1
NSG 3500 PRACTICE EXAM 2026/2027 |
NURSING PRACTICE – MATERNAL HEALTH |
80 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED
SECTION 1: ANTEPARTUM NURSING & PRENATAL CARE – Questions 1-20
Q1: Nausea and Vomiting Management
A nurse is caring for a client at 8 weeks gestation who reports nausea and vomiting. Which
recommendation should the nurse make?
A. Eat three large meals daily
B. Drink fluids with meals
C. Eat dry crackers before getting out of bed
D. Lie down immediately after eating
Correct Answer: C
Rationale: Eating dry crackers or toast before rising helps maintain blood glucose levels and reduces
nausea by preventing an empty stomach. Large meals (A) and drinking fluids with meals (B) can
worsen nausea by causing gastric distension and delayed emptying. Lying down after eating (D)
promotes reflux and delays gastric emptying .
Q2: Naegele's Rule Calculation
A nurse is calculating the estimated date of birth using Naegele's rule for a client whose last
menstrual period began on March 10. Which date should the nurse document?
A. December 3
B. December 10
C. December 17
D. December 24
Correct Answer: C
Rationale: Naegele's rule: Subtract 3 months from the first day of the LMP and add 7 days. March 10
→ December 10 → December 17. This assumes a 28-day menstrual cycle .
Q3: Rubella Titer Requiring Intervention
A nurse is reviewing prenatal laboratory results for a client at 10 weeks gestation. Which finding
requires immediate intervention?
,2
A. Hemoglobin 11.0 g/dL
B. Rubella titer 1:8
C. Blood type O negative
D. White blood cell count 12,000/mm³
Correct Answer: B
Rationale: A rubella titer of 1:8 indicates non-immunity. The client should receive the MMR vaccine
postpartum (not during pregnancy as it is a live vaccine). Hemoglobin 11.0 is within expected range
(physiologic anemia). Rh-negative clients need RhoGAM at 28 weeks. WBC 12,000 is elevated but
expected in pregnancy .
Q4: Prenatal Screening Understanding
A nurse is providing education to a client at 16 weeks gestation about prenatal screenings. Which
statement indicates understanding?
A. "I will have a glucose tolerance test at my next visit"
B. "The maternal serum alpha-fetoprotein test screens for neural tube defects"
C. "An amniocentesis is routinely done at this gestation"
D. "The nonstress test evaluates fetal lung maturity"
Correct Answer: B
Rationale: MSAFP screening is performed at 15-20 weeks and screens for open neural tube defects.
Glucose tolerance testing occurs at 24-28 weeks. Amniocentesis is not routine. Nonstress tests
evaluate fetal well-being, not lung maturity .
Q5: Blood Pressure Requiring Reporting
A nurse is assessing a client at 24 weeks gestation. Which finding should the nurse report to the
provider?
A. Fundal height 22 cm
B. Fetal heart rate 140/min
C. 2+ edema in lower extremities
D. Blood pressure 146/92 mm Hg
Correct Answer: D
Rationale: Blood pressure ≥140/90 mm Hg is concerning for gestational hypertension or
preeclampsia and requires reporting. Fundal height at 24 weeks should be ±2 cm from gestational
age. FHR 140 is normal. Mild edema is common in pregnancy .
Q6: Ectopic Pregnancy Treatment
A woman presents with abdominal pain, missed period, and ultrasound confirming a 3 cm
unruptured ectopic pregnancy in the right fallopian tube. Which therapy should the nurse prepare
the patient for?
, 3
A. Laparoscopic salpingostomy
B. Methotrexate
C. Partial salpingectomy
D. Salpingectomy by laparotomy
Correct Answer: B
Rationale: Methotrexate is the appropriate treatment for an unruptured ectopic pregnancy
measuring less than 3.5 cm without fetal cardiac activity. It is a non-surgical option that preserves
the fallopian tube .
Q7: Chronic Hypertension Diagnosis
A prenatal clinic nurse assesses a woman at 15 weeks gestation. Blood pressure is 146/96 mm Hg on
two occasions. The nurse understands the patient has which condition?
A. Chronic hypertension
B. Gestational hypertension
C. Preeclampsia
D. Transient hypertension
Correct Answer: A
Rationale: Blood pressure elevation before 20 weeks gestation is classified as chronic hypertension.
Gestational hypertension occurs after 20 weeks .
Q8: Gonorrhea Transmission Risk
A woman in active labor has no prenatal care and reports the baby's father has untreated
gonorrhea. For what complication is the newborn at most risk?
A. Pneumonia
B. Skin lesions
C. Blindness
D. Intellectual disability
Correct Answer: C
Rationale: Untreated gonorrhea can be transmitted during delivery, causing ophthalmia
neonatorum, which can lead to blindness if not treated promptly .
Q9: Cervical Insufficiency Intervention
A nurse is assessing a woman at 18 weeks gestation with diagnosed cervical insufficiency. Which
action is most appropriate?
