NUR 230 / NUR230 Exams 1, 2, 3 & 4
2026/2027 Comprehensive OB/Peds Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
EXAM 1 — MATERNAL HEALTH, ANTEPARTUM & NORMAL PREGNANCY
Questions 1–50
1. A client reports that the first day of her last menstrual period was March 10. Using
Naegele's rule, what is the estimated date of delivery?
A. December 10
B. December 17
C. January 10
D. January 17
Answer: B. December 17
2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Breast tenderness
C. Fetal heart tones detected by Doppler
D. Nausea and vomiting
,Answer: C. Fetal heart tones detected by Doppler
3. Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
Answer: B. Progesterone
4. A pregnant client asks why folic acid is recommended before and during pregnancy.
What is the best response?
A. It prevents gestational diabetes.
B. It prevents neural tube defects.
C. It prevents postpartum hemorrhage.
D. It increases fetal lung maturity.
Answer: B. It prevents neural tube defects.
5. Which assessment finding during pregnancy requires immediate follow-up?
A. Mild urinary frequency
B. Increased vaginal discharge without odor
C. Vaginal bleeding accompanied by abdominal pain
D. Mild breast tenderness
Answer: C. Vaginal bleeding accompanied by abdominal pain
,6. Which nutrient is especially important during pregnancy because maternal blood volume
increases substantially?
A. Iron
B. Vitamin C
C. Sodium
D. Vitamin K
Answer: A. Iron
7. A client at 20 weeks' gestation asks when she may first feel fetal movement. Which
response is appropriate?
A. "Usually during the first 4 weeks."
B. "Usually around 18–20 weeks in a first pregnancy."
C. "Only after 30 weeks."
D. "Immediately after conception."
Answer: B. Usually around 18–20 weeks in a first pregnancy.
8. Which finding is commonly associated with preeclampsia?
A. Hypotension
B. Proteinuria and hypertension
C. Bradycardia
D. Hypoglycemia
Answer: B. Proteinuria and hypertension
, 9. A pregnant client with preeclampsia is receiving magnesium sulfate. Which assessment
finding requires immediate intervention?
A. Respiratory rate of 10/min
B. Urine output of 50 mL/hr
C. Patellar reflexes 2+
D. Blood pressure of 142/90 mm Hg
Answer: A. Respiratory rate of 10/min
10. Which medication is commonly kept available as the antidote for magnesium sulfate
toxicity?
A. Calcium gluconate
B. Naloxone
C. Vitamin K
D. Protamine sulfate
Answer: A. Calcium gluconate
11. Which symptom is most concerning for severe preeclampsia?
A. Mild ankle edema
B. Headache with visual disturbances
C. Increased appetite
D. Mild urinary frequency
Answer: B. Headache with visual disturbances
2026/2027 Comprehensive OB/Peds Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
EXAM 1 — MATERNAL HEALTH, ANTEPARTUM & NORMAL PREGNANCY
Questions 1–50
1. A client reports that the first day of her last menstrual period was March 10. Using
Naegele's rule, what is the estimated date of delivery?
A. December 10
B. December 17
C. January 10
D. January 17
Answer: B. December 17
2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Breast tenderness
C. Fetal heart tones detected by Doppler
D. Nausea and vomiting
,Answer: C. Fetal heart tones detected by Doppler
3. Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
Answer: B. Progesterone
4. A pregnant client asks why folic acid is recommended before and during pregnancy.
What is the best response?
A. It prevents gestational diabetes.
B. It prevents neural tube defects.
C. It prevents postpartum hemorrhage.
D. It increases fetal lung maturity.
Answer: B. It prevents neural tube defects.
5. Which assessment finding during pregnancy requires immediate follow-up?
A. Mild urinary frequency
B. Increased vaginal discharge without odor
C. Vaginal bleeding accompanied by abdominal pain
D. Mild breast tenderness
Answer: C. Vaginal bleeding accompanied by abdominal pain
,6. Which nutrient is especially important during pregnancy because maternal blood volume
increases substantially?
A. Iron
B. Vitamin C
C. Sodium
D. Vitamin K
Answer: A. Iron
7. A client at 20 weeks' gestation asks when she may first feel fetal movement. Which
response is appropriate?
A. "Usually during the first 4 weeks."
B. "Usually around 18–20 weeks in a first pregnancy."
C. "Only after 30 weeks."
D. "Immediately after conception."
Answer: B. Usually around 18–20 weeks in a first pregnancy.
8. Which finding is commonly associated with preeclampsia?
A. Hypotension
B. Proteinuria and hypertension
C. Bradycardia
D. Hypoglycemia
Answer: B. Proteinuria and hypertension
, 9. A pregnant client with preeclampsia is receiving magnesium sulfate. Which assessment
finding requires immediate intervention?
A. Respiratory rate of 10/min
B. Urine output of 50 mL/hr
C. Patellar reflexes 2+
D. Blood pressure of 142/90 mm Hg
Answer: A. Respiratory rate of 10/min
10. Which medication is commonly kept available as the antidote for magnesium sulfate
toxicity?
A. Calcium gluconate
B. Naloxone
C. Vitamin K
D. Protamine sulfate
Answer: A. Calcium gluconate
11. Which symptom is most concerning for severe preeclampsia?
A. Mild ankle edema
B. Headache with visual disturbances
C. Increased appetite
D. Mild urinary frequency
Answer: B. Headache with visual disturbances
