NUR 418 Exam 1 Nursing Care of the
Childbearing Family Verified Ques ons
and Answers with Detailed Explana ons
Ques on 1
A nurse is providing preconcep on counseling to a 26-year-old woman who
plans to become pregnant. Which recommenda on is most appropriate?
A. Begin taking folic acid before concep on.
B. Avoid all exercise during pregnancy.
C. Delay prenatal care un l the second trimester.
D. Increase vitamin A supplementa on above the recommended daily
allowance.
Correct Answer: A. Begin taking folic acid before concep on.
Ra onale
Folic acid supplementa on before concep on and during early pregnancy helps
reduce the risk of neural tube defects. Regular exercise (unless contraindicated)
and early prenatal care are also encouraged. Excess vitamin A may be harmful
during pregnancy.
Ques on 2
Which maternal physiological change commonly occurs during pregnancy?
A. Increased blood volume
,B. Decreased cardiac output
C. Reduced renal blood flow
D. Decreased oxygen consump on
Correct Answer: A. Increased blood volume
Ra onale
Maternal blood volume normally increases during pregnancy to support the
placenta and fetus. Cardiac output and renal blood flow also increase.
Ques on 3
A pregnant client at 10 weeks' gesta on reports nausea each morning. Which
nursing recommenda on is appropriate?
A. Eat small, frequent meals and consider ea ng dry crackers before ge ng out
of bed.
B. Skip breakfast.
C. Drink large amounts of fluid with each meal.
D. Eat one large meal daily.
Correct Answer: A. Eat small, frequent meals and consider ea ng dry crackers
before ge ng out of bed.
Ra onale
Ea ng small, frequent meals and avoiding an empty stomach can help reduce
nausea during early pregnancy.
Ques on 4
Which finding is considered a presump ve sign of pregnancy?
A. Amenorrhea
, B. Fetal heart tones
C. Visualiza on of the fetus on ultrasound
D. Fetal movement palpated by the examiner
Correct Answer: A. Amenorrhea
Ra onale
Amenorrhea is a presump ve sign because it is reported by the client and may
have causes other than pregnancy. Fetal heart tones and ultrasound
confirma on are posi ve signs.
Ques on 5
A nurse is teaching about nutri on during pregnancy. Which nutrient is
especially important for fetal neural tube development?
A. Folic acid
B. Vitamin C
C. Vitamin K
D. Sodium
Correct Answer: A. Folic acid
Ra onale
Adequate folic acid intake before concep on and in early pregnancy reduces the
risk of neural tube defects.
Ques on 6
During a rou ne prenatal visit at 28 weeks' gesta on, the nurse measures fundal
height. This assessment primarily helps evaluate:
A. Fetal growth