PASSPOINT PRO
NUR 272
Final Mixed Maternal-Child
Practice Exam
150-Question Full-Course Mock Exam
Medgar Evers College | Childbearing/Childrearing Family
150 10 A-D
QUESTIONS CLINICAL AREAS CHOICES
FULL MOCK EXAM | ANSWER KEY + DETAILED RATIONALES AT THE END
Prenatal, labor, postpartum, newborn, pediatrics, dosage, safety, and clinical judgment.
,NUR 272 | FINAL MIXED MATERNAL-CHILD PRACTICE EXAM
Prenatal Assessment & Normal Pregnancy
1. A client at 10 weeks of gestation reports nausea that is worst in the morning. Which teaching is most
appropriate?
A. Eat a few dry crackers before getting out of bed
B. Skip breakfast until nausea resolves
C. Drink a large glass of fluid with each meal
D. Lie flat for 30 minutes after eating
2. Which finding is expected during a healthy pregnancy?
A. Progressive decrease in blood volume
B. Mild physiologic anemia from plasma-volume expansion
C. Persistent proteinuria
D. Resting oxygen saturation below 90%
3. A pregnant client becomes dizzy and pale while lying flat for an ultrasound. What should the nurse do
first?
A. Raise both legs straight up
B. Give oral glucose
C. Turn the client to a side-lying position
D. Ask the client to take rapid deep breaths
4. Which nutrient is especially important before conception and in early pregnancy to reduce neural tube
defects?
A. Vitamin C
B. Calcium carbonate
C. Vitamin K
D. Folic acid
5. A client asks why prenatal visits become more frequent near the end of pregnancy. What is the best
response?
A. Closer follow-up helps detect maternal and fetal complications that may emerge later
B. Fetal sex can only be determined late in pregnancy
C. Pregnancy hormones stop changing after 28 weeks
D. Most prenatal laboratory tests must be repeated weekly
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,NUR 272 | FINAL MIXED MATERNAL-CHILD PRACTICE EXAM
6. Which statement by a pregnant client shows correct understanding of fetal movement counting?
A. Movement is not useful after 28 weeks
B. I should report a clear decrease from my baby's usual movement pattern
C. I should count only while walking
D. Caffeine should be used to make the baby move before every count
7. Which finding should a pregnant client report promptly?
A. Mild ankle swelling at the end of the day
B. Occasional heartburn after a large meal
C. Vaginal bleeding
D. Increased urinary frequency in the first trimester
8. A client at 24 weeks asks about exercise. Which guidance is most appropriate for an uncomplicated
pregnancy?
A. Avoid all physical activity
B. Exercise only while lying flat on the back
C. Begin maximal-intensity interval training
D. Continue moderate activity as tolerated and avoid high-risk trauma activities
9. Which prenatal assessment best reflects fetal growth over time?
A. Serial fundal-height measurements
B. Maternal pulse only
C. Daily maternal temperature
D. Deep tendon reflex testing alone
10. A pregnant client reports constipation. Which intervention is appropriate?
A. Use stimulant laxatives every day without guidance
B. Increase fluids, fiber, and activity as tolerated
C. Restrict fruits and vegetables
D. Stop taking all prenatal vitamins
11. Which symptom is most consistent with normal first-trimester urinary changes?
A. Gross hematuria
B. Flank pain with fever
C. Urinary frequency without dysuria
D. Burning with urination and chills
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, NUR 272 | FINAL MIXED MATERNAL-CHILD PRACTICE EXAM
12. A client asks the purpose of screening for gestational diabetes. What is the best explanation?
A. It determines whether labor has begun
B. It confirms fetal lung maturity
C. It detects Rh incompatibility
D. It identifies glucose intolerance that can affect maternal and fetal outcomes
13. Which statement about alcohol use in pregnancy is most appropriate?
A. No known safe amount of alcohol in pregnancy has been established
B. Small amounts are recommended for sleep
C. Beer is safer than liquor
D. Alcohol is safe after the first trimester
14. A pregnant client is Rh-negative. Which laboratory result is particularly important to review?
A. Serum amylase
B. Maternal antibody screen
C. Creatine kinase
D. Troponin level
15. Which complaint is common as the uterus enlarges in later pregnancy?
A. Severe chest pain at rest
B. Persistent cyanosis
C. Shortness of breath with exertion from upward diaphragmatic pressure
D. Absent peripheral pulses
High-Risk Pregnancy & Antepartum Complications
16. A client at 34 weeks has blood pressure 168/112 mm Hg, headache, and visual spots. Which action is
the priority?
A. Encourage ambulation
B. Reassure the client that these are normal third-trimester findings
C. Offer a high-sodium snack
D. Initiate urgent evaluation for preeclampsia with severe features
17. A client receiving magnesium sulfate develops absent deep tendon reflexes and a respiratory rate of
8/min. What should the nurse do first?
