NUR 230 / NUR 231 / NUR 254 MATERNAL & PEDIATRIC
NURSING EXAM REVIEW QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains:
1. Antepartum Care and Fetal Assessment
2. Intrapartum Nursing Care and Fetal Monitoring
3. Postpartum Assessment and Complications
4. Newborn Assessment and Transition
5. High-Risk Neonatal Conditions
6. Pediatric Growth and Development
7. Pediatric Respiratory and Cardiovascular Disorders
8. Pediatric Gastrointestinal and Renal Disorders
9. Pediatric Neurological and Hematologic Disorders
10. Pediatric Pharmacology and Medication Safety
Introduction
This comprehensive examination assesses the fundamental
and applied concepts essential for maternal and pediatric
nursing practice. It evaluates knowledge across antepartum
care, intrapartum management, postpartum complications,
,newborn assessment, pediatric growth and development,
and pediatric disorders affecting multiple body systems. The
exam employs multiple-choice and scenario-based
questions designed to measure clinical judgment,
prioritization, and real-world decision-making. Emphasis is
placed on applying maternal-child nursing theory to
practical patient care situations, recognizing clinical
deterioration, and demonstrating family-centered care. This
assessment prepares candidates for progressive nursing
practice and licensure readiness.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a client at her first prenatal visit. The
client reports her last menstrual period was March 10, 2026.
Using Naegele's rule, what is her estimated date of delivery?
A. December 3, 2026
B. December 17, 2026
C. January 3, 2027
D. January 17, 2027
🟢 B. December 17, 2026
🔴 RATIONALE: Naegele's rule subtracts 3 months from the
first day of the last menstrual period and adds 7 days. March
,10 minus 3 months equals December 10, then plus 7 days
equals December 17, 2026.
Question 2
A client planning a pregnancy has no history of a neural
tube defect. Which instruction best lowers the fetal risk for a
neural tube defect?
A. Begin 50 micrograms of folic acid only after fetal
movement is felt
B. Take 4 milligrams of folic acid only during the final month
of pregnancy
C. Take 400 to 800 micrograms of folic acid daily, beginning
before conception
D. Avoid folic acid when the diet contains fortified grains
🟢 C. Take 400 to 800 micrograms of folic acid daily,
beginning before conception
🔴 RATIONALE: Adequate folate must be present during
very early neural tube formation, often before pregnancy is
recognized. A daily intake of 400 to 800 micrograms is
appropriate for most clients without a prior affected
pregnancy.
Question 3
, Which finding is a positive sign of pregnancy?
A. A positive urine human chorionic gonadotropin result
B. Fetal cardiac activity visualized by ultrasound
C. Amenorrhea for two menstrual cycles
D. Bluish discoloration of the cervix
🟢 B. Fetal cardiac activity visualized by ultrasound
🔴 RATIONALE: Direct visualization of fetal cardiac activity
confirms the presence of a fetus. Amenorrhea is
presumptive, while cervical color change and a human
chorionic gonadotropin result are probable rather than
positive signs.
Question 4
Which early-pregnancy action of human chorionic
gonadotropin is most important for maintaining the
pregnancy?
A. It directly causes fetal lung surfactant production
B. It closes the fetal ductus arteriosus
C. It initiates maternal milk ejection during the first trimester
D. It sustains the corpus luteum so progesterone production
continues
NURSING EXAM REVIEW QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains:
1. Antepartum Care and Fetal Assessment
2. Intrapartum Nursing Care and Fetal Monitoring
3. Postpartum Assessment and Complications
4. Newborn Assessment and Transition
5. High-Risk Neonatal Conditions
6. Pediatric Growth and Development
7. Pediatric Respiratory and Cardiovascular Disorders
8. Pediatric Gastrointestinal and Renal Disorders
9. Pediatric Neurological and Hematologic Disorders
10. Pediatric Pharmacology and Medication Safety
Introduction
This comprehensive examination assesses the fundamental
and applied concepts essential for maternal and pediatric
nursing practice. It evaluates knowledge across antepartum
care, intrapartum management, postpartum complications,
,newborn assessment, pediatric growth and development,
and pediatric disorders affecting multiple body systems. The
exam employs multiple-choice and scenario-based
questions designed to measure clinical judgment,
prioritization, and real-world decision-making. Emphasis is
placed on applying maternal-child nursing theory to
practical patient care situations, recognizing clinical
deterioration, and demonstrating family-centered care. This
assessment prepares candidates for progressive nursing
practice and licensure readiness.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a client at her first prenatal visit. The
client reports her last menstrual period was March 10, 2026.
Using Naegele's rule, what is her estimated date of delivery?
A. December 3, 2026
B. December 17, 2026
C. January 3, 2027
D. January 17, 2027
🟢 B. December 17, 2026
🔴 RATIONALE: Naegele's rule subtracts 3 months from the
first day of the last menstrual period and adds 7 days. March
,10 minus 3 months equals December 10, then plus 7 days
equals December 17, 2026.
Question 2
A client planning a pregnancy has no history of a neural
tube defect. Which instruction best lowers the fetal risk for a
neural tube defect?
A. Begin 50 micrograms of folic acid only after fetal
movement is felt
B. Take 4 milligrams of folic acid only during the final month
of pregnancy
C. Take 400 to 800 micrograms of folic acid daily, beginning
before conception
D. Avoid folic acid when the diet contains fortified grains
🟢 C. Take 400 to 800 micrograms of folic acid daily,
beginning before conception
🔴 RATIONALE: Adequate folate must be present during
very early neural tube formation, often before pregnancy is
recognized. A daily intake of 400 to 800 micrograms is
appropriate for most clients without a prior affected
pregnancy.
Question 3
, Which finding is a positive sign of pregnancy?
A. A positive urine human chorionic gonadotropin result
B. Fetal cardiac activity visualized by ultrasound
C. Amenorrhea for two menstrual cycles
D. Bluish discoloration of the cervix
🟢 B. Fetal cardiac activity visualized by ultrasound
🔴 RATIONALE: Direct visualization of fetal cardiac activity
confirms the presence of a fetus. Amenorrhea is
presumptive, while cervical color change and a human
chorionic gonadotropin result are probable rather than
positive signs.
Question 4
Which early-pregnancy action of human chorionic
gonadotropin is most important for maintaining the
pregnancy?
A. It directly causes fetal lung surfactant production
B. It closes the fetal ductus arteriosus
C. It initiates maternal milk ejection during the first trimester
D. It sustains the corpus luteum so progesterone production
continues
