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Maternal Exam 1: Practice Questions(NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED
1. A 10-week pregnant client asks about prenatal vitamins. The nurse should advise:
A. Take vitamins daily with folic acid to prevent neural tube defects
B. Only take vitamins if nauseated
C. Wait until the second trimester
D. Take only iron
Answer: A
Rationale: Folic acid in prenatal vitamins reduces risk of neural tube defects; daily intake is
recommended.
2. A client at 28 weeks gestation reports headache, visual changes, and swelling. The nurse
should:
A. Assess for preeclampsia
B. Reassure the client
C. Advise hydration only
D. Suggest bed rest at home
Answer: A
3. Common discomforts in the first trimester include:
A. Nausea, fatigue, breast tenderness
B. Leg cramps only
C. Back pain only
D. Constipation only
Answer: A
4. A primigravida client at 24 weeks asks about fetal movement. The nurse explains:
A. Quickening is usually felt around 18–24 weeks
B. It is not felt until 30 weeks
C. It occurs only in the third trimester
D. Only multiparous clients feel it
Answer: A
2026 2027 GRADED A+
,2|Page
5. A client asks about exercise during pregnancy. The nurse recommends:
A. Moderate exercise, avoiding high-risk activities
B. No exercise at any stage
C. Only bed rest
D. Heavy lifting
Answer: A
6. A client with hyperemesis gravidarum may require:
A. IV fluids and electrolyte replacement
B. Bed rest only
C. Laxatives
D. Oral vitamins only
Answer: A
7. Routine prenatal labs at the first visit include:
A. CBC, blood type, Rh factor, rubella titer, STI screening
B. Only BP
C. Only urinalysis
D. Only glucose
Answer: A
8. A client is Rh-negative, first pregnancy. The nurse anticipates:
A. Rho(D) immunoglobulin at 28 weeks if fetus is Rh-positive
B. No intervention
C. Blood transfusion
D. Iron only
Answer: A
9. A client at 32 weeks reports mild leg edema. The nurse should:
A. Assess blood pressure and proteinuria for preeclampsia
B. Reassure without assessment
C. Only elevate legs
D. Restrict fluids
Answer: A
2026 2027 GRADED A+
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10. A pregnant client asks about travel safety. The nurse advises:
A. Avoid high-risk areas, maintain hydration, walk periodically on long trips
B. No precautions are necessary
C. Avoid all trips
D. Only restrict air travel
Answer: A
LABOR & DELIVERY (11–20)
11. A client in labor has contractions 4 min apart, 50 sec duration, 5 cm dilation. This stage
is:
A. Active labor
B. Latent phase
C. Transition phase
D. Second stage
Answer: A
12. Early decelerations on FHR tracing are typically caused by:
A. Fetal head compression
B. Umbilical cord compression
C. Maternal hypotension
D. Placental abruption
Answer: A
13. Variable decelerations are caused by:
A. Umbilical cord compression
B. Fetal head compression
C. Maternal hypotension
D. Hyperstimulation
Answer: A
14. Late decelerations indicate:
A. Uteroplacental insufficiency → immediate intervention required
B. Normal labor
C. Cord compression
D. Mild fetal stress only
Answer: A
2026 2027 GRADED A+
, 4|Page
15. Priority nursing intervention for prolapsed umbilical cord:
A. Relieve pressure on cord and call for assistance
B. Administer pain medication only
C. Encourage maternal ambulation
D. Monitor BP only
Answer: A
16. The second stage of labor begins when:
A. Cervix is fully dilated
B. Contractions start
C. Placenta delivers
D. Fundus reaches umbilicus
Answer: A
17. Signs of fetal distress include:
A. Late decelerations, bradycardia, decreased variability
B. Tachycardia only
C. Early decelerations only
D. Increased variability only
Answer: A
18. Oxytocin is administered to:
A. Induce or augment labor
B. Relieve pain
C. Prevent preterm labor
D. Reduce postpartum hemorrhage only
Answer: A
19. Epidural anesthesia nursing consideration includes:
A. Monitor BP, hydration, and fetal status
B. Only provide analgesia
C. Only monitor pulse
D. No intervention required
Answer: A
2026 2027 GRADED A+
Maternal Exam 1: Practice Questions(NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED
1. A 10-week pregnant client asks about prenatal vitamins. The nurse should advise:
A. Take vitamins daily with folic acid to prevent neural tube defects
B. Only take vitamins if nauseated
C. Wait until the second trimester
D. Take only iron
Answer: A
Rationale: Folic acid in prenatal vitamins reduces risk of neural tube defects; daily intake is
recommended.
