NR 226 Maternal Newborn Nursing Complete Practice
Test Bank Exams 1–4 | 75 Questions Exam With
Correct Answers & Expert Rationales | 2026/2027
Updates
Document contains:
EXAM 1: ANTEPARTUM • Foundations of Maternal-Newborn Nursing & Prenatal Care
EXAM 2: INTRAPARTUM • Labor & Delivery
EXAM 3: POSTPARTUM • Postpartum Care & Complications
EXAM 4: NEWBORN • Newborn Care & High-Risk Newborn
,EXAM 1 — ANTEPARTUM: Foundations of Maternal-Newborn Nursing &
Prenatal Care
Question 1.
A woman at 10 weeks reports thin, milky, odorless discharge without itching. This is:
A. Impending miscarriage
B. Normal leukorrhea from increased estrogen
C. Bacterial vaginosis
D. Gestational diabetes
[Correct Answer: B]
[Rationale:]
Leukorrhea is physiologic in pregnancy from estrogen; bleeding, odor, or pruritus would need
evaluation.
Question 2.
LMP June 10, 2026. Using Nägele's rule, the EDB is:
A. March 3, 2027
B. March 17, 2027
C. April 3, 2027
D. April 17, 2027
[Correct Answer: B]
[Rationale:]
LMP − 3 months + 7 days (+1 yr): June 10 → March 17, 2027. Ultrasound confirms dating.
Question 3.
Expected fundal height at 28 weeks:
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Between umbilicus and xiphoid
[Correct Answer: D]
[Rationale:]
Fundus at umbilicus at 20 wk, rising ~1 cm/wk; at 28 wk it is midway between umbilicus and
xiphoid.
Question 4.
Correct teaching for a patient at 12 weeks:
A. One glass of wine weekly is fine
B. Avoid alcohol entirely; limit caffeine to <200 mg/day
C. Raw sushi is safe after 1st trimester
,D. Ibuprofen is safe all pregnancy
[Correct Answer: B]
[Rationale:]
No safe alcohol amount in pregnancy. Caffeine <200 mg/day. Raw fish = listeria risk; NSAIDs
after 20 wk can harm fetal kidneys/ductus.
Question 5.
32 weeks: BP 162/110, 3+ protein, severe headache, blurred vision, RUQ pain. This is:
A. Normal discomfort
B. Preeclampsia with severe features — emergency
C. Gestational hypertension
D. Preterm labor
[Correct Answer: B]
[Rationale:]
Severe-range BP + proteinuria + cerebral/visual/RUQ symptoms = preeclampsia with severe
features; risk of eclampsia/HELLP/stroke — magnesium sulfate and immediate evaluation.
Question 6.
Primigravidas typically first feel fetal movement at:
A. 8–10 weeks
B. 12–14 weeks
C. 18–20 weeks
D. 24–28 weeks
[Correct Answer: C]
[Rationale:]
Quickening: 18–20 wk in primigravidas; 16–18 wk in multigravidas.
Question 7.
Which first-prenatal finding requires follow-up?
A. Hgb 11.5 g/dL
B. Blood type O negative
C. Rubella immunity
D. Negative HIV screen
[Correct Answer: B]
[Rationale:]
Rh-negative mothers need RhoGAM at 28 wk and postpartum (if baby Rh+) to prevent
alloimmunization.
Question 8.
Painless bright red bleeding at 36 weeks. Priority action:
A. Cervical exam
B. Apply fetal monitor and notify provider immediately
, C. Ambulate
D. Start oxytocin
[Correct Answer: B]
[Rationale:]
Painless late bleeding suggests placenta previa — no digital exams; monitor fetus and notify
provider (exam can trigger hemorrhage).
Question 9.
Ovulation in a 28-day cycle occurs around day:
A. 7
B. 12
C. 14
D. 21
[Correct Answer: C]
[Rationale:]
Ovulation ~14 days before the next menses — day 14 in a 28-day cycle.
Question 10.
Which hormone maintains the endometrium in early pregnancy?
A. Estrogen
B. Progesterone
C. FSH
D. Prolactin
[Correct Answer: B]
[Rationale:]
Corpus luteum progesterone maintains the endometrium until the placenta takes over (~8–12
wk). Question 11.
hCG is produced by the:
A. Corpus luteum
B. Placental syncytiotrophoblast
C. Anterior pituitary
D. Fetal liver
[Correct Answer: B]
[Rationale:]
Syncytiotrophoblast secretes hCG after implantation, maintaining the corpus luteum.
Question 12.
