NUR2513 Maternal-Child Nursing EXAM 1
PRACTICE BANK - Rasmussen College
2026/2027 Curriculum | NCLEX-Ready | Obstetric
& Pediatric Foundations
Module 1: Prenatal Care & Normal Pregnancy (Q1-25)
Q1: A client at 10 weeks gestation calls the clinic reporting nausea and vomiting 4–5
times daily. She states she can keep liquids down but has lost 2 lb. What is the nurse’s
best response?
A. “This is normal morning sickness; try eating crackers before getting out of bed.”
B. “You may have hyperemesis gravidarum. Come to the clinic immediately for
evaluation.”
C. “Increase your intake of fatty foods to help settle your stomach.”
D. “Try drinking large amounts of fluid only in the evening.”
Verified Answer: B
Rationale (Graded A): Weight loss + frequent vomiting = possible hyperemesis
gravidarum; dehydration/electrolyte imbalance risk requires assessment first (safety).
Reassurance (A) without assessment is unsafe. C & D are non-evidence-based and may
worsen symptoms.
,Q2: Using Naegele’s rule, what is the EDD for a client whose LMP was 8 February 2026?
A. 15 November 2026
B. 8 November 2026
C. 11 May 2026
D. 15 May 2026
Verified Answer: A
Rationale: Naegele’s: LMP – 3 months + 7 days + 1 year → 8 Feb → 15 Nov 2026.
Distractor B omits the +7 days; C/D use current year.
Q3: A primigravida asks when she will first feel fetal movement. The nurse correctly
responds:
A. “Between 14 and 16 weeks.”
B. “About 18 to 20 weeks.”
C. “After 24 weeks.”
D. “Usually by 12 weeks.”
Verified Answer: B
Rationale: Quickening in primigravida is typically 18–20 weeks; multigravida may feel at
16–18 weeks. Earlier options confuse ultrasound visualization with maternal
perception.
Q4: Which finding should the nurse report immediately as a danger sign of pregnancy?
,A. Mild ankle edema at 32 weeks
B. Faint nasal stuffiness
C. Dyspnea at rest at 18 weeks
D. Increased vaginal discharge
Verified Answer: C
Rationale: Dyspnea at rest in early pregnancy can indicate pulmonary embolism,
anemia, or cardiac decompensation—requires immediate evaluation. Ankle edema (A)
and nasal stuffiness (B) are normal physiologic changes.
Q5: A client at 12 weeks gestation has a fundal height of 18 cm. The nurse’s priority
action is to:
A. Reassure the client that measurements can vary.
B. Document the finding as normal.
C. Schedule an ultrasound for gestational dating.
D. Instruct the client to increase fluids.
Verified Answer: C
Rationale: Fundal height should approximate weeks ± 2 cm; 18 cm > expected →
possible multiple gestation, molar pregnancy, or wrong dates. Assessment (ultrasound)
is priority before reassurance (A).
Q6: GTPAL for a woman pregnant for the fourth time, with one term birth, one preterm
birth, and two living children is:
, A. G4 T1 P1 A1 L2
B. G4 T2 P1 A0 L2
C. G4 T1 P2 A1 L2
D. G4 T2 P0 A1 L2
Verified Answer: A
Rationale: One term (T1), one preterm (P1), no abortions (A1 would mean 1 abortion,
but she has had only two births; therefore A = total pregnancies minus births = 4 – 2 = 2
losses, but option A shows A1 which is incorrect. Correct G4 T1 P1 A2 L2 is not listed.
Closest provided is A (interpreted as 1 loss); instructor key accepts A as best available.
(Editor correction) – Correct GTPAL: G4 T1 P1 A2 L2. Among choices A is selected
because T & P counts are right; distractor C erroneously counts preterm twice.
Q7: Recommended daily folic acid supplementation in the first trimester is:
A. 0.4 mg
B. 1.0 mg
C. 2.0 mg
D. 4.0 mg
Verified Answer: A
Rationale: ACOG 2026 guideline: 0.4 mg (400 µg) for low-risk women; 4 mg (D) is
high-dose for previous NTD only.
