NUR 2513 / NUR2513 Maternal-Child Nursing Exam 1
Practice Test Actual 2026/2027 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Antepartum Care & Assessment (Questions 1–15)
Q1: A pregnant patient at 10 weeks gestation asks when she should expect to feel
fetal movement. Which response by the nurse is most accurate?
A. "You should feel movement by the end of the first trimester, around 12 weeks"
B. "Most first-time mothers feel movement between 18 and 20 weeks gestation"
C. "Fetal movement is typically felt around 24 weeks in all pregnancies"
D. "You will not feel movement until the third trimester, around 28 weeks"
Correct Answer: B
Rationale: Nulliparous women typically perceive quickening between 18–20 weeks
gestation, while multiparous women may perceive movement earlier (16–18 weeks)
due to prior experience recognizing fetal sensations.
Q2: A pregnant patient at 28 weeks gestation has a fundal height measurement of 26
cm. Which action by the nurse is most appropriate?
A. Document the finding as normal and continue routine care
B. Notify the provider immediately for possible intrauterine growth restriction
,C. Recheck the measurement after the patient empties her bladder
D. Schedule an ultrasound to confirm gestational age
Correct Answer: C
Rationale: Fundal height should correlate with gestational age in weeks (±2 cm); a
full bladder can displace the uterus and artificially lower the measurement, so
rechecking after voiding is the appropriate first step before further evaluation.
Q3: A pregnant patient is Rh-negative and the father is Rh-positive. At what
gestational age should the nurse anticipate administration of Rh immune globulin
(RhoGAM)?
A. 12 weeks gestation and again at 24 weeks
B. 28 weeks gestation and within 72 hours after delivery if the infant is Rh-positive
C. 20 weeks gestation and again at 32 weeks
D. Only within 72 hours after delivery if the infant is Rh-positive
Correct Answer: B
Rationale: Rh-negative women carrying Rh-positive fetuses receive RhoGAM at 28
weeks gestation to prevent sensitization during the third trimester, and again within
72 hours postpartum if the infant is Rh-positive to prevent future pregnancy
complications.
Q4: A pregnant patient at 16 weeks gestation asks about recommended weight gain.
Her pre-pregnancy BMI was 28 kg/m². Which response is most accurate?
A. "You should gain 25–35 pounds throughout your pregnancy"
B. "You should gain 15–25 pounds throughout your pregnancy"
,C. "You should gain 11–20 pounds throughout your pregnancy"
D. "You should limit weight gain to less than 10 pounds"
Correct Answer: C
Rationale: The Institute of Medicine recommends women with overweight BMI
(25.0–29.9 kg/m²) gain 15–25 pounds (7–11.5 kg); however, current guidelines for
overweight women suggest 11–20 pounds to optimize maternal and fetal outcomes.
Q5: A pregnant patient at 24 weeks gestation has a 1-hour glucose challenge test
result of 155 mg/dL. Which action is required?
A. Diagnose gestational diabetes and begin dietary management
B. Schedule a 3-hour oral glucose tolerance test for confirmation
C. Repeat the 1-hour glucose challenge test in 2 weeks
D. Document the result as normal and continue routine prenatal care
Correct Answer: B
Rationale: A 1-hour glucose challenge test result ≥140 mg/dL (some use ≥130
mg/dL) requires a diagnostic 3-hour 100-g oral glucose tolerance test to confirm
gestational diabetes; a single abnormal screening test is not diagnostic.
Q6: A pregnant patient at 32 weeks gestation reports decreased fetal movement.
Which nursing intervention is the priority?
A. Reassure the patient that decreased movement is normal at this gestational age
B. Perform a nonstress test to assess fetal well-being
C. Instruct the patient to drink a glass of cold water and count movements
, D. Schedule a routine prenatal appointment for next week
Correct Answer: B
Rationale: Decreased fetal movement at 32 weeks requires immediate assessment
with a nonstress test or biophysical profile to evaluate fetal well-being; reassuring
the patient or delaying evaluation could miss fetal compromise requiring urgent
intervention.
Q7: A pregnant patient asks about foods to avoid during pregnancy. Which food
should the nurse include in the teaching?
A. Pasteurized milk and cheese
B. Raw or undercooked fish and shellfish
C. Cooked vegetables and fruits
D. Whole grain breads and cereals
Correct Answer: B
Rationale: Raw or undercooked fish and shellfish may contain Listeria, Salmonella, or
parasites that can cause severe maternal infection and fetal complications including
miscarriage, stillbirth, and congenital infection.
Q8: A pregnant patient at 20 weeks gestation has a blood pressure of 142/92 mmHg
on two occasions 4 hours apart, with no proteinuria. Which classification is correct?