Bluish discoloration of the cervix/vagina is:
A. Goodell's sign
B. Chadwick's sign
C. Hegar's sign
Test Bank Exams 1–4 | 75 Questions Exam With
Correct Answers & Expert Rationales | 2026/2027
Updates
Document contains:
EXAM 1: ANTEPARTUM • Foundations of Maternal-Newborn Nursing & Prenatal Care
EXAM 2: INTRAPARTUM • Labor & Delivery
EXAM 3: POSTPARTUM • Postpartum Care & Complications
EXAM 4: NEWBORN • Newborn Care & High-Risk Newborn
,EXAM 1 — ANTEPARTUM: Foundations of Maternal-Newborn Nursing &
Prenatal Care
Question 1.
A woman at 10 weeks reports thin, milky, odorless discharge without itching. This is:
A. Impending miscarriage
B. Normal leukorrhea from increased estrogen
C. Bacterial vaginosis
D. Gestational diabetes
[Correct Answer: B]
[Rationale:]
Leukorrhea is physiologic in pregnancy from estrogen; bleeding, odor, or pruritus would need
evaluation.
Question 2.
LMP June 10, 2026. Using Nägele's rule, the EDB is:
A. March 3, 2027
B. March 17, 2027
C. April 3, 2027
D. April 17, 2027
[Correct Answer: B]
[Rationale:]
LMP − 3 months + 7 days (+1 yr): June 10 → March 17, 2027. Ultrasound confirms dating.
Question 3.
Expected fundal height at 28 weeks:
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Between umbilicus and xiphoid
[Correct Answer: D]
[Rationale:]
Fundus at umbilicus at 20 wk, rising ~1 cm/wk; at 28 wk it is midway between umbilicus and
xiphoid.
Question 4.
Correct teaching for a patient at 12 weeks:
A. One glass of wine weekly is fine
B. Avoid alcohol entirely; limit caffeine to <200 mg/day
C. Raw sushi is safe after 1st trimester
,D. Ibuprofen is safe all pregnancy
[Correct Answer: B]
[Rationale:]
No safe alcohol amount in pregnancy. Caffeine <200 mg/day. Raw fish = listeria risk; NSAIDs
after 20 wk can harm fetal kidneys/ductus.
Question 5.
32 weeks: BP 162/110, 3+ protein, severe headache, blurred vision, RUQ pain. This is:
A. Normal discomfort
B. Preeclampsia with severe features — emergency
C. Gestational hypertension
D. Preterm labor
[Correct Answer: B]
[Rationale:]
Severe-range BP + proteinuria + cerebral/visual/RUQ symptoms = preeclampsia with severe
features; risk of eclampsia/HELLP/stroke — magnesium sulfate and immediate evaluation.
Question 6.
Primigravidas typically first feel fetal movement at:
A. 8–10 weeks
B. 12–14 weeks
C. 18–20 weeks
D. 24–28 weeks
[Correct Answer: C]
[Rationale:]
Quickening: 18–20 wk in primigravidas; 16–18 wk in multigravidas.
Question 7.
Which first-prenatal finding requires follow-up?
A. Hgb 11.5 g/dL
B. Blood type O negative
C. Rubella immunity
D. Negative HIV screen
[Correct Answer: B]
[Rationale:]
Rh-negative mothers need RhoGAM at 28 wk and postpartum (if baby Rh+) to prevent
alloimmunization.
Question 8.
Painless bright red bleeding at 36 weeks. Priority action:
A. Cervical exam
B. Apply fetal monitor and notify provider immediately
, C. Ambulate
D. Start oxytocin
[Correct Answer: B]
[Rationale:]
Painless late bleeding suggests placenta previa — no digital exams; monitor fetus and notify
provider (exam can trigger hemorrhage).
Question 9.
Ovulation in a 28-day cycle occurs around day:
A. 7
B. 12
C. 14
D. 21
[Correct Answer: C]
[Rationale:]
Ovulation ~14 days before the next menses — day 14 in a 28-day cycle.
Question 10.
Which hormone maintains the endometrium in early pregnancy?
A. Estrogen
B. Progesterone
C. FSH
D. Prolactin
[Correct Answer: B]
[Rationale:]
Corpus luteum progesterone maintains the endometrium until the placenta takes over (~8–12
wk). Question 11.
hCG is produced by the:
A. Corpus luteum
B. Placental syncytiotrophoblast
C. Anterior pituitary
D. Fetal liver
[Correct Answer: B]
[Rationale:]
Syncytiotrophoblast secretes hCG after implantation, maintaining the corpus luteum.
Question 12.
Bluish discoloration of the cervix/vagina is:
A. Goodell's sign
B. Chadwick's sign
C. Hegar's sign
