PASSPOINT PRO
PREGNANCY & PRENATAL NURSING
NUR 272
Pregnancy & Prenatal
Nursing Practice
Care of Childbearing / Childrearing Family
Medgar Evers College, CUNY
Original prenatal clinical scenarios covering assessment, fetal development, screening,
nutrition, complications, medication safety, and priority nursing decisions.
100 A-D 100
Practice questions Single best answer Explained answers
ASSESS / PRIORITIZE / APPLY
Answers and explanations after every question
Focused practice. Clear reasoning. Confident review.
, NUR 272 | PREGNANCY & PRENATAL NURSING PASSPOINT PRO
Your practice guide
Work through 100 original single-best-answer questions. Each item is followed by its answer and a three-sentence
explanation so you can connect 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.
Use the topic map to identify weak prenatal content areas.
Record missed questions and revisit the clinical concept before another attempt.
Topic map and review tracker
SET FOCUS ITEMS SCORE
01 Prenatal foundations & maternal adaptation 1-20 ___ / 20
02 Fetal development, screening & diagnostics 21-40 ___ / 20
03 Nutrition, health promotion & common discomforts 41-60 ___ / 20
04 High-risk pregnancy complications 61-80 ___ / 20
05 Infections, medications, teaching & priority 81-100 ___ / 20
Total correct: _____ / 100 Questions to revisit: __________________
Coverage is aligned to NUR 272 Childbearing/Childrearing Family and emphasizes prenatal assessment, safety, clinical judgment,
and patient teaching.
, NUR 272 | PREGNANCY & PRENATAL NURSING PASSPOINT PRO
01 Prenatal foundations & maternal adaptation
FOLATE & PRECONCEPTION
1
A client planning pregnancy asks why folic acid is recommended before conception. Which response by
the nurse is best?
A It prevents all chromosomal abnormalities.
B It supports early neural tube development.
C It replaces the need for iron in pregnancy.
D It prevents gestational diabetes.
Answer: B. It supports early neural tube development.
Explanation: The neural tube develops very early, often before pregnancy is recognized. Adequate folate before conception
and in early pregnancy lowers the risk of neural tube defects. Folate does not prevent every fetal abnormality or replace
other prenatal nutrients.
OBSTETRIC HISTORY
2
A pregnant client has had one term birth, one preterm birth, one miscarriage at 10 weeks, and both
children are living. Including the current pregnancy, which GTPAL entry is correct?
A G3 T1 P1 A1 L2
B G4 T1 P1 A1 L2
C G4 T2 P0 A1 L2
D G4 T1 P2 A0 L2
Answer: B. G4 T1 P1 A1 L2
Explanation: Gravida counts all pregnancies, including the current pregnancy, so the total is four. The history includes one
term birth, one preterm birth, one abortion or miscarriage before viability, and two living children. This gives G4 T1 P1 A1 L2.
ESTIMATED DUE DATE
3
The first day of a client's last normal menstrual period was March 8. Using Naegele's rule, what
estimated due date should the nurse calculate?
A December 1
B December 8
C December 15
D January 15
Answer: C. December 15
Explanation: Naegele's rule adds seven days and subtracts three months from the first day of the last menstrual period,
adjusting the year as needed. March 8 plus seven days is March 15, then subtracting three months gives December 15.
Early ultrasound may refine dating when menstrual dates are uncertain.
PassPoint Pro | Original practice questions
, NUR 272 | PREGNANCY & PRENATAL NURSING PASSPOINT PRO
01 Prenatal foundations & maternal adaptation
PREGNANCY SIGNS
4
Which finding is considered a positive sign of pregnancy?
A Amenorrhea
B Breast tenderness
C Fetal heart tones heard by Doppler
D Positive urine pregnancy test
Answer: C. Fetal heart tones heard by Doppler
Explanation: Positive signs directly demonstrate the presence of a fetus. Fetal heart tones detected by a trained examiner
are a positive sign. Amenorrhea and breast tenderness are presumptive, while a positive hCG test is considered a probable
sign because hCG can rarely be elevated for other reasons.
FUNDAL HEIGHT
5
At a routine prenatal visit, the fundus is palpated at the level of the umbilicus. This finding is most
consistent with approximately how many weeks of gestation?
A 12 weeks
B 16 weeks
C 20 weeks
D 28 weeks
Answer: C. 20 weeks
Explanation: Around 20 weeks, the uterine fundus is commonly near the level of the umbilicus. After about 20 weeks, fundal
height in centimeters generally approximates gestational age within a small range. Significant discrepancies may prompt
further assessment.
MATERNAL HEMATOLOGY
6
A pregnant client has a mildly decreased hematocrit with no symptoms and otherwise normal laboratory
findings. Which physiologic change best explains this?
A Decreased red blood cell production
B Plasma volume increases more than red blood cell mass
C Progressive hemolysis is expected in pregnancy
D Iron absorption stops during pregnancy
Answer: B. Plasma volume increases more than red blood cell mass
Explanation: Pregnancy causes expansion of both plasma volume and red blood cell mass, but plasma volume rises
proportionally more. This produces physiologic hemodilution, sometimes called physiologic anemia of pregnancy. The nurse
should still distinguish this expected pattern from true iron-deficiency anemia.
