Maternal-Child Nursing Comprehensive Review
Quiz Questions with Detailed Answers and Rationales
Section 1: Prenatal Care (Questions 1-25)
1. What is Nagele's rule for calculating the expected due date (EDD)?
• A) Add 9 months to the last menstrual period
• B) Subtract 3 months from LMP, add 7 days
• C) Add 280 days to conception date
• D) Use ultrasound only
Answer: B - Nagele's rule: Subtract 3 months from first day of LMP, then add 7
days. Example: LMP January 10 → EDD October 17. Most accurate with regular
28-day cycles.
2. When can fetal heart tones first be detected with a Doppler?
• A) 6-8 weeks
• B) 10-12 weeks
• C) 16-18 weeks
• D) 20-22 weeks
Answer: B - Doppler can detect fetal heart tones at 10-12 weeks gestation. With
fetoscope, around 18-20 weeks. Normal FHR: 110-160 bpm.
3. What is the normal range for fetal heart rate?
• A) 80-100 bpm
• B) 110-160 bpm
• C) 160-180 bpm
• D) 180-200 bpm
,Answer: B - Normal fetal heart rate is 110-160 bpm. Rates outside this range
require further assessment for fetal distress (bradycardia <110, tachycardia >160).
4. What is quickening?
• A) Fetal heartbeat detected by ultrasound
• B) First fetal movements felt by mother
• C) Lightening before labor
• D) Cervical dilation
Answer: B - Quickening is the first fetal movements felt by mother, typically
between 16-20 weeks (earlier in multiparous women, later in primiparous
women).
5. What is the recommended weight gain during pregnancy for normal-weight
women?
• A) 10-15 pounds
• B) 15-20 pounds
• C) 25-35 pounds
• D) 40-45 pounds
Answer: C - Normal BMI women: 25-35 lbs. Underweight: 28-40 lbs. Overweight:
15-25 lbs. Obese: 11-20 lbs. Distribution: 1-2 lbs first trimester, then 1 lb/week.
6. What is the purpose of prenatal folic acid supplementation?
• A) Prevent anemia
• B) Prevent neural tube defects
• C) Promote fetal growth
• D) Prevent gestational diabetes
, Answer: B - Folic acid (400-800 mcg daily) prevents neural tube defects (spina
bifida, anencephaly). Should begin before conception and continue through first
trimester. Higher doses for women at high risk.
7. What indicates positive pregnancy test?
• A) Presence of estrogen
• B) Presence of progesterone
• C) Presence of human chorionic gonadotropin (hCG)
• D) Elevated blood sugar
Answer: C - Pregnancy tests detect hCG in urine or blood. Produced by placenta
after implantation. Detectable 7-10 days after conception, increases rapidly in
early pregnancy.
8. What is a normal finding in the first trimester?
• A) Braxton Hicks contractions
• B) Nausea and vomiting
• C) Lightening
• D) Bloody show
Answer: B - Morning sickness (nausea/vomiting) common in first trimester,
typically starts around 6 weeks, peaks 8-12 weeks, usually resolves by second
trimester. Caused by hormonal changes.
9. What lab value requires intervention during pregnancy?
• A) Hemoglobin 11 g/dL
• B) White blood cell count 12,000/mm³
• C) Blood glucose 200 mg/dL
• D) Mild proteinuria on dipstick
Quiz Questions with Detailed Answers and Rationales
Section 1: Prenatal Care (Questions 1-25)
1. What is Nagele's rule for calculating the expected due date (EDD)?
• A) Add 9 months to the last menstrual period
• B) Subtract 3 months from LMP, add 7 days
• C) Add 280 days to conception date
• D) Use ultrasound only
Answer: B - Nagele's rule: Subtract 3 months from first day of LMP, then add 7
days. Example: LMP January 10 → EDD October 17. Most accurate with regular
28-day cycles.
2. When can fetal heart tones first be detected with a Doppler?
• A) 6-8 weeks
• B) 10-12 weeks
• C) 16-18 weeks
• D) 20-22 weeks
Answer: B - Doppler can detect fetal heart tones at 10-12 weeks gestation. With
fetoscope, around 18-20 weeks. Normal FHR: 110-160 bpm.
3. What is the normal range for fetal heart rate?
• A) 80-100 bpm
• B) 110-160 bpm
• C) 160-180 bpm
• D) 180-200 bpm
,Answer: B - Normal fetal heart rate is 110-160 bpm. Rates outside this range
require further assessment for fetal distress (bradycardia <110, tachycardia >160).
4. What is quickening?
• A) Fetal heartbeat detected by ultrasound
• B) First fetal movements felt by mother
• C) Lightening before labor
• D) Cervical dilation
Answer: B - Quickening is the first fetal movements felt by mother, typically
between 16-20 weeks (earlier in multiparous women, later in primiparous
women).
5. What is the recommended weight gain during pregnancy for normal-weight
women?
• A) 10-15 pounds
• B) 15-20 pounds
• C) 25-35 pounds
• D) 40-45 pounds
Answer: C - Normal BMI women: 25-35 lbs. Underweight: 28-40 lbs. Overweight:
15-25 lbs. Obese: 11-20 lbs. Distribution: 1-2 lbs first trimester, then 1 lb/week.
6. What is the purpose of prenatal folic acid supplementation?
• A) Prevent anemia
• B) Prevent neural tube defects
• C) Promote fetal growth
• D) Prevent gestational diabetes
, Answer: B - Folic acid (400-800 mcg daily) prevents neural tube defects (spina
bifida, anencephaly). Should begin before conception and continue through first
trimester. Higher doses for women at high risk.
7. What indicates positive pregnancy test?
• A) Presence of estrogen
• B) Presence of progesterone
• C) Presence of human chorionic gonadotropin (hCG)
• D) Elevated blood sugar
Answer: C - Pregnancy tests detect hCG in urine or blood. Produced by placenta
after implantation. Detectable 7-10 days after conception, increases rapidly in
early pregnancy.
8. What is a normal finding in the first trimester?
• A) Braxton Hicks contractions
• B) Nausea and vomiting
• C) Lightening
• D) Bloody show
Answer: B - Morning sickness (nausea/vomiting) common in first trimester,
typically starts around 6 weeks, peaks 8-12 weeks, usually resolves by second
trimester. Caused by hormonal changes.
9. What lab value requires intervention during pregnancy?
• A) Hemoglobin 11 g/dL
• B) White blood cell count 12,000/mm³
• C) Blood glucose 200 mg/dL
• D) Mild proteinuria on dipstick
