, NUR 2513 Maternal-Child Nursing | Rasmussen College |
Academic Year 2026/2027 | Examination 2 Comprehensive
Examination | 75 Verified Questions and Correct Answer
Rationales | | verified by experts .
Section 1: Antepartum & Prenatal Care (Questions 1–20)
Question 1: A primigravida at 32 weeks gestation presents for a routine prenatal visit. Fundal
height measurement is 28 cm. At the 28-week visit, fundal height was 26 cm. Fetal heart rate is
142 bpm. The patient reports feeling fetal movement daily. What is the PRIORITY nursing
action?
A. Prepare the patient for an immediate cesarean section
B. Notify the healthcare provider of the fundal height discrepancy and prepare for further
evaluation, such as ultrasound
C. Reassure the patient that fundal height measurements can vary and continue routine care
D. Instruct the patient to increase caloric intake to promote fetal growth
CorreCt Answer: B. Notify the healthcare provider of the fundal height discrepancy and
prepare for further evaluation, such as ultrasound
rAtionAle: Fundal height in centimeters should approximate gestational age in weeks (±2-3
cm) between 20-34 weeks. A fundal height of 28 cm at 32 weeks is a 4 cm discrepancy, which
exceeds the acceptable variance. This may indicate intrauterine growth restriction (IUGR) or
other issues, requiring provider notification and further evaluation, typically an ultrasound.
Question 2: A patient at 10 weeks gestation reports moderate to severe nausea and vomiting
that occurs throughout the day, not just in the morning. She reports losing 4 pounds over the
past 3 weeks. She has ketones in her urine. The nurse recognizes these findings are MOST
consistent with:
A. Morning sickness—an expected finding in the first trimester
B. Hyperemesis gravidarum
C. Gastroenteritis
D. Food poisoning
CorreCt Answer: B. Hyperemesis gravidarum
rAtionAle: Hyperemesis gravidarum is a severe form of nausea and vomiting in pregnancy
that can lead to weight loss, dehydration, and ketonuria, distinguishing it from typical morning
sickness.
, Question 3: The nurse is teaching a patient who is 12 weeks pregnant about recommended
weight gain. The patient has a pre-pregnancy BMI of 23 kg/m² (normal weight). What is the
recommended total weight gain?
A. 11-20 pounds (5-9 kg)
B. 15-25 pounds (7-11.5 kg)
C. 25-35 pounds (11.5-16 kg)
D. 28-40 pounds (12.5-18 kg)
CorreCt Answer: C. 25-35 pounds (11.5-16 kg)
rAtionAle: The Institute of Medicine (IOM) recommends a total weight gain of 25-35 pounds
(11.5-16 kg) for women with a normal pre-pregnancy BMI (18.5-24.9 kg/m²).
Question 4: A patient at 34 weeks gestation calls the clinic and reports a sudden gush of clear
fluid from her vagina. What instruction should the nurse prioritize?
A. "Take acetaminophen and go back to bed"
B. "Come to the clinic or hospital immediately for evaluation"
C. "Drink extra fluids and rest for 24 hours"
D. "Wait until your next scheduled appointment"
CorreCt Answer: B. "Come to the clinic or hospital immediately for evaluation"
rAtionAle: A sudden gush of fluid at 34 weeks could indicate preterm premature rupture of
membranes (PPROM), requiring immediate evaluation to prevent infection and assess for labor.
Question 5: A pregnant patient with Rh-negative blood type is scheduled to receive Rho(D)
immune globulin (RhoGAM). At which gestational age is this typically administered to prevent
sensitization?
A. 16 weeks
B. 20 weeks
C. 28 weeks
D. 32 weeks
CorreCt Answer: C. 28 weeks
rAtionAle: RhoGAM is routinely given to unsensitized Rh-negative mothers at 28 weeks
gestation to prevent antibody formation. A second dose is given within 72 hours after birth if the
infant is Rh-positive.
Question 6: The nurse is teaching a client the importance of folic acid in the diet and how folic
acid supplements might be beneficial in her first trimester of pregnancy. For what reason is the
nurse teaching the client about this vitamin?
