RN MATERNAL NEWBORN ONLINE PRACTICE
ACTUAL EXAM 2026 QUESTIONS AND
COMPLETE ANSWERS
◉ What is gravidity? Example. Answer: Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
◉ What are presumptive signs of pregnancy? Answer: Perceived by
the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands
Quickening
◉ Define quickening. When does it occur? Answer: Quickening is the
term used to describe when the mother first detects fetal
movements, usually at 18 to 20 weeks of gestation in a primigravida
and 16 to 18 weeks of gestation in a multigravida.
◉ What are probable signs of pregnancy? Answer: Perceived by the
examiner
,Signs: Abdominal enlargement, positive pregnancy test, fetal outline
felt by examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's sign
◉ What are Braxton Hicks contractions? Answer: false labor
contractions that can begin as early as the sixth month of pregnancy;
painless, irregular, and usually relieved by walking or changing
position
- if contractions increase in intensity and frequency (true
contractions) with regularity, notify provider
◉ What is ballottement? Answer: Light tap of examining finger on
cervix causes fetus to rise in amniotic fluid & then rebound to
original position (16-18 wks); used to diagnose pregnancy
rebound of unengaged fetus
◉ Hegar's sign Answer: softening and compressibility of lower
uterus
◉ Goodell's sign Answer: softening of the cervix
,◉ Chadwick's sign Answer: Bluish purple discoloration of the cervix,
vagina, and labia during pregnancy as a result of increased vascular
congestion.
◉ What are positive signs of pregnancy? Answer: Fetal heart sounds
Fetal movement felt by examiner
Ultrasound visualization of fetus
◉ During what week of pregnancy is the fetal heartbeat detectable?
Answer: 10 weeks; using a doppler device
◉ How early can a fetus be visualized using an ultrasound? Answer:
4-5weeks
◉ What is the least effective method of contraception? Answer:
Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
◉ What is the rhythm method? Answer: Also known as the "calendar
method"
Abstinence during fertile periods
, Woman records her menstrual cycle by calculating her fertile period
most useful when combined with basal body temperature or cervical
mucus method
◉ How is the fertile period calculate? Answer: Record the number of
days in each menstrual cycle for atleast 6 cycles (From beginning of
first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest
cycle (start of the fertile period)
Subtract 11 days from the number of days in the longest cycle (end
of the fertile period)
Example:
Shortest cycle: 26-18 = 8th day
Longest cycle: 30-11=19th day
Fertile period: days 8-19; avoid intercourse
◉ When does ovulation occur? Answer: 14 days before the onset of
the menstrual cycle
◉ How long is the sperm and ovum viable? Answer: sperm: 48-72
hours; takes 24 hours to fertilize an egg
ovum: 24 hours
(after ovulation)
ACTUAL EXAM 2026 QUESTIONS AND
COMPLETE ANSWERS
◉ What is gravidity? Example. Answer: Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
◉ What are presumptive signs of pregnancy? Answer: Perceived by
the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands
Quickening
◉ Define quickening. When does it occur? Answer: Quickening is the
term used to describe when the mother first detects fetal
movements, usually at 18 to 20 weeks of gestation in a primigravida
and 16 to 18 weeks of gestation in a multigravida.
◉ What are probable signs of pregnancy? Answer: Perceived by the
examiner
,Signs: Abdominal enlargement, positive pregnancy test, fetal outline
felt by examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's sign
◉ What are Braxton Hicks contractions? Answer: false labor
contractions that can begin as early as the sixth month of pregnancy;
painless, irregular, and usually relieved by walking or changing
position
- if contractions increase in intensity and frequency (true
contractions) with regularity, notify provider
◉ What is ballottement? Answer: Light tap of examining finger on
cervix causes fetus to rise in amniotic fluid & then rebound to
original position (16-18 wks); used to diagnose pregnancy
rebound of unengaged fetus
◉ Hegar's sign Answer: softening and compressibility of lower
uterus
◉ Goodell's sign Answer: softening of the cervix
,◉ Chadwick's sign Answer: Bluish purple discoloration of the cervix,
vagina, and labia during pregnancy as a result of increased vascular
congestion.
◉ What are positive signs of pregnancy? Answer: Fetal heart sounds
Fetal movement felt by examiner
Ultrasound visualization of fetus
◉ During what week of pregnancy is the fetal heartbeat detectable?
Answer: 10 weeks; using a doppler device
◉ How early can a fetus be visualized using an ultrasound? Answer:
4-5weeks
◉ What is the least effective method of contraception? Answer:
Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
◉ What is the rhythm method? Answer: Also known as the "calendar
method"
Abstinence during fertile periods
, Woman records her menstrual cycle by calculating her fertile period
most useful when combined with basal body temperature or cervical
mucus method
◉ How is the fertile period calculate? Answer: Record the number of
days in each menstrual cycle for atleast 6 cycles (From beginning of
first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest
cycle (start of the fertile period)
Subtract 11 days from the number of days in the longest cycle (end
of the fertile period)
Example:
Shortest cycle: 26-18 = 8th day
Longest cycle: 30-11=19th day
Fertile period: days 8-19; avoid intercourse
◉ When does ovulation occur? Answer: 14 days before the onset of
the menstrual cycle
◉ How long is the sperm and ovum viable? Answer: sperm: 48-72
hours; takes 24 hours to fertilize an egg
ovum: 24 hours
(after ovulation)
