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NUR 415 Nursing Care of the Childbearing & Childrearing
Family EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR – JUST RELEASED
NUR 415 Nursing Care of the Childbearing & Childrearing Family
10-Line Exam Coverage
1. Antepartum assessment, prenatal care, nutrition, common discomforts, and pregnancy-
related complications.
2. Maternal physiological adaptations and nursing assessment throughout the three
trimesters of pregnancy.
3. Fetal assessment, fetal growth, prenatal screening, diagnostic testing, and interpretation
of findings.
4. Labor and birth processes, stages of labor, maternal assessment, and nursing
interventions.
5. Electronic fetal monitoring, fetal heart-rate patterns, uterine activity, and appropriate
nursing responses.
6. Postpartum assessment, hemorrhage prevention, uterine involution, recovery, and
maternal complications.
7. Newborn transition, immediate newborn care, assessment, thermoregulation, feeding,
and safety.
8. Breastfeeding, formula feeding, lactation support, and common maternal and newborn
feeding concerns.
9. Pediatric growth and development, family-centered care, nutrition, immunizations, and
safety promotion.
10. Common complications affecting mothers, newborns, infants, and children and
evidence-based nursing priorities.
250 Practice MCQs With Answers & Rationales
1. A pregnant client asks why folic acid supplementation is especially important during the first
weeks of pregnancy. Which response by the nurse provides the most accurate explanation?
A. It prevents gestational hypertension during the third trimester
B. It reduces the risk of fetal neural tube defects during early development
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C. It increases fetal iron stores before delivery
D. It prevents postpartum hemorrhage after birth
Answer: B
Rationale: Adequate folic acid before conception and during early pregnancy significantly
reduces the risk of neural tube defects.
2. During a prenatal visit, which finding should the nurse recognize as a positive sign of
pregnancy rather than merely a presumptive or probable sign?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: C
Rationale: Fetal heart activity is objective evidence originating from the fetus and is therefore a
positive sign of pregnancy.
3. A client at approximately 20 weeks of gestation asks when fetal movement is commonly first
perceived by a person experiencing their first pregnancy. Which response is most appropriate?
A. 6–8 weeks
B. 10–12 weeks
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C. 18–20 weeks
D. 28–30 weeks
Answer: C
Rationale: First perception of fetal movement, called quickening, commonly occurs around 18–
20 weeks in a first pregnancy.
4. A pregnant client reports persistent vomiting, inability to retain fluids, and significant weight
loss. Which complication should the nurse suspect?
A. Hyperemesis gravidarum
B. Gestational diabetes
C. Placenta previa
D. Physiological reflux
Answer: A
Rationale: Severe persistent nausea and vomiting with dehydration, electrolyte abnormalities,
and weight loss are characteristic of hyperemesis gravidarum.
5. Which nutrient is particularly important during pregnancy because maternal blood volume
expands and fetal red blood cell production increases?
A. Iron
B. Vitamin C
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C. Sodium
D. Vitamin K
Answer: A
Rationale: Iron requirements increase substantially during pregnancy because of expanded
maternal erythrocyte mass and fetal iron needs.
6. A pregnant client asks why lying completely supine for prolonged periods may cause
dizziness. Which explanation should the nurse provide?
A. The uterus compresses the inferior vena cava and reduces venous return
B. The uterus directly compresses the carotid arteries
C. Supine positioning causes excessive fetal movement
D. The diaphragm becomes completely immobile
Answer: A
Rationale: The enlarged uterus can compress the inferior vena cava, decreasing venous return
and cardiac output and producing supine hypotension.
7. Which assessment finding in a pregnant client should the nurse report promptly because it
may indicate preeclampsia?
A. Mild urinary frequency
B. Increased appetite
NUR 415 Nursing Care of the Childbearing & Childrearing
Family EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR – JUST RELEASED
NUR 415 Nursing Care of the Childbearing & Childrearing Family
10-Line Exam Coverage
1. Antepartum assessment, prenatal care, nutrition, common discomforts, and pregnancy-
related complications.
2. Maternal physiological adaptations and nursing assessment throughout the three
trimesters of pregnancy.
3. Fetal assessment, fetal growth, prenatal screening, diagnostic testing, and interpretation
of findings.
4. Labor and birth processes, stages of labor, maternal assessment, and nursing
interventions.
5. Electronic fetal monitoring, fetal heart-rate patterns, uterine activity, and appropriate
nursing responses.
6. Postpartum assessment, hemorrhage prevention, uterine involution, recovery, and
maternal complications.
7. Newborn transition, immediate newborn care, assessment, thermoregulation, feeding,
and safety.
8. Breastfeeding, formula feeding, lactation support, and common maternal and newborn
feeding concerns.
9. Pediatric growth and development, family-centered care, nutrition, immunizations, and
safety promotion.
10. Common complications affecting mothers, newborns, infants, and children and
evidence-based nursing priorities.
250 Practice MCQs With Answers & Rationales
1. A pregnant client asks why folic acid supplementation is especially important during the first
weeks of pregnancy. Which response by the nurse provides the most accurate explanation?
A. It prevents gestational hypertension during the third trimester
B. It reduces the risk of fetal neural tube defects during early development
, Page 2 of 119
C. It increases fetal iron stores before delivery
D. It prevents postpartum hemorrhage after birth
Answer: B
Rationale: Adequate folic acid before conception and during early pregnancy significantly
reduces the risk of neural tube defects.
2. During a prenatal visit, which finding should the nurse recognize as a positive sign of
pregnancy rather than merely a presumptive or probable sign?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: C
Rationale: Fetal heart activity is objective evidence originating from the fetus and is therefore a
positive sign of pregnancy.
3. A client at approximately 20 weeks of gestation asks when fetal movement is commonly first
perceived by a person experiencing their first pregnancy. Which response is most appropriate?
A. 6–8 weeks
B. 10–12 weeks
, Page 3 of 119
C. 18–20 weeks
D. 28–30 weeks
Answer: C
Rationale: First perception of fetal movement, called quickening, commonly occurs around 18–
20 weeks in a first pregnancy.
4. A pregnant client reports persistent vomiting, inability to retain fluids, and significant weight
loss. Which complication should the nurse suspect?
A. Hyperemesis gravidarum
B. Gestational diabetes
C. Placenta previa
D. Physiological reflux
Answer: A
Rationale: Severe persistent nausea and vomiting with dehydration, electrolyte abnormalities,
and weight loss are characteristic of hyperemesis gravidarum.
5. Which nutrient is particularly important during pregnancy because maternal blood volume
expands and fetal red blood cell production increases?
A. Iron
B. Vitamin C
, Page 4 of 119
C. Sodium
D. Vitamin K
Answer: A
Rationale: Iron requirements increase substantially during pregnancy because of expanded
maternal erythrocyte mass and fetal iron needs.
6. A pregnant client asks why lying completely supine for prolonged periods may cause
dizziness. Which explanation should the nurse provide?
A. The uterus compresses the inferior vena cava and reduces venous return
B. The uterus directly compresses the carotid arteries
C. Supine positioning causes excessive fetal movement
D. The diaphragm becomes completely immobile
Answer: A
Rationale: The enlarged uterus can compress the inferior vena cava, decreasing venous return
and cardiac output and producing supine hypotension.
7. Which assessment finding in a pregnant client should the nurse report promptly because it
may indicate preeclampsia?
A. Mild urinary frequency
B. Increased appetite
