MATERNAL CHILD NURSING EXAM 1 ACTUAL 2026/2027 AND HIGH
YIELD PRACTICE QUESTIONS COMPLETE ACCURATE EXAM
APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |JUST RELEASED
|BRAND NEW!
1. A nurse is implementing family-centered care for a pregnant patient from a non-
English-speaking background. Which action demonstrates culturally competent
practice?
A. Using the patient's family member as an interpreter for privacy
B. Speaking slowly and loudly in English to facilitate understanding
C. Accessing a trained medical interpreter before discussing the plan of care
D. Providing written discharge instructions in English only
CORRECT ANSWER: C. Accessing a trained medical interpreter ensures accurate
communication and maintains patient confidentiality. Using family members can
lead to misinterpretation and breaches of privacy, and speaking loudly in English
does not facilitate understanding .
2. A pregnant minor presents for prenatal care without a parent. The nurse
understands that:
A. Treatment cannot be provided without parental consent
B. In most states, minors can consent to pregnancy-related care
C. The provider must contact Child Protective Services
D. Only emergency care can be provided
,CORRECT ANSWER: B. Most states have laws allowing minors to consent for
pregnancy-related care, prenatal care, and STI treatment. The nurse should verify
state-specific regulations .
3. A patient refuses a recommended induction for post-term pregnancy. After
assessing understanding, what is the nurse's priority action?
A. Document the refusal and continue with admission
B. Document the refusal, notify the provider, and consult ethics if needed
C. Persuade the patient to accept the induction
D. Discharge the patient against medical advice
CORRECT ANSWER: B. When legal and ethical principles conflict, the nurse
follows the law, documents objectively, notifies the provider, and consults ethics
as appropriate .
4. Which ethical principle is being applied when a nurse supports a patient's
decision to decline an epidural despite the nurse's personal belief that it would be
beneficial?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
CORRECT ANSWER: D. Autonomy respects the patient's right to make their own
healthcare decisions, even when they differ from the provider's recommendations .
5. A nurse is assessing a patient for intimate partner violence. Which approach is
most appropriate?
,A. "Does your partner ever hurt you?"
B. "I notice you seem nervous. Is everything okay at home?"
C. "Because violence is common in pregnancy, I screen all my patients. Have you
ever been emotionally or physically abused by someone close to you?"
D. Wait until the partner leaves the room to ask questions
CORRECT ANSWER: C. Universal screening with direct, non-judgmental
questions normalizes the inquiry and increases disclosure rates .
6. A patient asks when fetal heart tones can first be heard with a Doppler. The
nurse's best response is:
A. 6-8 weeks
B. 10-12 weeks
C. 14-16 weeks
D. 18-20 weeks
CORRECT ANSWER: B. Fetal heart tones are typically detectable by Doppler
between 10-12 weeks gestation .
7. Which hormone is responsible for maintaining the endometrial lining during
early pregnancy?
A. Estrogen
B. Human chorionic gonadotropin (hCG)
C. Progesterone
D. Oxytocin
, CORRECT ANSWER: C. Progesterone maintains the uterine lining, suppresses
contractions, and supports the pregnancy until the placenta takes over .
8. A pregnant patient at 8 weeks gestation asks what is developing during this time.
The nurse explains that the embryonic period (weeks 3-8) is critical for:
A. Rapid weight gain
B. Organogenesis
C. Lung maturity
D. Position changes
CORRECT ANSWER: B. Organogenesis, the formation of major organs and
systems, occurs during the embryonic period (weeks 3-8), making this a critical
time for teratogen exposure .
9. A nurse is assessing a client at 38 weeks gestation. Which finding is most
concerning?
A. Blood pressure 140/90 mm Hg
B. 1+ proteinuria
C. Urine output 20 mL/hour
D. All of the above
CORRECT ANSWER: D. These findings are consistent with preeclampsia:
hypertension (BP ≥140/90), proteinuria (≥1+), and oliguria (urine output <30
mL/hour). All require immediate notification of the healthcare provider .
10. A nurse is teaching a primigravida about expected body changes during the
first trimester. Which finding should the nurse include? (Select All That Apply)
A. Urinary frequency