NUR 2513 MATERNAL-CHILD
NURSING – EXAM 1
COMPREHENSIVE STUDY GUIDE
(300 VERIFIED QUESTIONS WITH
ANSWER RATIONALES)
SECTION 1: Foundations & Reproductive Health
Q1. What is the primary hormone responsible for maintaining the uterine lining
during pregnancy?
A) Estrogen
B) Progesterone
C) Oxytocin
D) Prolactin
✅ CORRECT ANSWER: B) Progesterone
Rationale: Progesterone maintains the uterine lining and prevents contractions to
support pregnancy. The corpus luteum produces progesterone during the first
trimester until the placenta takes over around week 10 .
Q2. What is the purpose of the placenta?
A) To produce breast milk
B) To exchange nutrients and waste between mother and fetus
C) To contract during labor
D) To store fetal waste
✅ CORRECT ANSWER: B) To exchange nutrients and waste between mother
and fetus
,Rationale: The placenta facilitates nutrient and gas exchange, and waste removal for
the fetus. It provides oxygen and nutrients while removing carbon dioxide and
metabolic wastes .
Q3. A nurse is caring for a client who is prescribed Rho immune globulin
standard dose IM (Rhogam). What is the purpose of this medication?
A) To stimulate red blood cell production
B) To prevent an immune response to Rh-positive blood in Rh-negative individuals
C) To treat anemia in pregnancy
D) To prevent preterm labor
✅ CORRECT ANSWER: B) To prevent an immune response to Rh-positive blood
in Rh-negative individuals
Rationale: RhoGAM is given to Rh-negative mothers to prevent the formation of
anti-Rh antibodies that could harm future Rh-positive fetuses. It is administered at
26-28 weeks gestation, after delivery, and after pregnancy loss .
Q4. At what gestational age is a fetus considered viable outside the womb?
A) 20 weeks
B) 24 weeks
C) 28 weeks
D) 32 weeks
✅ CORRECT ANSWER: B) 24 weeks
Rationale: Fetuses born at or after 24 weeks have a chance of survival with medical
support, considered the threshold of viability .
Q5. What is the function of amniotic fluid?
A) Provides oxygen to the fetus
B) Cushions the fetus, allows movement, and maintains temperature
,C) Produces hormones for pregnancy
D) Transports nutrients to the fetus
✅ CORRECT ANSWER: B) Cushions the fetus, allows movement, and maintains
temperature
Rationale: Amniotic fluid permits free movement of the baby, provides cushioning
from minor trauma, helps with temperature control, and prevents cord compression .
Q6. What does the term "nullipara" mean?
A) A woman who has had one birth
B) A woman who has delivered no viable offspring
C) A woman who is pregnant for the first time
D) A woman who has had multiple births
✅ CORRECT ANSWER: B) A woman who has delivered no viable offspring
Rationale: Nullipara refers to a woman who has never given birth to a viable fetus
(no births after 20 weeks) .
Q7. What is the normal duration of pregnancy?
A) 36 weeks from the last menstrual period
B) 38 weeks from conception
C) Approximately 40 weeks from the last menstrual period
D) 42 weeks from implantation
✅ CORRECT ANSWER: C) Approximately 40 weeks from the last menstrual
period
Rationale: A normal pregnancy lasts approximately 40 weeks from the last menstrual
period (LMP), or 280 days .
Q8. What is the purpose of the Non-Stress Test (NST)?
, A) To measure uterine contractions
B) To assess fetal well-being by evaluating fetal heart rate response to fetal
movement
C) To determine fetal position
D) To measure amniotic fluid volume
✅ CORRECT ANSWER: B) To assess fetal well-being by evaluating fetal heart
rate response to fetal movement
Rationale: A "reactive" NST shows two or more fetal heart rate accelerations of at
least 15 bpm lasting 15 seconds within a 20-minute period. NST is most reliable
when the fetus is active .
Q9. What is the function of colostrum?
A) To provide hydration only
B) To nourish the newborn with antibodies and nutrients
C) To promote weight gain
D) To induce bowel movements
✅ CORRECT ANSWER: B) To nourish the newborn with antibodies and
nutrients
Rationale: Colostrum is rich in antibodies (particularly IgA) and nutrients, providing
passive immunity to the newborn and supporting immune system development .
Q10. What is the correct site for fundal height measurement?
A) Symphysis pubis to fundus
B) Fundus to xiphoid process
C) Umbilicus to fundus
D) Fundus to iliac crest
✅ CORRECT ANSWER: A) Symphysis pubis to fundus
Rationale: Fundal height is measured in centimeters from the pubic symphysis to the
top of the uterine fundus. Between 20-36 weeks, the measurement in cm roughly
equals weeks gestation .
