NR 602 Final Exam: Advanced Childbearing Care Mas… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Final Exam: Advanced Childbearing Care Mastery
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 602 Final Exam: Advanced Childbearing Care Mas… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient at 34 weeks gestation presents with sudden onset of painless, bright red vaginal
bleeding. Which of the following is the most appropriate initial diagnostic step?
A. Perform a sterile speculum examination
B. Order a transabdominal ultrasound
C. Perform a digital vaginal examination to assess dilation
D. Perform a Leopold maneuver to determine fetal position
Answer: B
Rationale: In cases of suspected placenta previa (painless bleeding), a digital exam is strictly
contraindicated until the placental location is confirmed by ultrasound, as it can cause catastrophic
hemorrhage. Exam questions often test whether you can pick the most practical and safe choice for
the client in real situations. Focus on what the nurse can actually do right now. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions.
2. Which of the following laboratory findings is most characteristic of HELLP Syndrome?
A. Elevated serum creatinine and decreased BUN
B. Low platelets, elevated liver enzymes, and hemolysis
C. Elevated white blood cell count and low hemoglobin
D. High fibrinogen levels and decreased PT/PTT
Answer: B
Rationale: HELLP stands for Hemolysis (H), Elevated Liver enzymes (EL), and Low Platelets (LP). It
is a severe complication of preeclampsia. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. Understanding
this helps the nurse notice early warning signs and act before the problem gets worse. Early action
often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Final Exam: Advanced Childbearing Care Mas… 2026/2027 • Verified • Assured Grade A+
3. A 28-year-old primigravida at 10 weeks gestation has a confirmed diagnosis of
hypothyroidism. How should her levothyroxine dosage be managed during pregnancy?
A. Decrease the dose by 25% due to increased metabolism
B. Maintain the current dose throughout the pregnancy
C. Discontinue the medication to avoid fetal thyrotoxicity
D. Increase the dose by approximately 30-50% early in pregnancy
Answer: D
Rationale: Pregnancy increases the demand for thyroid hormone; levothyroxine requirements typically
increase by 30-50% to maintain euthyroidism for fetal development. Knowing the reason behind the
correct answer makes it easier to rule out the wrong options quickly. Look for the choice that protects
the client and matches the priority need. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now.
4. According to Naegele’s Rule, what is the Estimated Date of Delivery (EDD) for a woman
whose Last Menstrual Period (LMP) began on March 15th?
A. December 15th
B. November 22nd
C. January 22nd
D. for a woman whose Last Menstrual Period (LMP) began on March 15th?
Answer: D
Rationale: Naegele’s Rule: Add 7 days to the first day of the LMP, subtract 3 months, and add 1 year.
March 15 + 7 days = March 22; minus 3 months = December 22. Knowing the reason behind the
correct answer makes it easier to rule out the wrong options quickly. Look for the choice that protects
the client and matches the priority need. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Final Exam: Advanced Childbearing Care Mastery
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 602 Final Exam: Advanced Childbearing Care Mas… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient at 34 weeks gestation presents with sudden onset of painless, bright red vaginal
bleeding. Which of the following is the most appropriate initial diagnostic step?
A. Perform a sterile speculum examination
B. Order a transabdominal ultrasound
C. Perform a digital vaginal examination to assess dilation
D. Perform a Leopold maneuver to determine fetal position
Answer: B
Rationale: In cases of suspected placenta previa (painless bleeding), a digital exam is strictly
contraindicated until the placental location is confirmed by ultrasound, as it can cause catastrophic
hemorrhage. Exam questions often test whether you can pick the most practical and safe choice for
the client in real situations. Focus on what the nurse can actually do right now. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions.
2. Which of the following laboratory findings is most characteristic of HELLP Syndrome?
A. Elevated serum creatinine and decreased BUN
B. Low platelets, elevated liver enzymes, and hemolysis
C. Elevated white blood cell count and low hemoglobin
D. High fibrinogen levels and decreased PT/PTT
Answer: B
Rationale: HELLP stands for Hemolysis (H), Elevated Liver enzymes (EL), and Low Platelets (LP). It
is a severe complication of preeclampsia. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. Understanding
this helps the nurse notice early warning signs and act before the problem gets worse. Early action
often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Final Exam: Advanced Childbearing Care Mas… 2026/2027 • Verified • Assured Grade A+
3. A 28-year-old primigravida at 10 weeks gestation has a confirmed diagnosis of
hypothyroidism. How should her levothyroxine dosage be managed during pregnancy?
A. Decrease the dose by 25% due to increased metabolism
B. Maintain the current dose throughout the pregnancy
C. Discontinue the medication to avoid fetal thyrotoxicity
D. Increase the dose by approximately 30-50% early in pregnancy
Answer: D
Rationale: Pregnancy increases the demand for thyroid hormone; levothyroxine requirements typically
increase by 30-50% to maintain euthyroidism for fetal development. Knowing the reason behind the
correct answer makes it easier to rule out the wrong options quickly. Look for the choice that protects
the client and matches the priority need. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now.
4. According to Naegele’s Rule, what is the Estimated Date of Delivery (EDD) for a woman
whose Last Menstrual Period (LMP) began on March 15th?
A. December 15th
B. November 22nd
C. January 22nd
D. for a woman whose Last Menstrual Period (LMP) began on March 15th?
Answer: D
Rationale: Naegele’s Rule: Add 7 days to the first day of the LMP, subtract 3 months, and add 1 year.
March 15 + 7 days = March 22; minus 3 months = December 22. Knowing the reason behind the
correct answer makes it easier to rule out the wrong options quickly. Look for the choice that protects
the client and matches the priority need. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now.
Exam (Elaborations) • Detailed Rationales Page 3