A. Chronic hypertension
B. Gestational hypertension
C. Preeclampsia
Practice Test Actual 2026/2027 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Antepartum Care & Assessment (Questions 1–15)
Q1: A pregnant patient at 10 weeks gestation asks when she should expect to feel
fetal movement. Which response by the nurse is most accurate?
A. "You should feel movement by the end of the first trimester, around 12 weeks"
B. "Most first-time mothers feel movement between 18 and 20 weeks gestation"
C. "Fetal movement is typically felt around 24 weeks in all pregnancies"
D. "You will not feel movement until the third trimester, around 28 weeks"
Correct Answer: B
Rationale: Nulliparous women typically perceive quickening between 18–20 weeks
gestation, while multiparous women may perceive movement earlier (16–18 weeks)
due to prior experience recognizing fetal sensations.
Q2: A pregnant patient at 28 weeks gestation has a fundal height measurement of 26
cm. Which action by the nurse is most appropriate?
A. Document the finding as normal and continue routine care
B. Notify the provider immediately for possible intrauterine growth restriction
,C. Recheck the measurement after the patient empties her bladder
D. Schedule an ultrasound to confirm gestational age
Correct Answer: C
Rationale: Fundal height should correlate with gestational age in weeks (±2 cm); a
full bladder can displace the uterus and artificially lower the measurement, so
rechecking after voiding is the appropriate first step before further evaluation.
Q3: A pregnant patient is Rh-negative and the father is Rh-positive. At what
gestational age should the nurse anticipate administration of Rh immune globulin
(RhoGAM)?
A. 12 weeks gestation and again at 24 weeks
B. 28 weeks gestation and within 72 hours after delivery if the infant is Rh-positive
C. 20 weeks gestation and again at 32 weeks
D. Only within 72 hours after delivery if the infant is Rh-positive
Correct Answer: B
Rationale: Rh-negative women carrying Rh-positive fetuses receive RhoGAM at 28
weeks gestation to prevent sensitization during the third trimester, and again within
72 hours postpartum if the infant is Rh-positive to prevent future pregnancy
complications.
Q4: A pregnant patient at 16 weeks gestation asks about recommended weight gain.
Her pre-pregnancy BMI was 28 kg/m². Which response is most accurate?
A. "You should gain 25–35 pounds throughout your pregnancy"
B. "You should gain 15–25 pounds throughout your pregnancy"
,C. "You should gain 11–20 pounds throughout your pregnancy"
D. "You should limit weight gain to less than 10 pounds"
Correct Answer: C
Rationale: The Institute of Medicine recommends women with overweight BMI
(25.0–29.9 kg/m²) gain 15–25 pounds (7–11.5 kg); however, current guidelines for
overweight women suggest 11–20 pounds to optimize maternal and fetal outcomes.
Q5: A pregnant patient at 24 weeks gestation has a 1-hour glucose challenge test
result of 155 mg/dL. Which action is required?
A. Diagnose gestational diabetes and begin dietary management
B. Schedule a 3-hour oral glucose tolerance test for confirmation
C. Repeat the 1-hour glucose challenge test in 2 weeks
D. Document the result as normal and continue routine prenatal care
Correct Answer: B
Rationale: A 1-hour glucose challenge test result ≥140 mg/dL (some use ≥130
mg/dL) requires a diagnostic 3-hour 100-g oral glucose tolerance test to confirm
gestational diabetes; a single abnormal screening test is not diagnostic.
Q6: A pregnant patient at 32 weeks gestation reports decreased fetal movement.
Which nursing intervention is the priority?
A. Reassure the patient that decreased movement is normal at this gestational age
B. Perform a nonstress test to assess fetal well-being
C. Instruct the patient to drink a glass of cold water and count movements
, D. Schedule a routine prenatal appointment for next week
Correct Answer: B
Rationale: Decreased fetal movement at 32 weeks requires immediate assessment
with a nonstress test or biophysical profile to evaluate fetal well-being; reassuring
the patient or delaying evaluation could miss fetal compromise requiring urgent
intervention.
Q7: A pregnant patient asks about foods to avoid during pregnancy. Which food
should the nurse include in the teaching?
A. Pasteurized milk and cheese
B. Raw or undercooked fish and shellfish
C. Cooked vegetables and fruits
D. Whole grain breads and cereals
Correct Answer: B
Rationale: Raw or undercooked fish and shellfish may contain Listeria, Salmonella, or
parasites that can cause severe maternal infection and fetal complications including
miscarriage, stillbirth, and congenital infection.
Q8: A pregnant patient at 20 weeks gestation has a blood pressure of 142/92 mmHg
on two occasions 4 hours apart, with no proteinuria. Which classification is correct?
A. Chronic hypertension
B. Gestational hypertension
C. Preeclampsia
