Test Bank Exam Foundations
of Maternal-Newborn &
Women’s Health: Final
Comprehensive Exam 2026
PRACTICE QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
1. A pregnant client asks when fetal movement is typically first
perceived by a person experiencing pregnancy for the first time.
Which response is most appropriate?
A. 6–8 weeks
B. 10–12 weeks
C. 18–20 weeks
D. 24–26 weeks
,Answer: C. 18–20 weeks
Quickening is commonly perceived around 18–20 weeks in a first
pregnancy, although timing varies.
2. Which hormone is primarily responsible for maintaining the
endometrial lining during early pregnancy?
A. Oxytocin
B. Progesterone
C. Follicle-stimulating hormone
D. Prolactin
Answer: B. Progesterone
Progesterone supports the endometrium and helps maintain
pregnancy.
3. A pregnant client reports nausea that is worse in the morning.
Which instruction is appropriate?
A. Eat large meals three times daily.
B. Drink fluids only with meals.
C. Eat dry crackers before getting out of bed.
D. Avoid all carbohydrates.
Answer: C. Eat dry crackers before getting out of bed.
Small, frequent meals and dry foods before rising can reduce
pregnancy-related nausea.
4. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity
D. Breast tenderness
Answer: C. Fetal heart activity
Fetal heart activity is a positive sign because it directly confirms the
presence of a fetus.
,5. Which cardiovascular change normally occurs during pregnancy?
A. Decreased blood volume
B. Increased cardiac output
C. Decreased heart rate
D. Increased systemic vascular resistance
Answer: B. Increased cardiac output
Cardiac output increases during pregnancy to meet maternal and
fetal circulatory demands.
6. Which nutrient is particularly important before and during early
pregnancy to reduce the risk of neural tube defects?
A. Calcium
B. Vitamin C
C. Folic acid
D. Vitamin D
Answer: C. Folic acid
Adequate folic acid before conception and during early pregnancy
reduces neural tube defect risk.
7. A pregnant client is prescribed an iron supplement. Which
teaching is appropriate?
A. Take it with milk.
B. Take it with orange juice if tolerated.
C. Take it with an antacid.
D. Stop it if stools become dark.
Answer: B. Take it with orange juice if tolerated.
Vitamin C enhances iron absorption. Dark stools are a common effect
of iron supplementation.
8. Which assessment is most appropriate for determining fetal
growth during prenatal visits?
A. Maternal pulse
B. Fundal height
, C. Maternal temperature
D. Maternal weight alone
Answer: B. Fundal height
Serial fundal-height measurements help assess fetal growth and
gestational development.
9. A client at 12 weeks' gestation asks how the pregnancy is dated.
Which method is commonly used to estimate the expected date of
birth?
A. Apgar scoring
B. Nägele's rule
C. Bishop scoring
D. Ballard scoring
Answer: B. Nägele's rule
Nägele's rule estimates the expected date of birth from the first day
of the last menstrual period.
10. Which finding during pregnancy requires prompt evaluation?
A. Mild urinary frequency
B. Breast tenderness
C. Vaginal bleeding
D. Mild fatigue
Answer: C. Vaginal bleeding
Vaginal bleeding during pregnancy can indicate complications and
requires assessment.
11. Which immunization is generally recommended during
pregnancy to protect both the pregnant client and newborn from
pertussis?
A. Tdap
B. MMR
C. Varicella
D. Live intranasal influenza vaccine
of Maternal-Newborn &
Women’s Health: Final
Comprehensive Exam 2026
PRACTICE QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
1. A pregnant client asks when fetal movement is typically first
perceived by a person experiencing pregnancy for the first time.
Which response is most appropriate?
A. 6–8 weeks
B. 10–12 weeks
C. 18–20 weeks
D. 24–26 weeks
,Answer: C. 18–20 weeks
Quickening is commonly perceived around 18–20 weeks in a first
pregnancy, although timing varies.
2. Which hormone is primarily responsible for maintaining the
endometrial lining during early pregnancy?
A. Oxytocin
B. Progesterone
C. Follicle-stimulating hormone
D. Prolactin
Answer: B. Progesterone
Progesterone supports the endometrium and helps maintain
pregnancy.
3. A pregnant client reports nausea that is worse in the morning.
Which instruction is appropriate?
A. Eat large meals three times daily.
B. Drink fluids only with meals.
C. Eat dry crackers before getting out of bed.
D. Avoid all carbohydrates.
Answer: C. Eat dry crackers before getting out of bed.
Small, frequent meals and dry foods before rising can reduce
pregnancy-related nausea.
4. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity
D. Breast tenderness
Answer: C. Fetal heart activity
Fetal heart activity is a positive sign because it directly confirms the
presence of a fetus.
,5. Which cardiovascular change normally occurs during pregnancy?
A. Decreased blood volume
B. Increased cardiac output
C. Decreased heart rate
D. Increased systemic vascular resistance
Answer: B. Increased cardiac output
Cardiac output increases during pregnancy to meet maternal and
fetal circulatory demands.
6. Which nutrient is particularly important before and during early
pregnancy to reduce the risk of neural tube defects?
A. Calcium
B. Vitamin C
C. Folic acid
D. Vitamin D
Answer: C. Folic acid
Adequate folic acid before conception and during early pregnancy
reduces neural tube defect risk.
7. A pregnant client is prescribed an iron supplement. Which
teaching is appropriate?
A. Take it with milk.
B. Take it with orange juice if tolerated.
C. Take it with an antacid.
D. Stop it if stools become dark.
Answer: B. Take it with orange juice if tolerated.
Vitamin C enhances iron absorption. Dark stools are a common effect
of iron supplementation.
8. Which assessment is most appropriate for determining fetal
growth during prenatal visits?
A. Maternal pulse
B. Fundal height
, C. Maternal temperature
D. Maternal weight alone
Answer: B. Fundal height
Serial fundal-height measurements help assess fetal growth and
gestational development.
9. A client at 12 weeks' gestation asks how the pregnancy is dated.
Which method is commonly used to estimate the expected date of
birth?
A. Apgar scoring
B. Nägele's rule
C. Bishop scoring
D. Ballard scoring
Answer: B. Nägele's rule
Nägele's rule estimates the expected date of birth from the first day
of the last menstrual period.
10. Which finding during pregnancy requires prompt evaluation?
A. Mild urinary frequency
B. Breast tenderness
C. Vaginal bleeding
D. Mild fatigue
Answer: C. Vaginal bleeding
Vaginal bleeding during pregnancy can indicate complications and
requires assessment.
11. Which immunization is generally recommended during
pregnancy to protect both the pregnant client and newborn from
pertussis?
A. Tdap
B. MMR
C. Varicella
D. Live intranasal influenza vaccine
