.
, 6. Which vaccines should be avoided during pregnancy?
A) Tdap and influenza
B) MMR, HPV, and varicella
C) Hepatitis B and pneumococcal
D) All vaccines are safe
Correct Answer: B
Rationale: Live attenuated vaccines including MMR (measles, mumps,
rubella), HPV, and varicella (chickenpox) should be avoided during pregnancy
due to theoretical risk to the fetus. Inactivated vaccines like Tdap and
influenza are recommended.
7. What labs are typically drawn at the first prenatal visit?
A) CBC only
B) CBC, blood type/Rh, HIV, RPR, rubella titer, hepatitis B titer, STI screening,
UA
C) Only blood glucose and thyroid panel
D) Genetic testing only
Correct Answer: B
Rationale: Initial prenatal labs include CBC, blood type and Rh antibody
screen, HIV, RPR (syphilis), rubella titer, hepatitis B surface antigen, STI
QUESTIONS WITH ANSWERS &
RATIONALES|2026/2027 ACADEMIC YEAR
Section 1: Maternal Newborn Assessment & Prenatal Care (Questions 1–50)
1. How do you measure fundal height?
A) Xiphoid process to pubic symphysis
B) Symphysis pubis to top of uterus
C) Umbilicus to xiphoid process
D) Fundus to iliac crest
Correct Answer: B
Rationale: Fundal height is measured from the symphysis pubis to the top of
the uterus (fundus) using a tape measure. This measurement correlates with
gestational age after 20 weeks.
2. When can you first start to hear fetal heart tones with a Doppler?
A) 6–8 weeks
B) 10–12 weeks
,C) 16–18 weeks
D) 20–22 weeks
Correct Answer: B
Rationale: Fetal heart tones can typically be heard with a Doppler around 10–
12 weeks of gestation. A fetoscope may detect them later, around 18–20
weeks.
3. What is quickening?
A) Fetal heartbeat detected by ultrasound
B) Fetal movements felt by the mother
C) Uterine contractions felt by the mother
D) Cervical changes indicating labor
Correct Answer: B
Rationale: Quickening refers to the first fetal movements felt by the mother,
typically described as fluttering sensations. This is a presumptive sign of
pregnancy.
4. When is quickening typically felt?
,A) 10–12 weeks
B) 12–14 weeks
C) 16–20 weeks
D) 24–28 weeks
Correct Answer: C
Rationale: Quickening is usually felt between 16 and 20 weeks of gestation.
Primigravidas may feel it later (18–20 weeks), while multigravidas may feel it
earlier (16–18 weeks).
5. Which of the following is an abnormal complaint in the first trimester?
A) Nausea and vomiting
B) Breast tenderness
C) Vaginal bleeding
D) Urinary frequency
Correct Answer: C
Rationale: Vaginal bleeding in the first trimester is abnormal and may indicate
miscarriage, ectopic pregnancy, or other complications. Nausea, breast
tenderness, and urinary frequency are common normal findings.
, 6. Which vaccines should be avoided during pregnancy?
A) Tdap and influenza
B) MMR, HPV, and varicella
C) Hepatitis B and pneumococcal
D) All vaccines are safe
Correct Answer: B
Rationale: Live attenuated vaccines including MMR (measles, mumps,
rubella), HPV, and varicella (chickenpox) should be avoided during pregnancy
due to theoretical risk to the fetus. Inactivated vaccines like Tdap and
influenza are recommended.
7. What labs are typically drawn at the first prenatal visit?
A) CBC only
B) CBC, blood type/Rh, HIV, RPR, rubella titer, hepatitis B titer, STI screening,
UA
C) Only blood glucose and thyroid panel
D) Genetic testing only
Correct Answer: B
Rationale: Initial prenatal labs include CBC, blood type and Rh antibody
screen, HIV, RPR (syphilis), rubella titer, hepatitis B surface antigen, STI
