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Exam (elaborations)

Pnm300 Test Bank 2026/2027 | Nursing | 250 Verified Q&A | Detailed Rationales | Ngn-Aligned | Pass Guaranteed – A+ Graded

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PNM300 TEST BANK 2026/2027 — NURSING — This Expert Verified, A+ Graded resource includes 250 verified Q&A with detailed rationales and NGN-aligned content covering nursing assessment, clinical judgment, patient safety, nursing interventions, medication management, therapeutic communication, prioritization, documentation, care planning, and evidence-based nursing practice.

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1



PNM300 TEST BANK 2026/2027 |
NURSING | 250 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED

SECTION 1: MATERNAL-NEWBORN NURSING FUNDAMENTALS - Questions 1-40



Q1: Prenatal Care
The student is reviewing prenatal care. What is the purpose of prenatal care?
A. To monitor maternal and fetal health throughout pregnancy
B. To ensure a cesarean delivery
C. To replace all medications
D. To eliminate all complications

Correct Answer: A
Rationale: Prenatal care monitors maternal and fetal health, identifies risk factors, provides
education, and promotes optimal outcomes for both mother and baby. [100% CORRECT]



Q2: Gravida and Para
The student is reviewing obstetric terminology. What does gravida refer to?
A. The number of pregnancies a woman has had
B. The number of deliveries a woman has had
C. The number of living children
D. The number of miscarriages

Correct Answer: A
Rationale: Gravida refers to the total number of pregnancies, including the current one. Para refers
to the number of births after 20 weeks gestation. [100% CORRECT]



Q3: GTPAL
The student is reviewing obstetric terminology. What does GTPAL stand for?
A. Gravida, Term, Preterm, Abortions, Living children
B. Gravida, Term, Para, Abortions, Living children
C. Gravida, Term, Preterm, Abortions, Living children
D. Gravida, Term, Preterm, Age, Living children

Correct Answer: C
Rationale: GTPAL: Gravida, Term births, Preterm births, Abortions (spontaneous or elective), Living
children. [100% CORRECT]

,2


Q4: Estimated Date of Delivery
The student is reviewing pregnancy dating. How is the estimated date of delivery (EDD) calculated
using Naegele's rule?
A. First day of last menstrual period minus 3 months plus 7 days
B. First day of last menstrual period plus 3 months minus 7 days
C. Last day of last menstrual period minus 3 months plus 7 days
D. Last day of last menstrual period plus 3 months minus 7 days

Correct Answer: A
Rationale: Naegele's rule: Take the first day of the last menstrual period, subtract 3 months, and add
7 days to estimate the delivery date. [100% CORRECT]



Q5: Fetal Development
The student is reviewing fetal development. When does the fetal heart begin to beat?
A. 2 weeks
B. 5-6 weeks
C. 12 weeks
D. 20 weeks

Correct Answer: B
Rationale: The fetal heart begins to beat at approximately 5-6 weeks gestation and can be detected
by ultrasound. [100% CORRECT]



Q6: Fetal Circulation
The student is reviewing fetal circulation. What is the purpose of the ductus arteriosus?
A. To bypass the fetal lungs
B. To bypass the fetal liver
C. To bypass the fetal kidneys
D. To bypass the fetal brain

Correct Answer: A
Rationale: The ductus arteriosus connects the pulmonary artery to the aorta, bypassing the fetal
lungs. It closes after birth. [100% CORRECT]



Q7: Fetal Circulation
The student is reviewing fetal circulation. What is the purpose of the foramen ovale?
A. To bypass the fetal lungs
B. To bypass the fetal liver
C. To bypass the fetal kidneys
D. To bypass the fetal brain

Correct Answer: A
Rationale: The foramen ovale is an opening between the atria that allows blood to bypass the fetal
lungs. It closes after birth. [100% CORRECT]

,3


Q8: Fetal Circulation
The student is reviewing fetal circulation. What is the purpose of the ductus venosus?
A. To bypass the fetal lungs
B. To bypass the fetal liver
C. To bypass the fetal kidneys
D. To bypass the fetal brain

Correct Answer: B
Rationale: The ductus venosus connects the umbilical vein to the inferior vena cava, bypassing the
fetal liver. It closes after birth. [100% CORRECT]



Q9: Placenta
The student is reviewing placenta. What is the function of the placenta?
A. To provide oxygen and nutrients to the fetus and remove waste products
B. To produce red blood cells
C. To produce white blood cells
D. To produce platelets

Correct Answer: A
Rationale: The placenta provides oxygen and nutrients to the fetus, removes waste products, and
produces hormones (hCG, progesterone, estrogen). [100% CORRECT]



Q10: Amniotic Fluid
The student is reviewing amniotic fluid. What is the function of amniotic fluid?
A. To cushion the fetus and maintain temperature
B. To provide oxygen
C. To provide nutrients
D. To produce hormones

Correct Answer: A
Rationale: Amniotic fluid cushions the fetus, maintains temperature, allows movement, and
prevents cord compression. [100% CORRECT]



Q11: Umbilical Cord
The student is reviewing umbilical cord. How many vessels are in the umbilical cord?
A. One artery and one vein
B. Two arteries and one vein
C. One artery and two veins
D. Two arteries and two veins

Correct Answer: B
Rationale: The umbilical cord contains two arteries and one vein. The vein carries oxygenated blood
to the fetus; the arteries carry deoxygenated blood back to the placenta. [100% CORRECT]

, 4


Q12: Pregnancy Hormones
The student is reviewing pregnancy hormones. What is the function of human chorionic
gonadotropin (hCG)?
A. To maintain the corpus luteum and progesterone production
B. To stimulate uterine contractions
C. To promote fetal growth
D. To initiate labor

Correct Answer: A
Rationale: hCG maintains the corpus luteum, which produces progesterone to sustain the pregnancy
until the placenta takes over. [100% CORRECT]



Q13: Pregnancy Hormones
The student is reviewing pregnancy hormones. What is the function of progesterone during
pregnancy?
A. To maintain the endometrium and prevent contractions
B. To stimulate uterine contractions
C. To promote fetal growth
D. To initiate labor

Correct Answer: A
Rationale: Progesterone maintains the endometrium, prevents uterine contractions, and supports
the pregnancy. [100% CORRECT]



Q14: Pregnancy Hormones
The student is reviewing pregnancy hormones. What is the function of estrogen during pregnancy?
A. To promote fetal growth and uterine development
B. To prevent contractions
C. To maintain the corpus luteum
D. To initiate labor

Correct Answer: A
Rationale: Estrogen promotes fetal growth, uterine development, and breast development during
pregnancy. [100% CORRECT]



Q15: Prenatal Nutrition
The student is reviewing prenatal nutrition. What is the recommended weight gain during pregnancy
for a woman with a normal BMI?
A. 10-15 lbs
B. 25-35 lbs
C. 40-50 lbs
D. 50-60 lbs

Correct Answer: B
Rationale: For women with a normal BMI, recommended weight gain is 25-35 lbs. Underweight
women: 28-40 lbs; overweight: 15-25 lbs. [100% CORRECT]

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