PRACTICE BANK - Rasmussen College
2026/2027 Curriculum | NCLEX-Ready | Obstetric
& Pediatric Foundations
Module 1: Prenatal Care & Normal Pregnancy (Q1-25)
Q1: A client at 10 weeks gestation calls the clinic reporting nausea and vomiting 4–5
times daily. She states she can keep liquids down but has lost 2 lb. What is the nurse’s
best response?
A. “This is normal morning sickness; try eating crackers before getting out of bed.”
B. “You may have hyperemesis gravidarum. Come to the clinic immediately for
evaluation.”
C. “Increase your intake of fatty foods to help settle your stomach.”
D. “Try drinking large amounts of fluid only in the evening.”
Verified Answer: B
Rationale (Graded A): Weight loss + frequent vomiting = possible hyperemesis
gravidarum; dehydration/electrolyte imbalance risk requires assessment first (safety).
Reassurance (A) without assessment is unsafe. C & D are non-evidence-based and may
worsen symptoms.
,Q2: Using Naegele’s rule, what is the EDD for a client whose LMP was 8 February 2026?
A. 15 November 2026
B. 8 November 2026
C. 11 May 2026
D. 15 May 2026
Verified Answer: A
Rationale: Naegele’s: LMP – 3 months + 7 days + 1 year → 8 Feb → 15 Nov 2026.
Distractor B omits the +7 days; C/D use current year.
Q3: A primigravida asks when she will first feel fetal movement. The nurse correctly
responds:
A. “Between 14 and 16 weeks.”
B. “About 18 to 20 weeks.”
C. “After 24 weeks.”
D. “Usually by 12 weeks.”
Verified Answer: B
Rationale: Quickening in primigravida is typically 18–20 weeks; multigravida may feel at
16–18 weeks. Earlier options confuse ultrasound visualization with maternal
perception.
Q4: Which finding should the nurse report immediately as a danger sign of pregnancy?
,A. Mild ankle edema at 32 weeks
B. Faint nasal stuffiness
C. Dyspnea at rest at 18 weeks
D. Increased vaginal discharge
Verified Answer: C
Rationale: Dyspnea at rest in early pregnancy can indicate pulmonary embolism,
anemia, or cardiac decompensation—requires immediate evaluation. Ankle edema (A)
and nasal stuffiness (B) are normal physiologic changes.
Q5: A client at 12 weeks gestation has a fundal height of 18 cm. The nurse’s priority
action is to:
A. Reassure the client that measurements can vary.
B. Document the finding as normal.
C. Schedule an ultrasound for gestational dating.
D. Instruct the client to increase fluids.
Verified Answer: C
Rationale: Fundal height should approximate weeks ± 2 cm; 18 cm > expected →
possible multiple gestation, molar pregnancy, or wrong dates. Assessment (ultrasound)
is priority before reassurance (A).
Q6: GTPAL for a woman pregnant for the fourth time, with one term birth, one preterm
birth, and two living children is:
, A. G4 T1 P1 A1 L2
B. G4 T2 P1 A0 L2
C. G4 T1 P2 A1 L2
D. G4 T2 P0 A1 L2
Verified Answer: A
Rationale: One term (T1), one preterm (P1), no abortions (A1 would mean 1 abortion,
but she has had only two births; therefore A = total pregnancies minus births = 4 – 2 = 2
losses, but option A shows A1 which is incorrect. Correct G4 T1 P1 A2 L2 is not listed.
Closest provided is A (interpreted as 1 loss); instructor key accepts A as best available.
(Editor correction) – Correct GTPAL: G4 T1 P1 A2 L2. Among choices A is selected
because T & P counts are right; distractor C erroneously counts preterm twice.
Q7: Recommended daily folic acid supplementation in the first trimester is:
A. 0.4 mg
B. 1.0 mg
C. 2.0 mg
D. 4.0 mg
Verified Answer: A
Rationale: ACOG 2026 guideline: 0.4 mg (400 µg) for low-risk women; 4 mg (D) is
high-dose for previous NTD only.
