NSG 432 Exam 2 – Nursing Care of the Childbearing Family | Questions & Answers | Grand Canyon University (GCU) | 202
OBJECTIVE ASSESSMENT - EXAM
Nursing Care of the
Childbearing Family
NSG 432 Exam 2 – Grand Canyon University (GCU)
A+ Verified Edition: 2026/2027 Passing Score: 80%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Antepartum Care & Fetal Development (Questions 1-10)
Section 2: Intrapartum Nursing & Labor Management (Questions 11-20)
Section 3: Postpartum Care & Newborn Assessment (Questions 21-30)
Section 4: High-Risk Pregnancy & Complications (Questions 31-40)
Section 5: Reproductive Health, Family Planning & Complex Conditions (Questions 41-50)
This examination assesses maternal-child nursing knowledge at the baccalaureate level, covering antepartum,
intrapartum, postpartum, newborn care, high-risk pregnancy, and reproductive health. Each question presents a
clinical scenario requiring application and analysis. Select the best answer for each question. Passing score:
80%.
Section 1: Antepartum Care & Fetal Development
Question 1
Q1. A 28-year-old primigravida at 10 weeks gestation presents to the prenatal clinic for her first visit. She reports
nausea that occurs primarily in the morning and subsides by midday. Her urine pregnancy test was positive three
weeks ago. Which teaching point is most appropriate for the nurse to provide at this visit?
A. Increase iron supplementation to 60 mg daily to meet first-trimester demands
B. Expect morning sickness to worsen significantly after 16 weeks gestation
C. Take a prenatal vitamin with folic acid and eat small, frequent meals to manage nausea
D. Begin weekly biophysical profiles starting at 12 weeks to monitor fetal well-being
Correct Answer: C
Rationale:
Morning sickness is common in the first trimester. Prenatal vitamins with folic acid reduce neural tube defect risk, and
small frequent meals help manage nausea. Iron requirements increase in the second and third trimesters, not the first.
Biophysical profiles are not indicated for uncomplicated pregnancies at 12 weeks.
Question 2
Q2. A 32-year-old pregnant patient at 18 weeks gestation asks the nurse whether she can feel her baby move
yet. She is concerned because her friend felt movement at 16 weeks. Which response by the nurse is most
accurate?
A. Fetal movement should be felt by all women by 16 weeks gestation without exception
B. Quickening is typically felt between 18 and 22 weeks in a primigravida and may be later than in a
multigravida
C. Absence of fetal movement at 18 weeks always indicates fetal demise and requires immediate ultrasound
D. Fetal movement is not palpable until 24 weeks gestation in any pregnancy
Correct Answer: B
Rationale:
Quickening, or the first perception of fetal movement, typically occurs between 18 and 22 weeks in a primigravida and
may be felt earlier in a multigravida due to prior experience. It is normal not to feel movement at 18 weeks in a first
pregnancy. Absence of quickening at this stage does not indicate fetal demise.
, Question 3
Q3. A 24-year-old gravida 2 para 1 at 28 weeks gestation has a fundal height measurement of 26 cm. Her
previous measurements have tracked appropriately with gestational age. Fetal heart rate is 148 bpm. Which
action should the nurse take first?
A. Reassure the patient that a 2-cm discrepancy is within normal variation
B. Perform Leopold maneuvers to assess fetal lie and presentation
C. Schedule an ultrasound for growth assessment and amniotic fluid index
D. Contact the provider immediately for suspected intrauterine growth restriction
Correct Answer: B
Rationale:
A single fundal height measurement within 2 cm of gestational age is generally acceptable, but a decrease from previous
appropriate measurements warrants further assessment. Leopold maneuvers help evaluate fetal lie and engagement,
which may explain the measurement variation before ordering additional testing.
Question 4
Q4. A 35-year-old pregnant patient at 12 weeks gestation reports that she consumes one glass of wine with
dinner each evening. Her BMI is 22, and she has no chronic medical conditions. Which nursing intervention is
most appropriate?
A. Reassure her that one glass of wine daily is safe during the second and third trimesters
B. Advise that no amount of alcohol has been established as safe during pregnancy and recommend
complete abstinence
C. Suggest switching to beer or hard liquor in smaller quantities to reduce fetal alcohol exposure
D. Recommend limiting alcohol to weekends only and increasing folic acid to 5 mg daily
Correct Answer: B
Rationale:
There is no known safe amount of alcohol during pregnancy. The nurse must provide clear, nonjudgmental education
recommending complete abstinence to prevent fetal alcohol spectrum disorders. All forms of alcohol carry risk, and no
trimester is considered safe for consumption.
Question 5
Q5. A 29-year-old pregnant patient at 24 weeks gestation is diagnosed with gestational diabetes after her oral
glucose tolerance test. Her fasting glucose was 98 mg/dL, and her 2-hour value was 162 mg/dL. Which initial
management strategy should the nurse anticipate?
A. Immediate initiation of insulin therapy to prevent fetal macrosomia
B. Dietary modification with carbohydrate counting, blood glucose monitoring, and moderate exercise
C. Oral metformin administration as first-line pharmacologic therapy
D. Induction of labor at 37 weeks to avoid stillbirth risk
Correct Answer: B
Rationale:
Initial management of gestational diabetes includes medical nutrition therapy, self-monitoring of blood glucose, and
regular physical activity. Insulin is initiated if glycemic targets are not met with lifestyle modifications alone. Metformin
may be used in some cases but is not first-line. Elective early delivery is not indicated with well-controlled GDM.