A. Assist with obtaining informed consent for a cerclage
B. Prepare for immediate delivery
C. Administer methotrexate
D. Schedule an amniocentesis
NSG 3500 PRACTICE EXAM 2026/2027 |
NURSING PRACTICE – MATERNAL HEALTH |
80 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED
SECTION 1: ANTEPARTUM NURSING & PRENATAL CARE – Questions 1-20
Q1: Nausea and Vomiting Management
A nurse is caring for a client at 8 weeks gestation who reports nausea and vomiting. Which
recommendation should the nurse make?
A. Eat three large meals daily
B. Drink fluids with meals
C. Eat dry crackers before getting out of bed
D. Lie down immediately after eating
Correct Answer: C
Rationale: Eating dry crackers or toast before rising helps maintain blood glucose levels and reduces
nausea by preventing an empty stomach. Large meals (A) and drinking fluids with meals (B) can
worsen nausea by causing gastric distension and delayed emptying. Lying down after eating (D)
promotes reflux and delays gastric emptying .
Q2: Naegele's Rule Calculation
A nurse is calculating the estimated date of birth using Naegele's rule for a client whose last
menstrual period began on March 10. Which date should the nurse document?
A. December 3
B. December 10
C. December 17
D. December 24
Correct Answer: C
Rationale: Naegele's rule: Subtract 3 months from the first day of the LMP and add 7 days. March 10
→ December 10 → December 17. This assumes a 28-day menstrual cycle .
Q3: Rubella Titer Requiring Intervention
A nurse is reviewing prenatal laboratory results for a client at 10 weeks gestation. Which finding
requires immediate intervention?
,2
A. Hemoglobin 11.0 g/dL
B. Rubella titer 1:8
C. Blood type O negative
D. White blood cell count 12,000/mm³
Correct Answer: B
Rationale: A rubella titer of 1:8 indicates non-immunity. The client should receive the MMR vaccine
postpartum (not during pregnancy as it is a live vaccine). Hemoglobin 11.0 is within expected range
(physiologic anemia). Rh-negative clients need RhoGAM at 28 weeks. WBC 12,000 is elevated but
expected in pregnancy .
Q4: Prenatal Screening Understanding
A nurse is providing education to a client at 16 weeks gestation about prenatal screenings. Which
statement indicates understanding?
A. "I will have a glucose tolerance test at my next visit"
B. "The maternal serum alpha-fetoprotein test screens for neural tube defects"
C. "An amniocentesis is routinely done at this gestation"
D. "The nonstress test evaluates fetal lung maturity"
Correct Answer: B
Rationale: MSAFP screening is performed at 15-20 weeks and screens for open neural tube defects.
Glucose tolerance testing occurs at 24-28 weeks. Amniocentesis is not routine. Nonstress tests
evaluate fetal well-being, not lung maturity .
Q5: Blood Pressure Requiring Reporting
A nurse is assessing a client at 24 weeks gestation. Which finding should the nurse report to the
provider?
A. Fundal height 22 cm
B. Fetal heart rate 140/min
C. 2+ edema in lower extremities
D. Blood pressure 146/92 mm Hg
Correct Answer: D
Rationale: Blood pressure ≥140/90 mm Hg is concerning for gestational hypertension or
preeclampsia and requires reporting. Fundal height at 24 weeks should be ±2 cm from gestational
age. FHR 140 is normal. Mild edema is common in pregnancy .
Q6: Ectopic Pregnancy Treatment
A woman presents with abdominal pain, missed period, and ultrasound confirming a 3 cm
unruptured ectopic pregnancy in the right fallopian tube. Which therapy should the nurse prepare
the patient for?
, 3
A. Laparoscopic salpingostomy
B. Methotrexate
C. Partial salpingectomy
D. Salpingectomy by laparotomy
Correct Answer: B
Rationale: Methotrexate is the appropriate treatment for an unruptured ectopic pregnancy
measuring less than 3.5 cm without fetal cardiac activity. It is a non-surgical option that preserves
the fallopian tube .
Q7: Chronic Hypertension Diagnosis
A prenatal clinic nurse assesses a woman at 15 weeks gestation. Blood pressure is 146/96 mm Hg on
two occasions. The nurse understands the patient has which condition?
A. Chronic hypertension
B. Gestational hypertension
C. Preeclampsia
D. Transient hypertension
Correct Answer: A
Rationale: Blood pressure elevation before 20 weeks gestation is classified as chronic hypertension.
Gestational hypertension occurs after 20 weeks .
Q8: Gonorrhea Transmission Risk
A woman in active labor has no prenatal care and reports the baby's father has untreated
gonorrhea. For what complication is the newborn at most risk?
A. Pneumonia
B. Skin lesions
C. Blindness
D. Intellectual disability
Correct Answer: C
Rationale: Untreated gonorrhea can be transmitted during delivery, causing ophthalmia
neonatorum, which can lead to blindness if not treated promptly .
Q9: Cervical Insufficiency Intervention
A nurse is assessing a woman at 18 weeks gestation with diagnosed cervical insufficiency. Which
action is most appropriate?
A. Assist with obtaining informed consent for a cerclage
B. Prepare for immediate delivery
C. Administer methotrexate
D. Schedule an amniocentesis
