NUR 230 MATERNAL 1 VERIFIED QUESTIONS AND
ANSWERS | 2025/26 VERSION | RATED 100% CORRECT
1. Which hormone is responsible for maintaining pregnancy by preventing
uterine contractions?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: B. Progesterone
Rationale: Progesterone relaxes uterine smooth muscle and maintains the uterine lining to
support pregnancy.
2. A positive Chadwick’s sign indicates:
A. Softening of the cervix
B. Bluish discoloration of the cervix
C. Uterine enlargement
D. Breast tenderness
Correct Answer: B. Bluish discoloration of the cervix
Rationale: Chadwick’s sign results from increased pelvic blood flow during early pregnancy.
3. Which finding confirms pregnancy?
A. Amenorrhea
B. Positive urine pregnancy test
C. Fetal heart tones
D. Nausea
Correct Answer: C. Fetal heart tones
Rationale: Fetal heart tones are a positive (diagnostic) sign of pregnancy.
,4. Gravida 3 Para 1 means the woman has:
A. Three pregnancies, one birth after viability
B. One pregnancy, three births
C. Three births, one pregnancy
D. Three living children
Correct Answer: A. Three pregnancies, one birth after viability
Rationale: Gravida = total pregnancies; Para = births beyond 20 weeks.
5. Normal fetal heart rate range is:
A. 90–120 bpm
B. 100–140 bpm
C. 110–160 bpm
D. 120–180 bpm
Correct Answer: C. 110–160 bpm
Rationale: This is the standard normal fetal heart rate range.
6. Which nutrient is most important in preventing neural tube defects?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin C
Correct Answer: C. Folic acid
Rationale: Folic acid is critical for neural tube development early in pregnancy.
7. The nurse teaches that quickening usually occurs at:
A. 6–8 weeks
B. 10–12 weeks
C. 16–20 weeks
D. 24–28 weeks
Correct Answer: C. 16–20 weeks
Rationale: Quickening refers to the mother’s first perception of fetal movement.
, 8. Which condition places a pregnant client at highest risk?
A. BMI of 22
B. History of hypertension
C. Mild nausea
D. Age 25
Correct Answer: B. History of hypertension
Rationale: Chronic hypertension increases risk for preeclampsia and placental complications.
9. A fundal height of 24 cm corresponds approximately to:
A. 20 weeks
B. 22 weeks
C. 24 weeks
D. 28 weeks
Correct Answer: C. 24 weeks
Rationale: Fundal height in cm usually equals gestational age in weeks (20–36 weeks).
10. Which discomfort is normal during the first trimester?
A. Varicose veins
B. Heartburn
C. Nausea and vomiting
D. Back pain
Correct Answer: C. Nausea and vomiting
Rationale: Hormonal changes commonly cause morning sickness early in pregnancy.
11. The primary purpose of prenatal care is to:
A. Diagnose labor early
B. Prevent complications
C. Reduce pain
D. Shorten pregnancy
ANSWERS | 2025/26 VERSION | RATED 100% CORRECT
1. Which hormone is responsible for maintaining pregnancy by preventing
uterine contractions?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: B. Progesterone
Rationale: Progesterone relaxes uterine smooth muscle and maintains the uterine lining to
support pregnancy.
2. A positive Chadwick’s sign indicates:
A. Softening of the cervix
B. Bluish discoloration of the cervix
C. Uterine enlargement
D. Breast tenderness
Correct Answer: B. Bluish discoloration of the cervix
Rationale: Chadwick’s sign results from increased pelvic blood flow during early pregnancy.
3. Which finding confirms pregnancy?
A. Amenorrhea
B. Positive urine pregnancy test
C. Fetal heart tones
D. Nausea
Correct Answer: C. Fetal heart tones
Rationale: Fetal heart tones are a positive (diagnostic) sign of pregnancy.
,4. Gravida 3 Para 1 means the woman has:
A. Three pregnancies, one birth after viability
B. One pregnancy, three births
C. Three births, one pregnancy
D. Three living children
Correct Answer: A. Three pregnancies, one birth after viability
Rationale: Gravida = total pregnancies; Para = births beyond 20 weeks.
5. Normal fetal heart rate range is:
A. 90–120 bpm
B. 100–140 bpm
C. 110–160 bpm
D. 120–180 bpm
Correct Answer: C. 110–160 bpm
Rationale: This is the standard normal fetal heart rate range.
6. Which nutrient is most important in preventing neural tube defects?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin C
Correct Answer: C. Folic acid
Rationale: Folic acid is critical for neural tube development early in pregnancy.
7. The nurse teaches that quickening usually occurs at:
A. 6–8 weeks
B. 10–12 weeks
C. 16–20 weeks
D. 24–28 weeks
Correct Answer: C. 16–20 weeks
Rationale: Quickening refers to the mother’s first perception of fetal movement.
, 8. Which condition places a pregnant client at highest risk?
A. BMI of 22
B. History of hypertension
C. Mild nausea
D. Age 25
Correct Answer: B. History of hypertension
Rationale: Chronic hypertension increases risk for preeclampsia and placental complications.
9. A fundal height of 24 cm corresponds approximately to:
A. 20 weeks
B. 22 weeks
C. 24 weeks
D. 28 weeks
Correct Answer: C. 24 weeks
Rationale: Fundal height in cm usually equals gestational age in weeks (20–36 weeks).
10. Which discomfort is normal during the first trimester?
A. Varicose veins
B. Heartburn
C. Nausea and vomiting
D. Back pain
Correct Answer: C. Nausea and vomiting
Rationale: Hormonal changes commonly cause morning sickness early in pregnancy.
11. The primary purpose of prenatal care is to:
A. Diagnose labor early
B. Prevent complications
C. Reduce pain
D. Shorten pregnancy
