NUR 2513 MATERNAL-CHILD NURSING FINAL COMPREHENSIVE
PRACTICE EXAM |COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES |LATEST UPDATE| ALREADY GRADED
A+||BRAND NEW VERSION!! RASMUSSEN
SECTION 1: ANTEPARTUM & PRENATAL CARE (Q1–Q40)
Q1. A client at 8 weeks gestation tells the nurse, "I'm not sure I want to continue
with this pregnancy." What is the nurse's best response?
A) "You should discuss this with your partner."
B) "Tell me more about how you are feeling."
C) "You will feel differently once you see the ultrasound."
D) "This is a decision you need to make quickly."
Answer: B
Rationale: An open-ended statement allows the client to express feelings without
judgment and demonstrates therapeutic communication.
Q2. A primigravida at 32 weeks gestation has a fundal height of 28 cm. What is
the priority nursing action?
A) Prepare for immediate cesarean section
B) Notify the healthcare provider of the fundal height discrepancy
C) Reassure the patient that measurements can vary
D) Instruct the patient to increase caloric intake
Answer: B
Rationale: A fundal height more than 3 cm off from gestational age may indicate
intrauterine growth restriction, oligohydramnios, or incorrect dating. Further
evaluation is needed.
Q3. A patient at 10 weeks gestation reports severe nausea and vomiting with
ketones in her urine. The nurse recognizes these findings are most consistent
with:
A) Morning sickness
B) Hyperemesis gravidarum
C) Gastroenteritis
D) Food poisoning
Answer: B
1
,Rationale: Hyperemesis gravidarum is severe nausea and vomiting with ketonuria,
weight loss, and dehydration requiring treatment.
Q4. A patient with a BMI of 23 asks about recommended weight gain during
pregnancy. What is the nurse's best response?
A) 15–25 pounds
B) 25–35 pounds
C) 28–40 pounds
D) 11–20 pounds
Answer: B
Rationale: For a normal prepregnancy BMI (18.5–24.9), the recommended total
weight gain is 25–35 pounds.
Q5. What is the purpose of alpha-fetoprotein (AFP) screening at 16 weeks
gestation?
A) Screen for neural tube defects
B) Determine fetal gender
C) Assess fetal lung maturity
D) Detect gestational diabetes
Answer: A
Rationale: AFP screening is used to screen for neural tube defects such as spina
bifida and anencephaly.
Q6. A pregnant patient with Rh-negative blood type is scheduled to receive
RhoGAM. At what gestational age is the first dose typically administered?
A) 8 weeks
B) 16 weeks
C) 28 weeks
D) 36 weeks
Answer: C
Rationale: RhoGAM is routinely given at 28 weeks gestation and within 72 hours
postpartum if the infant is Rh-positive.
Q7. Which sign is a positive indicator of pregnancy?
A) Amenorrhea
B) Nausea and vomiting
C) Fetal heart tones auscultated by Doppler
D) Breast tenderness
2
,Answer: C
Rationale: Positive signs of pregnancy are those attributable only to the fetus,
such as fetal heart tones, fetal movement felt by examiner, and visualization of
fetus on ultrasound.
Q8. A client at 12 weeks gestation asks when she will feel fetal movement. The
nurse correctly responds:
A) 12–14 weeks
B) 16–20 weeks
C) 20–24 weeks
D) 24–28 weeks
Answer: B
Rationale: Quickening (first fetal movement felt by the mother) typically occurs
between 16–20 weeks in primigravida women.
Q9. A nurse is teaching a pregnant client about nutrition. Which statement
indicates understanding?
A) "I should double my calorie intake."
B) "I need about 300 extra calories per day."
C) "I should avoid all fish."
D) "I should take iron supplements only if anemic."
Answer: B
Rationale: Pregnancy requires approximately 300 additional calories per day. Iron
supplementation is routinely recommended.
Q10. A client at 36 weeks gestation presents with painless, bright red vaginal
bleeding. What should the nurse suspect?
A) Abruptio placentae
B) Placenta previa
C) Cervical insufficiency
D) Uterine rupture
Answer: B
Rationale: Placenta previa classically presents with painless, bright red vaginal
bleeding in the third trimester.
Q11. A nurse is assessing a client with preeclampsia. Which finding is most
concerning?
3
, A) Blood pressure 140/90 mmHg
B) 1+ proteinuria
C) Blurred vision
D) Mild ankle edema
Answer: C
Rationale: Blurred vision indicates cerebral edema and worsening preeclampsia,
requiring immediate intervention.
Q12. A pregnant client with gestational diabetes is at increased risk for:
A) Polyhydramnios
B) Oligohydramnios
C) Placenta previa
D) Abruptio placentae
Answer: A
Rationale: Gestational diabetes increases risk for polyhydramnios due to fetal
polyuria.
Q13. A nurse is teaching a client about signs of preterm labor. Which statement
indicates understanding?
A) "Contractions every 10 minutes are normal."
B) "I should call if I have regular contractions before 37 weeks."
C) "Back pain is not a concern."
D) "I should only call if my water breaks."
Answer: B
Rationale: Regular contractions before 37 weeks may indicate preterm labor and
should be reported.
Q14. A client at 28 weeks gestation is Rh-negative and has not been sensitized.
What should the nurse anticipate?
A) RhoGAM administration
B) Immediate delivery
C) Amniocentesis
D) Betamethasone administration
Answer: A
Rationale: RhoGAM is given at 28 weeks to prevent Rh sensitization.
Q15. A nurse is assessing a client with hyperemesis gravidarum. Which finding is
most concerning?
