NUR 335 EXAM 1 MATERNAL HEALTH THEORY &
APPLICATION V1 (ARIZONA COLLEGE
EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR
JUST RELEASED
1. A client at 10 weeks' gestation reports urinary frequency. Which
explanation should the nurse provide?
A. Increased fetal pressure on the bladder
B. Increased progesterone causing renal failure
C. Enlarging uterus and increased renal blood flow
D. Decreased circulating blood volume
Answer: C
Rationale: During early pregnancy, increased renal blood flow and the
enlarging uterus contribute to urinary frequency before significant fetal
pressure occurs.
2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: C
,Rationale: Positive pregnancy signs directly demonstrate the presence
of a fetus, whereas presumptive and probable signs can occur without
pregnancy.
3. A pregnant client asks why her breasts have become tender and
enlarged. Which response is most appropriate?
A. "This occurs because estrogen and progesterone levels increase."
B. "This indicates that your pregnancy may be complicated."
C. "Your breasts enlarge because your blood pressure increases."
D. "This occurs primarily because fetal hormones enter your
bloodstream."
Answer: A
Rationale: Rising estrogen and progesterone stimulate breast tissue
growth, vascular changes, and preparation of the breasts for lactation.
4. Which nutrient is particularly important before conception and
during early pregnancy to reduce neural tube defects?
A. Calcium
B. Folic acid
C. Vitamin D
D. Vitamin K
Answer: B
Rationale: Adequate folic acid before conception and during early
pregnancy substantially decreases the risk of fetal neural tube defects.
,5. A client reports nausea during the first trimester. Which instruction
is most appropriate?
A. Eat three very large meals daily.
B. Avoid eating immediately after waking.
C. Eat small, frequent meals and consider dry crackers before rising.
D. Drink large amounts of fluid with each meal.
Answer: C
Rationale: Small frequent meals and bland carbohydrates before
getting out of bed can help reduce pregnancy-related nausea and
vomiting.
6. Which assessment finding during pregnancy requires immediate
follow-up?
A. Mild fatigue
B. Increased urinary frequency
C. Vaginal bleeding accompanied by abdominal pain
D. Mild breast tenderness
Answer: C
Rationale: Vaginal bleeding with abdominal pain may indicate
miscarriage, ectopic pregnancy, placental problems, or another
potentially serious complication.
, 7. Which statement by a pregnant client demonstrates correct
understanding of prenatal nutrition?
A. "I should eliminate carbohydrates completely."
B. "I need balanced meals containing protein, fruits, vegetables, and
whole grains."
C. "I should double my calorie intake immediately."
D. "Prenatal vitamins replace the need for healthy foods."
Answer: B
Rationale: Pregnancy requires balanced nutrition supporting maternal
health and fetal growth; supplements complement rather than replace
nutritious food choices.
8. A pregnant client asks why iron supplementation is commonly
prescribed. Which response is best?
A. "Iron prevents gestational diabetes."
B. "Iron supports increased maternal red blood cell production."
C. "Iron prevents all pregnancy-related infections."
D. "Iron decreases fetal oxygen requirements."
Answer: B
Rationale: Maternal blood volume increases substantially during
pregnancy, increasing iron requirements for hemoglobin production
and oxygen transport.
9. Which finding is commonly associated with physiologic anemia of
pregnancy?
APPLICATION V1 (ARIZONA COLLEGE
EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR
JUST RELEASED
1. A client at 10 weeks' gestation reports urinary frequency. Which
explanation should the nurse provide?
A. Increased fetal pressure on the bladder
B. Increased progesterone causing renal failure
C. Enlarging uterus and increased renal blood flow
D. Decreased circulating blood volume
Answer: C
Rationale: During early pregnancy, increased renal blood flow and the
enlarging uterus contribute to urinary frequency before significant fetal
pressure occurs.
2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: C
,Rationale: Positive pregnancy signs directly demonstrate the presence
of a fetus, whereas presumptive and probable signs can occur without
pregnancy.
3. A pregnant client asks why her breasts have become tender and
enlarged. Which response is most appropriate?
A. "This occurs because estrogen and progesterone levels increase."
B. "This indicates that your pregnancy may be complicated."
C. "Your breasts enlarge because your blood pressure increases."
D. "This occurs primarily because fetal hormones enter your
bloodstream."
Answer: A
Rationale: Rising estrogen and progesterone stimulate breast tissue
growth, vascular changes, and preparation of the breasts for lactation.
4. Which nutrient is particularly important before conception and
during early pregnancy to reduce neural tube defects?
A. Calcium
B. Folic acid
C. Vitamin D
D. Vitamin K
Answer: B
Rationale: Adequate folic acid before conception and during early
pregnancy substantially decreases the risk of fetal neural tube defects.
,5. A client reports nausea during the first trimester. Which instruction
is most appropriate?
A. Eat three very large meals daily.
B. Avoid eating immediately after waking.
C. Eat small, frequent meals and consider dry crackers before rising.
D. Drink large amounts of fluid with each meal.
Answer: C
Rationale: Small frequent meals and bland carbohydrates before
getting out of bed can help reduce pregnancy-related nausea and
vomiting.
6. Which assessment finding during pregnancy requires immediate
follow-up?
A. Mild fatigue
B. Increased urinary frequency
C. Vaginal bleeding accompanied by abdominal pain
D. Mild breast tenderness
Answer: C
Rationale: Vaginal bleeding with abdominal pain may indicate
miscarriage, ectopic pregnancy, placental problems, or another
potentially serious complication.
, 7. Which statement by a pregnant client demonstrates correct
understanding of prenatal nutrition?
A. "I should eliminate carbohydrates completely."
B. "I need balanced meals containing protein, fruits, vegetables, and
whole grains."
C. "I should double my calorie intake immediately."
D. "Prenatal vitamins replace the need for healthy foods."
Answer: B
Rationale: Pregnancy requires balanced nutrition supporting maternal
health and fetal growth; supplements complement rather than replace
nutritious food choices.
8. A pregnant client asks why iron supplementation is commonly
prescribed. Which response is best?
A. "Iron prevents gestational diabetes."
B. "Iron supports increased maternal red blood cell production."
C. "Iron prevents all pregnancy-related infections."
D. "Iron decreases fetal oxygen requirements."
Answer: B
Rationale: Maternal blood volume increases substantially during
pregnancy, increasing iron requirements for hemoglobin production
and oxygen transport.
9. Which finding is commonly associated with physiologic anemia of
pregnancy?
