Page 1 of 73
D 121- COMPEREHENSIVE MATERNAL AND NEWBORN
NURSING -( 150 ) STUDY GUIDE QUESTIONS WITH
RADICLE RATIONALES
Nursing / Maternal
Exam coverage :
I. Section 1 (Q1–25): Foundations of maternal-newborn nursing,
antenatal care, fetal development, and health promotion.
II. Section 2 (Q26–50): High-risk pregnancy, antepartum complications
(preeclampsia, gestational diabetes, bleeding disorders).
III. Section 3 (Q51–75): Labor and birth process, stages of labor, fetal
monitoring, and nursing interventions.
IV. Section 4 (Q76–100): Intrapartum complications, postpartum
assessment, and newborn transition.
V. Section 5 (Q101–125): Postpartum care, maternal complications,
breastfeeding, and discharge teaching.
VI. Section 6 (Q126–150): Newborn assessment, normal variations, care
of the newborn, and common complications.
Section 1: Foundations of Maternal-Newborn Nursing &
Antepartum Care (Questions 1–25)
Question 1
A pregnant client at 10 weeks' gestation asks the nurse which
finding is considered a presumptive sign of pregnancy. Which
finding should the nurse identify?
A. Positive pregnancy test
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B. Fetal heart tones detected by Doppler
C. Amenorrhea
D. Ultrasound visualization of the fetus
CORRECT ANSWER: C
RATIONALE: Amenorrhea, or absence of menstruation, is a
presumptive sign of pregnancy because it is experienced by the
client and can have causes other than pregnancy. A positive
pregnancy test is a probable sign, while fetal heart tones and
ultrasound visualization are positive signs because they provide
objective evidence of a fetus.
Question 2
A nurse is assessing a client during the first prenatal visit. Which
assessment finding is most concerning and requires immediate
follow-up?
A. Mild nausea in the morning
B. Urinary frequency
C. Vaginal bleeding accompanied by severe abdominal pain
D. Breast tenderness
CORRECT ANSWER: C
RATIONALE: Vaginal bleeding with severe abdominal pain
during pregnancy can indicate a serious complication such as
ectopic pregnancy, miscarriage, or placental pathology. Mild
nausea, urinary frequency, and breast tenderness are common
early-pregnancy findings.
Question 3
Which nutrient is especially important during pregnancy
because adequate intake helps prevent neural tube defects?
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A. Calcium
B. Folic acid
C. Vitamin C
D. Vitamin D
CORRECT ANSWER: B
RATIONALE: Folic acid is essential for normal neural tube
development. Adequate folate intake before conception and
during early pregnancy significantly reduces the risk of neural
tube defects.
Question 4
What is the recommended daily iron intake for pregnant
women?
A. 10 mg
B. 27 mg
C. 45 mg
D. 60 mg
CORRECT ANSWER: B
RATIONALE: Iron needs increase during pregnancy to support
fetal development and increased maternal blood volume. The
recommended daily iron intake for pregnant women is 27 mg.
Question 5
At what gestational age is fetal viability generally considered
possible?
A. 20 weeks
B. 24 weeks
C. 28 weeks
D. 32 weeks
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CORRECT ANSWER: B
RATIONALE: Viability usually begins around 24 weeks
gestation, when the fetus has a reasonable chance of survival
outside the womb.
Question 6
Which hormone is primarily responsible for maintaining the
corpus luteum during early pregnancy?
A. Progesterone
B. Human chorionic gonadotropin (hCG)
C. Estrogen
D. Oxytocin
CORRECT ANSWER: B
RATIONALE: hCG signals the corpus luteum to continue
producing progesterone until the placenta takes over.
Question 7
A nurse is providing teaching to a client who is at 8 weeks of
gestation and experiencing hyperemesis gravidarum. Which
dietary recommendation should the nurse include?
A. Eat large meals three times daily
B. Consume foods at cool or room temperature
C. Drink fluids with meals
D. Avoid eating between meals
CORRECT ANSWER: B
RATIONALE: Clients with hyperemesis gravidarum should
consume foods at cool or room temperature to minimize odors
that trigger nausea. They should also eat small, frequent meals
rather than large ones.
