Maternal-Newborn Nursing – Critical Components & Study Outline
(3rd Edition)
Section 1: Prenatal Care & Fetal Development
1. What is the standard definition of a "term" pregnancy?
a) 36 weeks 0 days to 38 weeks 6 days
b) 37 weeks 0 days to 38 weeks 6 days
c) 39 weeks 0 days to 40 weeks 6 days
d) 37 weeks 0 days to 41 weeks 6 days
2. What is the primary hormone of pregnancy, produced by the
corpus luteum and later the placenta?
a) Human Chorionic Gonadotropin (hCG)
b) Progesterone
c) Estrogen
d) Human Placental Lactogen (hPL)
3. A patient at 28 weeks gestation has a fundal height measured
at 30 cm. How would you interpret this finding?
a) It indicates intrauterine growth restriction (IUGR).
b) It is within normal expected range (approx. 26-32 cm).
c) It is a definitive sign of macrosomia.
d) It suggests placental abruption.
4. During which trimester is the fetus most vulnerable to
teratogens?
a) First Trimester
b) Second Trimester
c) Third Trimester
d) Equally vulnerable in all trimesters
,5. What is the recommended weight gain for a woman with a
normal pre-pregnancy BMI?
a) 15-20 pounds
b) 25-35 pounds
c) 11-16 kg (25-35 lbs)
d) 7-11 kg (15-25 lbs)
6. The nurse is teaching a prenatal class about nutrition. Which
nutrient is most critical for preventing neural tube defects?
a) Iron
b) Folic Acid
c) Calcium
d) Vitamin D
7. What is the name of the irregular, painless contractions that
occur throughout pregnancy?
a) Transition contractions
b) Preterm contractions
c) Braxton Hicks contractions
d) Prodromal contractions
8. At what gestational age can fetal heart tones typically first be
detected with a Doppler device?
a) 6-8 weeks
b) 10-12 weeks
c) 14-16 weeks
d) 18-20 weeks
9. The "ballottement" technique is used to assess what?
a) Fetal heart rate
b) Cervical dilation
, c) Fetal engagement in the pelvis
d) Uterine size
10. Gravida refers to:
a) The number of pregnancies.
b) The number of deliveries after 20 weeks.
c) The number of living children.
d) The number of abortions.
Section 2: Labor & Delivery
11. What are the four essential components of the
"Passenger" in the labor process?
a) Contractions, cervix, pelvis, psyche
b) Size, station, lie, placenta
c) Size, lie, presentation, attitude
d) Dilation, effacement, station, position
12. The cardinal movement where the fetal head passes
through the pelvic outlet is known as:
a) Engagement
b) Internal Rotation
c) Extension
d) External Rotation
13. Which stage of labor begins with full cervical dilation and
ends with the birth of the baby?
a) First Stage
b) Second Stage
c) Third Stage
d) Fourth Stage
(3rd Edition)
Section 1: Prenatal Care & Fetal Development
1. What is the standard definition of a "term" pregnancy?
a) 36 weeks 0 days to 38 weeks 6 days
b) 37 weeks 0 days to 38 weeks 6 days
c) 39 weeks 0 days to 40 weeks 6 days
d) 37 weeks 0 days to 41 weeks 6 days
2. What is the primary hormone of pregnancy, produced by the
corpus luteum and later the placenta?
a) Human Chorionic Gonadotropin (hCG)
b) Progesterone
c) Estrogen
d) Human Placental Lactogen (hPL)
3. A patient at 28 weeks gestation has a fundal height measured
at 30 cm. How would you interpret this finding?
a) It indicates intrauterine growth restriction (IUGR).
b) It is within normal expected range (approx. 26-32 cm).
c) It is a definitive sign of macrosomia.
d) It suggests placental abruption.
4. During which trimester is the fetus most vulnerable to
teratogens?
a) First Trimester
b) Second Trimester
c) Third Trimester
d) Equally vulnerable in all trimesters
,5. What is the recommended weight gain for a woman with a
normal pre-pregnancy BMI?
a) 15-20 pounds
b) 25-35 pounds
c) 11-16 kg (25-35 lbs)
d) 7-11 kg (15-25 lbs)
6. The nurse is teaching a prenatal class about nutrition. Which
nutrient is most critical for preventing neural tube defects?
a) Iron
b) Folic Acid
c) Calcium
d) Vitamin D
7. What is the name of the irregular, painless contractions that
occur throughout pregnancy?
a) Transition contractions
b) Preterm contractions
c) Braxton Hicks contractions
d) Prodromal contractions
8. At what gestational age can fetal heart tones typically first be
detected with a Doppler device?
a) 6-8 weeks
b) 10-12 weeks
c) 14-16 weeks
d) 18-20 weeks
9. The "ballottement" technique is used to assess what?
a) Fetal heart rate
b) Cervical dilation
, c) Fetal engagement in the pelvis
d) Uterine size
10. Gravida refers to:
a) The number of pregnancies.
b) The number of deliveries after 20 weeks.
c) The number of living children.
d) The number of abortions.
Section 2: Labor & Delivery
11. What are the four essential components of the
"Passenger" in the labor process?
a) Contractions, cervix, pelvis, psyche
b) Size, station, lie, placenta
c) Size, lie, presentation, attitude
d) Dilation, effacement, station, position
12. The cardinal movement where the fetal head passes
through the pelvic outlet is known as:
a) Engagement
b) Internal Rotation
c) Extension
d) External Rotation
13. Which stage of labor begins with full cervical dilation and
ends with the birth of the baby?
a) First Stage
b) Second Stage
c) Third Stage
d) Fourth Stage
