Maternal-Newborn Nursing
Clinical Application & Case-
Based PRACTICE QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
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Section I: Antepartum Nursing
Case 1: Initial Prenatal Visit
A 27-year-old client, G2P1, presents at 10 weeks' gestation for her
first prenatal visit. She reports fatigue, nausea, and urinary
frequency.
1. Which finding is most expected during the first trimester?
A. Increased fundal height above the umbilicus
B. Quickening
,C. Urinary frequency
D. Dependent edema
Answer: C. Urinary frequency
Increased uterine pressure on the bladder commonly causes urinary
frequency during early pregnancy.
2. Which instruction is most appropriate for managing morning
nausea?
A. Eat three large meals daily
B. Skip breakfast
C. Eat dry crackers before getting out of bed
D. Drink large amounts of fluid with meals
Answer: C. Eat dry crackers before getting out of bed
Small, frequent meals and dry foods before rising can reduce
pregnancy-related nausea.
3. Which prenatal supplement is particularly important for
preventing neural tube defects?
A. Calcium
B. Iron
C. Folic acid
D. Vitamin D
Answer: C. Folic acid
Adequate folic acid before conception and during early pregnancy
reduces the risk of neural tube defects.
,4. The client asks when fetal movement is commonly first
perceived. Which response is best?
A. "At about 4–6 weeks."
B. "Usually around 16–20 weeks."
C. "Usually after 28 weeks."
D. "Only during the third trimester."
Answer: B. Usually around 16–20 weeks.
Quickening is commonly perceived between approximately 16 and 20
weeks, although timing varies.
5. Which symptom should the nurse instruct the client to report
immediately?
A. Mild fatigue
B. Breast tenderness
C. Vaginal bleeding
D. Increased appetite
Answer: C. Vaginal bleeding
Vaginal bleeding during pregnancy can indicate miscarriage, ectopic
pregnancy, placental abnormalities, or another complication and
requires evaluation.
Case 2: Prenatal Laboratory Assessment
A client at 12 weeks' gestation is undergoing routine prenatal
laboratory testing.
6. Which laboratory test is routinely used to determine maternal
blood type and Rh status?
A. CBC
B. Blood typing and antibody screen
, C. Serum creatinine
D. Liver function panel
Answer: B. Blood typing and antibody screen
Blood typing and antibody screening identify Rh-negative clients and
clinically significant antibodies.
7. An Rh-negative pregnant client has no detectable antibodies.
Which medication may be prescribed to prevent Rh sensitization?
A. Oxytocin
B. Magnesium sulfate
C. Rho(D) immune globulin
D. Methylergonovine
Answer: C. Rho(D) immune globulin
Rho(D) immune globulin prevents formation of maternal antibodies
against Rh-positive fetal red blood cells.
8. Which finding is most concerning for possible gestational
diabetes risk?
A. BMI within normal range
B. Previous infant with macrosomia
C. Mild nausea
D. First pregnancy
Answer: B. Previous infant with macrosomia
A history of delivering a macrosomic infant is a recognized risk factor
for gestational diabetes.
9. Which dietary recommendation is appropriate during pregnancy?
Clinical Application & Case-
Based PRACTICE QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
Section I: Antepartum Nursing
Case 1: Initial Prenatal Visit
A 27-year-old client, G2P1, presents at 10 weeks' gestation for her
first prenatal visit. She reports fatigue, nausea, and urinary
frequency.
1. Which finding is most expected during the first trimester?
A. Increased fundal height above the umbilicus
B. Quickening
,C. Urinary frequency
D. Dependent edema
Answer: C. Urinary frequency
Increased uterine pressure on the bladder commonly causes urinary
frequency during early pregnancy.
2. Which instruction is most appropriate for managing morning
nausea?
A. Eat three large meals daily
B. Skip breakfast
C. Eat dry crackers before getting out of bed
D. Drink large amounts of fluid with meals
Answer: C. Eat dry crackers before getting out of bed
Small, frequent meals and dry foods before rising can reduce
pregnancy-related nausea.
3. Which prenatal supplement is particularly important for
preventing neural tube defects?
A. Calcium
B. Iron
C. Folic acid
D. Vitamin D
Answer: C. Folic acid
Adequate folic acid before conception and during early pregnancy
reduces the risk of neural tube defects.
,4. The client asks when fetal movement is commonly first
perceived. Which response is best?
A. "At about 4–6 weeks."
B. "Usually around 16–20 weeks."
C. "Usually after 28 weeks."
D. "Only during the third trimester."
Answer: B. Usually around 16–20 weeks.
Quickening is commonly perceived between approximately 16 and 20
weeks, although timing varies.
5. Which symptom should the nurse instruct the client to report
immediately?
A. Mild fatigue
B. Breast tenderness
C. Vaginal bleeding
D. Increased appetite
Answer: C. Vaginal bleeding
Vaginal bleeding during pregnancy can indicate miscarriage, ectopic
pregnancy, placental abnormalities, or another complication and
requires evaluation.
Case 2: Prenatal Laboratory Assessment
A client at 12 weeks' gestation is undergoing routine prenatal
laboratory testing.
6. Which laboratory test is routinely used to determine maternal
blood type and Rh status?
A. CBC
B. Blood typing and antibody screen
, C. Serum creatinine
D. Liver function panel
Answer: B. Blood typing and antibody screen
Blood typing and antibody screening identify Rh-negative clients and
clinically significant antibodies.
7. An Rh-negative pregnant client has no detectable antibodies.
Which medication may be prescribed to prevent Rh sensitization?
A. Oxytocin
B. Magnesium sulfate
C. Rho(D) immune globulin
D. Methylergonovine
Answer: C. Rho(D) immune globulin
Rho(D) immune globulin prevents formation of maternal antibodies
against Rh-positive fetal red blood cells.
8. Which finding is most concerning for possible gestational
diabetes risk?
A. BMI within normal range
B. Previous infant with macrosomia
C. Mild nausea
D. First pregnancy
Answer: B. Previous infant with macrosomia
A history of delivering a macrosomic infant is a recognized risk factor
for gestational diabetes.
9. Which dietary recommendation is appropriate during pregnancy?