D 121- COMPEREHENSIVE MATERNAL AND NEWBORN
NURSING -( 150 ) STUDY GUIDE QUESTIONS WITH
RADICLE RATIONALES
Nursing / Maternal
Exam coverage :
I. Section 1 (Q1–25): Foundations of maternal-newborn nursing,
antenatal care, fetal development, and health promotion.
II. Section 2 (Q26–50): High-risk pregnancy, antepartum complications
(preeclampsia, gestational diabetes, bleeding disorders).
III. Section 3 (Q51–75): Labor and birth process, stages of labor, fetal
monitoring, and nursing interventions.
IV. Section 4 (Q76–100): Intrapartum complications, postpartum
assessment, and newborn transition.
V. Section 5 (Q101–125): Postpartum care, maternal complications,
breastfeeding, and discharge teaching.
VI. Section 6 (Q126–150): Newborn assessment, normal variations, care
of the newborn, and common complications.
Section 1: Foundations of Maternal-Newborn Nursing &
Antepartum Care (Questions 1–25)
Question 1
A pregnant client at 10 weeks' gestation asks the nurse which
finding is considered a presumptive sign of pregnancy. Which
finding should the nurse identify?
A. Positive pregnancy test
, Page 2 of 73
B. Fetal heart tones detected by Doppler
C. Amenorrhea
D. Ultrasound visualization of the fetus
CORRECT ANSWER: C
RATIONALE: Amenorrhea, or absence of menstruation, is a
presumptive sign of pregnancy because it is experienced by the
client and can have causes other than pregnancy. A positive
pregnancy test is a probable sign, while fetal heart tones and
ultrasound visualization are positive signs because they provide
objective evidence of a fetus.
Question 2
A nurse is assessing a client during the first prenatal visit. Which
assessment finding is most concerning and requires immediate
follow-up?
A. Mild nausea in the morning
B. Urinary frequency
C. Vaginal bleeding accompanied by severe abdominal pain
D. Breast tenderness
CORRECT ANSWER: C
RATIONALE: Vaginal bleeding with severe abdominal pain
during pregnancy can indicate a serious complication such as
ectopic pregnancy, miscarriage, or placental pathology. Mild
nausea, urinary frequency, and breast tenderness are common
early-pregnancy findings.
Question 3
Which nutrient is especially important during pregnancy
because adequate intake helps prevent neural tube defects?
, Page 3 of 73
A. Calcium
B. Folic acid
C. Vitamin C
D. Vitamin D
CORRECT ANSWER: B
RATIONALE: Folic acid is essential for normal neural tube
development. Adequate folate intake before conception and
during early pregnancy significantly reduces the risk of neural
tube defects.
Question 4
What is the recommended daily iron intake for pregnant
women?
A. 10 mg
B. 27 mg
C. 45 mg
D. 60 mg
CORRECT ANSWER: B
RATIONALE: Iron needs increase during pregnancy to support
fetal development and increased maternal blood volume. The
recommended daily iron intake for pregnant women is 27 mg.
Question 5
At what gestational age is fetal viability generally considered
possible?
A. 20 weeks
B. 24 weeks
C. 28 weeks
D. 32 weeks
, Page 4 of 73
CORRECT ANSWER: B
RATIONALE: Viability usually begins around 24 weeks
gestation, when the fetus has a reasonable chance of survival
outside the womb.
Question 6
Which hormone is primarily responsible for maintaining the
corpus luteum during early pregnancy?
A. Progesterone
B. Human chorionic gonadotropin (hCG)
C. Estrogen
D. Oxytocin
CORRECT ANSWER: B
RATIONALE: hCG signals the corpus luteum to continue
producing progesterone until the placenta takes over.
Question 7
A nurse is providing teaching to a client who is at 8 weeks of
gestation and experiencing hyperemesis gravidarum. Which
dietary recommendation should the nurse include?
A. Eat large meals three times daily
B. Consume foods at cool or room temperature
C. Drink fluids with meals
D. Avoid eating between meals
CORRECT ANSWER: B
RATIONALE: Clients with hyperemesis gravidarum should
consume foods at cool or room temperature to minimize odors
that trigger nausea. They should also eat small, frequent meals
rather than large ones.
