Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and
Verified Answers 100% Correct | Grade A - Fortis 2026/2027
OBJECTIVE ASSESSMENT - EXAM
Exam 2: NUR202 / NUR 202 (Latest
2026/2027 Update)
Maternal-Newborn Nursing |
Questions and Verified Answers
100% Correct | Grade A - Fortis
2026/2027
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Maternal Adaptation to Pregnancy
Newborn Adaptation and Care
Labor and Birth
High-Risk Perinatal Conditions
Postpartum Adaptation
Fetal Monitoring and Assessment
COVER PAGE - 1
, SECTION 1 | Maternal Adaptation to Pregnancy | Q1-Q15 | Exam 2: NUR202 / NUR 202 (Latest
2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade
A - Fortis 2026/2027 2026/2027
Q1 Question 1 of 75
A 28-year-old woman at 12 weeks gestation reports feeling short of breath during routine activities.
Her vital signs are BP 110/70 mmHg, HR 88 bpm, RR 20/min, and SpO2 98% on room air. Her lungs
are clear to auscultation bilaterally.
A. She requires immediate supplemental oxygen and a chest X-ray to rule out pulmonary embolism
B. This finding indicates developing preeclampsia and she should be started on low-dose aspirin
C. This is an expected respiratory change caused by the progesterone-mediated increase in tidal
volume and decreased residual capacity
D. She should be advised to restrict physical activity and return for weekly monitoring visits
Correct Answer: C
Rationale:
During pregnancy, progesterone causes relaxation of smooth muscle including respiratory tract muscles, leading to increased
tidal volume by 30-40%. This physiological hyperventilation causes the subjective sensation of dyspnea even in the absence
of pathology. Supplemental oxygen is unnecessary because oxygen saturation is normal at 98% and lung fields are clear.
Q2 Question 2 of 75
A 32-year-old primigravida at 24 weeks gestation has a hemoglobin level of 10.2 g/dL and a
hematocrit of 31%. She reports mild fatigue but otherwise feels well and eats a balanced diet.
A. Begin intravenous iron sucrose infusion immediately to correct the anemia before delivery
B. Reassure the patient that these values are within the expected range for pregnancy and no
treatment is needed
C. Prescribe oral ferrous sulfate 325 mg daily and advise taking it with a glass of orange juice
D. Refer her to a hematologist for further evaluation of possible hemoglobinopathy
Correct Answer: C
Rationale:
This patient has mild anemia of pregnancy, common in the second and third trimesters due to plasma volume expansion
exceeding red blood cell mass production. Oral iron supplementation with vitamin C enhances absorption. Intravenous iron is
reserved for severe anemia or intolerance to oral iron, and referral to hematology is unnecessary at this stage.
Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis 2026/2027 2026/2027 | Passing Score: 80%
, Q3 Question 3 of 75
A 24-year-old woman presents to the prenatal clinic for her first visit. Her last menstrual period began
on January 5. Using Nagele's rule, the nurse calculates her estimated date of delivery.
A. January 5
B. September 28
C. October 12
D. October 5
Correct Answer: C
Rationale:
Nagele's rule calculates the estimated date of delivery by subtracting three months from the first day of the last menstrual
period and then adding seven days. January 5 minus three months is October 5, plus seven days gives October 12. This
method assumes a 28-day menstrual cycle and is the standard approach for dating pregnancies.
Q4 Question 4 of 75
A 30-year-old pregnant woman at 18 weeks gestation asks the nurse about which screening tests are
routinely performed during the second trimester. She has no significant medical history and her
first-trimester screening was normal.
A. Amniocentesis for fetal karyotype analysis to confirm genetic normality
B. Non-stress test twice weekly beginning at this gestational age to monitor fetal well-being
C. Oral glucose tolerance test at this visit to screen for gestational diabetes mellitus
D. Maternal serum alpha-fetoprotein level and anatomy ultrasound between 18 and 22 weeks
Correct Answer: D
Rationale:
The second trimester routine screening includes maternal serum alpha-fetoprotein as part of the quad screen and a detailed
fetal anatomy ultrasound between 18 and 22 weeks gestation. The glucose challenge test is performed between 24 and 28
weeks, not at 18 weeks. Amniocentesis is a diagnostic test reserved for high-risk pregnancies, not routine screening.
Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis 2026/2027 2026/2027 | Passing Score: 80%
, Q5 Question 5 of 75
A 26-year-old woman at 8 weeks gestation experiences persistent nausea and vomiting that limits her
ability to keep down food and fluids. She has lost 3 pounds since her last visit two weeks ago and
reports dizziness when standing.
A. Recommend small frequent meals of bland crackers and suggest she take vitamin B6 supplements
B. Instruct her to stop taking her prenatal vitamin entirely until the nausea resolves on its own
C. Admit her for intravenous hydration and prescribe ondansetron for nausea control
D. Advise her that nausea is normal and she should try drinking ginger ale between meals
Correct Answer: C
Rationale:
This patient has hyperemesis gravidarum, characterized by persistent vomiting, weight loss, and signs of dehydration such as
dizziness upon standing. Unlike mild morning sickness, hyperemesis requires medical intervention including IV hydration and
antiemetic therapy. B6 supplementation is appropriate for mild nausea but insufficient when dehydration and weight loss are
present.
Q6 Question 6 of 75
A 35-year-old woman who is pregnant with her third child is classified as G3P2002 in her medical
record. The nurse needs to explain this classification to a nursing student during a clinical rotation.
A. Three pregnancies, two term births, zero preterm births, two living children, and two miscarriages
B. Three gestations, two pregnancies reaching 20 weeks, zero preterm births, and two surviving
infants
C. Three pregnancies total with two deliveries, zero abortions, and two children currently alive
D. Gravida 3, Para 2 with two term infants, zero preterm deliveries, and two currently living children
Correct Answer: D
Rationale:
The GTPAL system breaks down as: G=gravida (total pregnancies), T=term births at 37 weeks or greater, P=preterm births
between 20 and 37 weeks, A=abortions or miscarriages before 20 weeks, L=living children. G3P2002 means three total
pregnancies, two term births, zero preterm births, zero abortions, and two living children, which matches option B precisely.
Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis 2026/2027 2026/2027 | Passing Score: 80%
Verified Answers 100% Correct | Grade A - Fortis 2026/2027
OBJECTIVE ASSESSMENT - EXAM
Exam 2: NUR202 / NUR 202 (Latest
2026/2027 Update)
Maternal-Newborn Nursing |
Questions and Verified Answers
100% Correct | Grade A - Fortis
2026/2027
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Maternal Adaptation to Pregnancy
Newborn Adaptation and Care
Labor and Birth
High-Risk Perinatal Conditions
Postpartum Adaptation
Fetal Monitoring and Assessment
COVER PAGE - 1
, SECTION 1 | Maternal Adaptation to Pregnancy | Q1-Q15 | Exam 2: NUR202 / NUR 202 (Latest
2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade
A - Fortis 2026/2027 2026/2027
Q1 Question 1 of 75
A 28-year-old woman at 12 weeks gestation reports feeling short of breath during routine activities.
Her vital signs are BP 110/70 mmHg, HR 88 bpm, RR 20/min, and SpO2 98% on room air. Her lungs
are clear to auscultation bilaterally.
A. She requires immediate supplemental oxygen and a chest X-ray to rule out pulmonary embolism
B. This finding indicates developing preeclampsia and she should be started on low-dose aspirin
C. This is an expected respiratory change caused by the progesterone-mediated increase in tidal
volume and decreased residual capacity
D. She should be advised to restrict physical activity and return for weekly monitoring visits
Correct Answer: C
Rationale:
During pregnancy, progesterone causes relaxation of smooth muscle including respiratory tract muscles, leading to increased
tidal volume by 30-40%. This physiological hyperventilation causes the subjective sensation of dyspnea even in the absence
of pathology. Supplemental oxygen is unnecessary because oxygen saturation is normal at 98% and lung fields are clear.
Q2 Question 2 of 75
A 32-year-old primigravida at 24 weeks gestation has a hemoglobin level of 10.2 g/dL and a
hematocrit of 31%. She reports mild fatigue but otherwise feels well and eats a balanced diet.
