RN Maternal-Newborn 2026 Proctored Exam with
NGN | Updated Level 3 Pass Preparation | 70
Practice Questions and Answers for
Comprehensive Exam Review.
1. A nurse is teaching a client who is at 7 weeks of gestation
about managing nausea and vomiting. Which of the
following instructions should the nurse include?
A) Eat a large meal before going to bed to stabilize blood
glucose
B) Eat crackers or plain toast before getting out of bed in the
morning
C) Skip breakfast and eat lunch after nausea has subsided
D) Increase intake of high-fat foods to settle the stomach
Correct Answer: B
Rationale: Eating dry carbohydrates like crackers or plain
toast 15-30 minutes before rising helps stabilize blood
glucose and absorb excess gastric acids, which mitigates
,morning sickness. Large meals or skipping meals can worsen
gastrointestinal distress .
2. A nurse is teaching a client who is at 6 weeks of gestation
about common discomforts of pregnancy. Which of the
following should the nurse include? (Select all that apply.)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis
D) Dysuria
E) Epigastric pain
Correct Answers: A, B, C
Rationale: Breast tenderness and urinary frequency are
universal first-trimester discomforts triggered by rising
estrogen/progesterone levels and pelvic uterine pressure.
Epistaxis (nosebleeds) is common due to increased vascularity
,and capillary engorgement of the nasal mucosa. Dysuria
(painful urination) signals a UTI, and epigastric pain is a late
sign of severe preeclampsia; both require medical
intervention .
3. A client at 8 weeks of gestation tells the nurse she isn't
sure she is happy about being pregnant. Which response
should the nurse make?
A) "I will inform the provider that you are having these
feelings"
B) "It is normal to have these feelings during the first few
months of pregnancy"
C) "You should be happy that you are going to bring new life
into the world"
D) "I am going to make an appointment with a counselor for
you to discuss these thoughts"
Correct Answer: B
Rationale: Ambivalence is a normal, expected psychological
response during the first trimester, even in planned
, pregnancies. Hormonal fluctuations, shifting roles, and
lifestyle anxieties contribute to this. The nurse's role is to
validate and normalize these feelings .
4. A nurse is measuring a client's fundal height at 32 weeks of
gestation and notes it is 26 cm. Which of the following
should the nurse suspect?
A) Multifetal gestation
B) Polyhydramnios
C) Intrauterine growth restriction (IUGR)
D) Post-term pregnancy
Correct Answer: C
Rationale: Fundal height in centimeters should approximately
equal the gestational age in weeks (plus or minus 2 cm). At
32 weeks, a fundal height of 26 cm is significantly below the
expected range, suggesting possible intrauterine growth
restriction, oligohydramnios, or fetal anomalies .
NGN | Updated Level 3 Pass Preparation | 70
Practice Questions and Answers for
Comprehensive Exam Review.
1. A nurse is teaching a client who is at 7 weeks of gestation
about managing nausea and vomiting. Which of the
following instructions should the nurse include?
A) Eat a large meal before going to bed to stabilize blood
glucose
B) Eat crackers or plain toast before getting out of bed in the
morning
C) Skip breakfast and eat lunch after nausea has subsided
D) Increase intake of high-fat foods to settle the stomach
Correct Answer: B
Rationale: Eating dry carbohydrates like crackers or plain
toast 15-30 minutes before rising helps stabilize blood
glucose and absorb excess gastric acids, which mitigates
,morning sickness. Large meals or skipping meals can worsen
gastrointestinal distress .
2. A nurse is teaching a client who is at 6 weeks of gestation
about common discomforts of pregnancy. Which of the
following should the nurse include? (Select all that apply.)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis
D) Dysuria
E) Epigastric pain
Correct Answers: A, B, C
Rationale: Breast tenderness and urinary frequency are
universal first-trimester discomforts triggered by rising
estrogen/progesterone levels and pelvic uterine pressure.
Epistaxis (nosebleeds) is common due to increased vascularity
,and capillary engorgement of the nasal mucosa. Dysuria
(painful urination) signals a UTI, and epigastric pain is a late
sign of severe preeclampsia; both require medical
intervention .
3. A client at 8 weeks of gestation tells the nurse she isn't
sure she is happy about being pregnant. Which response
should the nurse make?
A) "I will inform the provider that you are having these
feelings"
B) "It is normal to have these feelings during the first few
months of pregnancy"
C) "You should be happy that you are going to bring new life
into the world"
D) "I am going to make an appointment with a counselor for
you to discuss these thoughts"
Correct Answer: B
Rationale: Ambivalence is a normal, expected psychological
response during the first trimester, even in planned
, pregnancies. Hormonal fluctuations, shifting roles, and
lifestyle anxieties contribute to this. The nurse's role is to
validate and normalize these feelings .
4. A nurse is measuring a client's fundal height at 32 weeks of
gestation and notes it is 26 cm. Which of the following
should the nurse suspect?
A) Multifetal gestation
B) Polyhydramnios
C) Intrauterine growth restriction (IUGR)
D) Post-term pregnancy
Correct Answer: C
Rationale: Fundal height in centimeters should approximately
equal the gestational age in weeks (plus or minus 2 cm). At
32 weeks, a fundal height of 26 cm is significantly below the
expected range, suggesting possible intrauterine growth
restriction, oligohydramnios, or fetal anomalies .