2. A client at 28 weeks gestation reports headache, visual changes, and swelling. The nurse
should:
A. Assess for preeclampsia
B. Reassure the client
C. Advise hydration only
D. Suggest bed rest at home
Answer: A
3. Common discomforts in the first trimester include:
A. Nausea, fatigue, breast tenderness
B. Leg cramps only
C. Back pain only
D. Constipation only
Answer: A
4. A primigravida client at 24 weeks asks about fetal movement. The nurse explains:
A. Quickening is usually felt around 18–24 weeks
B. It is not felt until 30 weeks
C. It occurs only in the third trimester
D. Only multiparous clients feel it
Answer: A
2026 2027 GRADED A+
,2|Page
5. A client asks about exercise during pregnancy. The nurse recommends:
A. Moderate exercise, avoiding high-risk activities
B. No exercise at any stage
C. Only bed rest
D. Heavy lifting
Answer: A
6. A client with hyperemesis gravidarum may require:
A. IV fluids and electrolyte replacement
B. Bed rest only
C. Laxatives
D. Oral vitamins only
Answer: A
7. Routine prenatal labs at the first visit include:
A. CBC, blood type, Rh factor, rubella titer, STI screening
B. Only BP
C. Only urinalysis
D. Only glucose
Answer: A
8. A client is Rh-negative, first pregnancy. The nurse anticipates:
A. Rho(D) immunoglobulin at 28 weeks if fetus is Rh-positive
B. No intervention
C. Blood transfusion
D. Iron only
Answer: A
9. A client at 32 weeks reports mild leg edema. The nurse should:
A. Assess blood pressure and proteinuria for preeclampsia
B. Reassure without assessment
C. Only elevate legs
D. Restrict fluids
Answer: A
2026 2027 GRADED A+
,3|Page
10. A pregnant client asks about travel safety. The nurse advises:
A. Avoid high-risk areas, maintain hydration, walk periodically on long trips
B. No precautions are necessary
C. Avoid all trips
D. Only restrict air travel
Answer: A
LABOR & DELIVERY (11–20)
11. A client in labor has contractions 4 min apart, 50 sec duration, 5 cm dilation. This stage
is:
A. Active labor
B. Latent phase
C. Transition phase
D. Second stage
Answer: A
12. Early decelerations on FHR tracing are typically caused by:
A. Fetal head compression
B. Umbilical cord compression
C. Maternal hypotension
D. Placental abruption
Answer: A
13. Variable decelerations are caused by:
A. Umbilical cord compression
B. Fetal head compression
C. Maternal hypotension
D. Hyperstimulation
Answer: A
14. Late decelerations indicate:
A. Uteroplacental insufficiency → immediate intervention required
B. Normal labor
C. Cord compression
D. Mild fetal stress only
Answer: A
2026 2027 GRADED A+
, 4|Page
15. Priority nursing intervention for prolapsed umbilical cord:
A. Relieve pressure on cord and call for assistance
B. Administer pain medication only
C. Encourage maternal ambulation
D. Monitor BP only
Answer: A
16. The second stage of labor begins when:
A. Cervix is fully dilated
B. Contractions start
C. Placenta delivers
D. Fundus reaches umbilicus
Answer: A
17. Signs of fetal distress include:
A. Late decelerations, bradycardia, decreased variability
B. Tachycardia only
C. Early decelerations only
D. Increased variability only
Answer: A
18. Oxytocin is administered to:
A. Induce or augment labor
B. Relieve pain
C. Prevent preterm labor
D. Reduce postpartum hemorrhage only
Answer: A
19. Epidural anesthesia nursing consideration includes:
A. Monitor BP, hydration, and fetal status
B. Only provide analgesia
C. Only monitor pulse
D. No intervention required
Answer: A
2026 2027 GRADED A+
