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NUR 230 Maternal Exam 1 | Questions
and Answers | 2026 Update | 100%
Correct - Galen College of Nursing 2026
NUR 230 Maternal/Newborn Exam 1
1. The purpose of fundal height measurement during pregnancy is to:
A. Assess fetal growth and gestational age
B. Determine maternal hydration status
C. Measure amniotic fluid volume only
D. Predict labor onset
Answer: A
Rationale: Fundal height correlates with gestational age and fetal growth patterns.
2. A pregnant patient at 28 weeks’ gestation reports vaginal bleeding. The nurse’s priority
is to:
A. Assess maternal vital signs and fetal heart rate
B. Administer iron supplements
C. Encourage ambulation
D. Teach prenatal nutrition
Answer: A
Rationale: Vaginal bleeding may indicate placental issues; maternal and fetal assessment is
priority.
3. Which vaccine is recommended during pregnancy to protect the newborn from
pertussis?
A. Tdap in the third trimester
B. MMR in first trimester
C. Varicella
D. Influenza nasal spray
practice exam 2026
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Answer: A
Rationale: Tdap during 27–36 weeks provides passive immunity to the newborn.
4. A multiparous patient is experiencing contractions every 3 minutes, lasting 60 seconds,
with cervical dilation of 5 cm. She is in:
A. Active labor
B. Latent labor
C. Transition phase
D. Early labor
Answer: A
Rationale: Active labor typically begins at 4–6 cm dilation with regular, strong contractions.
5. A common sign of preeclampsia is:
A. Hypertension with proteinuria
B. Bradycardia
C. Hypotension
D. Increased appetite
Answer: A
Rationale: Preeclampsia is characterized by elevated BP and proteinuria after 20 weeks
gestation.
6. The nurse monitors a neonate for hypoglycemia if the mother has:
A. Gestational diabetes
B. Hypothyroidism
C. Hyperemesis gravidarum
D. Group B strep colonization
Answer: A
Rationale: Infants of diabetic mothers are at risk for hypoglycemia due to hyperinsulinemia.
7. The purpose of the Bishop score is to:
practice exam 2026
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A. Evaluate cervical readiness for labor induction
B. Predict postpartum hemorrhage
C. Determine fetal lung maturity
D. Assess maternal hydration
Answer: A
8. A patient in labor has meconium-stained amniotic fluid. The nurse’s priority is:
A. Prepare for possible neonatal resuscitation
B. Encourage ambulation
C. Increase oral fluids
D. Administer antibiotics
Answer: A
Rationale: Meconium may indicate fetal distress; neonatal suctioning may be necessary.
9. The first stage of labor ends with:
A. Complete cervical dilation (10 cm)
B. Onset of contractions
C. Delivery of the placenta
D. Fetal descent
Answer: A
10. During the fourth stage of labor, the nurse should:
A. Monitor maternal vital signs, fundus, and lochia
B. Encourage immediate ambulation without assessment
C. Administer oxytocin prophylactically without assessment
D. Perform a sterile vaginal exam only
Answer: A
11. Signs of newborn respiratory distress include:
practice exam 2026
NUR 230 Maternal Exam 1 | Questions
and Answers | 2026 Update | 100%
Correct - Galen College of Nursing 2026
NUR 230 Maternal/Newborn Exam 1
1. The purpose of fundal height measurement during pregnancy is to:
A. Assess fetal growth and gestational age
B. Determine maternal hydration status
C. Measure amniotic fluid volume only
D. Predict labor onset
Answer: A
Rationale: Fundal height correlates with gestational age and fetal growth patterns.
2. A pregnant patient at 28 weeks’ gestation reports vaginal bleeding. The nurse’s priority
is to:
A. Assess maternal vital signs and fetal heart rate
B. Administer iron supplements
C. Encourage ambulation
D. Teach prenatal nutrition
Answer: A
Rationale: Vaginal bleeding may indicate placental issues; maternal and fetal assessment is
priority.
3. Which vaccine is recommended during pregnancy to protect the newborn from
pertussis?
A. Tdap in the third trimester
B. MMR in first trimester
C. Varicella
D. Influenza nasal spray
practice exam 2026
,2|Page
Answer: A
Rationale: Tdap during 27–36 weeks provides passive immunity to the newborn.
4. A multiparous patient is experiencing contractions every 3 minutes, lasting 60 seconds,
with cervical dilation of 5 cm. She is in:
A. Active labor
B. Latent labor
C. Transition phase
D. Early labor
Answer: A
Rationale: Active labor typically begins at 4–6 cm dilation with regular, strong contractions.
5. A common sign of preeclampsia is:
A. Hypertension with proteinuria
B. Bradycardia
C. Hypotension
D. Increased appetite
Answer: A
Rationale: Preeclampsia is characterized by elevated BP and proteinuria after 20 weeks
gestation.
6. The nurse monitors a neonate for hypoglycemia if the mother has:
A. Gestational diabetes
B. Hypothyroidism
C. Hyperemesis gravidarum
D. Group B strep colonization
Answer: A
Rationale: Infants of diabetic mothers are at risk for hypoglycemia due to hyperinsulinemia.
7. The purpose of the Bishop score is to:
practice exam 2026
, 3|Page
A. Evaluate cervical readiness for labor induction
B. Predict postpartum hemorrhage
C. Determine fetal lung maturity
D. Assess maternal hydration
Answer: A
8. A patient in labor has meconium-stained amniotic fluid. The nurse’s priority is:
A. Prepare for possible neonatal resuscitation
B. Encourage ambulation
C. Increase oral fluids
D. Administer antibiotics
Answer: A
Rationale: Meconium may indicate fetal distress; neonatal suctioning may be necessary.
9. The first stage of labor ends with:
A. Complete cervical dilation (10 cm)
B. Onset of contractions
C. Delivery of the placenta
D. Fetal descent
Answer: A
10. During the fourth stage of labor, the nurse should:
A. Monitor maternal vital signs, fundus, and lochia
B. Encourage immediate ambulation without assessment
C. Administer oxytocin prophylactically without assessment
D. Perform a sterile vaginal exam only
Answer: A
11. Signs of newborn respiratory distress include:
practice exam 2026