4
PRACTICE EXAM |COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES |LATEST UPDATE| ALREADY GRADED
A+||BRAND NEW VERSION!! RASMUSSEN
SECTION 1: ANTEPARTUM & PRENATAL CARE (Q1–Q40)
Q1. A client at 8 weeks gestation tells the nurse, "I'm not sure I want to continue
with this pregnancy." What is the nurse's best response?
A) "You should discuss this with your partner."
B) "Tell me more about how you are feeling."
C) "You will feel differently once you see the ultrasound."
D) "This is a decision you need to make quickly."
Answer: B
Rationale: An open-ended statement allows the client to express feelings without
judgment and demonstrates therapeutic communication.
Q2. A primigravida at 32 weeks gestation has a fundal height of 28 cm. What is
the priority nursing action?
A) Prepare for immediate cesarean section
B) Notify the healthcare provider of the fundal height discrepancy
C) Reassure the patient that measurements can vary
D) Instruct the patient to increase caloric intake
Answer: B
Rationale: A fundal height more than 3 cm off from gestational age may indicate
intrauterine growth restriction, oligohydramnios, or incorrect dating. Further
evaluation is needed.
Q3. A patient at 10 weeks gestation reports severe nausea and vomiting with
ketones in her urine. The nurse recognizes these findings are most consistent
with:
A) Morning sickness
B) Hyperemesis gravidarum
C) Gastroenteritis
D) Food poisoning
Answer: B
1
,Rationale: Hyperemesis gravidarum is severe nausea and vomiting with ketonuria,
weight loss, and dehydration requiring treatment.
Q4. A patient with a BMI of 23 asks about recommended weight gain during
pregnancy. What is the nurse's best response?
A) 15–25 pounds
B) 25–35 pounds
C) 28–40 pounds
D) 11–20 pounds
Answer: B
Rationale: For a normal prepregnancy BMI (18.5–24.9), the recommended total
weight gain is 25–35 pounds.
Q5. What is the purpose of alpha-fetoprotein (AFP) screening at 16 weeks
gestation?
A) Screen for neural tube defects
B) Determine fetal gender
C) Assess fetal lung maturity
D) Detect gestational diabetes
Answer: A
Rationale: AFP screening is used to screen for neural tube defects such as spina
bifida and anencephaly.
Q6. A pregnant patient with Rh-negative blood type is scheduled to receive
RhoGAM. At what gestational age is the first dose typically administered?
A) 8 weeks
B) 16 weeks
C) 28 weeks
D) 36 weeks
Answer: C
Rationale: RhoGAM is routinely given at 28 weeks gestation and within 72 hours
postpartum if the infant is Rh-positive.
Q7. Which sign is a positive indicator of pregnancy?
A) Amenorrhea
B) Nausea and vomiting
C) Fetal heart tones auscultated by Doppler
D) Breast tenderness
2
,Answer: C
Rationale: Positive signs of pregnancy are those attributable only to the fetus,
such as fetal heart tones, fetal movement felt by examiner, and visualization of
fetus on ultrasound.
Q8. A client at 12 weeks gestation asks when she will feel fetal movement. The
nurse correctly responds:
A) 12–14 weeks
B) 16–20 weeks
C) 20–24 weeks
D) 24–28 weeks
Answer: B
Rationale: Quickening (first fetal movement felt by the mother) typically occurs
between 16–20 weeks in primigravida women.
Q9. A nurse is teaching a pregnant client about nutrition. Which statement
indicates understanding?
A) "I should double my calorie intake."
B) "I need about 300 extra calories per day."
C) "I should avoid all fish."
D) "I should take iron supplements only if anemic."
Answer: B
Rationale: Pregnancy requires approximately 300 additional calories per day. Iron
supplementation is routinely recommended.
Q10. A client at 36 weeks gestation presents with painless, bright red vaginal
bleeding. What should the nurse suspect?
A) Abruptio placentae
B) Placenta previa
C) Cervical insufficiency
D) Uterine rupture
Answer: B
Rationale: Placenta previa classically presents with painless, bright red vaginal
bleeding in the third trimester.
Q11. A nurse is assessing a client with preeclampsia. Which finding is most
concerning?
3
, A) Blood pressure 140/90 mmHg
B) 1+ proteinuria
C) Blurred vision
D) Mild ankle edema
Answer: C
Rationale: Blurred vision indicates cerebral edema and worsening preeclampsia,
requiring immediate intervention.
Q12. A pregnant client with gestational diabetes is at increased risk for:
A) Polyhydramnios
B) Oligohydramnios
C) Placenta previa
D) Abruptio placentae
Answer: A
Rationale: Gestational diabetes increases risk for polyhydramnios due to fetal
polyuria.
Q13. A nurse is teaching a client about signs of preterm labor. Which statement
indicates understanding?
A) "Contractions every 10 minutes are normal."
B) "I should call if I have regular contractions before 37 weeks."
C) "Back pain is not a concern."
D) "I should only call if my water breaks."
Answer: B
Rationale: Regular contractions before 37 weeks may indicate preterm labor and
should be reported.
Q14. A client at 28 weeks gestation is Rh-negative and has not been sensitized.
What should the nurse anticipate?
A) RhoGAM administration
B) Immediate delivery
C) Amniocentesis
D) Betamethasone administration
Answer: A
Rationale: RhoGAM is given at 28 weeks to prevent Rh sensitization.
Q15. A nurse is assessing a client with hyperemesis gravidarum. Which finding is
most concerning?
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