2026 Maternal–Newborn Practice
Assessment A Nursing Practice
Examination for Safe Pregnancy, Labor,
Birth, Postpartum, and Newborn Care
Questions Answers and Rationales And
PDF download
1. During the first prenatal visit, which laboratory test is
essential for identifying Rh incompatibility risk?
A. Serum glucose
B. Blood type and Rh factor
C. Liver function test
D. Electrolyte panel
Answer: B. Blood type and Rh factor
Rationale: Determining maternal ABO blood group and Rh
status identifies mothers at risk for Rh incompatibility and
guides Rh immune globulin administration.
,2. Which finding is considered a presumptive sign of
pregnancy?
A. Positive fetal heart tones
B. Ultrasound visualization of fetus
C. Amenorrhea
D. Fetal movement palpated by provider
Answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive sign because it
suggests, but does not confirm, pregnancy.
3. A nurse teaches a pregnant client about folic acid. The
primary purpose is to reduce the risk of:
A. Gestational diabetes
B. Neural tube defects
C. Hypertension
D. Placental abruption
Answer: B. Neural tube defects
Rationale: Adequate folic acid intake before conception and
during early pregnancy reduces neural tube defects.
4. Which assessment finding requires immediate reporting
during pregnancy?
,A. Mild ankle edema at the end of the day
B. Blood pressure of 164/108 mm Hg
C. Occasional urinary frequency
D. Increased appetite
Answer: B. Blood pressure of 164/108 mm Hg
Rationale: Severe hypertension may indicate preeclampsia and
requires prompt evaluation.
5. Which hormone primarily maintains pregnancy during the
first trimester?
A. Oxytocin
B. Human chorionic gonadotropin (hCG)
C. Prolactin
D. Relaxin
Answer: B. Human chorionic gonadotropin (hCG)
Rationale: hCG maintains the corpus luteum until the placenta
produces sufficient progesterone.
6. A client at 32 weeks reports regular contractions every 5
minutes. What is the priority nursing action?
A. Encourage walking
B. Assess cervical changes and notify the provider
, C. Offer oral fluids only
D. Schedule a follow-up visit next week
Answer: B. Assess cervical changes and notify the provider
Rationale: Regular contractions before 37 weeks may indicate
preterm labor requiring immediate evaluation.
7. Which maternal position improves uteroplacental blood
flow during pregnancy?
A. Supine
B. Left lateral
C. Prone
D. High Fowler's
Answer: B. Left lateral
Rationale: The left lateral position reduces vena cava
compression and improves placental perfusion.
8. Which finding indicates effective breastfeeding?
A. Infant sleeps continuously for 8 hours
B. Audible swallowing during feeding
C. Maternal nipple pain throughout feeding
D. Infant feeds once daily
Answer: B. Audible swallowing during feeding
Assessment A Nursing Practice
Examination for Safe Pregnancy, Labor,
Birth, Postpartum, and Newborn Care
Questions Answers and Rationales And
PDF download
1. During the first prenatal visit, which laboratory test is
essential for identifying Rh incompatibility risk?
A. Serum glucose
B. Blood type and Rh factor
C. Liver function test
D. Electrolyte panel
Answer: B. Blood type and Rh factor
Rationale: Determining maternal ABO blood group and Rh
status identifies mothers at risk for Rh incompatibility and
guides Rh immune globulin administration.
,2. Which finding is considered a presumptive sign of
pregnancy?
A. Positive fetal heart tones
B. Ultrasound visualization of fetus
C. Amenorrhea
D. Fetal movement palpated by provider
Answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive sign because it
suggests, but does not confirm, pregnancy.
3. A nurse teaches a pregnant client about folic acid. The
primary purpose is to reduce the risk of:
A. Gestational diabetes
B. Neural tube defects
C. Hypertension
D. Placental abruption
Answer: B. Neural tube defects
Rationale: Adequate folic acid intake before conception and
during early pregnancy reduces neural tube defects.
4. Which assessment finding requires immediate reporting
during pregnancy?
,A. Mild ankle edema at the end of the day
B. Blood pressure of 164/108 mm Hg
C. Occasional urinary frequency
D. Increased appetite
Answer: B. Blood pressure of 164/108 mm Hg
Rationale: Severe hypertension may indicate preeclampsia and
requires prompt evaluation.
5. Which hormone primarily maintains pregnancy during the
first trimester?
A. Oxytocin
B. Human chorionic gonadotropin (hCG)
C. Prolactin
D. Relaxin
Answer: B. Human chorionic gonadotropin (hCG)
Rationale: hCG maintains the corpus luteum until the placenta
produces sufficient progesterone.
6. A client at 32 weeks reports regular contractions every 5
minutes. What is the priority nursing action?
A. Encourage walking
B. Assess cervical changes and notify the provider
, C. Offer oral fluids only
D. Schedule a follow-up visit next week
Answer: B. Assess cervical changes and notify the provider
Rationale: Regular contractions before 37 weeks may indicate
preterm labor requiring immediate evaluation.
7. Which maternal position improves uteroplacental blood
flow during pregnancy?
A. Supine
B. Left lateral
C. Prone
D. High Fowler's
Answer: B. Left lateral
Rationale: The left lateral position reduces vena cava
compression and improves placental perfusion.
8. Which finding indicates effective breastfeeding?
A. Infant sleeps continuously for 8 hours
B. Audible swallowing during feeding
C. Maternal nipple pain throughout feeding
D. Infant feeds once daily
Answer: B. Audible swallowing during feeding
