MATERNAL-CHILD NURSING
NUR 272
Comprehensive
Practice Exam
Care of Childbearing / Childrearing Family
Medgar Evers College, CUNY
Original clinical scenarios across pregnancy, birth, postpartum care,
newborn care, and pediatric nursing.
200 A-D 200
Practice questions Single best answer Explained answers
ASSESS / PRIORITIZE / APPLY
Answers and explanations after every question
Focused practice. Clear reasoning. Confident review.
, NUR 272 | MATERNAL-CHILD NURSING PASSPOINT PRO
Your practice guide
Work through 200 original single-best-answer questions. Each item is followed by its answer and a
three-sentence explanation, so you can connect the clinical cues to the nursing decision.
Choose one answer, A-D, before uncovering the answer panel.
Review the reasoning even when you select the correct option.
For calculations, use the stated order and concentration; round only as directed.
Record missed questions and revisit the clinical concept before another attempt.
Topic map and review tracker
SET F O CU S ITEMS PA G E SCOR E
01 Prenatal assessment & health promotion 1-20 3 ___ / 20
02 Pregnancy complications & risk reduction 21-40 9 ___ / 20
03 Labor, fetal surveillance & birth emergencies 41-60 16 ___ / 20
04 Postpartum recovery & maternal safety 61-80 23 ___ / 20
05 Newborn assessment, feeding & care 81-100 29 ___ / 20
06 Growth, development & family health 101-120 36 ___ / 20
07 Pediatric respiratory & cardiac care 121-140 43 ___ / 20
08 Pediatric gastrointestinal, renal & endocrine care 141-160 49 ___ / 20
09 Pediatric neurologic, blood & musculoskeletal care 161-180 56 ___ / 20
10 Calculations, safety & integrated clinical judgment 181-200 63 ___ / 20
Total correct: ______ / 200 Questions to revisit: __________________
Coverage follows the college's published maternal-child course topics. Practice emphasizes assessment, priority actions,
safety, family teaching, and clinical calculations.
PassPoint Pro | Original practice questions
, NUR 272 | MATERNAL-CHILD NURSING PASSPOINT PRO
01 Prenatal assessment & health promotion
FOLATE AND PREGNANCY PLANNING
1
A client planning a pregnancy asks why folic acid is recommended before conception.
Which explanation should the nurse give?
A It treats iron deficiency without iron replacement.
B It prevents all chromosomal abnormalities.
C It supports early neural tube development.
D It eliminates the need for prenatal screening.
Answer: C. It supports early neural tube development.
Explanation: The neural tube develops very early, often before pregnancy is recognized. Adequate
folate intake before conception and during early pregnancy lowers the risk of neural tube defects. It
does not prevent every birth defect or replace screening and individualized prenatal care.
OBSTETRIC HISTORY
2
A pregnant client previously delivered one child at 39 weeks and one at 34 weeks and
had one miscarriage at 9 weeks. Both children are living. Which GTPAL entry is
correct?
A G4 T2 P0 A1 L2
B G3 T1 P1 A1 L2
C G4 T1 P1 A0 L3
D G4 T1 P1 A1 L2
Answer: D. G4 T1 P1 A1 L2
Explanation: Gravida includes all pregnancies, including the current pregnancy, so the total is four.
The previous births include one term birth and one preterm birth, and the early miscarriage is counted
under abortions. Two children are living, giving G4 T1 P1 A1 L2.
ESTIMATED DUE DATE
3
A client reports that the first day of the last normal menstrual period was January 10
and has regular 28-day cycles. Using Naegele's rule, what estimated due date should
the nurse calculate?
A October 17
B September 17
C November 10
D October 3
Answer: A. October 17
Explanation: Naegele's rule adds seven days and subtracts three months from the first day of the last
menstrual period, adjusting the year when necessary. January 10 therefore gives October 17. This is an
estimate, and early ultrasound findings may refine pregnancy dating.
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, NUR 272 | MATERNAL-CHILD NURSING PASSPOINT PRO
01 Prenatal assessment & health promotion
SUPINE HYPOTENSION
4
At 32 weeks, a client becomes pale and dizzy while lying flat for an examination.
What should the nurse do first?
A Help the client turn onto the side.
B Ask the client to stand and walk.
C Encourage the client to remain supine.
D Raise both arms above the head.
Answer: A. Help the client turn onto the side.
Explanation: The enlarged uterus can compress major blood vessels when the client lies supine,
reducing venous return. A side-lying position, commonly the left side, relieves compression and
improves circulation. Standing a dizzy client risks a fall, and persistent symptoms require further
assessment.
IRON TEACHING
5
A pregnant client takes prescribed oral iron for iron deficiency. Which statement
shows correct understanding?
A I can take it with a vitamin C-containing drink if tolerated.
B I should stop it as soon as my stool becomes darker.
C I should take it with my calcium supplement every time.
D I should double the dose whenever I feel tired.
Answer: A. I can take it with a vitamin C-containing drink if tolerated.
Explanation: Vitamin C can improve absorption of nonheme iron, while calcium can reduce absorption
when taken at the same time. Dark stools are a common effect of oral iron and do not by themselves
require stopping treatment. Doses should follow the prescription, with gastrointestinal effects discussed
rather than managed by unsupervised dose changes.
FOOD SAFETY
6
Which food choice by a pregnant client requires additional teaching?
A Pasteurized yogurt stored under refrigeration
B Washed fruit prepared on a clean surface
C Soft cheese made from unpasteurized milk
D Fully cooked eggs served hot
Answer: C. Soft cheese made from unpasteurized milk
Explanation: Unpasteurized dairy products may carry organisms such as Listeria that can cause
serious illness during pregnancy. Choosing pasteurized products and following safe storage practices
lowers foodborne infection risk. The other choices describe appropriate preparation or pasteurization.
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