NUR202 EXAM 2 Actual Exam 2026/2027
Complete Questions and Verified Answers
with Detailed Rationales Maternal Newborn
Nursing 100% Correct Grade A Pass
Guaranteed - A+ Graded
SECTION 1: ANTEPARTUM CARE (Questions 1-20)
Q1: A 28-week pregnant client presents to the clinic with complaints of a persistent headache,
blurred vision, and epigastric pain. Her blood pressure is 158/96 mmHg, and urine dipstick
reveals 2+ protein. Which order should the nurse anticipate from the healthcare provider FIRST?
A. Administer labetalol 20 mg IV push
B. Obtain a 24-hour urine collection for protein
C. Prepare the client for immediate cesarean section
D. Administer magnesium sulfate IV loading dose [CORRECT]
Correct Answer: D
Rationale: The client's symptoms (headache, blurred vision, epigastric pain) along with elevated
BP and proteinuria indicate severe preeclampsia. Magnesium sulfate is the priority intervention
for seizure prophylaxis in severe preeclampsia to prevent eclampsia (D). While antihypertensives
(A) may be needed, seizure prevention takes priority. A 24-hour urine (B) confirms diagnosis but
does not address immediate safety. Cesarean section (C) is not indicated without additional
factors.
Q2: A 32-year-old client at 12 weeks gestation asks about recommended weight gain during
pregnancy. Her pre-pregnancy BMI was 31 kg/m². What is the appropriate weight gain
recommendation?
A. 28-40 pounds
B. 25-35 pounds
C. 15-25 pounds
,D. 11-20 pounds [CORRECT]
Correct Answer: D
Rationale: For obese women (BMI ≥30), the Institute of Medicine recommends weight gain of
11-20 pounds (5-9 kg) during pregnancy (D). Underweight women (BMI <18.5) should gain 28-
40 lbs (A). Normal weight women (BMI 18.5-24.9) should gain 25-35 lbs (B). Overweight
women (BMI 25-29.9) should gain 15-25 lbs (C).
Q3: A nurse is performing Leopold's maneuvers on a client at 36 weeks gestation. The nurse
feels a firm, round, movable part in the fundus and a hard, round part above the symphysis pubis.
What is the fetal presentation?
A. Vertex (cephalic) presentation [CORRECT]
B. Breech presentation
C. Shoulder presentation
D. Transverse lie
Correct Answer: A
Rationale: Leopold's maneuvers: Feeling the fetal head (firm, round, movable) in the fundus
(first maneuver) and the cephalic prominence (hard, round part) above the symphysis pubis
(fourth maneuver) indicates vertex (cephalic) presentation with the head down (A). Breech (B)
would present the head in the fundus. Shoulder presentation (C) and transverse lie (D) would
present differently with the back or shoulder palpable.
Q4: A client at 28 weeks gestation is diagnosed with gestational diabetes. Which blood glucose
target should the nurse teach the client for 2-hour postprandial readings?
A. <120 mg/dL
B. <140 mg/dL
C. <153 mg/dL [CORRECT]
D. <180 mg/dL
Correct Answer: C
Rationale: The American College of Obstetricians and Gynecologists (ACOG) recommends
target blood glucose levels for gestational diabetes: fasting <95 mg/dL, 1-hour postprandial <140
,mg/dL, and 2-hour postprandial <153 mg/dL (C). These targets optimize maternal and fetal
outcomes while preventing macrosomia and other complications.
Q5: A Rh-negative client at 28 weeks gestation has an indirect Coombs test that is negative.
What is the priority nursing action?
A. Administer RhoGAM (Rh immune globulin) [CORRECT]
B. Schedule amniocentesis to determine fetal blood type
C. Prepare for immediate delivery
D. No action is needed until after delivery
Correct Answer: A
Rationale: Rh-negative women with negative antibody screens should receive RhoGAM at 28
weeks gestation to prevent isoimmunization (A). This is standard prophylaxis regardless of fetal
blood type. Amniocentesis (B) is invasive and unnecessary for this purpose. Immediate delivery
(C) is not indicated. Waiting until delivery (D) misses the opportunity to prevent sensitization
during pregnancy.
Q6: A client at 18 weeks gestation reports severe nausea and vomiting, having lost 8 pounds in 2
weeks, with ketones present in urine. Which condition should the nurse suspect?
