NURSING LICENSURE
NSG432 / NSG 432 (Latest Update 2026/ 2027) Nursing Care of the
Childbearing Family | Review Questions with Verified Answers |
100% Correct | Grade A - GCU
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Prenatal Assessment and Antepartum Care
Intrapartum Care and Labor Management
Postpartum Nursing Care and Recovery
Newborn Assessment and Neonatal Care
High-Risk Pregnancy and Obstetric Complications
STUVIAACTUALEXAM
,
, NSG432 / NSG 432 | Nursing Care of the Childbearing Family | 2026/2027
PRENATAL ASSESSMENT AND ANTEPARTUM CARE
Q1
A 28-year-old primigravida at 12 weeks gestation presents for her first prenatal visit. She reports mild nausea and
occasional fatigue. The nurse reviews her history and notes she has not started prenatal vitamins. Which action
should the nurse prioritize during this initial assessment?
A. Instruct the client to begin a daily prenatal vitamin containing 400 mcg of folic acid immediately.
B. Schedule a glucose tolerance test to screen for gestational diabetes at this visit.
C. Advise the client to limit all physical activity until the second trimester.
D. Order a complete blood count only if the client reports symptoms of anemia.
Correct Answer: A
Rationale:
Folic acid supplementation beginning before or early in pregnancy reduces the risk of neural tube defects. Starting a prenatal
vitamin with at least 400 mcg folic acid is a priority at the first visit. Glucose screening is typically performed later (24-28
weeks) unless risk factors are present. Activity restriction and routine CBC without indication are not first-line priorities.
Q2
A pregnant client at 18 weeks gestation has a fundal height measurement of 22 cm. The nurse recognizes this
finding may indicate which condition?
A. Possible multiple gestation or polyhydramnios requiring further evaluation.
B. Normal variation consistent with accurate dating of the pregnancy.
C. Intrauterine growth restriction that warrants immediate induction planning.
D. Oligohydramnios secondary to placental insufficiency.
Correct Answer: A
Rationale:
Fundal height in centimeters roughly equals gestational age in weeks after 20 weeks; a measurement 3-4 cm greater than
expected may suggest multiples, macrosomia, or excess amniotic fluid. This finding requires ultrasound evaluation. It is not
considered a normal variation, nor does it indicate IUGR or oligohydramnios.
Q3
During a routine prenatal visit at 28 weeks, a client with no prior history of diabetes has a 1-hour glucose challenge
test result of 148 mg/dL. What is the most appropriate next nursing action?
A. Explain that a 3-hour oral glucose tolerance test is needed to confirm or rule out gestational diabetes.
B. Instruct the client to begin insulin therapy immediately based on this single result.
C. Reassure the client that the result is normal and no further testing is required.
D. Recommend a low-carbohydrate diet and retest in two weeks.
Correct Answer: A
Rationale:
A 1-hour glucose challenge result ≥140 mg/dL (or ≥130-135 depending on institutional cutoff) indicates the need for a
diagnostic 3-hour OGTT. A single elevated screening value does not diagnose gestational diabetes or require immediate
insulin. Diet modification alone without confirmation is premature.
NSG432 / NSG 432 (Latest Update 2026/ 2027) Nursing Care of the
Childbearing Family | Review Questions with Verified Answers |
100% Correct | Grade A - GCU
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Prenatal Assessment and Antepartum Care
Intrapartum Care and Labor Management
Postpartum Nursing Care and Recovery
Newborn Assessment and Neonatal Care
High-Risk Pregnancy and Obstetric Complications
STUVIAACTUALEXAM
,
, NSG432 / NSG 432 | Nursing Care of the Childbearing Family | 2026/2027
PRENATAL ASSESSMENT AND ANTEPARTUM CARE
Q1
A 28-year-old primigravida at 12 weeks gestation presents for her first prenatal visit. She reports mild nausea and
occasional fatigue. The nurse reviews her history and notes she has not started prenatal vitamins. Which action
should the nurse prioritize during this initial assessment?
A. Instruct the client to begin a daily prenatal vitamin containing 400 mcg of folic acid immediately.
B. Schedule a glucose tolerance test to screen for gestational diabetes at this visit.
C. Advise the client to limit all physical activity until the second trimester.
D. Order a complete blood count only if the client reports symptoms of anemia.
Correct Answer: A
Rationale:
Folic acid supplementation beginning before or early in pregnancy reduces the risk of neural tube defects. Starting a prenatal
vitamin with at least 400 mcg folic acid is a priority at the first visit. Glucose screening is typically performed later (24-28
weeks) unless risk factors are present. Activity restriction and routine CBC without indication are not first-line priorities.
Q2
A pregnant client at 18 weeks gestation has a fundal height measurement of 22 cm. The nurse recognizes this
finding may indicate which condition?
A. Possible multiple gestation or polyhydramnios requiring further evaluation.
B. Normal variation consistent with accurate dating of the pregnancy.
C. Intrauterine growth restriction that warrants immediate induction planning.
D. Oligohydramnios secondary to placental insufficiency.
Correct Answer: A
Rationale:
Fundal height in centimeters roughly equals gestational age in weeks after 20 weeks; a measurement 3-4 cm greater than
expected may suggest multiples, macrosomia, or excess amniotic fluid. This finding requires ultrasound evaluation. It is not
considered a normal variation, nor does it indicate IUGR or oligohydramnios.
Q3
During a routine prenatal visit at 28 weeks, a client with no prior history of diabetes has a 1-hour glucose challenge
test result of 148 mg/dL. What is the most appropriate next nursing action?
A. Explain that a 3-hour oral glucose tolerance test is needed to confirm or rule out gestational diabetes.
B. Instruct the client to begin insulin therapy immediately based on this single result.
C. Reassure the client that the result is normal and no further testing is required.
D. Recommend a low-carbohydrate diet and retest in two weeks.
Correct Answer: A
Rationale:
A 1-hour glucose challenge result ≥140 mg/dL (or ≥130-135 depending on institutional cutoff) indicates the need for a
diagnostic 3-hour OGTT. A single elevated screening value does not diagnose gestational diabetes or require immediate
insulin. Diet modification alone without confirmation is premature.