A. Stop the magnesium infusion and prepare the antidote
B. Continue the infusion and reassess in 1 hour
C. Place the client in high-Fowler position and encourage fluids
D. Administer oxytocin
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NUR 272
Final Mixed Maternal-Child
Practice Exam
150-Question Full-Course Mock Exam
Medgar Evers College | Childbearing/Childrearing Family
150 10 A-D
QUESTIONS CLINICAL AREAS CHOICES
FULL MOCK EXAM | ANSWER KEY + DETAILED RATIONALES AT THE END
Prenatal, labor, postpartum, newborn, pediatrics, dosage, safety, and clinical judgment.
,NUR 272 | FINAL MIXED MATERNAL-CHILD PRACTICE EXAM
Prenatal Assessment & Normal Pregnancy
1. A client at 10 weeks of gestation reports nausea that is worst in the morning. Which teaching is most
appropriate?
A. Eat a few dry crackers before getting out of bed
B. Skip breakfast until nausea resolves
C. Drink a large glass of fluid with each meal
D. Lie flat for 30 minutes after eating
2. Which finding is expected during a healthy pregnancy?
A. Progressive decrease in blood volume
B. Mild physiologic anemia from plasma-volume expansion
C. Persistent proteinuria
D. Resting oxygen saturation below 90%
3. A pregnant client becomes dizzy and pale while lying flat for an ultrasound. What should the nurse do
first?
A. Raise both legs straight up
B. Give oral glucose
C. Turn the client to a side-lying position
D. Ask the client to take rapid deep breaths
4. Which nutrient is especially important before conception and in early pregnancy to reduce neural tube
defects?
A. Vitamin C
B. Calcium carbonate
C. Vitamin K
D. Folic acid
5. A client asks why prenatal visits become more frequent near the end of pregnancy. What is the best
response?
A. Closer follow-up helps detect maternal and fetal complications that may emerge later
B. Fetal sex can only be determined late in pregnancy
C. Pregnancy hormones stop changing after 28 weeks
D. Most prenatal laboratory tests must be repeated weekly
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,NUR 272 | FINAL MIXED MATERNAL-CHILD PRACTICE EXAM
6. Which statement by a pregnant client shows correct understanding of fetal movement counting?
A. Movement is not useful after 28 weeks
B. I should report a clear decrease from my baby's usual movement pattern
C. I should count only while walking
D. Caffeine should be used to make the baby move before every count
7. Which finding should a pregnant client report promptly?
A. Mild ankle swelling at the end of the day
B. Occasional heartburn after a large meal
C. Vaginal bleeding
D. Increased urinary frequency in the first trimester
8. A client at 24 weeks asks about exercise. Which guidance is most appropriate for an uncomplicated
pregnancy?
A. Avoid all physical activity
B. Exercise only while lying flat on the back
C. Begin maximal-intensity interval training
D. Continue moderate activity as tolerated and avoid high-risk trauma activities
9. Which prenatal assessment best reflects fetal growth over time?
A. Serial fundal-height measurements
B. Maternal pulse only
C. Daily maternal temperature
D. Deep tendon reflex testing alone
10. A pregnant client reports constipation. Which intervention is appropriate?
A. Use stimulant laxatives every day without guidance
B. Increase fluids, fiber, and activity as tolerated
C. Restrict fruits and vegetables
D. Stop taking all prenatal vitamins
11. Which symptom is most consistent with normal first-trimester urinary changes?
A. Gross hematuria
B. Flank pain with fever
C. Urinary frequency without dysuria
D. Burning with urination and chills
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, NUR 272 | FINAL MIXED MATERNAL-CHILD PRACTICE EXAM
12. A client asks the purpose of screening for gestational diabetes. What is the best explanation?
A. It determines whether labor has begun
B. It confirms fetal lung maturity
C. It detects Rh incompatibility
D. It identifies glucose intolerance that can affect maternal and fetal outcomes
13. Which statement about alcohol use in pregnancy is most appropriate?
A. No known safe amount of alcohol in pregnancy has been established
B. Small amounts are recommended for sleep
C. Beer is safer than liquor
D. Alcohol is safe after the first trimester
14. A pregnant client is Rh-negative. Which laboratory result is particularly important to review?
A. Serum amylase
B. Maternal antibody screen
C. Creatine kinase
D. Troponin level
15. Which complaint is common as the uterus enlarges in later pregnancy?
A. Severe chest pain at rest
B. Persistent cyanosis
C. Shortness of breath with exertion from upward diaphragmatic pressure
D. Absent peripheral pulses
High-Risk Pregnancy & Antepartum Complications
16. A client at 34 weeks has blood pressure 168/112 mm Hg, headache, and visual spots. Which action is
the priority?
A. Encourage ambulation
B. Reassure the client that these are normal third-trimester findings
C. Offer a high-sodium snack
D. Initiate urgent evaluation for preeclampsia with severe features
17. A client receiving magnesium sulfate develops absent deep tendon reflexes and a respiratory rate of
8/min. What should the nurse do first?
A. Stop the magnesium infusion and prepare the antidote
B. Continue the infusion and reassess in 1 hour
C. Place the client in high-Fowler position and encourage fluids
D. Administer oxytocin
PassPoint Pro Page 4
