NU 170 Exam 2 Maternal-Child Nursing
(2026/2027) PDF | Nursing | Galen College
1. A nurse is caring for a client at 12 weeks’ gestation.
Which fundal height finding is expected?
A. 8 cm
B. 10 cm
C. 12 cm
D. 14 cm
Answer: C
Rationale: Fundal height in cm approximately equals
weeks of gestation from 12–36 weeks. At 12 weeks,
fundus is just above the symphysis pubis (~12 cm).
2. A client reports morning nausea. Which
recommendation is best?
A. Drink a glass of water with lemon
B. Eat dry crackers before rising
C. Avoid all carbohydrates
D. Take prenatal vitamin at bedtime
1
,Answer: B
Rationale: Dry crackers before rising help stabilize blood
sugar and reduce nausea. Prenatal vitamins at bedtime
may help but crackers are first-line.
3. Which sign is a presumptive (subjective) indicator of
pregnancy?
A. Positive pregnancy test
B. Goodell’s sign
C. Amenorrhea
D. Fetal heart tone by Doppler
Answer: C
Rationale: Amenorrhea is presumptive because it can be
caused by other factors. Positive test and Goodell’s are
probable; fetal heart tone is positive.
4. A nurse teaches about neural tube defect prevention.
Which supplement is key?
A. Vitamin C
B. Iron
2
,C. Calcium
D. Folic acid
Answer: D
Rationale: Folic acid (400–800 mcg/day) reduces neural
tube defects by up to 70%.
5. A client at 28 weeks reports dizziness when supine.
What is the priority action?
A. Check blood pressure
B. Turn client to left side
C. Administer oxygen
D. Elevate feet
Answer: B
Rationale: Supine hypotensive syndrome from vena cava
compression. Left lateral position restores venous return.
6. Which laboratory value indicates gestational diabetes?
A. Fasting glucose 85 mg/dL
B. 1-hour glucose challenge 150 mg/dL
3
, C. 3-hour GTT with two elevated values
D. HbA1c 4.5%
Answer: C
Rationale: Diagnosis of GDM requires two or more
elevated values on 3-hour 100g oral GTT.
7. A Rh-negative unsensitized mother at 28 weeks should
receive:
A. Rh immune globulin after delivery only
B. Rh immune globulin now and after delivery
C. No Rh immune globulin
D. Rh immune globulin at 40 weeks
Answer: B
Rationale: RhIg is given at 28 weeks and within 72 hours
of delivery to prevent sensitization.
8. Quickening is defined as:
A. First fetal heart tones
B. First maternal perception of fetal movement
4
(2026/2027) PDF | Nursing | Galen College
1. A nurse is caring for a client at 12 weeks’ gestation.
Which fundal height finding is expected?
A. 8 cm
B. 10 cm
C. 12 cm
D. 14 cm
Answer: C
Rationale: Fundal height in cm approximately equals
weeks of gestation from 12–36 weeks. At 12 weeks,
fundus is just above the symphysis pubis (~12 cm).
2. A client reports morning nausea. Which
recommendation is best?
A. Drink a glass of water with lemon
B. Eat dry crackers before rising
C. Avoid all carbohydrates
D. Take prenatal vitamin at bedtime
1
,Answer: B
Rationale: Dry crackers before rising help stabilize blood
sugar and reduce nausea. Prenatal vitamins at bedtime
may help but crackers are first-line.
3. Which sign is a presumptive (subjective) indicator of
pregnancy?
A. Positive pregnancy test
B. Goodell’s sign
C. Amenorrhea
D. Fetal heart tone by Doppler
Answer: C
Rationale: Amenorrhea is presumptive because it can be
caused by other factors. Positive test and Goodell’s are
probable; fetal heart tone is positive.
4. A nurse teaches about neural tube defect prevention.
Which supplement is key?
A. Vitamin C
B. Iron
2
,C. Calcium
D. Folic acid
Answer: D
Rationale: Folic acid (400–800 mcg/day) reduces neural
tube defects by up to 70%.
5. A client at 28 weeks reports dizziness when supine.
What is the priority action?
A. Check blood pressure
B. Turn client to left side
C. Administer oxygen
D. Elevate feet
Answer: B
Rationale: Supine hypotensive syndrome from vena cava
compression. Left lateral position restores venous return.
6. Which laboratory value indicates gestational diabetes?
A. Fasting glucose 85 mg/dL
B. 1-hour glucose challenge 150 mg/dL
3
, C. 3-hour GTT with two elevated values
D. HbA1c 4.5%
Answer: C
Rationale: Diagnosis of GDM requires two or more
elevated values on 3-hour 100g oral GTT.
7. A Rh-negative unsensitized mother at 28 weeks should
receive:
A. Rh immune globulin after delivery only
B. Rh immune globulin now and after delivery
C. No Rh immune globulin
D. Rh immune globulin at 40 weeks
Answer: B
Rationale: RhIg is given at 28 weeks and within 72 hours
of delivery to prevent sensitization.
8. Quickening is defined as:
A. First fetal heart tones
B. First maternal perception of fetal movement
4