A. Normal morning sickness of pregnancy
B. Hyperemesis gravidarum [CORRECT]
C. Gestational diabetes
D. Preeclampsia
Correct Answer: B
Rationale: Hyperemesis gravidarum is characterized by severe nausea and vomiting leading to
weight loss (>5% of pre-pregnancy weight), dehydration, electrolyte imbalances, and ketonuria
(B). Normal morning sickness (A) does not cause significant weight loss or ketonuria.
Gestational diabetes (C) typically presents later and without vomiting. Preeclampsia (D) usually
occurs after 20 weeks and presents with hypertension and proteinuria.
Q7: A nurse is reviewing the results of a nonstress test (NST) performed at 34 weeks gestation.
The fetal heart rate baseline is 140 bpm with moderate variability. There are two accelerations of
, 15 bpm lasting 15 seconds each within a 20-minute period. How should the nurse interpret these
results?
A. Nonreactive NST requiring immediate intervention
B. Reactive NST indicating fetal well-being [CORRECT]
C. Equivocal NST requiring further testing
D. Concerning for fetal hypoxia
Correct Answer: B
Rationale: A reactive NST requires at least two accelerations of ≥15 bpm lasting ≥15 seconds
within a 20-minute window (≥32 weeks gestation), indicating fetal well-being and adequate
oxygenation (B). Nonreactive (A) would lack sufficient accelerations. Equivocal (C) is not a
standard NICHD category. These findings do not indicate hypoxia (D).
Q8: A client at 35 weeks gestation with placenta previa is admitted with painless, bright red
vaginal bleeding. Which nursing intervention is the priority?
A. Perform a vaginal examination to assess cervical dilation
B. Prepare the client for immediate vaginal delivery
C. Monitor fetal heart rate and prepare for possible cesarean birth [CORRECT]
D. Insert a urinary catheter for accurate intake/output measurement
Correct Answer: C
Rationale: Placenta previa with bleeding requires monitoring fetal status and preparation for
cesarean birth, as vaginal delivery is contraindicated (C). Vaginal examination (A) is absolutely
contraindicated in placenta previa due to risk of severe hemorrhage. Vaginal delivery (B) is
contraindicated. While I&O monitoring is important, it is not the priority over fetal assessment
and delivery planning (D).
Q9: A client at 16 weeks gestation asks which foods she should avoid during pregnancy. Which
food should the nurse identify as high risk for listeriosis?
A. Cooked chicken breast
B. Pasteurized yogurt
C. Unpasteurized soft cheeses [CORRECT]
Complete Questions and Verified Answers
with Detailed Rationales Maternal Newborn
Nursing 100% Correct Grade A Pass
Guaranteed - A+ Graded
SECTION 1: ANTEPARTUM CARE (Questions 1-20)
Q1: A 28-week pregnant client presents to the clinic with complaints of a persistent headache,
blurred vision, and epigastric pain. Her blood pressure is 158/96 mmHg, and urine dipstick
reveals 2+ protein. Which order should the nurse anticipate from the healthcare provider FIRST?
A. Administer labetalol 20 mg IV push
B. Obtain a 24-hour urine collection for protein
C. Prepare the client for immediate cesarean section
D. Administer magnesium sulfate IV loading dose [CORRECT]
Correct Answer: D
Rationale: The client's symptoms (headache, blurred vision, epigastric pain) along with elevated
BP and proteinuria indicate severe preeclampsia. Magnesium sulfate is the priority intervention
for seizure prophylaxis in severe preeclampsia to prevent eclampsia (D). While antihypertensives
(A) may be needed, seizure prevention takes priority. A 24-hour urine (B) confirms diagnosis but
does not address immediate safety. Cesarean section (C) is not indicated without additional
factors.
Q2: A 32-year-old client at 12 weeks gestation asks about recommended weight gain during
pregnancy. Her pre-pregnancy BMI was 31 kg/m². What is the appropriate weight gain
recommendation?
A. 28-40 pounds
B. 25-35 pounds
C. 15-25 pounds
,D. 11-20 pounds [CORRECT]
Correct Answer: D
Rationale: For obese women (BMI ≥30), the Institute of Medicine recommends weight gain of
11-20 pounds (5-9 kg) during pregnancy (D). Underweight women (BMI <18.5) should gain 28-
40 lbs (A). Normal weight women (BMI 18.5-24.9) should gain 25-35 lbs (B). Overweight
women (BMI 25-29.9) should gain 15-25 lbs (C).
Q3: A nurse is performing Leopold's maneuvers on a client at 36 weeks gestation. The nurse
feels a firm, round, movable part in the fundus and a hard, round part above the symphysis pubis.
What is the fetal presentation?
