Formatted: Centered
N205/206 Maternal–Child Nursing: 80-Question
Formatted: Top: (Single solid line, Accent 4, 3 pt Line
Multiple-Choice Practice Bank width), Bottom: (Single solid line, Accent 4, 3 pt Line
width), Left: (Single solid line, Accent 4, 3 pt Line
width), Right: (Single solid line, Accent 4, 3 pt Line
Original practice resource width)
This study document was created for Web Nursing III / N205/206 Maternal–Child Nursing exam
preparation. It is an original practice resource, not an official examination, institutional document, or
official answer key. Clinical decisions should follow current evidence, local policy, and instructor
guidance.
How to use this bank: Answer each question before reviewing the clearly identified answer and
rationale. Focus on safety, prioritization, developmental considerations, patient education, and the
nurse’s scope of practice.
1. Antepartum Care and Prenatal Assessment
1. A pregnant client at 30 weeks reports bright-red vaginal bleeding without pain. Which action should
the nurse take first?
A. Perform a sterile vaginal examination.
B. Encourage the client to ambulate to assess the bleeding.
C. Place the client on bed rest and notify the provider promptly.
D. Apply a heating pad to the lower abdomen.
Correct answer: C. Place the client on bed rest and notify the provider promptly.
Rationale: Painless, bright-red bleeding in later pregnancy may indicate placenta previa, so vaginal
examinations should be avoided until placental location is known. Prompt evaluation is needed;
ambulation and heat are inappropriate.
2. A client’s last menstrual period began on January 8. Using Naegele’s rule, what is the estimated
date of birth?
A. September 15
B. October 1
C. October 15
D. November 8
Correct answer: C. October 15
Rationale: Add 7 days to January 8 and subtract 3 months, giving October 15. The estimate is a guide
and may be refined with ultrasound findings.
,3. Which fundal-height finding is most consistent with an uncomplicated pregnancy at 24 weeks’
gestation?
A. 12 cm
B. 18 cm
C. 24 cm
D. 36 cm
Correct answer: C. 24 cm
Rationale: From approximately 20 to 36 weeks, fundal height in centimeters generally approximates
gestational age in weeks, allowing for normal variation.
4. Which teaching point is most important for a client who is planning pregnancy?
A. Begin folic acid supplementation before conception.
B. Avoid all physical activity during the first trimester.
C. Restrict fluid intake to prevent edema.
D. Delay dental care until after delivery.
Correct answer: A. Begin folic acid supplementation before conception.
Rationale: Adequate folic acid before conception and during early pregnancy helps reduce neural-tube
defects. Routine activity, hydration, and dental care are generally appropriate unless contraindicated.
5. A client at 8 weeks’ gestation reports unilateral pelvic pain, shoulder pain, dizziness, and scant
vaginal bleeding. Which complication should the nurse suspect?
A. Placenta previa
B. Ectopic pregnancy with possible internal bleeding
C. Round-ligament pain
D. Braxton Hicks contractions
Correct answer: B. Ectopic pregnancy with possible internal bleeding
Rationale: Early-pregnancy unilateral pain with dizziness, shoulder pain, and bleeding is an emergency
pattern consistent with ectopic pregnancy and possible rupture. The other choices do not explain the
full presentation.
6. A client at 34 weeks has a blood pressure of 168/112 mm Hg, severe headache, and blurred vision.
What is the nurse’s priority action?
A. Provide a quiet environment and arrange immediate evaluation.
B. Recheck the blood pressure at the next prenatal visit.
, C. Encourage the client to drink an energy beverage.
D. Place the client supine and leave the room.
Correct answer: A. Provide a quiet environment and arrange immediate evaluation.
Rationale: Severe hypertension with neurologic symptoms suggests preeclampsia with severe features
and risk for stroke or seizure. Immediate assessment and provider notification are required; a supine
position may reduce placental perfusion.
7. At which time is routine screening for gestational diabetes mellitus commonly performed for a
client without earlier risk-based screening?
A. 4–6 weeks
B. 12–14 weeks
C. 24–28 weeks
D. 36–38 weeks
Correct answer: C. 24–28 weeks
Rationale: Routine screening is commonly completed at 24–28 weeks because placental hormones
increasingly affect insulin resistance during this period. Earlier screening may be indicated by risk
factors.
8. An unsensitized pregnant client who is Rh-negative is approaching 28 weeks. Which intervention
should the nurse anticipate?
A. Administration of Rh immune globulin as prescribed
B. Administration of a live-virus vaccine
C. Immediate induction of labor
D. Restriction of dietary iron
Correct answer: A. Administration of Rh immune globulin as prescribed
Rationale: Rh immune globulin helps prevent maternal sensitization to Rh-positive fetal red blood cells.
It is commonly given around 28 weeks and after qualifying bleeding or birth events according to
protocol.
9. A client at 35 weeks says fetal movement has decreased noticeably today. Which instruction is most
appropriate?
