NR-327 Maternal-Child Nursing
Practice Final Exam 2
(2026);Comprehensive -Question
Study Guide with Answers and
Rationales
Antepartum & Pregnancy Complications (Questions 1-15)
1. A nurse is assessing a client at 12 weeks of gestation. Which finding
is considered a probable sign of pregnancy?
Answer: Goodell's sign
Rationale: Goodell's sign (softening of the cervical tip) is a probable
sign. Amenorrhea is presumptive, while fetal heart tones are a
positive sign .
2. A woman reports that both she and her partner are carriers of an
autosomal recessive disorder. What is the probability their child will
inherit the disorder?
Answer: 25%
Rationale: When both parents carry an autosomal recessive trait,
each pregnancy has a 25% chance of producing an affected child .
,3. During prenatal teaching, a client asks when the developing baby is
officially called a fetus rather than an embryo. How should the nurse
respond?
Answer: Beginning of the ninth week
Rationale: The embryonic period ends at eight weeks; beginning in
week nine, the developing baby is called a fetus .
4. Using Naegele's Rule, what is the estimated date of delivery (EDD)
for a client whose last menstrual period began on March 10th?
Answer: December 17th
Rationale: Naegele's rule: Subtract 3 months from the LMP and add 7
days (March 10 - 3 months = Dec 10 + 7 days = Dec 17) .
5. At which gestational age is a glucose tolerance test (GTT) typically
performed to screen for gestational diabetes?
Answer: 24-28 weeks
Rationale: Screening for gestational diabetes occurs between 24 and
28 weeks of gestation when insulin resistance increases .
6. A client at 14 weeks of gestation asks the nurse about quickening.
What is the nurse's best response?
Answer: "Quickening typically occurs between 16-20 weeks."
Rationale: Quickening (first fetal movement felt by the mother)
typically occurs between 16-20 weeks of gestation .
7. A nurse is teaching a client who is at 12 weeks of gestation about an
alpha-fetoprotein (AFP) screening. Which statement should the nurse
include?
Answer: This test is used to screen for neural tube defects
, Rationale: Maternal serum AFP is a screening tool used to identify
neural tube defects (high levels) or chromosomal anomalies like
Down syndrome (low levels) between 15 and 22 weeks of gestation .
8. A nurse is caring for a client who is Rh-negative and has an Rh-
positive partner. At which gestational age should the nurse anticipate
RhoGAM administration?
Answer: 28 weeks
Rationale: RhoGAM is administered at 28 weeks of gestation to Rh-
negative clients to prevent Rh isoimmunization. It is also given within
72 hours after birth if the newborn is Rh-positive .
9. A nurse is teaching a pregnant client about iron supplements. Which
instruction is appropriate?
Answer: Take iron with orange juice
Rationale: Vitamin C (from orange juice) enhances the absorption of
iron. Milk inhibits absorption and should be avoided .
10. A client at 28 weeks of gestation presents with painless vaginal
bleeding. Which condition should the nurse suspect?
Answer: Placenta previa
Rationale: Painless vaginal bleeding in the third trimester is
characteristic of placenta previa. Placental abruption typically presents
with painful bleeding and uterine tenderness .
11. A client at 34 weeks of gestation is admitted with a blood pressure
of 160/110 mmHg, severe headache, and visual disturbances. Which
condition should the nurse suspect?
Answer: Preeclampsia with severe features
Practice Final Exam 2
(2026);Comprehensive -Question
Study Guide with Answers and
Rationales
Antepartum & Pregnancy Complications (Questions 1-15)
1. A nurse is assessing a client at 12 weeks of gestation. Which finding
is considered a probable sign of pregnancy?
Answer: Goodell's sign
Rationale: Goodell's sign (softening of the cervical tip) is a probable
sign. Amenorrhea is presumptive, while fetal heart tones are a
positive sign .
2. A woman reports that both she and her partner are carriers of an
autosomal recessive disorder. What is the probability their child will
inherit the disorder?
Answer: 25%
Rationale: When both parents carry an autosomal recessive trait,
each pregnancy has a 25% chance of producing an affected child .
,3. During prenatal teaching, a client asks when the developing baby is
officially called a fetus rather than an embryo. How should the nurse
respond?
Answer: Beginning of the ninth week
Rationale: The embryonic period ends at eight weeks; beginning in
week nine, the developing baby is called a fetus .
4. Using Naegele's Rule, what is the estimated date of delivery (EDD)
for a client whose last menstrual period began on March 10th?
Answer: December 17th
Rationale: Naegele's rule: Subtract 3 months from the LMP and add 7
days (March 10 - 3 months = Dec 10 + 7 days = Dec 17) .
5. At which gestational age is a glucose tolerance test (GTT) typically
performed to screen for gestational diabetes?
Answer: 24-28 weeks
Rationale: Screening for gestational diabetes occurs between 24 and
28 weeks of gestation when insulin resistance increases .
6. A client at 14 weeks of gestation asks the nurse about quickening.
What is the nurse's best response?
Answer: "Quickening typically occurs between 16-20 weeks."
Rationale: Quickening (first fetal movement felt by the mother)
typically occurs between 16-20 weeks of gestation .
7. A nurse is teaching a client who is at 12 weeks of gestation about an
alpha-fetoprotein (AFP) screening. Which statement should the nurse
include?
Answer: This test is used to screen for neural tube defects
, Rationale: Maternal serum AFP is a screening tool used to identify
neural tube defects (high levels) or chromosomal anomalies like
Down syndrome (low levels) between 15 and 22 weeks of gestation .
8. A nurse is caring for a client who is Rh-negative and has an Rh-
positive partner. At which gestational age should the nurse anticipate
RhoGAM administration?
Answer: 28 weeks
Rationale: RhoGAM is administered at 28 weeks of gestation to Rh-
negative clients to prevent Rh isoimmunization. It is also given within
72 hours after birth if the newborn is Rh-positive .
9. A nurse is teaching a pregnant client about iron supplements. Which
instruction is appropriate?
Answer: Take iron with orange juice
Rationale: Vitamin C (from orange juice) enhances the absorption of
iron. Milk inhibits absorption and should be avoided .
10. A client at 28 weeks of gestation presents with painless vaginal
bleeding. Which condition should the nurse suspect?
Answer: Placenta previa
Rationale: Painless vaginal bleeding in the third trimester is
characteristic of placenta previa. Placental abruption typically presents
with painful bleeding and uterine tenderness .
11. A client at 34 weeks of gestation is admitted with a blood pressure
of 160/110 mmHg, severe headache, and visual disturbances. Which
condition should the nurse suspect?
Answer: Preeclampsia with severe features
