NUR 1020 FINAL EXAM 4 OB | QUESTIONS AND
ANSWERS | 2026 UPDATED | WITH COMPLETE
SOLUTIONS - BROWARD COLLEGE.
SECTION 1: PRENATAL CARE & FETAL DEVELOPMENT
1. A nurse is caring for a client who is at 8 weeks of gestation with twins and is a
primigravida. The client states that even though she and her husband planned
this pregnancy, she is experiencing many ambivalent feelings about it. Which
response by the nurse is most appropriate?
A) "These feelings are abnormal and you should seek counseling."
B) "These feelings are quite normal at the beginning of pregnancy."
C) "You should not be feeling this way since you planned the pregnancy."
D) "This may indicate you are not ready to be a parent."
Answer: B
Rationale: Ambivalent feelings are common and normal during early pregnancy,
even when the pregnancy is planned. The nurse should provide reassurance and
normalize these feelings .
2. An urban area has been reported to have a high prenatal mortality rate. The
nurse understands that this statistic refers to:
A) Maternal and infant deaths per 100,000 live births per year
B) Deaths of fetuses weighing greater than 500g per 10,000 births per year
C) Deaths of infants up to 1 year of age per 1,000 live births per year
D) Fetal and neonatal deaths per 1,000 live births per year
Answer: D
Rationale: Prenatal mortality rate refers to fetal and neonatal deaths per 1,000
,live births per year. This statistic is an important indicator of the quality of
maternal and child health services .
3. Current maternity practice focuses on:
A) Hospital births for the majority of women
B) The traditional family unit
C) Teaching the proper attitudes toward childbearing
D) A quality family experience for each patient
Answer: D
Rationale: Modern maternity care emphasizes a quality family experience for each
patient, focusing on family-centered care, patient autonomy, and positive birth
experiences .
4. A nurse in a prenatal clinic is caring for a client who is within the
recommended guideline for weight. The client asks the nurse how much weight
is safe for her to gain during her pregnancy. Which response should the nurse
make?
A) "A weight gain of 15-20 lbs is good."
B) "A weight gain of 25-35 lbs is good."
C) "A weight gain of 35-45 lbs is good."
D) "A weight gain of 10-15 lbs is good."
Answer: B
Rationale: The recommended weight gain for a woman with a normal BMI is 25-
35 pounds. Weight gain recommendations vary based on pre-pregnancy BMI .
5. A nurse is speaking with an expectant father who says that he feels resentful
of the added attention others are giving to his wife since the pregnancy was
announced. Which response by the nurse is most appropriate?
A) "These feelings are abnormal and require counseling."
,B) "These feelings are common for expectant fathers in early pregnancy."
C) "You should not feel resentful; you should be supportive."
D) "This indicates you are not ready to be a father."
Answer: B
Rationale: Feelings of resentment and being left out are common for expectant
fathers, especially in early pregnancy. The nurse should normalize these feelings
and provide support .
6. A nurse is planning care for a client who is pregnant and is Rh-negative. In
which of the following situations should the nurse administer Rh(D) Immune
Globulin (RhoGAM)?
A) At 12 weeks of gestation only
B) At 28 weeks of gestation
C) Only after delivery
D) Only if the baby is Rh-positive
Answer: B
Rationale: Rh(D) Immune Globulin is routinely administered at 28 weeks of
gestation to Rh-negative mothers. It is also given within 72 hours after delivery if
the infant is Rh-positive, after any abortion, or after any invasive procedure during
pregnancy .
7. A nurse is planning care for a client who is at 35 weeks of gestation. Which of
the following lab tests should the nurse obtain?
A) Group B streptococcus Beta-hemolytic (GBS)
B) Complete blood count
C) Urinalysis
D) Glucose tolerance test
Answer: A
Rationale: Group B streptococcus (GBS) screening is typically performed between
, 35 and 37 weeks of gestation to determine if intrapartum antibiotic prophylaxis is
needed .
8. A 14-year-old boy is at the pediatric clinic for a check-up. The nurse is aware
that the production of testosterone is responsible for which physical change in
males during puberty?
A) Stimulation of production of white cells and platelets
B) Promotion of growth of small bones
C) Increase in muscle mass and strength
D) Decrease in production of sebaceous gland secretions
Answer: C
Rationale: Testosterone is responsible for the increase in muscle mass and
strength, deepening of the voice, and growth of facial and body hair during male
puberty .
9. During a maternity clinical rotation, a nursing student questions whether a
procedure was within the LVN/LPN scope of practice. Which organization would
this student contact for an answer to this question?
A) American Nurses Association
B) State Board of Nursing
C) Joint Commission on Accreditation of Healthcare Organizations
D) Association of Women's Obstetric and Neonatal Nurses
Answer: B
Rationale: The State Board of Nursing defines the legal scope of practice for
nurses, including LVNs/LPNs, within that state .
