NUR 3500 | Maternal and Newborn Nursing
NUR 3500 Maternal and Newborn
Nursing Final Examination 2026/2027 |
Verified Questions
NUR 3500 | Maternal and Newborn Nursing | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
NUR 3500 | Maternal and Newborn Nursing
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
NUR 3500 Maternal and Newborn Nursing Final Examination 2026/2027 | Verified Questions
,Introduction
This document presents 100 original verified questions for the NUR 3500 Maternal and Newborn
Nursing Final Examination 2026/2027 | Verified Questions prepared for the 2026/2027
academic year. The content is organized into 4 core domains of equal weight: Antepartum and
High-Risk Pregnancy (25 questions); Intrapartum and Labor Management (25 questions);
Postpartum and Newborn Care (25 questions); and Women's Health and Reproductive Care (25
questions). Each question is designed to reinforce the official NUR 3500 Final Comprehensive
Examination objectives, build clinical reasoning, and strengthen readiness for the actual exam
and safe maternal and newborn nursing care. The rationales apply foundational nursing textbook
methodology, including NUR 3500 course materials, Perry's Maternal Child Nursing Care, and
Lowdermilk's Maternity and Women's Health Care, so that each response is supported by current
evidence-based clinical guidelines for obstetric and neonatal care. The correct responses are
evenly distributed across the four options, and the answer key provides a one-to-one match for
every question.
Actual Questions
The 100 verified questions follow, grouped by domain. Read each item, select the single best
option, and compare your selection with the correct response and rationale provided.
Domain 1: Antepartum and High-Risk Pregnancy
Question 1. A client who is uncertain of the date of her last menstrual period asks
how the baby's age is determined. The nurse explains that the most accurate
indicator in the first trimester is which finding?
A. An ultrasound measurement of the fetus
B. Fundal height measurement
C. Quickening
D. The presence of morning sickness
Correct Answer: A
Rationale: An ultrasound performed in the first trimester is the most accurate method of
dating a pregnancy because fetal size varies little at this stage. Fundal height, quickening,
and symptoms are less reliable for dating.
Question 2. Which finding is a presumptive (subjective) sign of pregnancy?
A. A positive urine pregnancy screen
B. Fetal heart tones heard with a Doppler
C. The sensation of fetal movement felt by the mother
D. The uterine fundus palpated above the symphysis
Correct Answer: C
Rationale: Quickening, the mother's perception of fetal movement, is a presumptive sign
because it is subjective and can have other causes. Heart tones and palpation are
probable signs, while a positive screen is also presumptive.
Question 3. Which finding is considered a positive (diagnostic) sign of pregnancy?
A. A positive urine pregnancy screen
B. Amenorrhea
C. Breast tenderness
D. Fetal heart tones visualized on ultrasound
Correct Answer: D
Rationale: Visualization of the fetus or fetal heart tones on ultrasound confirms
pregnancy with certainty. Urine screens, amenorrhea, and breast changes are
presumptive or probable and can have other causes.
NUR 3500 Maternal and Newborn Nursing Final Examination 2026/2027 | Verified Questions
, Question 4. A client with a normal pre-pregnancy body mass index asks about the
recommended total weight gain during pregnancy. The nurse replies:
A. 15 to 25 pounds
B. 25 to 35 pounds
C. 35 to 45 pounds
D. 45 to 55 pounds
Correct Answer: B
Rationale: For a normal pre-pregnancy body mass index, the recommended total gain is
25 to 35 pounds, which supports fetal growth while limiting complications. Lower or
higher ranges apply to higher or lower starting weights.
Question 5. A pregnant client asks which nutrient should be increased to lower the
risk of neural tube defects. The nurse replies:
A. Iron
B. Calcium
C. Folic acid
D. Vitamin B12
Correct Answer: C
Rationale: Folic acid supplementation before conception and early in pregnancy lowers
the risk of neural tube defects such as spina bifida. The neural tube closes early, often
before pregnancy is recognized.
Question 6. A client at 32 weeks of gestation reports a sudden severe headache with
blurred vision and right upper quadrant pain. The nurse should suspect which
condition?
A. Hyperemesis gravidarum
B. Placenta previa
C. Gestational diabetes
D. Preeclampsia progressing to severe disease
Correct Answer: D
Rationale: Severe headache with visual disturbances and right upper quadrant pain
suggests severe preeclampsia with possible hemolysis and liver involvement. Blood
pressure and reflexes are assessed and the provider is notified promptly.
Question 7. Magnesium sulfate is administered to a client with severe
preeclampsia. The nurse should have which antidote readily available?
A. Calcium gluconate
B. Protamine sulfate
C. Vitamin K
D. Naloxone
Correct Answer: A
Rationale: Calcium gluconate reverses magnesium toxicity, which can cause respiratory
depression and cardiac arrest. The nurse monitors reflexes, respiratory rate, and urine
output during the infusion.
Question 8. Which finding indicates magnesium toxicity in a client receiving
magnesium sulfate?
