Test Bank for Maternity and Pediatric
Nursing 5th Edition With Questions
And Well Verified Answers Actual
Exam!!! 2026
1. A woman reports that the first day of her last menstrual period was January 10. Using
Naegele's rule, what is the estimated date of delivery?
A. October 3
B. October 17
C. November 17
D. December 10
Correct Answer: B. October 17
Rationale: Naegele's rule adds 7 days to the first day of the last menstrual period, subtracts 3
months, and adds 1 year.
2. Which hormone is primarily responsible for maintaining the uterine lining during early
pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: B. Progesterone
Rationale: Progesterone supports the endometrium and helps maintain pregnancy, particularly
during the early stages.
3. Which hormone stimulates milk production after childbirth?
A. Prolactin
B. Oxytocin
C. Estrogen
D. Human chorionic gonadotropin
Correct Answer: A. Prolactin
Rationale: Prolactin stimulates milk synthesis, while oxytocin promotes milk ejection.
,4. Which hormone is primarily responsible for the milk-ejection reflex?
A. Progesterone
B. Prolactin
C. Oxytocin
D. Human placental lactogen
Correct Answer: C. Oxytocin
Rationale: Oxytocin causes contraction of the myoepithelial cells surrounding the mammary
glands, producing milk ejection.
5. A pregnant client asks why her blood volume increases during pregnancy. Which response is
appropriate?
A. To prepare the body for blood loss during childbirth
B. To decrease cardiac workload
C. To prevent fetal growth
D. To reduce oxygen delivery to the fetus
Correct Answer: A. To prepare the body for blood loss during childbirth
Rationale: Maternal blood volume increases during pregnancy to support uteroplacental
circulation and provide a reserve for blood loss during delivery.
6. Which cardiovascular change normally occurs during pregnancy?
A. Decreased cardiac output
B. Increased cardiac output
C. Complete cessation of peripheral circulation
D. Severe persistent bradycardia
Correct Answer: B. Increased cardiac output
Rationale: Cardiac output increases during pregnancy to meet the increased metabolic and
circulatory demands of the mother and fetus.
7. Which instruction is appropriate for a pregnant client who experiences constipation?
A. Decrease fiber intake.
B. Increase fluids and dietary fiber.
C. Avoid physical activity completely.
D. Take laxatives routinely without consultation.
Correct Answer: B. Increase fluids and dietary fiber.
Rationale: Adequate fluids, fiber, and appropriate activity can help prevent constipation during
pregnancy.
, 8. Which food choice provides a good source of folate?
A. Leafy green vegetables
B. Carbonated soda
C. Butter
D. Refined sugar
Correct Answer: A. Leafy green vegetables
Rationale: Leafy green vegetables, legumes, and fortified grains are important sources of
folate.
9. A pregnant client complains of heartburn. Which instruction is appropriate?
A. Lie down immediately after eating.
B. Eat smaller meals and remain upright after eating.
C. Drink large amounts of fluid during meals.
D. Eat very large meals before bedtime.
Correct Answer: B. Eat smaller meals and remain upright after eating.
Rationale: Smaller meals and remaining upright after eating can reduce reflux symptoms
during pregnancy.
10. Which finding is considered a probable sign of pregnancy?
A. Fetal heart sounds heard by the examiner
B. Fetal movement felt by the examiner
C. Positive pregnancy test
D. Visualization of the fetus by ultrasound
Correct Answer: C. Positive pregnancy test
Rationale: A positive pregnancy test is a probable sign, while fetal heart activity and
visualization of the fetus are positive signs.
11. Which test is commonly used to screen for gestational diabetes during pregnancy?
A. Oral glucose testing
B. Complete hearing test
C. Chest radiograph
D. Electrocardiogram only
Correct Answer: A. Oral glucose testing
Rationale: Glucose screening and diagnostic oral glucose testing are used to identify
gestational diabetes.
Nursing 5th Edition With Questions
And Well Verified Answers Actual
Exam!!! 2026
1. A woman reports that the first day of her last menstrual period was January 10. Using
Naegele's rule, what is the estimated date of delivery?
A. October 3
B. October 17
C. November 17
D. December 10
Correct Answer: B. October 17
Rationale: Naegele's rule adds 7 days to the first day of the last menstrual period, subtracts 3
months, and adds 1 year.
2. Which hormone is primarily responsible for maintaining the uterine lining during early
pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: B. Progesterone
Rationale: Progesterone supports the endometrium and helps maintain pregnancy, particularly
during the early stages.
3. Which hormone stimulates milk production after childbirth?
A. Prolactin
B. Oxytocin
C. Estrogen
D. Human chorionic gonadotropin
Correct Answer: A. Prolactin
Rationale: Prolactin stimulates milk synthesis, while oxytocin promotes milk ejection.
,4. Which hormone is primarily responsible for the milk-ejection reflex?
A. Progesterone
B. Prolactin
C. Oxytocin
D. Human placental lactogen
Correct Answer: C. Oxytocin
Rationale: Oxytocin causes contraction of the myoepithelial cells surrounding the mammary
glands, producing milk ejection.
5. A pregnant client asks why her blood volume increases during pregnancy. Which response is
appropriate?
A. To prepare the body for blood loss during childbirth
B. To decrease cardiac workload
C. To prevent fetal growth
D. To reduce oxygen delivery to the fetus
Correct Answer: A. To prepare the body for blood loss during childbirth
Rationale: Maternal blood volume increases during pregnancy to support uteroplacental
circulation and provide a reserve for blood loss during delivery.
6. Which cardiovascular change normally occurs during pregnancy?
A. Decreased cardiac output
B. Increased cardiac output
C. Complete cessation of peripheral circulation
D. Severe persistent bradycardia
Correct Answer: B. Increased cardiac output
Rationale: Cardiac output increases during pregnancy to meet the increased metabolic and
circulatory demands of the mother and fetus.
7. Which instruction is appropriate for a pregnant client who experiences constipation?
A. Decrease fiber intake.
B. Increase fluids and dietary fiber.
C. Avoid physical activity completely.
D. Take laxatives routinely without consultation.
Correct Answer: B. Increase fluids and dietary fiber.
Rationale: Adequate fluids, fiber, and appropriate activity can help prevent constipation during
pregnancy.
, 8. Which food choice provides a good source of folate?
A. Leafy green vegetables
B. Carbonated soda
C. Butter
D. Refined sugar
Correct Answer: A. Leafy green vegetables
Rationale: Leafy green vegetables, legumes, and fortified grains are important sources of
folate.
9. A pregnant client complains of heartburn. Which instruction is appropriate?
A. Lie down immediately after eating.
B. Eat smaller meals and remain upright after eating.
C. Drink large amounts of fluid during meals.
D. Eat very large meals before bedtime.
Correct Answer: B. Eat smaller meals and remain upright after eating.
Rationale: Smaller meals and remaining upright after eating can reduce reflux symptoms
during pregnancy.
10. Which finding is considered a probable sign of pregnancy?
A. Fetal heart sounds heard by the examiner
B. Fetal movement felt by the examiner
C. Positive pregnancy test
D. Visualization of the fetus by ultrasound
Correct Answer: C. Positive pregnancy test
Rationale: A positive pregnancy test is a probable sign, while fetal heart activity and
visualization of the fetus are positive signs.
11. Which test is commonly used to screen for gestational diabetes during pregnancy?
A. Oral glucose testing
B. Complete hearing test
C. Chest radiograph
D. Electrocardiogram only
Correct Answer: A. Oral glucose testing
Rationale: Glucose screening and diagnostic oral glucose testing are used to identify
gestational diabetes.
