QUESTIONS WITH CORRECT ANSWERS AND
DETAILED RATIONALES - LATEST UPDATE 2026
RNSG 1517 – Maternity Nursing Practice Exam
Complete Practice Questions with Correct Answers & Detailed
Rationales
Updated for 2026 Curriculum Review (Original Practice
Resource)
Table of Contents
Section Topics Questions
I Prenatal Care & Pregnancy 1–10
II Labor & Delivery 11–20
III Postpartum Nursing 21–30
IV Newborn Care 31–40
High-Risk Pregnancy &
V 41–50
Emergencies
VI Answer Key & Rationales Following each question
,SECTION I – Prenatal Care
Question 1
A nurse is caring for a client at 10 weeks' gestation. Which finding
requires immediate follow-up?
A. Mild nausea every morning
B. Urinary frequency
C. Bright red vaginal bleeding
D. Breast tenderness
Correct Answer: C
Rationale
Bright red vaginal bleeding during early pregnancy may indicate
miscarriage, ectopic pregnancy, or another serious complication
requiring prompt assessment. Nausea, urinary frequency, and
breast tenderness are expected first-trimester changes.
Question 2
A pregnant client asks why folic acid supplementation is
recommended before conception.
A. Prevent gestational diabetes
B. Reduce neural tube defects
C. Increase fetal weight
D. Prevent postpartum hemorrhage
, Correct Answer: B
Rationale
Folic acid significantly reduces the risk of neural tube defects
such as spina bifida when taken before conception and during
early pregnancy.
Question 3
Which prenatal laboratory value requires immediate provider
notification?
A. Hemoglobin 12.4 g/dL
B. Blood type O positive
C. Positive Rubella immunity
D. Positive RPR (Syphilis)
Correct Answer: D
Rationale
Untreated maternal syphilis can seriously affect the fetus.
Immediate treatment decreases fetal complications.
SECTION II – Labor and Delivery
Question 11
The nurse notes recurrent late decelerations on the fetal monitor.
What is the priority nursing intervention?