A. Vertex (cephalic) presentation [CORRECT]
B. Breech presentation
C. Shoulder presentation
D. Transverse lie
Correct Answer: A
Rationale: Leopold's maneuvers: Feeling the fetal head (firm, round, movable) in the fundus
(first maneuver) and the cephalic prominence (hard, round part) above the symphysis pubis
(fourth maneuver) indicates vertex (cephalic) presentation with the head down (A). Breech (B)
would present the head in the fundus. Shoulder presentation (C) and transverse lie (D) would
present differently with the back or shoulder palpable.
Q4: A client at 28 weeks gestation is diagnosed with gestational diabetes. Which blood glucose
target should the nurse teach the client for 2-hour postprandial readings?
A. <120 mg/dL
B. <140 mg/dL
C. <153 mg/dL [CORRECT]
D. <180 mg/dL
Correct Answer: C
Rationale: The American College of Obstetricians and Gynecologists (ACOG) recommends
target blood glucose levels for gestational diabetes: fasting <95 mg/dL, 1-hour postprandial <140
,mg/dL, and 2-hour postprandial <153 mg/dL (C). These targets optimize maternal and fetal
outcomes while preventing macrosomia and other complications.
Q5: A Rh-negative client at 28 weeks gestation has an indirect Coombs test that is negative.
What is the priority nursing action?
A. Administer RhoGAM (Rh immune globulin) [CORRECT]
B. Schedule amniocentesis to determine fetal blood type
C. Prepare for immediate delivery
D. No action is needed until after delivery
Correct Answer: A
Rationale: Rh-negative women with negative antibody screens should receive RhoGAM at 28
weeks gestation to prevent isoimmunization (A). This is standard prophylaxis regardless of fetal
blood type. Amniocentesis (B) is invasive and unnecessary for this purpose. Immediate delivery
(C) is not indicated. Waiting until delivery (D) misses the opportunity to prevent sensitization
during pregnancy.
Q6: A client at 18 weeks gestation reports severe nausea and vomiting, having lost 8 pounds in 2
weeks, with ketones present in urine. Which condition should the nurse suspect?
A. Normal morning sickness of pregnancy
B. Hyperemesis gravidarum [CORRECT]
C. Gestational diabetes
D. Preeclampsia
Correct Answer: B
Rationale: Hyperemesis gravidarum is characterized by severe nausea and vomiting leading to
weight loss (>5% of pre-pregnancy weight), dehydration, electrolyte imbalances, and ketonuria
(B). Normal morning sickness (A) does not cause significant weight loss or ketonuria.
Gestational diabetes (C) typically presents later and without vomiting. Preeclampsia (D) usually
occurs after 20 weeks and presents with hypertension and proteinuria.
Q7: A nurse is reviewing the results of a nonstress test (NST) performed at 34 weeks gestation.
The fetal heart rate baseline is 140 bpm with moderate variability. There are two accelerations of
, 15 bpm lasting 15 seconds each within a 20-minute period. How should the nurse interpret these
results?
A. Nonreactive NST requiring immediate intervention
B. Reactive NST indicating fetal well-being [CORRECT]
C. Equivocal NST requiring further testing
D. Concerning for fetal hypoxia
Correct Answer: B
Rationale: A reactive NST requires at least two accelerations of ≥15 bpm lasting ≥15 seconds
within a 20-minute window (≥32 weeks gestation), indicating fetal well-being and adequate
oxygenation (B). Nonreactive (A) would lack sufficient accelerations. Equivocal (C) is not a
standard NICHD category. These findings do not indicate hypoxia (D).
Q8: A client at 35 weeks gestation with placenta previa is admitted with painless, bright red
vaginal bleeding. Which nursing intervention is the priority?
A. Perform a vaginal examination to assess cervical dilation
B. Prepare the client for immediate vaginal delivery
C. Monitor fetal heart rate and prepare for possible cesarean birth [CORRECT]
D. Insert a urinary catheter for accurate intake/output measurement
Correct Answer: C
Rationale: Placenta previa with bleeding requires monitoring fetal status and preparation for
cesarean birth, as vaginal delivery is contraindicated (C). Vaginal examination (A) is absolutely
contraindicated in placenta previa due to risk of severe hemorrhage. Vaginal delivery (B) is
contraindicated. While I&O monitoring is important, it is not the priority over fetal assessment
and delivery planning (D).
Q9: A client at 16 weeks gestation asks which foods she should avoid during pregnancy. Which
food should the nurse identify as high risk for listeriosis?
A. Cooked chicken breast
B. Pasteurized yogurt
C. Unpasteurized soft cheeses [CORRECT]