OBJECTIVE ASSESSMENT - EXAM
Nursing Care of the
Childbearing Family
NSG 432 Exam 2 – Grand Canyon University (GCU)
A+ Verified Edition: 2026/2027 Passing Score: 80%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Antepartum Care & Fetal Development (Questions 1-10)
Section 2: Intrapartum Nursing & Labor Management (Questions 11-20)
Section 3: Postpartum Care & Newborn Assessment (Questions 21-30)
Section 4: High-Risk Pregnancy & Complications (Questions 31-40)
Section 5: Reproductive Health, Family Planning & Complex Conditions (Questions 41-50)
This examination assesses maternal-child nursing knowledge at the baccalaureate level, covering antepartum,
intrapartum, postpartum, newborn care, high-risk pregnancy, and reproductive health. Each question presents a
clinical scenario requiring application and analysis. Select the best answer for each question. Passing score:
80%.
Section 1: Antepartum Care & Fetal Development
Question 1
Q1. A 28-year-old primigravida at 10 weeks gestation presents to the prenatal clinic for her first visit. She reports
nausea that occurs primarily in the morning and subsides by midday. Her urine pregnancy test was positive three
weeks ago. Which teaching point is most appropriate for the nurse to provide at this visit?
A. Increase iron supplementation to 60 mg daily to meet first-trimester demands
B. Expect morning sickness to worsen significantly after 16 weeks gestation
C. Take a prenatal vitamin with folic acid and eat small, frequent meals to manage nausea
D. Begin weekly biophysical profiles starting at 12 weeks to monitor fetal well-being
Correct Answer: C
Rationale:
Morning sickness is common in the first trimester. Prenatal vitamins with folic acid reduce neural tube defect risk, and
small frequent meals help manage nausea. Iron requirements increase in the second and third trimesters, not the first.
Biophysical profiles are not indicated for uncomplicated pregnancies at 12 weeks.
Question 2
Q2. A 32-year-old pregnant patient at 18 weeks gestation asks the nurse whether she can feel her baby move
yet. She is concerned because her friend felt movement at 16 weeks. Which response by the nurse is most
accurate?
A. Fetal movement should be felt by all women by 16 weeks gestation without exception
B. Quickening is typically felt between 18 and 22 weeks in a primigravida and may be later than in a
multigravida
C. Absence of fetal movement at 18 weeks always indicates fetal demise and requires immediate ultrasound
D. Fetal movement is not palpable until 24 weeks gestation in any pregnancy
Correct Answer: B
Rationale:
Quickening, or the first perception of fetal movement, typically occurs between 18 and 22 weeks in a primigravida and
may be felt earlier in a multigravida due to prior experience. It is normal not to feel movement at 18 weeks in a first
pregnancy. Absence of quickening at this stage does not indicate fetal demise.
, Question 3
Q3. A 24-year-old gravida 2 para 1 at 28 weeks gestation has a fundal height measurement of 26 cm. Her
previous measurements have tracked appropriately with gestational age. Fetal heart rate is 148 bpm. Which
action should the nurse take first?
A. Reassure the patient that a 2-cm discrepancy is within normal variation
B. Perform Leopold maneuvers to assess fetal lie and presentation
C. Schedule an ultrasound for growth assessment and amniotic fluid index
D. Contact the provider immediately for suspected intrauterine growth restriction
Correct Answer: B
Rationale:
A single fundal height measurement within 2 cm of gestational age is generally acceptable, but a decrease from previous
appropriate measurements warrants further assessment. Leopold maneuvers help evaluate fetal lie and engagement,
which may explain the measurement variation before ordering additional testing.
Question 4
Q4. A 35-year-old pregnant patient at 12 weeks gestation reports that she consumes one glass of wine with
dinner each evening. Her BMI is 22, and she has no chronic medical conditions. Which nursing intervention is
most appropriate?
A. Reassure her that one glass of wine daily is safe during the second and third trimesters
B. Advise that no amount of alcohol has been established as safe during pregnancy and recommend
complete abstinence
C. Suggest switching to beer or hard liquor in smaller quantities to reduce fetal alcohol exposure
D. Recommend limiting alcohol to weekends only and increasing folic acid to 5 mg daily
Correct Answer: B
Rationale:
There is no known safe amount of alcohol during pregnancy. The nurse must provide clear, nonjudgmental education
recommending complete abstinence to prevent fetal alcohol spectrum disorders. All forms of alcohol carry risk, and no
trimester is considered safe for consumption.
Question 5
Q5. A 29-year-old pregnant patient at 24 weeks gestation is diagnosed with gestational diabetes after her oral
glucose tolerance test. Her fasting glucose was 98 mg/dL, and her 2-hour value was 162 mg/dL. Which initial
management strategy should the nurse anticipate?
A. Immediate initiation of insulin therapy to prevent fetal macrosomia
B. Dietary modification with carbohydrate counting, blood glucose monitoring, and moderate exercise
C. Oral metformin administration as first-line pharmacologic therapy
D. Induction of labor at 37 weeks to avoid stillbirth risk
Correct Answer: B
Rationale:
Initial management of gestational diabetes includes medical nutrition therapy, self-monitoring of blood glucose, and
regular physical activity. Insulin is initiated if glycemic targets are not met with lifestyle modifications alone. Metformin
may be used in some cases but is not first-line. Elective early delivery is not indicated with well-controlled GDM.