Academic Year 2026/2027 | Examination 2 Comprehensive
Examination | 75 Verified Questions and Correct Answer
Rationales | | verified by experts .
Section 1: Antepartum & Prenatal Care (Questions 1–20)
Question 1: A primigravida at 32 weeks gestation presents for a routine prenatal visit. Fundal
height measurement is 28 cm. At the 28-week visit, fundal height was 26 cm. Fetal heart rate is
142 bpm. The patient reports feeling fetal movement daily. What is the PRIORITY nursing
action?
A. Prepare the patient for an immediate cesarean section
B. Notify the healthcare provider of the fundal height discrepancy and prepare for further
evaluation, such as ultrasound
C. Reassure the patient that fundal height measurements can vary and continue routine care
D. Instruct the patient to increase caloric intake to promote fetal growth
CorreCt Answer: B. Notify the healthcare provider of the fundal height discrepancy and
prepare for further evaluation, such as ultrasound
rAtionAle: Fundal height in centimeters should approximate gestational age in weeks (±2-3
cm) between 20-34 weeks. A fundal height of 28 cm at 32 weeks is a 4 cm discrepancy, which
exceeds the acceptable variance. This may indicate intrauterine growth restriction (IUGR) or
other issues, requiring provider notification and further evaluation, typically an ultrasound.
Question 2: A patient at 10 weeks gestation reports moderate to severe nausea and vomiting
that occurs throughout the day, not just in the morning. She reports losing 4 pounds over the
past 3 weeks. She has ketones in her urine. The nurse recognizes these findings are MOST
consistent with:
A. Morning sickness—an expected finding in the first trimester
B. Hyperemesis gravidarum
C. Gastroenteritis
D. Food poisoning
CorreCt Answer: B. Hyperemesis gravidarum
rAtionAle: Hyperemesis gravidarum is a severe form of nausea and vomiting in pregnancy
that can lead to weight loss, dehydration, and ketonuria, distinguishing it from typical morning
sickness.
, Question 3: The nurse is teaching a patient who is 12 weeks pregnant about recommended
weight gain. The patient has a pre-pregnancy BMI of 23 kg/m² (normal weight). What is the
recommended total weight gain?
A. 11-20 pounds (5-9 kg)
B. 15-25 pounds (7-11.5 kg)
C. 25-35 pounds (11.5-16 kg)
D. 28-40 pounds (12.5-18 kg)
CorreCt Answer: C. 25-35 pounds (11.5-16 kg)
rAtionAle: The Institute of Medicine (IOM) recommends a total weight gain of 25-35 pounds
(11.5-16 kg) for women with a normal pre-pregnancy BMI (18.5-24.9 kg/m²).
Question 4: A patient at 34 weeks gestation calls the clinic and reports a sudden gush of clear
fluid from her vagina. What instruction should the nurse prioritize?
A. "Take acetaminophen and go back to bed"
B. "Come to the clinic or hospital immediately for evaluation"
C. "Drink extra fluids and rest for 24 hours"
D. "Wait until your next scheduled appointment"
CorreCt Answer: B. "Come to the clinic or hospital immediately for evaluation"
rAtionAle: A sudden gush of fluid at 34 weeks could indicate preterm premature rupture of
membranes (PPROM), requiring immediate evaluation to prevent infection and assess for labor.
Question 5: A pregnant patient with Rh-negative blood type is scheduled to receive Rho(D)
immune globulin (RhoGAM). At which gestational age is this typically administered to prevent
sensitization?
A. 16 weeks
B. 20 weeks
C. 28 weeks
D. 32 weeks
CorreCt Answer: C. 28 weeks
rAtionAle: RhoGAM is routinely given to unsensitized Rh-negative mothers at 28 weeks
gestation to prevent antibody formation. A second dose is given within 72 hours after birth if the
infant is Rh-positive.
Question 6: The nurse is teaching a client the importance of folic acid in the diet and how folic
acid supplements might be beneficial in her first trimester of pregnancy. For what reason is the
nurse teaching the client about this vitamin?
