of MARYLAND
ENGAGE YOUR FUTURE
N205/206 Maternal/Child
N205/206 Honorlock Proctored Online Exam
Web Nursing III N205/206 Exam 1-12
Course Title and Number: N205/206 Exam 1-12
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025–2026
Instructor: ____ [Insert Instructor's Name] ______
Student Name: __ [Insert Student's Name] ____
Student ID: ___ [Insert Student ID] __________
Examination
Time: - ____ Hours: __ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
Please Ensure all you answer each question below and click Submit when you have completed the
3. Exam.
4. This test has a time limit. The test will save and submit automatically when the time expires.
5. This Exam will assess your knowledge on the course Learning Resources.
6. All 100 questions include the correct answer and a full clinical rationale for learning.
Good Luck!
, SECTION 1
Antepartum & Prenatal Care
Questions 1–20
A nurse is caring for a client at 10 weeks of gestation. Which finding requires immediate
Q1
follow-up?
A. Blood pressure 118/76 mmHg
B. Fundal height 8 cm above the pubic symphysis
C. Fetal heart rate of 160 bpm
✓ D. Painless bright red vaginal bleeding
✔ Correct Answer: D
Rationale: Painless bright red vaginal bleeding in the first trimester is a hallmark sign of threatened or complete
abortion and requires immediate provider notification. Blood pressure, fundal height, and fetal heart rate values
listed are within normal limits.
Q2 Which immunization is SAFE to administer during pregnancy?
A. MMR (measles, mumps, rubella)
B. Varicella
✓ C. Influenza (inactivated)
D. Live attenuated intranasal influenza
✔ Correct Answer: C
Rationale: Inactivated influenza vaccine is recommended during any trimester. Live vaccines (MMR, varicella,
live nasal flu) are contraindicated in pregnancy due to theoretical fetal risk.
, A pregnant client at 28 weeks asks about fetal kick counts. What is the nurse's BEST
Q3
instruction?
A. Count kicks for 1 hour after each meal; report if fewer than 3 kicks
✓ B. Count kicks once daily; report if fewer than 10 movements in 2 hours
C. Kicks only matter after 36 weeks
D. Contact provider only if no kicks for 24 hours
✔ Correct Answer: B
Rationale: The Cardiff method: count fetal movements once daily; 10 movements in ≤2 hours is reassuring.
Fewer than 10 in 2 hours should be reported promptly to the provider.
Q4 Nagele's Rule is used to calculate:
A. Gestational age by fundal height
✓ B. Estimated date of delivery (EDD)
C. Fetal weight by ultrasound
D. Amniotic fluid index
✔ Correct Answer: B
Rationale: Nagele's Rule: subtract 3 months from the first day of the last menstrual period (LMP), add 7 days,
and adjust the year. It estimates the expected date of delivery.
, A multigravida at 36 weeks has a BP of 152/98 mmHg on two readings 4 hours apart, with
Q5
2+ proteinuria and headache. The nurse suspects:
A. Gestational hypertension
B. Chronic hypertension
✓ C. Preeclampsia with severe features
D. HELLP syndrome
✔ Correct Answer: C
Rationale: BP ≥140/90 mmHg on two occasions ≥4 hours apart after 20 weeks WITH proteinuria defines
preeclampsia. Severe features include BP ≥160/110, severe headache, visual changes, or RUQ pain.
Q6 Which laboratory finding is MOST associated with HELLP syndrome?
A. Elevated platelets
B. Low hemoglobin and low AST
✓ C. Elevated liver enzymes and low platelet count
D. Elevated BUN and creatinine only
✔ Correct Answer: C
Rationale: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets. Lab findings include
microangiopathic hemolytic anemia, AST/ALT elevation, and thrombocytopenia (<100,000/mm³).
ENGAGE YOUR FUTURE
N205/206 Maternal/Child
N205/206 Honorlock Proctored Online Exam
Web Nursing III N205/206 Exam 1-12
Course Title and Number: N205/206 Exam 1-12
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025–2026
Instructor: ____ [Insert Instructor's Name] ______
Student Name: __ [Insert Student's Name] ____
Student ID: ___ [Insert Student ID] __________
Examination
Time: - ____ Hours: __ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
Please Ensure all you answer each question below and click Submit when you have completed the
3. Exam.
4. This test has a time limit. The test will save and submit automatically when the time expires.
5. This Exam will assess your knowledge on the course Learning Resources.
6. All 100 questions include the correct answer and a full clinical rationale for learning.
Good Luck!
, SECTION 1
Antepartum & Prenatal Care
Questions 1–20
A nurse is caring for a client at 10 weeks of gestation. Which finding requires immediate
Q1
follow-up?
A. Blood pressure 118/76 mmHg
B. Fundal height 8 cm above the pubic symphysis
C. Fetal heart rate of 160 bpm
✓ D. Painless bright red vaginal bleeding
✔ Correct Answer: D
Rationale: Painless bright red vaginal bleeding in the first trimester is a hallmark sign of threatened or complete
abortion and requires immediate provider notification. Blood pressure, fundal height, and fetal heart rate values
listed are within normal limits.
Q2 Which immunization is SAFE to administer during pregnancy?
A. MMR (measles, mumps, rubella)
B. Varicella
✓ C. Influenza (inactivated)
D. Live attenuated intranasal influenza
✔ Correct Answer: C
Rationale: Inactivated influenza vaccine is recommended during any trimester. Live vaccines (MMR, varicella,
live nasal flu) are contraindicated in pregnancy due to theoretical fetal risk.
, A pregnant client at 28 weeks asks about fetal kick counts. What is the nurse's BEST
Q3
instruction?
A. Count kicks for 1 hour after each meal; report if fewer than 3 kicks
✓ B. Count kicks once daily; report if fewer than 10 movements in 2 hours
C. Kicks only matter after 36 weeks
D. Contact provider only if no kicks for 24 hours
✔ Correct Answer: B
Rationale: The Cardiff method: count fetal movements once daily; 10 movements in ≤2 hours is reassuring.
Fewer than 10 in 2 hours should be reported promptly to the provider.
Q4 Nagele's Rule is used to calculate:
A. Gestational age by fundal height
✓ B. Estimated date of delivery (EDD)
C. Fetal weight by ultrasound
D. Amniotic fluid index
✔ Correct Answer: B
Rationale: Nagele's Rule: subtract 3 months from the first day of the last menstrual period (LMP), add 7 days,
and adjust the year. It estimates the expected date of delivery.
, A multigravida at 36 weeks has a BP of 152/98 mmHg on two readings 4 hours apart, with
Q5
2+ proteinuria and headache. The nurse suspects:
A. Gestational hypertension
B. Chronic hypertension
✓ C. Preeclampsia with severe features
D. HELLP syndrome
✔ Correct Answer: C
Rationale: BP ≥140/90 mmHg on two occasions ≥4 hours apart after 20 weeks WITH proteinuria defines
preeclampsia. Severe features include BP ≥160/110, severe headache, visual changes, or RUQ pain.
Q6 Which laboratory finding is MOST associated with HELLP syndrome?
A. Elevated platelets
B. Low hemoglobin and low AST
✓ C. Elevated liver enzymes and low platelet count
D. Elevated BUN and creatinine only
✔ Correct Answer: C
Rationale: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets. Lab findings include
microangiopathic hemolytic anemia, AST/ALT elevation, and thrombocytopenia (<100,000/mm³).
