NUR 2356 Multidimensional Care I (MDC 1)
Final Comprehensive Examination
2026/2027 | Verified Questions
Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1) | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
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Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1)
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
NUR 2356 Multidimensional Care I (MDC 1) Final Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 100 original verified questions designed for the NUR 2356 Multidimensional
Care I (MDC 1) Final Comprehensive Examination. The questions are organized across four core domains:
Maternal and Antepartum Care (25 questions); Intrapartum and Postpartum Care (25 questions);
Pediatric Growth and Development (25 questions); and Pediatric Health Alterations and Nursing Care (25
questions). Content is original and constructed to reinforce the official Rasmussen College NUR 2356
course objectives for actual exam readiness and clinical proficiency, aligned to the 2026/2027 academic
year. Each question includes a correct answer and a rationale grounded in foundational maternal-child
nursing curriculum and developmental care standards.
ACTUAL QUESTIONS
Domain 1: Maternal and Antepartum Care
Question 1. Which of the following is the recommended daily folic acid intake for a woman
planning pregnancy to reduce neural-tube defects?
A. 40 mcg
B. 4 mg for all women
C. 40 mg
D. 400 mcg (0.4 mg)
Correct Answer: D
Rationale: Preconception folic acid 400 mcg daily is recommended for most women; higher doses are
used for those with prior neural-tube defects.
Question 2. Naegele’s rule estimates the expected date of delivery by:
A. Adding 3 months to the last menstrual period
B. Adding 7 days to the first day of the last menstrual period and subtracting 3 months
C. Counting 280 days from the last ovulation only
D. Using ultrasound exclusively without LMP
Correct Answer: B
Rationale: Naegele’s rule: LMP + 7 days − 3 months (or + 9 months + 7 days) approximates a 280-day
gestation.
Question 3. Which laboratory test is routinely performed at the first prenatal visit to
screen for anemia?
A. Serum ferritin only
B. Reticulocyte count exclusively
C. Hemoglobin and hematocrit
D. Bone-marrow biopsy
Correct Answer: C
NUR 2356 Multidimensional Care I (MDC 1) Final Comprehensive Examination 2026/2027 | Verified Questions
, Rationale: Baseline hemoglobin/hematocrit identify anemia early so that iron supplementation and
further evaluation can be initiated.
Question 4. Quickening typically occurs at approximately how many weeks of gestation in a
primigravida?
A. 18 to 20 weeks
B. 8 to 10 weeks
C. 28 to 30 weeks
D. 4 to 6 weeks
Correct Answer: A
Rationale: Primigravidas usually first perceive fetal movement between 18 and 20 weeks; multiparas
may notice it earlier.
Question 5. Which finding is a probable (not positive) sign of pregnancy?
A. Auscultation of fetal heart tones
B. Sonographic visualization of the fetus
C. Palpation of fetal movements by the examiner
D. Hegar’s sign (softening of the lower uterine segment)
Correct Answer: D
Rationale: Probable signs include Hegar, Goodell, and Chadwick signs and positive pregnancy tests;
positive signs are fetal heart tones, visualization, or examiner-felt movement.
Question 6. The recommended weight gain for a woman with a normal pre-pregnancy BMI
(18.5–24.9) is approximately:
A. 25 to 35 pounds
B. 11 to 20 pounds
C. 15 to 25 pounds
D. 28 to 40 pounds
Correct Answer: A
Rationale: Institute of Medicine guidelines recommend 25–35 lb total gain for normal-BMI women.
Question 7. Which of the following is the primary purpose of Rho(D) immune globulin
administration at 28 weeks?
A. Treat existing hemolytic disease of the newborn
B. Prevent maternal sensitization to Rh-positive fetal cells in Rh-negative mothers
C. Increase maternal hemoglobin
D. Stimulate fetal lung maturity
NUR 2356 Multidimensional Care I (MDC 1) Final Comprehensive Examination 2026/2027 | Verified Questions