,NUR 2513 Exam 1 | Maternal-Child Nursing (2026) Actual
Q&A PDF | Rasmussen College
1. Which of the following best describes a current trend influencing maternal-child
health care that has led to an expansion of community-based services?
A) An increase in the number of large, multi-generational families living together
B) A shift towards hospital-based care for all routine prenatal visits
C) An expansion of community-based services and a focus on health promotion
D) A decrease in the number of single-parent families
Correct Answer: An expansion of community-based services and a focus on health
promotion
Rationale: Current trends in maternal-child health care include a shift towards
community-based services, health promotion, and disease prevention. Families are
smaller, with more single-parent households and mothers working outside the home,
which influences the types of care required. Hospital-based care is not expanding for
routine visits, and family structures are changing, not reverting to larger multi-
generational models.
2. What is the primary purpose of folic acid supplementation during the first
trimester of pregnancy?
A) To maintain the mother's energy levels throughout the pregnancy
B) To control the risk of pregnancy-induced hypertension
C) To prevent neural tube disorders in the developing fetus
D) To sustain a slow and steady weight gain during pregnancy
Correct Answer: To prevent neural tube disorders in the developing fetus
,Rationale: Folic acid is crucial in the first trimester for the prevention of neural tube
defects (NTDs) such as spina bifida. It is a key component of prenatal vitamins and is
a national health goal for pregnancy. It does not primarily control hypertension,
sustain weight gain, or maintain energy levels.
3. In a 28-day menstrual cycle, ovulation typically occurs on which day, triggered by a
surge in which hormone?
A) Day 7; surge in follicle-stimulating hormone (FSH)
B) Day 14; surge in luteinizing hormone (LH)
C) Day 21; surge in progesterone
D) Day 28; surge in estrogen
Correct Answer: Day 14; surge in luteinizing hormone (LH)
Rationale: In a typical 28-day cycle, ovulation occurs around day 14. This is triggered
by a surge in luteinizing hormone (LH) from the anterior pituitary gland. The
proliferative phase is driven by estrogen, and the secretory phase is dominated by
progesterone.
4. A nurse is teaching a client about the phases of the menstrual cycle. Which phase
is characterized by the endometrium becoming a rich, spongy velvet tissue due to
the action of progesterone?
A) Proliferative phase
B) Secretory (luteal) phase
C) Ischemic phase
D) Menses phase
Correct Answer: Secretory (luteal) phase
, Rationale: During the secretory (luteal) phase, progesterone from the corpus luteum
causes the endometrial glands to become corkscrew-shaped, twisted, and dilated
with glycogen and mucin, giving it a rich, spongy appearance. The proliferative phase
is when the endometrium thickens under estrogen influence.
5. A nurse is caring for a client who is 32 weeks pregnant. The fundal height is
measured at 28 cm, and the fetal heart rate is 115 bpm. The client reports decreased
fetal movement. What is the nurse's priority action based on these findings?
A) Reassure the client that these are normal findings and schedule a routine follow-
up in 2 weeks
B) Prepare for an immediate cesarean section due to fetal distress
C) Recognize possible intrauterine growth restriction (IUGR) and notify the healthcare
provider
D) Administer an oral glucose tolerance test to rule out gestational diabetes
Correct Answer: Recognize possible intrauterine growth restriction (IUGR) and notify
the healthcare provider
Rationale: A fundal height that is 4 cm less than the gestational age (32 weeks)
suggests intrauterine growth restriction (IUGR). This, combined with decreased fetal
movement and a low-normal FHR, warrants immediate notification of the provider
for further assessment. Macrosomia is associated with a fundal height that is greater
than expected.
6. According to the GTPAL system, a client who is currently pregnant with twins, has
had two previous full-term births, one preterm birth, and one elective abortion would
have which of the following GTPAL designations?
A) G4, T2, P1, A1, L2
B) G4, T2, P1, A1, L3
Q&A PDF | Rasmussen College
1. Which of the following best describes a current trend influencing maternal-child
health care that has led to an expansion of community-based services?
A) An increase in the number of large, multi-generational families living together
B) A shift towards hospital-based care for all routine prenatal visits
C) An expansion of community-based services and a focus on health promotion
D) A decrease in the number of single-parent families
Correct Answer: An expansion of community-based services and a focus on health
promotion
Rationale: Current trends in maternal-child health care include a shift towards
community-based services, health promotion, and disease prevention. Families are
smaller, with more single-parent households and mothers working outside the home,
which influences the types of care required. Hospital-based care is not expanding for
routine visits, and family structures are changing, not reverting to larger multi-
generational models.
2. What is the primary purpose of folic acid supplementation during the first
trimester of pregnancy?
A) To maintain the mother's energy levels throughout the pregnancy
B) To control the risk of pregnancy-induced hypertension
C) To prevent neural tube disorders in the developing fetus
D) To sustain a slow and steady weight gain during pregnancy
Correct Answer: To prevent neural tube disorders in the developing fetus
,Rationale: Folic acid is crucial in the first trimester for the prevention of neural tube
defects (NTDs) such as spina bifida. It is a key component of prenatal vitamins and is
a national health goal for pregnancy. It does not primarily control hypertension,
sustain weight gain, or maintain energy levels.
3. In a 28-day menstrual cycle, ovulation typically occurs on which day, triggered by a
surge in which hormone?
A) Day 7; surge in follicle-stimulating hormone (FSH)
B) Day 14; surge in luteinizing hormone (LH)
C) Day 21; surge in progesterone
D) Day 28; surge in estrogen
Correct Answer: Day 14; surge in luteinizing hormone (LH)
Rationale: In a typical 28-day cycle, ovulation occurs around day 14. This is triggered
by a surge in luteinizing hormone (LH) from the anterior pituitary gland. The
proliferative phase is driven by estrogen, and the secretory phase is dominated by
progesterone.
4. A nurse is teaching a client about the phases of the menstrual cycle. Which phase
is characterized by the endometrium becoming a rich, spongy velvet tissue due to
the action of progesterone?
A) Proliferative phase
B) Secretory (luteal) phase
C) Ischemic phase
D) Menses phase
Correct Answer: Secretory (luteal) phase
, Rationale: During the secretory (luteal) phase, progesterone from the corpus luteum
causes the endometrial glands to become corkscrew-shaped, twisted, and dilated
with glycogen and mucin, giving it a rich, spongy appearance. The proliferative phase
is when the endometrium thickens under estrogen influence.
5. A nurse is caring for a client who is 32 weeks pregnant. The fundal height is
measured at 28 cm, and the fetal heart rate is 115 bpm. The client reports decreased
fetal movement. What is the nurse's priority action based on these findings?
A) Reassure the client that these are normal findings and schedule a routine follow-
up in 2 weeks
B) Prepare for an immediate cesarean section due to fetal distress
C) Recognize possible intrauterine growth restriction (IUGR) and notify the healthcare
provider
D) Administer an oral glucose tolerance test to rule out gestational diabetes
Correct Answer: Recognize possible intrauterine growth restriction (IUGR) and notify
the healthcare provider
Rationale: A fundal height that is 4 cm less than the gestational age (32 weeks)
suggests intrauterine growth restriction (IUGR). This, combined with decreased fetal
movement and a low-normal FHR, warrants immediate notification of the provider
for further assessment. Macrosomia is associated with a fundal height that is greater
than expected.
6. According to the GTPAL system, a client who is currently pregnant with twins, has
had two previous full-term births, one preterm birth, and one elective abortion would
have which of the following GTPAL designations?
A) G4, T2, P1, A1, L2
B) G4, T2, P1, A1, L3
