Maternal-Child Nursing (NUR 2513) MATERNAL FINAL Exam
2026;Three Different Versions Actual Questions and Answers Solved
100%- Rasmussen
Course
Maternal-Child Nursing
1. A pregnant client asks why folic acid is recommended before conception and during early
pregnancy. Which response by the nurse is correct?
A. “It prevents gestational hypertension.”
B. “It reduces the risk of neural tube defects.”
C. “It prevents postpartum hemorrhage.”
D. “It eliminates the risk of preterm labor.”
Answer: B. “It reduces the risk of neural tube defects.”
Rationale: Adequate folic acid before conception and during early pregnancy reduces the risk of
fetal neural tube defects.
2. Which finding is considered a presumptive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive ultrasound visualization of the fetus
C. Amenorrhea
D. Fetal movement palpated by the examiner
Answer: C. Amenorrhea
Rationale: Presumptive signs are subjective or reported by the client. Amenorrhea, nausea, breast
changes, and urinary frequency are examples. Fetal heart activity and ultrasound visualization
are positive signs.
, 3. A client at 12 weeks' gestation asks when fetal heart activity can commonly be detected
using a Doppler device. Which response is appropriate?
A. “It can commonly be detected during the first trimester.”
B. “It cannot be detected until after 30 weeks.”
C. “It is only detectable after delivery.”
D. “It can only be detected by abdominal palpation.”
Answer: A. “It can commonly be detected during the first trimester.”
Rationale: Doppler ultrasound can commonly detect fetal cardiac activity during the first
trimester, although the exact timing varies with gestational age and equipment.
4. A client with a normal prepregnancy BMI asks about expected total weight gain during
pregnancy. Which amount is generally recommended?
A. 5–10 lb
B. 11–20 lb
C. 25–35 lb
D. 45–55 lb
Answer: C. 25–35 lb
Rationale: For a singleton pregnancy in a client with a normal prepregnancy BMI, the commonly
recommended total weight gain is approximately 25–35 lb.
5. Which nutrient is particularly important during pregnancy because of its role in
preventing neural tube defects?
,A. Folic acid
B. Vitamin K
C. Vitamin E
D. Sodium
Answer: A. Folic acid
Rationale: Folate is essential for neural tube development. Adequate intake before conception
and during early pregnancy is particularly important.
6. A pregnant client reports persistent vomiting, inability to maintain oral intake, weight
loss, and signs of dehydration. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Placenta previa
C. Gestational hypertension
D. Braxton Hicks contractions
Answer: A. Hyperemesis gravidarum
Rationale: Hyperemesis gravidarum involves severe nausea and vomiting that can lead to
dehydration, electrolyte abnormalities, weight loss, and nutritional deficiencies.
7. Which finding in a pregnant client requires immediate follow-up?
A. Mild urinary frequency
B. Breast tenderness
C. Vaginal bleeding accompanied by abdominal pain
D. Mild fatigue
, Answer: C. Vaginal bleeding accompanied by abdominal pain
Rationale: Vaginal bleeding with abdominal pain during pregnancy can indicate a serious
complication and requires prompt assessment.
8. A pregnant client at 32 weeks has BP 168/110 mm Hg, severe headache, and visual
disturbances. Which complication should the nurse suspect?
A. Preeclampsia with severe features
B. Normal pregnancy changes
C. Hyperemesis gravidarum
D. Placenta previa
Answer: A. Preeclampsia with severe features
Rationale: Severe hypertension accompanied by neurological symptoms such as severe headache
and visual disturbances is concerning for preeclampsia with severe features.
9. A client receiving magnesium sulfate for severe preeclampsia is being monitored by the
nurse. Which finding requires immediate attention?
A. Respiratory rate of 10/min
B. Urine output of 50 mL/hr
C. Warm flushed skin
D. Mild nausea
Answer: A. Respiratory rate of 10/min
2026;Three Different Versions Actual Questions and Answers Solved
100%- Rasmussen
Course
Maternal-Child Nursing
1. A pregnant client asks why folic acid is recommended before conception and during early
pregnancy. Which response by the nurse is correct?
A. “It prevents gestational hypertension.”
B. “It reduces the risk of neural tube defects.”
C. “It prevents postpartum hemorrhage.”
D. “It eliminates the risk of preterm labor.”
Answer: B. “It reduces the risk of neural tube defects.”
Rationale: Adequate folic acid before conception and during early pregnancy reduces the risk of
fetal neural tube defects.
2. Which finding is considered a presumptive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive ultrasound visualization of the fetus
C. Amenorrhea
D. Fetal movement palpated by the examiner
Answer: C. Amenorrhea
Rationale: Presumptive signs are subjective or reported by the client. Amenorrhea, nausea, breast
changes, and urinary frequency are examples. Fetal heart activity and ultrasound visualization
are positive signs.
, 3. A client at 12 weeks' gestation asks when fetal heart activity can commonly be detected
using a Doppler device. Which response is appropriate?
A. “It can commonly be detected during the first trimester.”
B. “It cannot be detected until after 30 weeks.”
C. “It is only detectable after delivery.”
D. “It can only be detected by abdominal palpation.”
Answer: A. “It can commonly be detected during the first trimester.”
Rationale: Doppler ultrasound can commonly detect fetal cardiac activity during the first
trimester, although the exact timing varies with gestational age and equipment.
4. A client with a normal prepregnancy BMI asks about expected total weight gain during
pregnancy. Which amount is generally recommended?
A. 5–10 lb
B. 11–20 lb
C. 25–35 lb
D. 45–55 lb
Answer: C. 25–35 lb
Rationale: For a singleton pregnancy in a client with a normal prepregnancy BMI, the commonly
recommended total weight gain is approximately 25–35 lb.
5. Which nutrient is particularly important during pregnancy because of its role in
preventing neural tube defects?
,A. Folic acid
B. Vitamin K
C. Vitamin E
D. Sodium
Answer: A. Folic acid
Rationale: Folate is essential for neural tube development. Adequate intake before conception
and during early pregnancy is particularly important.
6. A pregnant client reports persistent vomiting, inability to maintain oral intake, weight
loss, and signs of dehydration. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Placenta previa
C. Gestational hypertension
D. Braxton Hicks contractions
Answer: A. Hyperemesis gravidarum
Rationale: Hyperemesis gravidarum involves severe nausea and vomiting that can lead to
dehydration, electrolyte abnormalities, weight loss, and nutritional deficiencies.
7. Which finding in a pregnant client requires immediate follow-up?
A. Mild urinary frequency
B. Breast tenderness
C. Vaginal bleeding accompanied by abdominal pain
D. Mild fatigue
, Answer: C. Vaginal bleeding accompanied by abdominal pain
Rationale: Vaginal bleeding with abdominal pain during pregnancy can indicate a serious
complication and requires prompt assessment.
8. A pregnant client at 32 weeks has BP 168/110 mm Hg, severe headache, and visual
disturbances. Which complication should the nurse suspect?
A. Preeclampsia with severe features
B. Normal pregnancy changes
C. Hyperemesis gravidarum
D. Placenta previa
Answer: A. Preeclampsia with severe features
Rationale: Severe hypertension accompanied by neurological symptoms such as severe headache
and visual disturbances is concerning for preeclampsia with severe features.
9. A client receiving magnesium sulfate for severe preeclampsia is being monitored by the
nurse. Which finding requires immediate attention?
A. Respiratory rate of 10/min
B. Urine output of 50 mL/hr
C. Warm flushed skin
D. Mild nausea
Answer: A. Respiratory rate of 10/min
