Questions & Answers (2026 Edition)
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FUNDAMENTALS OF MATERNITY NURSING (Q1–Q20)
1. Which hormone is primarily responsible for maintaining pregnancy during the first
trimester?
A. Estrogen
B. Progesterone
C. Prolactin
D. Oxytocin
2. A patient at 10 weeks gestation reports morning nausea. Which recommendation is most
appropriate?
A. Drink fluids with meals
B. Eat spicy food
C. Eat dry crackers before rising
D. Skip breakfast
3. Which sign is considered a probable sign of pregnancy?
A. Fetal movement felt by mother
B. Positive pregnancy test
C. Fetal heart tones heard
D. Visualization of fetus on ultrasound
4. FHR baseline of 150 bpm is considered:
A. Bradycardia
B. Tachycardia
,C. Normal
D. Late deceleration
5. A normal amniotic fluid characteristic is:
A. Yellow-green color
B. Foul odor
C. Clear and slightly yellow
D. Thick meconium consistency
6. What is the expected weight gain for a woman with normal BMI during pregnancy?
A. 10–15 lbs
B. 15–25 lbs
C. 25–35 lbs
D. 35–45 lbs
7. The nurse should assess the fundus at the level of the umbilicus at:
A. 12 weeks
B. 20 weeks
C. 28 weeks
D. 5 weeks postpartum
8. Which vitamin prevents neural tube defects?
A. Vitamin D
B. Folic acid
C. Vitamin C
D. Vitamin K
9. A positive Chadwick sign indicates:
A. Softening of cervix
B. Bluish discoloration of cervix
C. Leukorrhea
D. Palpable fetal movement
10. Recommended daily iron intake during pregnancy:
A. 10 mg
B. 18 mg
,C. 27 mg
D. 36 mg
11. Which finding requires immediate provider notification?
A. Mild leg cramps
B. Heartburn
C. Vaginal bleeding
D. Breast tenderness
12. Rh-negative client: Which injection is given at 28 weeks?
A. Pitocin
B. Rubella vaccine
C. Rho(D) immune globulin
D. Varicella vaccine
13. Which is a normal discomfort of pregnancy?
A. Persistent vomiting
B. Spotting
C. Nasal congestion
D. Severe headache
14. Hyperemesis gravidarum is best indicated by:
A. Nausea relieved by crackers
B. Ketonuria
C. Weight gain
D. Normal electrolytes
15. A woman at 34 weeks reports sudden swelling of hands and face. This indicates:
A. Normal edema
B. Dehydration
C. Preeclampsia
D. UTI
16. Which fetal presentation is optimal for vaginal delivery?
A. Breech
B. Transverse
, C. Cephalic
D. Shoulder
17. Which vaccine is safe in pregnancy?
A. MMR
B. Varicella
C. Tdap
D. HPV
18. A glucose challenge test abnormal value is:
A. <120 mg/dL
B. >130–140 mg/dL
C. <110 mg/dL
D. >70 mg/dL
19. A prenatal client taking iron should be advised to:
A. Take with milk
B. Take with vitamin C
C. Take with antacids
D. Take on a full stomach
20. The primary purpose of amniocentesis at 15–18 weeks:
A. Determine fetal weight
B. Identify genetic abnormalities
C. Check fetal lung maturity
D. Detect contractions
INTRAPARTUM – LABOR & DELIVERY (Q21–Q50)
21. The first stage of labor ends with:
A. Birth of baby
B. Complete dilation
C. Delivery of placenta
D. Engagement
22. Early decelerations are caused by: