OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
Question 1
A nurse is assessing a client at 12 weeks gestation. Which finding is consistent with normal
pregnancy at this stage?
A) Fundus palpable at the umbilicus
B) Fundus palpable just above the symphysis pubis
C) Quickening reported by the client
D) Braxton Hicks contractions noted
Answer: B) Fundus palpable just above the symphysis pubis
Rationale: At 12 weeks, the fundus is palpable just above the symphysis pubis. The fundus
reaches the umbilicus at 20 weeks. Quickening is typically felt at 16–20 weeks. Braxton Hicks
contractions occur in the second and third trimesters.
Question 2
A client at 8 weeks gestation reports nausea and vomiting, especially in the morning. The nurse
should recommend:
A) Avoid fluids with meals
B) Drink fluids between meals
C) Eat a heavy meal before bedtime
D) Skip breakfast
,OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
Answer: B) Drink fluids between meals
Rationale: To manage nausea and vomiting in early pregnancy, clients should drink fluids
between meals rather than with meals to avoid gastric distension. Eating small, frequent meals
and avoiding fatty/spicy foods is also recommended.
Question 3
Chadwick's sign in pregnancy refers to:
A) Softening of the cervix
B) Bluish-purple discoloration of the vaginal mucosa and cervix
C) Palpable uterine contractions
D) Fetal movement felt by the examiner
Answer: B) Bluish-purple discoloration of the vaginal mucosa and cervix
Rationale: Chadwick's sign is the bluish-purple coloration of the vaginal mucosa and cervix due
to increased vascularity. It is a probable sign of pregnancy. Goodell's sign is softening of the
cervix. Hegar's sign is softening of the lower... (text cut off in image)
Question 4
A client at 16 weeks gestation asks if she should be feeling fetal movement. The nurse should
respond:
,OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
A) "Most women feel movement by 12 weeks."
B) "You should feel movement by now; we should assess the fetus."
C) "Primigravidas often feel movement at 18–20 weeks."
D) "You won't feel movement until the third trimester."
Answer: C) "Primigravidas often feel movement at 18–20 weeks."
Rationale: Quickening (first fetal movement) is typically felt by primigravidas at 18–20 weeks
and by multigravidas at 16–18 weeks. Reassuring the client with this information is appropriate.
Question 5
Preconception counseling should include folic acid supplementation at what dose?
A) 0.2 mg/day
B) 0.4 mg/day
C) 0.8 mg/day
D) 4.0 mg/day
Answer: B) 0.4 mg/day
Rationale: The CDC recommends 400 mcg (0.4 mg) of folic acid daily for all women of
childbearing age to reduce the risk of neural tube defects. Higher doses (4.0 mg) are
recommended for women with a history of neural tube defects.
, OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
Note: Question 6 is omitted as it was completely cut off in the provided screenshots, showing
only the end of a rationale regarding Nägele's rule.
Question 7
A client asks about weight gain during pregnancy. The nurse should recommend weight gain of
how many pounds for a woman with a normal pre-pregnancy BMI?
A) 11–20 pounds
B) 15–25 pounds
C) 25–35 pounds
D) 28–40 pounds
Answer: C) 25–35 pounds
Rationale: For women with a normal pre-pregnancy BMI (18.5–24.9), the recommended total
weight gain during pregnancy is 25–35 pounds (11.5–16 kg). Underweight women should gain
28–40 pounds, while overweight women should gain 15–25 pounds.
Question 8
During a prenatal visit at 24 weeks' gestation, where should the nurse expect to palpate the
uterine fundus?
A) At the xiphoid process
B) At the level of the umbilicus
with Correct Answers and Detailed
Rationales - Latest Update 2026
Question 1
A nurse is assessing a client at 12 weeks gestation. Which finding is consistent with normal
pregnancy at this stage?
A) Fundus palpable at the umbilicus
B) Fundus palpable just above the symphysis pubis
C) Quickening reported by the client
D) Braxton Hicks contractions noted
Answer: B) Fundus palpable just above the symphysis pubis
Rationale: At 12 weeks, the fundus is palpable just above the symphysis pubis. The fundus
reaches the umbilicus at 20 weeks. Quickening is typically felt at 16–20 weeks. Braxton Hicks
contractions occur in the second and third trimesters.
Question 2
A client at 8 weeks gestation reports nausea and vomiting, especially in the morning. The nurse
should recommend:
A) Avoid fluids with meals
B) Drink fluids between meals
C) Eat a heavy meal before bedtime
D) Skip breakfast
,OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
Answer: B) Drink fluids between meals
Rationale: To manage nausea and vomiting in early pregnancy, clients should drink fluids
between meals rather than with meals to avoid gastric distension. Eating small, frequent meals
and avoiding fatty/spicy foods is also recommended.
Question 3
Chadwick's sign in pregnancy refers to:
A) Softening of the cervix
B) Bluish-purple discoloration of the vaginal mucosa and cervix
C) Palpable uterine contractions
D) Fetal movement felt by the examiner
Answer: B) Bluish-purple discoloration of the vaginal mucosa and cervix
Rationale: Chadwick's sign is the bluish-purple coloration of the vaginal mucosa and cervix due
to increased vascularity. It is a probable sign of pregnancy. Goodell's sign is softening of the
cervix. Hegar's sign is softening of the lower... (text cut off in image)
Question 4
A client at 16 weeks gestation asks if she should be feeling fetal movement. The nurse should
respond:
,OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
A) "Most women feel movement by 12 weeks."
B) "You should feel movement by now; we should assess the fetus."
C) "Primigravidas often feel movement at 18–20 weeks."
D) "You won't feel movement until the third trimester."
Answer: C) "Primigravidas often feel movement at 18–20 weeks."
Rationale: Quickening (first fetal movement) is typically felt by primigravidas at 18–20 weeks
and by multigravidas at 16–18 weeks. Reassuring the client with this information is appropriate.
Question 5
Preconception counseling should include folic acid supplementation at what dose?
A) 0.2 mg/day
B) 0.4 mg/day
C) 0.8 mg/day
D) 4.0 mg/day
Answer: B) 0.4 mg/day
Rationale: The CDC recommends 400 mcg (0.4 mg) of folic acid daily for all women of
childbearing age to reduce the risk of neural tube defects. Higher doses (4.0 mg) are
recommended for women with a history of neural tube defects.
, OB/NB SU Exam 4 | Complete Questions
with Correct Answers and Detailed
Rationales - Latest Update 2026
Note: Question 6 is omitted as it was completely cut off in the provided screenshots, showing
only the end of a rationale regarding Nägele's rule.
Question 7
A client asks about weight gain during pregnancy. The nurse should recommend weight gain of
how many pounds for a woman with a normal pre-pregnancy BMI?
A) 11–20 pounds
B) 15–25 pounds
C) 25–35 pounds
D) 28–40 pounds
Answer: C) 25–35 pounds
Rationale: For women with a normal pre-pregnancy BMI (18.5–24.9), the recommended total
weight gain during pregnancy is 25–35 pounds (11.5–16 kg). Underweight women should gain
28–40 pounds, while overweight women should gain 15–25 pounds.
Question 8
During a prenatal visit at 24 weeks' gestation, where should the nurse expect to palpate the
uterine fundus?
A) At the xiphoid process
B) At the level of the umbilicus