A. Wait until the next scheduled appointment.
B. Perform a fetal-movement count as instructed and report a concerning decrease promptly.
C. Drink no fluids until movement returns.
D. Massage the abdomen vigorously.
N205/206 Maternal–Child Nursing: 80-Question
Formatted: Top: (Single solid line, Accent 4, 3 pt Line
Multiple-Choice Practice Bank width), Bottom: (Single solid line, Accent 4, 3 pt Line
width), Left: (Single solid line, Accent 4, 3 pt Line
width), Right: (Single solid line, Accent 4, 3 pt Line
Original practice resource width)
This study document was created for Web Nursing III / N205/206 Maternal–Child Nursing exam
preparation. It is an original practice resource, not an official examination, institutional document, or
official answer key. Clinical decisions should follow current evidence, local policy, and instructor
guidance.
How to use this bank: Answer each question before reviewing the clearly identified answer and
rationale. Focus on safety, prioritization, developmental considerations, patient education, and the
nurse’s scope of practice.
1. Antepartum Care and Prenatal Assessment
1. A pregnant client at 30 weeks reports bright-red vaginal bleeding without pain. Which action should
the nurse take first?
A. Perform a sterile vaginal examination.
B. Encourage the client to ambulate to assess the bleeding.
C. Place the client on bed rest and notify the provider promptly.
D. Apply a heating pad to the lower abdomen.
Correct answer: C. Place the client on bed rest and notify the provider promptly.
Rationale: Painless, bright-red bleeding in later pregnancy may indicate placenta previa, so vaginal
examinations should be avoided until placental location is known. Prompt evaluation is needed;
ambulation and heat are inappropriate.
2. A client’s last menstrual period began on January 8. Using Naegele’s rule, what is the estimated
date of birth?
A. September 15
B. October 1
C. October 15
D. November 8
Correct answer: C. October 15
Rationale: Add 7 days to January 8 and subtract 3 months, giving October 15. The estimate is a guide
and may be refined with ultrasound findings.
,3. Which fundal-height finding is most consistent with an uncomplicated pregnancy at 24 weeks’
gestation?
A. 12 cm
B. 18 cm
C. 24 cm
D. 36 cm
Correct answer: C. 24 cm
Rationale: From approximately 20 to 36 weeks, fundal height in centimeters generally approximates
gestational age in weeks, allowing for normal variation.
4. Which teaching point is most important for a client who is planning pregnancy?
A. Begin folic acid supplementation before conception.
B. Avoid all physical activity during the first trimester.
C. Restrict fluid intake to prevent edema.
D. Delay dental care until after delivery.
Correct answer: A. Begin folic acid supplementation before conception.
Rationale: Adequate folic acid before conception and during early pregnancy helps reduce neural-tube
defects. Routine activity, hydration, and dental care are generally appropriate unless contraindicated.
5. A client at 8 weeks’ gestation reports unilateral pelvic pain, shoulder pain, dizziness, and scant
vaginal bleeding. Which complication should the nurse suspect?
A. Placenta previa
B. Ectopic pregnancy with possible internal bleeding
C. Round-ligament pain
D. Braxton Hicks contractions
Correct answer: B. Ectopic pregnancy with possible internal bleeding
Rationale: Early-pregnancy unilateral pain with dizziness, shoulder pain, and bleeding is an emergency
pattern consistent with ectopic pregnancy and possible rupture. The other choices do not explain the
full presentation.
6. A client at 34 weeks has a blood pressure of 168/112 mm Hg, severe headache, and blurred vision.
What is the nurse’s priority action?
A. Provide a quiet environment and arrange immediate evaluation.
B. Recheck the blood pressure at the next prenatal visit.
, C. Encourage the client to drink an energy beverage.
D. Place the client supine and leave the room.
Correct answer: A. Provide a quiet environment and arrange immediate evaluation.
Rationale: Severe hypertension with neurologic symptoms suggests preeclampsia with severe features
and risk for stroke or seizure. Immediate assessment and provider notification are required; a supine
position may reduce placental perfusion.
7. At which time is routine screening for gestational diabetes mellitus commonly performed for a
client without earlier risk-based screening?
A. 4–6 weeks
B. 12–14 weeks
C. 24–28 weeks
D. 36–38 weeks
Correct answer: C. 24–28 weeks
Rationale: Routine screening is commonly completed at 24–28 weeks because placental hormones
increasingly affect insulin resistance during this period. Earlier screening may be indicated by risk
factors.
8. An unsensitized pregnant client who is Rh-negative is approaching 28 weeks. Which intervention
should the nurse anticipate?
A. Administration of Rh immune globulin as prescribed
B. Administration of a live-virus vaccine
C. Immediate induction of labor
D. Restriction of dietary iron
Correct answer: A. Administration of Rh immune globulin as prescribed
Rationale: Rh immune globulin helps prevent maternal sensitization to Rh-positive fetal red blood cells.
It is commonly given around 28 weeks and after qualifying bleeding or birth events according to
protocol.
9. A client at 35 weeks says fetal movement has decreased noticeably today. Which instruction is most
appropriate?
A. Wait until the next scheduled appointment.
B. Perform a fetal-movement count as instructed and report a concerning decrease promptly.
C. Drink no fluids until movement returns.
D. Massage the abdomen vigorously.