PassPoint Pro | Original practice questions
PREGNANCY & PRENATAL NURSING
NUR 272
Pregnancy & Prenatal
Nursing Practice
Care of Childbearing / Childrearing Family
Medgar Evers College, CUNY
Original prenatal clinical scenarios covering assessment, fetal development, screening,
nutrition, complications, medication safety, and priority nursing decisions.
100 A-D 100
Practice questions Single best answer Explained answers
ASSESS / PRIORITIZE / APPLY
Answers and explanations after every question
Focused practice. Clear reasoning. Confident review.
, NUR 272 | PREGNANCY & PRENATAL NURSING PASSPOINT PRO
Your practice guide
Work through 100 original single-best-answer questions. Each item is followed by its answer and a three-sentence
explanation so you can connect 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.
Use the topic map to identify weak prenatal content areas.
Record missed questions and revisit the clinical concept before another attempt.
Topic map and review tracker
SET FOCUS ITEMS SCORE
01 Prenatal foundations & maternal adaptation 1-20 ___ / 20
02 Fetal development, screening & diagnostics 21-40 ___ / 20
03 Nutrition, health promotion & common discomforts 41-60 ___ / 20
04 High-risk pregnancy complications 61-80 ___ / 20
05 Infections, medications, teaching & priority 81-100 ___ / 20
Total correct: _____ / 100 Questions to revisit: __________________
Coverage is aligned to NUR 272 Childbearing/Childrearing Family and emphasizes prenatal assessment, safety, clinical judgment,
and patient teaching.
, NUR 272 | PREGNANCY & PRENATAL NURSING PASSPOINT PRO
01 Prenatal foundations & maternal adaptation
FOLATE & PRECONCEPTION
1
A client planning pregnancy asks why folic acid is recommended before conception. Which response by
the nurse is best?
A It prevents all chromosomal abnormalities.
B It supports early neural tube development.
C It replaces the need for iron in pregnancy.
D It prevents gestational diabetes.
Answer: B. It supports early neural tube development.
Explanation: The neural tube develops very early, often before pregnancy is recognized. Adequate folate before conception
and in early pregnancy lowers the risk of neural tube defects. Folate does not prevent every fetal abnormality or replace
other prenatal nutrients.
OBSTETRIC HISTORY
2
A pregnant client has had one term birth, one preterm birth, one miscarriage at 10 weeks, and both
children are living. Including the current pregnancy, which GTPAL entry is correct?
A G3 T1 P1 A1 L2
B G4 T1 P1 A1 L2
C G4 T2 P0 A1 L2
D G4 T1 P2 A0 L2
Answer: B. G4 T1 P1 A1 L2
Explanation: Gravida counts all pregnancies, including the current pregnancy, so the total is four. The history includes one
term birth, one preterm birth, one abortion or miscarriage before viability, and two living children. This gives G4 T1 P1 A1 L2.
ESTIMATED DUE DATE
3
The first day of a client's last normal menstrual period was March 8. Using Naegele's rule, what
estimated due date should the nurse calculate?
A December 1
B December 8
C December 15
D January 15
Answer: C. December 15
Explanation: Naegele's rule adds seven days and subtracts three months from the first day of the last menstrual period,
adjusting the year as needed. March 8 plus seven days is March 15, then subtracting three months gives December 15.
Early ultrasound may refine dating when menstrual dates are uncertain.
PassPoint Pro | Original practice questions
, NUR 272 | PREGNANCY & PRENATAL NURSING PASSPOINT PRO
01 Prenatal foundations & maternal adaptation
PREGNANCY SIGNS
4
Which finding is considered a positive sign of pregnancy?
A Amenorrhea
B Breast tenderness
C Fetal heart tones heard by Doppler
D Positive urine pregnancy test
Answer: C. Fetal heart tones heard by Doppler
Explanation: Positive signs directly demonstrate the presence of a fetus. Fetal heart tones detected by a trained examiner
are a positive sign. Amenorrhea and breast tenderness are presumptive, while a positive hCG test is considered a probable
sign because hCG can rarely be elevated for other reasons.
FUNDAL HEIGHT
5
At a routine prenatal visit, the fundus is palpated at the level of the umbilicus. This finding is most
consistent with approximately how many weeks of gestation?
A 12 weeks
B 16 weeks
C 20 weeks
D 28 weeks
Answer: C. 20 weeks
Explanation: Around 20 weeks, the uterine fundus is commonly near the level of the umbilicus. After about 20 weeks, fundal
height in centimeters generally approximates gestational age within a small range. Significant discrepancies may prompt
further assessment.
MATERNAL HEMATOLOGY
6
A pregnant client has a mildly decreased hematocrit with no symptoms and otherwise normal laboratory
findings. Which physiologic change best explains this?
A Decreased red blood cell production
B Plasma volume increases more than red blood cell mass
C Progressive hemolysis is expected in pregnancy
D Iron absorption stops during pregnancy
Answer: B. Plasma volume increases more than red blood cell mass
Explanation: Pregnancy causes expansion of both plasma volume and red blood cell mass, but plasma volume rises
proportionally more. This produces physiologic hemodilution, sometimes called physiologic anemia of pregnancy. The nurse
should still distinguish this expected pattern from true iron-deficiency anemia.
PassPoint Pro | Original practice questions