10. A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. Which of the following findings is a contraindication for the use
of this device?
ANSWERS | 2026 UPDATED | WITH COMPLETE
SOLUTIONS - BROWARD COLLEGE.
SECTION 1: PRENATAL CARE & FETAL DEVELOPMENT
1. A nurse is caring for a client who is at 8 weeks of gestation with twins and is a
primigravida. The client states that even though she and her husband planned
this pregnancy, she is experiencing many ambivalent feelings about it. Which
response by the nurse is most appropriate?
A) "These feelings are abnormal and you should seek counseling."
B) "These feelings are quite normal at the beginning of pregnancy."
C) "You should not be feeling this way since you planned the pregnancy."
D) "This may indicate you are not ready to be a parent."
Answer: B
Rationale: Ambivalent feelings are common and normal during early pregnancy,
even when the pregnancy is planned. The nurse should provide reassurance and
normalize these feelings .
2. An urban area has been reported to have a high prenatal mortality rate. The
nurse understands that this statistic refers to:
A) Maternal and infant deaths per 100,000 live births per year
B) Deaths of fetuses weighing greater than 500g per 10,000 births per year
C) Deaths of infants up to 1 year of age per 1,000 live births per year
D) Fetal and neonatal deaths per 1,000 live births per year
Answer: D
Rationale: Prenatal mortality rate refers to fetal and neonatal deaths per 1,000
,live births per year. This statistic is an important indicator of the quality of
maternal and child health services .
3. Current maternity practice focuses on:
A) Hospital births for the majority of women
B) The traditional family unit
C) Teaching the proper attitudes toward childbearing
D) A quality family experience for each patient
Answer: D
Rationale: Modern maternity care emphasizes a quality family experience for each
patient, focusing on family-centered care, patient autonomy, and positive birth
experiences .
4. A nurse in a prenatal clinic is caring for a client who is within the
recommended guideline for weight. The client asks the nurse how much weight
is safe for her to gain during her pregnancy. Which response should the nurse
make?
A) "A weight gain of 15-20 lbs is good."
B) "A weight gain of 25-35 lbs is good."
C) "A weight gain of 35-45 lbs is good."
D) "A weight gain of 10-15 lbs is good."
Answer: B
Rationale: The recommended weight gain for a woman with a normal BMI is 25-
35 pounds. Weight gain recommendations vary based on pre-pregnancy BMI .
5. A nurse is speaking with an expectant father who says that he feels resentful
of the added attention others are giving to his wife since the pregnancy was
announced. Which response by the nurse is most appropriate?
A) "These feelings are abnormal and require counseling."
,B) "These feelings are common for expectant fathers in early pregnancy."
C) "You should not feel resentful; you should be supportive."
D) "This indicates you are not ready to be a father."
Answer: B
Rationale: Feelings of resentment and being left out are common for expectant
fathers, especially in early pregnancy. The nurse should normalize these feelings
and provide support .
6. A nurse is planning care for a client who is pregnant and is Rh-negative. In
which of the following situations should the nurse administer Rh(D) Immune
Globulin (RhoGAM)?
A) At 12 weeks of gestation only
B) At 28 weeks of gestation
C) Only after delivery
D) Only if the baby is Rh-positive
Answer: B
Rationale: Rh(D) Immune Globulin is routinely administered at 28 weeks of
gestation to Rh-negative mothers. It is also given within 72 hours after delivery if
the infant is Rh-positive, after any abortion, or after any invasive procedure during
pregnancy .
7. A nurse is planning care for a client who is at 35 weeks of gestation. Which of
the following lab tests should the nurse obtain?
A) Group B streptococcus Beta-hemolytic (GBS)
B) Complete blood count
C) Urinalysis
D) Glucose tolerance test
Answer: A
Rationale: Group B streptococcus (GBS) screening is typically performed between
, 35 and 37 weeks of gestation to determine if intrapartum antibiotic prophylaxis is
needed .
8. A 14-year-old boy is at the pediatric clinic for a check-up. The nurse is aware
that the production of testosterone is responsible for which physical change in
males during puberty?
A) Stimulation of production of white cells and platelets
B) Promotion of growth of small bones
C) Increase in muscle mass and strength
D) Decrease in production of sebaceous gland secretions
Answer: C
Rationale: Testosterone is responsible for the increase in muscle mass and
strength, deepening of the voice, and growth of facial and body hair during male
puberty .
9. During a maternity clinical rotation, a nursing student questions whether a
procedure was within the LVN/LPN scope of practice. Which organization would
this student contact for an answer to this question?
A) American Nurses Association
B) State Board of Nursing
C) Joint Commission on Accreditation of Healthcare Organizations
D) Association of Women's Obstetric and Neonatal Nurses
Answer: B
Rationale: The State Board of Nursing defines the legal scope of practice for
nurses, including LVNs/LPNs, within that state .
10. A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. Which of the following findings is a contraindication for the use
of this device?
