EXPERT VERIFIED | ACOG AWHONN CDC GUIDELINES | COMPLETE ANSWERS
& RATIONALES | 100 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
SECTION 1: PRECONCEPTION AND PRENATAL CARE
Q1. According to the American College of Obstetricians and Gynecologists (ACOG) 2026 guidelines,
preconception care should include:
A) Folic acid supplementation
B) Assessment of chronic conditions
C) Review of medications
D) All of the above
Answer: D) All of the above
Rationale: Preconception care includes folic acid (400-800 mcg daily), chronic disease management, and
medication review to optimize pregnancy outcomes.
Q2. According to CDC 2026 guidelines, all women of childbearing age should take:
A) Iron supplements
B) Folic acid 400-800 mcg daily
C) Calcium supplements
D) Vitamin D supplements
, MATERNAL-CHILD HEALTH NURSING EXAM ACTUAL EXAM 2026/2027 |
EXPERT VERIFIED | ACOG AWHONN CDC GUIDELINES | COMPLETE ANSWERS
& RATIONALES | 100 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
Answer: B) Folic acid 400-800 mcg daily
Rationale: Folic acid supplementation before and during early pregnancy reduces the risk of neural tube
defects by up to 70%.
Q3. According to ACOG 2026 guidelines, the first prenatal visit should occur by:
A) 6 weeks gestation
B) 8 weeks gestation
C) 10 weeks gestation
D) 12 weeks gestation
Answer: B) 8 weeks gestation
Rationale: ACOG recommends the first prenatal visit by 8 weeks gestation for early risk assessment and
intervention.
Q4. At the first prenatal visit, which laboratory test is required to determine Rh status?
A) Complete blood count
B) Blood type and Rh factor
, MATERNAL-CHILD HEALTH NURSING EXAM ACTUAL EXAM 2026/2027 |
EXPERT VERIFIED | ACOG AWHONN CDC GUIDELINES | COMPLETE ANSWERS
& RATIONALES | 100 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
C) Urinalysis
D) Pap smear
Answer: B) Blood type and Rh factor
Rationale: Rh status determines need for Rh immunoglobulin to prevent Rh incompatibility in subsequent
pregnancies.
Q5. According to ACOG 2026 guidelines, Rh-negative women should receive Rh immunoglobulin
(RhoGAM) at:
A) 28 weeks gestation and within 72 hours after delivery
B) Only at delivery
C) Only at 28 weeks
D) Only after a miscarriage
Answer: A) 28 weeks gestation and within 72 hours after delivery
Rationale: Rh immunoglobulin is administered at 28 weeks and postpartum to prevent sensitization.
Q6. According to ACOG 2026 guidelines, the recommended gestational weight gain for a woman with normal
BMI (18.5-24.9) is:
A) 11-20 pounds
, MATERNAL-CHILD HEALTH NURSING EXAM ACTUAL EXAM 2026/2027 |
EXPERT VERIFIED | ACOG AWHONN CDC GUIDELINES | COMPLETE ANSWERS
& RATIONALES | 100 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
B) 15-25 pounds
C) 25-35 pounds
D) 28-40 pounds
Answer: C) 25-35 pounds
Rationale: ACOG recommends 25-35 pounds weight gain for normal BMI women; underweight women gain
more; overweight women gain less.
Q7. According to CDC 2026 guidelines, pregnant women should avoid:
A) Alcohol
B) Tobacco
C) Unpasteurized dairy
D) All of the above
Answer: D) All of the above
Rationale: Alcohol, tobacco, and unpasteurized dairy pose risks to fetal development and should be avoided
during pregnancy.