NUR 254 Exams 1–4 (Latest 2026/2027 Update)
Maternal and Pediatrics, Questions and Answers -
Galen College of Nursing
UNIT 1: ANTEPARTUM NURSING
Q1. A patient at 12 weeks gestation reports mild nausea and vomiting. The nurse
should recommend:
A) Eating three large meals daily
B) Eating small, frequent meals and dry crackers before rising
C) Drinking fluids with meals
D) Taking an antacid with every meal
Correct Answer: B
Rationale: Small, frequent meals and dry crackers before rising help manage
nausea. Large meals and fluids with meals can worsen symptoms .
Q2. Which finding would alert the nurse to a potential ectopic pregnancy?
A) Positive pregnancy test with dark red bleeding
1
,B) Unilateral lower abdominal pain with light vaginal bleeding
C) Symmetrical uterine enlargement
D) Fetal heart tones audible at 8 weeks
Correct Answer: B
Rationale: Ectopic pregnancy typically presents with unilateral pelvic/abdominal
pain and light vaginal bleeding. Dark red bleeding and symmetrical uterine
enlargement are not characteristic .
Q3. During a routine prenatal visit, the nurse notes that the patient's fundal height
is 28 cm at 32 weeks gestation. What should the nurse do?
A) Document the finding as normal
B) Notify the provider immediately
C) Re-measure the fundal height
D) Schedule a growth ultrasound
Correct Answer: A
Rationale: Fundal height in cm should approximate gestational age ± 2 cm. At 32
weeks, 28-34 cm is normal .
2
,Q4. A pregnant patient reports that her partner is "very supportive and excited"
about the pregnancy. The nurse identifies this as a positive factor in which area?
A) Financial stability
B) Emotional support
C) Physical health
D) Social integration
Correct Answer: B
Rationale: Partner support is a key component of emotional support during
pregnancy and is associated with better maternal and fetal outcomes .
Q5. The nurse is assessing a patient at 20 weeks gestation. Which finding should
be reported to the provider?
A) Weight gain of 10 pounds
B) Fundal height of 22 cm
C) Blood pressure of 110/70 mm Hg
D) Fetal heart rate of 140 bpm
3
, Correct Answer: B
Rationale: At 20 weeks, fundal height should be approximately 20 cm. 22 cm may
indicate a multiple gestation or incorrect dates .
Q6. A patient at 6 weeks gestation has a history of three spontaneous abortions.
The nurse should anticipate:
A) Routine prenatal care only
B) Increased monitoring and possible progesterone supplementation
C) Immediate induction of labor
D) Bed rest for the entire pregnancy
Correct Answer: B
Rationale: Recurrent pregnancy loss may indicate luteal phase defect or other
factors requiring progesterone support .
Q7. Which immunization is contraindicated during pregnancy?
4
Maternal and Pediatrics, Questions and Answers -
Galen College of Nursing
UNIT 1: ANTEPARTUM NURSING
Q1. A patient at 12 weeks gestation reports mild nausea and vomiting. The nurse
should recommend:
A) Eating three large meals daily
B) Eating small, frequent meals and dry crackers before rising
C) Drinking fluids with meals
D) Taking an antacid with every meal
Correct Answer: B
Rationale: Small, frequent meals and dry crackers before rising help manage
nausea. Large meals and fluids with meals can worsen symptoms .
Q2. Which finding would alert the nurse to a potential ectopic pregnancy?
A) Positive pregnancy test with dark red bleeding
1
,B) Unilateral lower abdominal pain with light vaginal bleeding
C) Symmetrical uterine enlargement
D) Fetal heart tones audible at 8 weeks
Correct Answer: B
Rationale: Ectopic pregnancy typically presents with unilateral pelvic/abdominal
pain and light vaginal bleeding. Dark red bleeding and symmetrical uterine
enlargement are not characteristic .
Q3. During a routine prenatal visit, the nurse notes that the patient's fundal height
is 28 cm at 32 weeks gestation. What should the nurse do?
A) Document the finding as normal
B) Notify the provider immediately
C) Re-measure the fundal height
D) Schedule a growth ultrasound
Correct Answer: A
Rationale: Fundal height in cm should approximate gestational age ± 2 cm. At 32
weeks, 28-34 cm is normal .
2
,Q4. A pregnant patient reports that her partner is "very supportive and excited"
about the pregnancy. The nurse identifies this as a positive factor in which area?
A) Financial stability
B) Emotional support
C) Physical health
D) Social integration
Correct Answer: B
Rationale: Partner support is a key component of emotional support during
pregnancy and is associated with better maternal and fetal outcomes .
Q5. The nurse is assessing a patient at 20 weeks gestation. Which finding should
be reported to the provider?
A) Weight gain of 10 pounds
B) Fundal height of 22 cm
C) Blood pressure of 110/70 mm Hg
D) Fetal heart rate of 140 bpm
3
, Correct Answer: B
Rationale: At 20 weeks, fundal height should be approximately 20 cm. 22 cm may
indicate a multiple gestation or incorrect dates .
Q6. A patient at 6 weeks gestation has a history of three spontaneous abortions.
The nurse should anticipate:
A) Routine prenatal care only
B) Increased monitoring and possible progesterone supplementation
C) Immediate induction of labor
D) Bed rest for the entire pregnancy
Correct Answer: B
Rationale: Recurrent pregnancy loss may indicate luteal phase defect or other
factors requiring progesterone support .
Q7. Which immunization is contraindicated during pregnancy?
4