A. Hyperactive deep tendon reflexes
B. Absent deep tendon reflexes and a respiratory rate below 12
C. A heart rate of 100
D. A blood pressure of 130/85
Correct Answer: B
NUR 3500 Maternal and Newborn Nursing Final Examination 2026/2027 | Verified Questions
NUR 3500 Maternal and Newborn
Nursing Final Examination 2026/2027 |
Verified Questions
NUR 3500 | Maternal and Newborn Nursing | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
NUR 3500 | Maternal and Newborn Nursing
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
NUR 3500 Maternal and Newborn Nursing Final Examination 2026/2027 | Verified Questions
,Introduction
This document presents 100 original verified questions for the NUR 3500 Maternal and Newborn
Nursing Final Examination 2026/2027 | Verified Questions prepared for the 2026/2027
academic year. The content is organized into 4 core domains of equal weight: Antepartum and
High-Risk Pregnancy (25 questions); Intrapartum and Labor Management (25 questions);
Postpartum and Newborn Care (25 questions); and Women's Health and Reproductive Care (25
questions). Each question is designed to reinforce the official NUR 3500 Final Comprehensive
Examination objectives, build clinical reasoning, and strengthen readiness for the actual exam
and safe maternal and newborn nursing care. The rationales apply foundational nursing textbook
methodology, including NUR 3500 course materials, Perry's Maternal Child Nursing Care, and
Lowdermilk's Maternity and Women's Health Care, so that each response is supported by current
evidence-based clinical guidelines for obstetric and neonatal care. The correct responses are
evenly distributed across the four options, and the answer key provides a one-to-one match for
every question.
Actual Questions
The 100 verified questions follow, grouped by domain. Read each item, select the single best
option, and compare your selection with the correct response and rationale provided.
Domain 1: Antepartum and High-Risk Pregnancy
Question 1. A client who is uncertain of the date of her last menstrual period asks
how the baby's age is determined. The nurse explains that the most accurate
indicator in the first trimester is which finding?
A. An ultrasound measurement of the fetus
B. Fundal height measurement
C. Quickening
D. The presence of morning sickness
Correct Answer: A
Rationale: An ultrasound performed in the first trimester is the most accurate method of
dating a pregnancy because fetal size varies little at this stage. Fundal height, quickening,
and symptoms are less reliable for dating.
Question 2. Which finding is a presumptive (subjective) sign of pregnancy?
A. A positive urine pregnancy screen
B. Fetal heart tones heard with a Doppler
C. The sensation of fetal movement felt by the mother
D. The uterine fundus palpated above the symphysis
Correct Answer: C
Rationale: Quickening, the mother's perception of fetal movement, is a presumptive sign
because it is subjective and can have other causes. Heart tones and palpation are
probable signs, while a positive screen is also presumptive.
Question 3. Which finding is considered a positive (diagnostic) sign of pregnancy?
A. A positive urine pregnancy screen
B. Amenorrhea
C. Breast tenderness
D. Fetal heart tones visualized on ultrasound
Correct Answer: D
Rationale: Visualization of the fetus or fetal heart tones on ultrasound confirms
pregnancy with certainty. Urine screens, amenorrhea, and breast changes are
presumptive or probable and can have other causes.
NUR 3500 Maternal and Newborn Nursing Final Examination 2026/2027 | Verified Questions
, Question 4. A client with a normal pre-pregnancy body mass index asks about the
recommended total weight gain during pregnancy. The nurse replies:
A. 15 to 25 pounds
B. 25 to 35 pounds
C. 35 to 45 pounds
D. 45 to 55 pounds
Correct Answer: B
Rationale: For a normal pre-pregnancy body mass index, the recommended total gain is
25 to 35 pounds, which supports fetal growth while limiting complications. Lower or
higher ranges apply to higher or lower starting weights.
Question 5. A pregnant client asks which nutrient should be increased to lower the
risk of neural tube defects. The nurse replies:
A. Iron
B. Calcium
C. Folic acid
D. Vitamin B12
Correct Answer: C
Rationale: Folic acid supplementation before conception and early in pregnancy lowers
the risk of neural tube defects such as spina bifida. The neural tube closes early, often
before pregnancy is recognized.
Question 6. A client at 32 weeks of gestation reports a sudden severe headache with
blurred vision and right upper quadrant pain. The nurse should suspect which
condition?
A. Hyperemesis gravidarum
B. Placenta previa
C. Gestational diabetes
D. Preeclampsia progressing to severe disease
Correct Answer: D
Rationale: Severe headache with visual disturbances and right upper quadrant pain
suggests severe preeclampsia with possible hemolysis and liver involvement. Blood
pressure and reflexes are assessed and the provider is notified promptly.
Question 7. Magnesium sulfate is administered to a client with severe
preeclampsia. The nurse should have which antidote readily available?
A. Calcium gluconate
B. Protamine sulfate
C. Vitamin K
D. Naloxone
Correct Answer: A
Rationale: Calcium gluconate reverses magnesium toxicity, which can cause respiratory
depression and cardiac arrest. The nurse monitors reflexes, respiratory rate, and urine
output during the infusion.
Question 8. Which finding indicates magnesium toxicity in a client receiving
magnesium sulfate?
A. Hyperactive deep tendon reflexes
B. Absent deep tendon reflexes and a respiratory rate below 12
C. A heart rate of 100
D. A blood pressure of 130/85
Correct Answer: B
NUR 3500 Maternal and Newborn Nursing Final Examination 2026/2027 | Verified Questions