A. Begin intravenous iron sucrose infusion immediately to correct the anemia before delivery
B. Reassure the patient that these values are within the expected range for pregnancy and no
treatment is needed
C. Prescribe oral ferrous sulfate 325 mg daily and advise taking it with a glass of orange juice
D. Refer her to a hematologist for further evaluation of possible hemoglobinopathy
Correct Answer: C
Rationale:
This patient has mild anemia of pregnancy, common in the second and third trimesters due to plasma volume expansion
exceeding red blood cell mass production. Oral iron supplementation with vitamin C enhances absorption. Intravenous iron is
reserved for severe anemia or intolerance to oral iron, and referral to hematology is unnecessary at this stage.
Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis 2026/2027 2026/2027 | Passing Score: 80%
, Q3 Question 3 of 75
A 24-year-old woman presents to the prenatal clinic for her first visit. Her last menstrual period began
on January 5. Using Nagele's rule, the nurse calculates her estimated date of delivery.
A. January 5
B. September 28
C. October 12
D. October 5
Correct Answer: C
Rationale:
Nagele's rule calculates the estimated date of delivery by subtracting three months from the first day of the last menstrual
period and then adding seven days. January 5 minus three months is October 5, plus seven days gives October 12. This
method assumes a 28-day menstrual cycle and is the standard approach for dating pregnancies.
Q4 Question 4 of 75
A 30-year-old pregnant woman at 18 weeks gestation asks the nurse about which screening tests are
routinely performed during the second trimester. She has no significant medical history and her
first-trimester screening was normal.
A. Amniocentesis for fetal karyotype analysis to confirm genetic normality
B. Non-stress test twice weekly beginning at this gestational age to monitor fetal well-being
C. Oral glucose tolerance test at this visit to screen for gestational diabetes mellitus
D. Maternal serum alpha-fetoprotein level and anatomy ultrasound between 18 and 22 weeks
Correct Answer: D
Rationale:
The second trimester routine screening includes maternal serum alpha-fetoprotein as part of the quad screen and a detailed
fetal anatomy ultrasound between 18 and 22 weeks gestation. The glucose challenge test is performed between 24 and 28
weeks, not at 18 weeks. Amniocentesis is a diagnostic test reserved for high-risk pregnancies, not routine screening.
Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis 2026/2027 2026/2027 | Passing Score: 80%
, Q5 Question 5 of 75
A 26-year-old woman at 8 weeks gestation experiences persistent nausea and vomiting that limits her
ability to keep down food and fluids. She has lost 3 pounds since her last visit two weeks ago and
reports dizziness when standing.
A. Recommend small frequent meals of bland crackers and suggest she take vitamin B6 supplements
B. Instruct her to stop taking her prenatal vitamin entirely until the nausea resolves on its own
C. Admit her for intravenous hydration and prescribe ondansetron for nausea control
D. Advise her that nausea is normal and she should try drinking ginger ale between meals
Correct Answer: C
Rationale:
This patient has hyperemesis gravidarum, characterized by persistent vomiting, weight loss, and signs of dehydration such as
dizziness upon standing. Unlike mild morning sickness, hyperemesis requires medical intervention including IV hydration and
antiemetic therapy. B6 supplementation is appropriate for mild nausea but insufficient when dehydration and weight loss are
present.
Q6 Question 6 of 75
A 35-year-old woman who is pregnant with her third child is classified as G3P2002 in her medical
record. The nurse needs to explain this classification to a nursing student during a clinical rotation.
A. Three pregnancies, two term births, zero preterm births, two living children, and two miscarriages
B. Three gestations, two pregnancies reaching 20 weeks, zero preterm births, and two surviving
infants
C. Three pregnancies total with two deliveries, zero abortions, and two children currently alive
D. Gravida 3, Para 2 with two term infants, zero preterm deliveries, and two currently living children
Correct Answer: D
Rationale:
The GTPAL system breaks down as: G=gravida (total pregnancies), T=term births at 37 weeks or greater, P=preterm births
between 20 and 37 weeks, A=abortions or miscarriages before 20 weeks, L=living children. G3P2002 means three total
pregnancies, two term births, zero preterm births, zero abortions, and two living children, which matches option B precisely.
Exam 2: NUR202 / NUR 202 (Latest 2026/2027 Update) Maternal-Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis 2026/2027 2026/2027 | Passing Score: 80%