NURSING – EXAM 1
COMPREHENSIVE STUDY GUIDE
(300 VERIFIED QUESTIONS WITH
ANSWER RATIONALES)
SECTION 1: Foundations & Reproductive Health
Q1. What is the primary hormone responsible for maintaining the uterine lining
during pregnancy?
A) Estrogen
B) Progesterone
C) Oxytocin
D) Prolactin
✅ CORRECT ANSWER: B) Progesterone
Rationale: Progesterone maintains the uterine lining and prevents contractions to
support pregnancy. The corpus luteum produces progesterone during the first
trimester until the placenta takes over around week 10 .
Q2. What is the purpose of the placenta?
A) To produce breast milk
B) To exchange nutrients and waste between mother and fetus
C) To contract during labor
D) To store fetal waste
✅ CORRECT ANSWER: B) To exchange nutrients and waste between mother
and fetus
,Rationale: The placenta facilitates nutrient and gas exchange, and waste removal for
the fetus. It provides oxygen and nutrients while removing carbon dioxide and
metabolic wastes .
Q3. A nurse is caring for a client who is prescribed Rho immune globulin
standard dose IM (Rhogam). What is the purpose of this medication?
A) To stimulate red blood cell production
B) To prevent an immune response to Rh-positive blood in Rh-negative individuals
C) To treat anemia in pregnancy
D) To prevent preterm labor
✅ CORRECT ANSWER: B) To prevent an immune response to Rh-positive blood
in Rh-negative individuals
Rationale: RhoGAM is given to Rh-negative mothers to prevent the formation of
anti-Rh antibodies that could harm future Rh-positive fetuses. It is administered at
26-28 weeks gestation, after delivery, and after pregnancy loss .
Q4. At what gestational age is a fetus considered viable outside the womb?
A) 20 weeks
B) 24 weeks
C) 28 weeks
D) 32 weeks
✅ CORRECT ANSWER: B) 24 weeks
Rationale: Fetuses born at or after 24 weeks have a chance of survival with medical
support, considered the threshold of viability .
Q5. What is the function of amniotic fluid?
A) Provides oxygen to the fetus
B) Cushions the fetus, allows movement, and maintains temperature
,C) Produces hormones for pregnancy
D) Transports nutrients to the fetus
✅ CORRECT ANSWER: B) Cushions the fetus, allows movement, and maintains
temperature
Rationale: Amniotic fluid permits free movement of the baby, provides cushioning
from minor trauma, helps with temperature control, and prevents cord compression .
Q6. What does the term "nullipara" mean?
A) A woman who has had one birth
B) A woman who has delivered no viable offspring
C) A woman who is pregnant for the first time
D) A woman who has had multiple births
✅ CORRECT ANSWER: B) A woman who has delivered no viable offspring
Rationale: Nullipara refers to a woman who has never given birth to a viable fetus
(no births after 20 weeks) .
Q7. What is the normal duration of pregnancy?
A) 36 weeks from the last menstrual period
B) 38 weeks from conception
C) Approximately 40 weeks from the last menstrual period
D) 42 weeks from implantation
✅ CORRECT ANSWER: C) Approximately 40 weeks from the last menstrual
period
Rationale: A normal pregnancy lasts approximately 40 weeks from the last menstrual
period (LMP), or 280 days .
Q8. What is the purpose of the Non-Stress Test (NST)?
, A) To measure uterine contractions
B) To assess fetal well-being by evaluating fetal heart rate response to fetal
movement
C) To determine fetal position
D) To measure amniotic fluid volume
✅ CORRECT ANSWER: B) To assess fetal well-being by evaluating fetal heart
rate response to fetal movement
Rationale: A "reactive" NST shows two or more fetal heart rate accelerations of at
least 15 bpm lasting 15 seconds within a 20-minute period. NST is most reliable
when the fetus is active .
Q9. What is the function of colostrum?
A) To provide hydration only
B) To nourish the newborn with antibodies and nutrients
C) To promote weight gain
D) To induce bowel movements
✅ CORRECT ANSWER: B) To nourish the newborn with antibodies and
nutrients
Rationale: Colostrum is rich in antibodies (particularly IgA) and nutrients, providing
passive immunity to the newborn and supporting immune system development .
Q10. What is the correct site for fundal height measurement?
A) Symphysis pubis to fundus
B) Fundus to xiphoid process
C) Umbilicus to fundus
D) Fundus to iliac crest
✅ CORRECT ANSWER: A) Symphysis pubis to fundus
Rationale: Fundal height is measured in centimeters from the pubic symphysis to the
top of the uterine fundus. Between 20-36 weeks, the measurement in cm roughly
equals weeks gestation .
