NUR 230 – Galen OB/Peds
Academic Year 2026/2027 — Comprehensive Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
Questions 1–25: Maternal Health & Antepartum Care
1. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: C. Fetal heart activity detected by Doppler
2. Which hormone is primarily responsible for maintaining the endometrium
during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B. Progesterone
,3. A pregnant client asks when fetal movement, or quickening, is commonly first
noticed in a first pregnancy. Which response is most appropriate?
A. 6–8 weeks
B. 10–12 weeks
C. 18–20 weeks
D. 28–30 weeks
Answer: C. 18–20 weeks
4. Which nutrient is particularly important before conception and during early
pregnancy to reduce the risk of neural tube defects?
A. Vitamin C
B. Folic acid
C. Vitamin D
D. Calcium
Answer: B. Folic acid
5. Which assessment finding in a pregnant client requires the most immediate
follow-up?
A. Mild ankle edema at the end of the day
B. Urinary frequency during the first trimester
C. Vaginal bleeding accompanied by abdominal pain
D. Mild nausea in the morning
Answer: C. Vaginal bleeding accompanied by abdominal pain
,6. A pregnant client with severe preeclampsia is receiving magnesium sulfate.
Which finding suggests magnesium toxicity?
A. Respiratory rate of 10/min
B. Blood pressure of 150/96 mmHg
C. Urine output of 45 mL/hr
D. Heart rate of 92/min
Answer: A. Respiratory rate of 10/min
7. Which medication is the antidote for magnesium sulfate toxicity?
A. Naloxone
B. Calcium gluconate
C. Protamine sulfate
D. Vitamin K
Answer: B. Calcium gluconate
8. Which symptom is most concerning for worsening preeclampsia?
A. Mild dependent edema
B. Increased appetite
C. Persistent severe headache and visual disturbances
D. Occasional urinary frequency
Answer: C. Persistent severe headache and visual disturbances
9. Which blood pressure finding meets the commonly used threshold for
hypertension in pregnancy?
A. 110/70 mmHg
, B. 120/80 mmHg
C. 130/82 mmHg
D. 140/90 mmHg or higher
Answer: D. 140/90 mmHg or higher
10. Which assessment is most important before administering magnesium
sulfate?
A. Bowel sounds
B. Deep tendon reflexes and respiratory status
C. Visual acuity only
D. Skin turgor
Answer: B. Deep tendon reflexes and respiratory status
11. A client with placenta previa is admitted with painless bright-red vaginal
bleeding. Which intervention should the nurse avoid?
A. Monitoring fetal status
B. Assessing maternal vital signs
C. Performing a digital vaginal examination
D. Establishing IV access
Answer: C. Performing a digital vaginal examination
12. Abruptio placentae is most commonly associated with which presentation?
A. Painless bleeding and soft uterus
B. Painful vaginal bleeding with uterine tenderness
C. Painless bleeding after rupture of membranes
Academic Year 2026/2027 — Comprehensive Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
Questions 1–25: Maternal Health & Antepartum Care
1. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: C. Fetal heart activity detected by Doppler
2. Which hormone is primarily responsible for maintaining the endometrium
during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B. Progesterone
,3. A pregnant client asks when fetal movement, or quickening, is commonly first
noticed in a first pregnancy. Which response is most appropriate?
A. 6–8 weeks
B. 10–12 weeks
C. 18–20 weeks
D. 28–30 weeks
Answer: C. 18–20 weeks
4. Which nutrient is particularly important before conception and during early
pregnancy to reduce the risk of neural tube defects?
A. Vitamin C
B. Folic acid
C. Vitamin D
D. Calcium
Answer: B. Folic acid
5. Which assessment finding in a pregnant client requires the most immediate
follow-up?
A. Mild ankle edema at the end of the day
B. Urinary frequency during the first trimester
C. Vaginal bleeding accompanied by abdominal pain
D. Mild nausea in the morning
Answer: C. Vaginal bleeding accompanied by abdominal pain
,6. A pregnant client with severe preeclampsia is receiving magnesium sulfate.
Which finding suggests magnesium toxicity?
A. Respiratory rate of 10/min
B. Blood pressure of 150/96 mmHg
C. Urine output of 45 mL/hr
D. Heart rate of 92/min
Answer: A. Respiratory rate of 10/min
7. Which medication is the antidote for magnesium sulfate toxicity?
A. Naloxone
B. Calcium gluconate
C. Protamine sulfate
D. Vitamin K
Answer: B. Calcium gluconate
8. Which symptom is most concerning for worsening preeclampsia?
A. Mild dependent edema
B. Increased appetite
C. Persistent severe headache and visual disturbances
D. Occasional urinary frequency
Answer: C. Persistent severe headache and visual disturbances
9. Which blood pressure finding meets the commonly used threshold for
hypertension in pregnancy?
A. 110/70 mmHg
, B. 120/80 mmHg
C. 130/82 mmHg
D. 140/90 mmHg or higher
Answer: D. 140/90 mmHg or higher
10. Which assessment is most important before administering magnesium
sulfate?
A. Bowel sounds
B. Deep tendon reflexes and respiratory status
C. Visual acuity only
D. Skin turgor
Answer: B. Deep tendon reflexes and respiratory status
11. A client with placenta previa is admitted with painless bright-red vaginal
bleeding. Which intervention should the nurse avoid?
A. Monitoring fetal status
B. Assessing maternal vital signs
C. Performing a digital vaginal examination
D. Establishing IV access
Answer: C. Performing a digital vaginal examination
12. Abruptio placentae is most commonly associated with which presentation?
A. Painless bleeding and soft uterus
B. Painful vaginal bleeding with uterine tenderness
C. Painless bleeding after rupture of membranes
