1
NUR 231 (Exam 2) – Galen Maternal Nursing (2026) –
Comprehensive Practice Questions Guaranteed Pass |
Graded A+ | Maternal Nursing – Galen College of
Nursing
SECTION 1: ANTEPARTUM ASSESSMENT & PRENATAL CARE
1 A client at 10 weeks gestation is being seen for her first prenatal visit. Which of the following
prenatal tests should the nurse anticipate?
A. Alpha-fetoprotein (AFP) screening
B. Chorionic villus sampling (CVS)
C. Complete blood count (CBC), blood type, Rh factor, and urinalysis
D. Oral glucose tolerance test (OGTT)
Correct Answer: C
Explanation: At the first prenatal visit, routine tests include CBC, blood type, Rh factor,
urinalysis, rubella titer, syphilis screening, and sexually transmitted infection screening. AFP
screening (A) is typically done at 15-20 weeks. CVS (B) is a diagnostic test for genetic
,2
abnormalities done at 10-13 weeks if indicated. OGTT (D) is done at 24-28 weeks for gestational
diabetes screening.
2 A client at 16 weeks gestation has a blood pressure of 140/90 mmHg. Which of the following
actions should the nurse take first?
A. Notify the healthcare provider
B. Repeat the blood pressure in 15 minutes
C. Restrict the client's sodium intake
D. Administer antihypertensive medication
*Correct Answer: A
Explanation: A blood pressure of 140/90 mmHg in a pregnant client is elevated and should
be reported to the healthcare provider for further evaluation. Repeating the BP (B) may be
appropriate but notifying the provider is the priority. Sodium restriction (C) and
antihypertensives (D) require a provider's order.
,3
3 A client asks the nurse about the purpose of routine prenatal visits. The nurse's best response
is that routine prenatal visits:
A. Ensure early detection and treatment of potential complications
B. Confirm the estimated date of birth
C. Provide education about labor and delivery
D. Reduce the need for hospitalization during pregnancy
Correct Answer: A
Explanation: Routine prenatal visits allow for early detection and treatment of potential
complications, monitoring fetal growth, and maternal well-being. Confirming the EDB (B) is only
one part. Education (C) is a component but not the primary purpose. Hospitalization reduction
(D) is not the purpose of prenatal visits.
4 A client at 28 weeks gestation is Rh-negative and has not received Rh immune globulin. Which
of the following tests is most important for the nurse to anticipate?
A. Coombs' test
B. Indirect Coombs' test
, 4
C. Direct Coombs' test
D. Antibody screen
*Correct Answer: D
Explanation: An antibody screen (indirect Coombs' test) is performed in Rh-negative clients
during pregnancy to check for the presence of Rh antibodies. If antibodies are present, the fetus
is at risk for hemolytic disease of the newborn. Coombs' test (A) is performed on the newborn.
Direct Coombs' test (C) is performed on the newborn's blood. The antibody screen is the
maternal test.
5 A client at 18 weeks gestation is scheduled for a maternal serum alpha-fetoprotein (MSAFP)
screening. Which of the following is the purpose of this test?
A. To detect neural tube defects
B. To confirm the estimated date of birth
C. To detect gestational diabetes
D. To determine fetal lung maturity
NUR 231 (Exam 2) – Galen Maternal Nursing (2026) –
Comprehensive Practice Questions Guaranteed Pass |
Graded A+ | Maternal Nursing – Galen College of
Nursing
SECTION 1: ANTEPARTUM ASSESSMENT & PRENATAL CARE
1 A client at 10 weeks gestation is being seen for her first prenatal visit. Which of the following
prenatal tests should the nurse anticipate?
A. Alpha-fetoprotein (AFP) screening
B. Chorionic villus sampling (CVS)
C. Complete blood count (CBC), blood type, Rh factor, and urinalysis
D. Oral glucose tolerance test (OGTT)
Correct Answer: C
Explanation: At the first prenatal visit, routine tests include CBC, blood type, Rh factor,
urinalysis, rubella titer, syphilis screening, and sexually transmitted infection screening. AFP
screening (A) is typically done at 15-20 weeks. CVS (B) is a diagnostic test for genetic
,2
abnormalities done at 10-13 weeks if indicated. OGTT (D) is done at 24-28 weeks for gestational
diabetes screening.
2 A client at 16 weeks gestation has a blood pressure of 140/90 mmHg. Which of the following
actions should the nurse take first?
A. Notify the healthcare provider
B. Repeat the blood pressure in 15 minutes
C. Restrict the client's sodium intake
D. Administer antihypertensive medication
*Correct Answer: A
Explanation: A blood pressure of 140/90 mmHg in a pregnant client is elevated and should
be reported to the healthcare provider for further evaluation. Repeating the BP (B) may be
appropriate but notifying the provider is the priority. Sodium restriction (C) and
antihypertensives (D) require a provider's order.
,3
3 A client asks the nurse about the purpose of routine prenatal visits. The nurse's best response
is that routine prenatal visits:
A. Ensure early detection and treatment of potential complications
B. Confirm the estimated date of birth
C. Provide education about labor and delivery
D. Reduce the need for hospitalization during pregnancy
Correct Answer: A
Explanation: Routine prenatal visits allow for early detection and treatment of potential
complications, monitoring fetal growth, and maternal well-being. Confirming the EDB (B) is only
one part. Education (C) is a component but not the primary purpose. Hospitalization reduction
(D) is not the purpose of prenatal visits.
4 A client at 28 weeks gestation is Rh-negative and has not received Rh immune globulin. Which
of the following tests is most important for the nurse to anticipate?
A. Coombs' test
B. Indirect Coombs' test
, 4
C. Direct Coombs' test
D. Antibody screen
*Correct Answer: D
Explanation: An antibody screen (indirect Coombs' test) is performed in Rh-negative clients
during pregnancy to check for the presence of Rh antibodies. If antibodies are present, the fetus
is at risk for hemolytic disease of the newborn. Coombs' test (A) is performed on the newborn.
Direct Coombs' test (C) is performed on the newborn's blood. The antibody screen is the
maternal test.
5 A client at 18 weeks gestation is scheduled for a maternal serum alpha-fetoprotein (MSAFP)
screening. Which of the following is the purpose of this test?
A. To detect neural tube defects
B. To confirm the estimated date of birth
C. To detect gestational diabetes
D. To determine fetal lung maturity
