Maternity EXAM NEWEST COMPLETE 230 QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100% CORRECT)
/ALREADY GRADED A+
Category 1: Antepartum (Prenatal Care & Physiology) - *Questions 1–30*
1. A patient at 10 weeks gestation reports frequent urination. What is the primary
physiological cause?
A) Urinary tract infection
B) Increased glomerular filtration rate and bladder compression by the uterus
C) Decreased antidiuretic hormone (ADH)
D) Increased bladder capacity
Answer: B
*Rationale:* During the first trimester, the enlarging uterus compresses the
bladder, and increased renal blood flow raises the glomerular filtration rate (GFR),
leading to increased urine production and frequency.
2. A pregnant woman asks when the baby's heartbeat can first be heard with a
Doppler stethoscope. What is the correct response?
A) 6–8 weeks
B) 10–12 weeks
C) 14–16 weeks
,D) 18–20 weeks
Answer: B
*Rationale:* Fetal heart tones are typically detectable by Doppler ultrasound
between 10 and 12 weeks of gestation. A fetoscope may detect them later (18–20
weeks).
3. A nurse is calculating the estimated date of birth (EDB) using Naegele's rule for
a woman with a last menstrual period (LMP) of May 10. What is the EDB?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B
*Rationale:* Naegele's rule: LMP (May 10) – 3 months = February 10; + 7 days =
February 17.
4. What is the expected weight gain pattern during the first trimester for a woman
with a normal BMI?
A) 4–6 lbs total
B) 1–2 lbs total
C) 3–5 lbs total
D) 0.5–2 lbs total
Answer: D
,*Rationale:* Recommended weight gain in the first trimester for normal BMI is
only 0.5 to 2 kg (1–4 lbs) total. Most weight gain occurs in the second and third
trimesters.
5. Which hormone is responsible for maintaining the corpus luteum and
pregnancy until the placenta takes over?
A) Estrogen
B) Progesterone
C) Human chorionic gonadotropin (hCG)
D) Relaxin
Answer: C
*Rationale:* hCG, produced by the trophoblast, maintains the corpus luteum,
which secretes progesterone and estrogen to sustain the pregnancy during the
first 10–12 weeks.
6. A patient at 32 weeks reports heartburn. Which of the following nursing
instructions is most appropriate?
A) Lie down immediately after eating
B) Eat small, frequent meals and avoid spicy foods
C) Drink large amounts of fluid with meals
D) Increase carbohydrate intake
Answer: B
*Rationale:* Heartburn (pyrosis) is caused by progesterone relaxing the cardiac
sphincter and the uterus pushing against the stomach. Small, frequent meals and
avoiding triggers help minimize symptoms.
, 7. During a prenatal visit at 16 weeks, the fundus is palpated halfway between the
symphysis pubis and the umbilicus. What does this indicate?
A) The fetus is growth-restricted
B) The gestational age is accurate
C) The patient has polyhydramnios
D) The patient is carrying twins
Answer: B
*Rationale:* At 16 weeks, the fundal height is typically midway between the
symphysis pubis and the umbilicus. This matches the expected growth for
gestational age.
8. A pregnant patient has a rubella titer of 1:8. What does this indicate?
A) Active rubella infection
B) Immunity to rubella
C) Non-immunity to rubella; needs vaccination postpartum
D) Congenital rubella syndrome
Answer: C
*Rationale:* A rubella titer of 1:8 or less indicates a lack of immunity. The patient
should receive the MMR vaccine postpartum (not during pregnancy, as it is a live
virus vaccine).
9. Which fetal circulation structure bypasses the lungs by shunting blood from the
pulmonary artery to the aorta?
A) Foramen ovale
B) Ductus venosus
WITH DETAILED VERIFIED ANSWERS (100% CORRECT)
/ALREADY GRADED A+
Category 1: Antepartum (Prenatal Care & Physiology) - *Questions 1–30*
1. A patient at 10 weeks gestation reports frequent urination. What is the primary
physiological cause?
A) Urinary tract infection
B) Increased glomerular filtration rate and bladder compression by the uterus
C) Decreased antidiuretic hormone (ADH)
D) Increased bladder capacity
Answer: B
*Rationale:* During the first trimester, the enlarging uterus compresses the
bladder, and increased renal blood flow raises the glomerular filtration rate (GFR),
leading to increased urine production and frequency.
2. A pregnant woman asks when the baby's heartbeat can first be heard with a
Doppler stethoscope. What is the correct response?
A) 6–8 weeks
B) 10–12 weeks
C) 14–16 weeks
,D) 18–20 weeks
Answer: B
*Rationale:* Fetal heart tones are typically detectable by Doppler ultrasound
between 10 and 12 weeks of gestation. A fetoscope may detect them later (18–20
weeks).
3. A nurse is calculating the estimated date of birth (EDB) using Naegele's rule for
a woman with a last menstrual period (LMP) of May 10. What is the EDB?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B
*Rationale:* Naegele's rule: LMP (May 10) – 3 months = February 10; + 7 days =
February 17.
4. What is the expected weight gain pattern during the first trimester for a woman
with a normal BMI?
A) 4–6 lbs total
B) 1–2 lbs total
C) 3–5 lbs total
D) 0.5–2 lbs total
Answer: D
,*Rationale:* Recommended weight gain in the first trimester for normal BMI is
only 0.5 to 2 kg (1–4 lbs) total. Most weight gain occurs in the second and third
trimesters.
5. Which hormone is responsible for maintaining the corpus luteum and
pregnancy until the placenta takes over?
A) Estrogen
B) Progesterone
C) Human chorionic gonadotropin (hCG)
D) Relaxin
Answer: C
*Rationale:* hCG, produced by the trophoblast, maintains the corpus luteum,
which secretes progesterone and estrogen to sustain the pregnancy during the
first 10–12 weeks.
6. A patient at 32 weeks reports heartburn. Which of the following nursing
instructions is most appropriate?
A) Lie down immediately after eating
B) Eat small, frequent meals and avoid spicy foods
C) Drink large amounts of fluid with meals
D) Increase carbohydrate intake
Answer: B
*Rationale:* Heartburn (pyrosis) is caused by progesterone relaxing the cardiac
sphincter and the uterus pushing against the stomach. Small, frequent meals and
avoiding triggers help minimize symptoms.
, 7. During a prenatal visit at 16 weeks, the fundus is palpated halfway between the
symphysis pubis and the umbilicus. What does this indicate?
A) The fetus is growth-restricted
B) The gestational age is accurate
C) The patient has polyhydramnios
D) The patient is carrying twins
Answer: B
*Rationale:* At 16 weeks, the fundal height is typically midway between the
symphysis pubis and the umbilicus. This matches the expected growth for
gestational age.
8. A pregnant patient has a rubella titer of 1:8. What does this indicate?
A) Active rubella infection
B) Immunity to rubella
C) Non-immunity to rubella; needs vaccination postpartum
D) Congenital rubella syndrome
Answer: C
*Rationale:* A rubella titer of 1:8 or less indicates a lack of immunity. The patient
should receive the MMR vaccine postpartum (not during pregnancy, as it is a live
virus vaccine).
9. Which fetal circulation structure bypasses the lungs by shunting blood from the
pulmonary artery to the aorta?
A) Foramen ovale
B) Ductus venosus
