Questions And Correct Answers With Rationales
Maternal Newborn Nursing – Online Study Course
Module 1: Antepartum Nursing Care
1. What is the primary goal of antepartum nursing care?
A. Manage labor
B. Ensure maternal and fetal well-being
C. Perform cesarean sections
D. Prescribe medications
Correct Answer: B
Rationale:
Antepartum nursing focuses on monitoring maternal and fetal health, preventing complications,
and promoting positive pregnancy outcomes.
2. A 10-week pregnant woman reports vaginal spotting. What is the nurse’s priority?
A. Reassure and discharge
B. Assess for miscarriage or ectopic pregnancy
C. Schedule routine follow-up in one month
D. Advise bed rest only
Correct Answer: B
Rationale:
Early pregnancy bleeding may indicate miscarriage or ectopic pregnancy, requiring prompt
assessment and intervention.
3. Which maternal vital sign change suggests preeclampsia?
A. BP 110/70 mmHg
B. BP 160/100 mmHg
C. BP 120/80 mmHg
D. BP 115/75 mmHg
Correct Answer: B
,Rationale:
Elevated BP ≥140/90 mmHg after 20 weeks’ gestation can indicate preeclampsia, especially with
other symptoms.
4. Recommended weight gain for a woman with normal BMI during pregnancy is:
A. 5–10 lbs
B. 11–20 lbs
C. 25–35 lbs
D. 40–50 lbs
Correct Answer: C
Rationale:
25–35 lbs supports healthy fetal growth and maternal well-being for women with normal BMI.
5. Which test screens for gestational diabetes?
A. CBC
B. Glucose tolerance test
C. Liver function tests
D. Hemoglobin A1C
Correct Answer: B
Rationale:
Glucose tolerance test is performed at 24–28 weeks to detect gestational diabetes.
6. Which condition requires immediate antepartum hospitalization?
A. Mild nausea
B. Threatened preterm labor
C. Occasional heartburn
D. Varicose veins
Correct Answer: B
Rationale:
Preterm labor requires hospitalization and interventions to prevent preterm birth.
7. Fetal assessment at 32 weeks should include:
A. Amniocentesis
B. Ultrasound for growth and amniotic fluid
C. Chorionic villus sampling
D. Non-stress test only
Correct Answer: B
, Rationale:
Ultrasound monitors fetal growth, amniotic fluid volume, and anatomy in late second/third
trimester.
8. How can antepartum DVT risk be reduced?
A. Bed rest only
B. Early ambulation and compression devices
C. Restrict fluids
D. High-protein diet
Correct Answer: B
Rationale:
Mobility and compression reduce venous stasis and DVT risk.
9. Which antepartum symptom is an emergency?
A. Mild back pain
B. Vaginal bleeding with cramping
C. Occasional heartburn
D. Mild swelling in hands
Correct Answer: B
Rationale:
Bleeding with cramping may indicate miscarriage, ectopic pregnancy, or placental complications,
requiring urgent evaluation.
10. Which medication is used to suppress preterm labor?
A. Oxytocin
B. Tocolytics (e.g., nifedipine)
C. Magnesium sulfate for seizure prophylaxis
D. Methyldopa
Correct Answer: B
Rationale:
Tocolytics inhibit uterine contractions to delay preterm birth.
11. Which assessment is essential for fetal well-being?
A. Maternal blood pressure only
B. Fetal heart rate and movement
C. Maternal pulse only
D. Maternal temperature only