NUR2513: Maternal-Child Nursing Exam 1 Actual Exam 2026/2027 – Complete
Exam-Style Questions with Detailed Rationales | 100% Verified | Pass Guaranteed
– A+ Graded
SECTION 1: Reproductive Anatomy, Physiology, & Prenatal Care
(Q1-Q15)
Q1: A 28-year-old female is trying to conceive. She asks the nurse when ovulation
occurs in her menstrual cycle. Which response is correct?
A. Ovulation occurs on day 1 of the menstrual cycle
B. Ovulation occurs approximately 14 days before the next menstrual period, triggered
by the LH surge [CORRECT]
C. Ovulation occurs during menstruation
D. Ovulation occurs at the end of the luteal phase
Correct Answer: B
Rationale: Ovulation typically occurs approximately 14 days before the onset of the next
menstrual period, triggered by the luteinizing hormone (LH) surge from the anterior
pituitary. The LH surge causes the mature Graafian follicle to rupture and release the
ovum. A is incorrect because day 1 is the first day of menstruation, not ovulation. C is
,incorrect because menstruation is the shedding of the endometrium, not ovulation. D is
incorrect because the luteal phase begins after ovulation has already occurred. [100%
VERIFIED – Rasmussen NUR2513]
Q2: A pregnant patient at her initial prenatal visit asks about recommended weight gain.
Her pre-pregnancy BMI was 22 (normal weight). Which recommendation is correct?
A. Gain 11-20 lbs throughout pregnancy
B. Gain 15-25 lbs throughout pregnancy
C. Gain 25-35 lbs throughout pregnancy [CORRECT]
D. Gain 28-40 lbs throughout pregnancy
Correct Answer: C
Rationale: The Institute of Medicine recommends weight gain of 25-35 lbs for women
with a normal pre-pregnancy BMI (18.5-24.9). Underweight women (BMI <18.5) should
gain 28-40 lbs; overweight women (BMI 25-29.9) should gain 15-25 lbs; obese women
(BMI ≥30) should gain 11-20 lbs. A is incorrect because 11-20 lbs is for obese women. B
is incorrect because 15-25 lbs is for overweight women. D is incorrect because 28-40
lbs is for underweight women. [100% VERIFIED – Rasmussen NUR2513]
Q3: A pregnant patient asks why folic acid supplementation is important during
pregnancy. Which explanation by the nurse is most accurate?
,A. Folic acid prevents gestational diabetes
B. Folic acid reduces the risk of neural tube defects when taken before conception and
during early pregnancy [CORRECT]
C. Folic acid increases fetal birth weight
D. Folic acid prevents Rh sensitization
Correct Answer: B
Rationale: Folic acid (400-800 mcg daily) is critical for DNA synthesis and cell division.
Adequate intake before conception and during the first trimester reduces the risk of
neural tube defects (spina bifida, anencephaly) by 50-70%. A is incorrect because folic
acid does not prevent gestational diabetes. C is incorrect because folic acid does not
directly increase birth weight. D is incorrect because Rh sensitization is prevented by
RhoGAM, not folic acid. [100% VERIFIED – Rasmussen NUR2513]
Q4: A pregnant patient at 12 weeks gestation reports she has not felt the baby move
yet. Which response by the nurse is most appropriate?
A. "You should feel movement by now; this may indicate a problem with the pregnancy."
B. "Fetal movement is typically first felt between 16-20 weeks gestation; this is normal
at 12 weeks." [CORRECT]
C. "Quickening only occurs in multiparous women."
D. "You need an ultrasound immediately to confirm viability."
Correct Answer: B
, Rationale: Quickening (first perception of fetal movement) typically occurs between
16-20 weeks gestation in primigravidas and may be felt slightly earlier (14-18 weeks) in
multiparous women. At 12 weeks, the fetus is too small for movement to be perceived.
A is incorrect because 12 weeks is too early for quickening. C is incorrect because
quickening occurs in both primigravidas and multiparas, just at different times. D is
incorrect because lack of movement at 12 weeks is normal and does not indicate
non-viability. [100% VERIFIED – Rasmussen NUR2513]
Q5: A pregnant patient asks when she should schedule her prenatal visits. Which
schedule is correct for a low-risk pregnancy?
A. Every week from the first visit until delivery
B. Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then weekly until delivery
[CORRECT]
C. Every month throughout the entire pregnancy
D. Every 2 weeks from the beginning, then weekly after 32 weeks
Correct Answer: B
Rationale: The standard prenatal visit schedule for low-risk pregnancies is: every 4
weeks until 28 weeks gestation, every 2 weeks from 28-36 weeks, and weekly from 36
weeks until delivery. High-risk pregnancies may require more frequent visits. A is
incorrect because weekly visits from the start are unnecessary for low-risk patients. C is
incorrect because monthly visits throughout do not provide adequate monitoring in the
third trimester. D is incorrect because biweekly visits from the start are excessive for
low-risk patients. [100% VERIFIED – Rasmussen NUR2513]
Exam-Style Questions with Detailed Rationales | 100% Verified | Pass Guaranteed
– A+ Graded
SECTION 1: Reproductive Anatomy, Physiology, & Prenatal Care
(Q1-Q15)
Q1: A 28-year-old female is trying to conceive. She asks the nurse when ovulation
occurs in her menstrual cycle. Which response is correct?
A. Ovulation occurs on day 1 of the menstrual cycle
B. Ovulation occurs approximately 14 days before the next menstrual period, triggered
by the LH surge [CORRECT]
C. Ovulation occurs during menstruation
D. Ovulation occurs at the end of the luteal phase
Correct Answer: B
Rationale: Ovulation typically occurs approximately 14 days before the onset of the next
menstrual period, triggered by the luteinizing hormone (LH) surge from the anterior
pituitary. The LH surge causes the mature Graafian follicle to rupture and release the
ovum. A is incorrect because day 1 is the first day of menstruation, not ovulation. C is
,incorrect because menstruation is the shedding of the endometrium, not ovulation. D is
incorrect because the luteal phase begins after ovulation has already occurred. [100%
VERIFIED – Rasmussen NUR2513]
Q2: A pregnant patient at her initial prenatal visit asks about recommended weight gain.
Her pre-pregnancy BMI was 22 (normal weight). Which recommendation is correct?
A. Gain 11-20 lbs throughout pregnancy
B. Gain 15-25 lbs throughout pregnancy
C. Gain 25-35 lbs throughout pregnancy [CORRECT]
D. Gain 28-40 lbs throughout pregnancy
Correct Answer: C
Rationale: The Institute of Medicine recommends weight gain of 25-35 lbs for women
with a normal pre-pregnancy BMI (18.5-24.9). Underweight women (BMI <18.5) should
gain 28-40 lbs; overweight women (BMI 25-29.9) should gain 15-25 lbs; obese women
(BMI ≥30) should gain 11-20 lbs. A is incorrect because 11-20 lbs is for obese women. B
is incorrect because 15-25 lbs is for overweight women. D is incorrect because 28-40
lbs is for underweight women. [100% VERIFIED – Rasmussen NUR2513]
Q3: A pregnant patient asks why folic acid supplementation is important during
pregnancy. Which explanation by the nurse is most accurate?
,A. Folic acid prevents gestational diabetes
B. Folic acid reduces the risk of neural tube defects when taken before conception and
during early pregnancy [CORRECT]
C. Folic acid increases fetal birth weight
D. Folic acid prevents Rh sensitization
Correct Answer: B
Rationale: Folic acid (400-800 mcg daily) is critical for DNA synthesis and cell division.
Adequate intake before conception and during the first trimester reduces the risk of
neural tube defects (spina bifida, anencephaly) by 50-70%. A is incorrect because folic
acid does not prevent gestational diabetes. C is incorrect because folic acid does not
directly increase birth weight. D is incorrect because Rh sensitization is prevented by
RhoGAM, not folic acid. [100% VERIFIED – Rasmussen NUR2513]
Q4: A pregnant patient at 12 weeks gestation reports she has not felt the baby move
yet. Which response by the nurse is most appropriate?
A. "You should feel movement by now; this may indicate a problem with the pregnancy."
B. "Fetal movement is typically first felt between 16-20 weeks gestation; this is normal
at 12 weeks." [CORRECT]
C. "Quickening only occurs in multiparous women."
D. "You need an ultrasound immediately to confirm viability."
Correct Answer: B
, Rationale: Quickening (first perception of fetal movement) typically occurs between
16-20 weeks gestation in primigravidas and may be felt slightly earlier (14-18 weeks) in
multiparous women. At 12 weeks, the fetus is too small for movement to be perceived.
A is incorrect because 12 weeks is too early for quickening. C is incorrect because
quickening occurs in both primigravidas and multiparas, just at different times. D is
incorrect because lack of movement at 12 weeks is normal and does not indicate
non-viability. [100% VERIFIED – Rasmussen NUR2513]
Q5: A pregnant patient asks when she should schedule her prenatal visits. Which
schedule is correct for a low-risk pregnancy?
A. Every week from the first visit until delivery
B. Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then weekly until delivery
[CORRECT]
C. Every month throughout the entire pregnancy
D. Every 2 weeks from the beginning, then weekly after 32 weeks
Correct Answer: B
Rationale: The standard prenatal visit schedule for low-risk pregnancies is: every 4
weeks until 28 weeks gestation, every 2 weeks from 28-36 weeks, and weekly from 36
weeks until delivery. High-risk pregnancies may require more frequent visits. A is
incorrect because weekly visits from the start are unnecessary for low-risk patients. C is
incorrect because monthly visits throughout do not provide adequate monitoring in the
third trimester. D is incorrect because biweekly visits from the start are excessive for
low-risk patients. [100% VERIFIED – Rasmussen NUR2513]
