Rasmussen University NUR 2633 Maternal Child Health
Nursing Practice Exam | 120 Questions with Answers and
Rationales
Prenatal assessment and teaching
1. Which finding is a positive sign of pregnancy?
A. Fetal cardiac activity demonstrated by ultrasound
B. Breast tenderness
C. Amenorrhea
D. Nausea
2.A patient is pregnant for the third time and has had two prior births beyond
the threshold used for parity. How are gravida and para recorded in simple G/P
notation?
A. G3 P2
B. G2 P3
C. G3 P3
D. G2 P2
3. What is the major preventive purpose of folic acid before conception and in
early pregnancy?
A. Treat gestational hypertension
B. Prevent every genetic disorder
C. Replace all prenatal screening
D. Reduce neural tube defect risk
4. Which symptom in pregnancy requires prompt assessment?
A. Severe persistent headache with visual changes
B. Occasional mild fatigue
C. Mild transient breast tenderness
D. Increased appetite alone
,5. Why is screening for intimate partner violence best conducted privately?
A. It replaces all other prenatal screening
B. Privacy supports safe disclosure without a controlling companion present
C. Disclosure is required before care is provided
D. Partners must answer for patients
A pregnant patient becomes dizzy while lying flat late in pregnancy. Which
6.
position may improve venous return?
A. Standing abruptly
B. A side-lying position
C. Flat supine with legs straight
D. Prone with pressure on the abdomen
, What should the nurse do when a patient reports markedly reduced fetal
7.
movement compared with the usual pattern?
A. Suggest waiting several days
B. Assume the fetus is sleeping all day
C. Reassure without further questions
D. Arrange prompt assessment according to the prenatal care plan
8. Which statement about alcohol in pregnancy is appropriate?
A. Alcohol is safe if taken with food
B. Wine is always safe after the first trimester
C. No known safe amount or timing has been established
D. Only liquor can affect fetal development
9. Which approach best supports a pregnant patient who smokes?
A. Offer nonjudgmental cessation support and individualized treatment planning
B. Tell the patient that reduction removes every risk
C. Use shame to encourage cessation
D. Avoid discussing smoking
10. Which advice best addresses common constipation in an uncomplicated
pregnancy?
A. Stop drinking water
B. Avoid all dietary fiber
C. Discuss fiber, fluids, activity, and appropriate treatment options
D. Use frequent enemas without review
11. A pregnant patient has dysuria and urinary frequency. What is appropriate?
A. Start leftover antibiotics independently
B. Assume all urinary symptoms are normal
C. Obtain timely assessment for a urinary tract infection
D. Recommend delaying care until delivery
, 12. Which teaching method best checks understanding of prenatal warning signs?
A. Ask only whether they understand
B. Ask the companion to sign the leaflet
C. Provide a leaflet without discussion
D. Ask the patient to explain when and how they would seek care
Antepartum complications
Nursing Practice Exam | 120 Questions with Answers and
Rationales
Prenatal assessment and teaching
1. Which finding is a positive sign of pregnancy?
A. Fetal cardiac activity demonstrated by ultrasound
B. Breast tenderness
C. Amenorrhea
D. Nausea
2.A patient is pregnant for the third time and has had two prior births beyond
the threshold used for parity. How are gravida and para recorded in simple G/P
notation?
A. G3 P2
B. G2 P3
C. G3 P3
D. G2 P2
3. What is the major preventive purpose of folic acid before conception and in
early pregnancy?
A. Treat gestational hypertension
B. Prevent every genetic disorder
C. Replace all prenatal screening
D. Reduce neural tube defect risk
4. Which symptom in pregnancy requires prompt assessment?
A. Severe persistent headache with visual changes
B. Occasional mild fatigue
C. Mild transient breast tenderness
D. Increased appetite alone
,5. Why is screening for intimate partner violence best conducted privately?
A. It replaces all other prenatal screening
B. Privacy supports safe disclosure without a controlling companion present
C. Disclosure is required before care is provided
D. Partners must answer for patients
A pregnant patient becomes dizzy while lying flat late in pregnancy. Which
6.
position may improve venous return?
A. Standing abruptly
B. A side-lying position
C. Flat supine with legs straight
D. Prone with pressure on the abdomen
, What should the nurse do when a patient reports markedly reduced fetal
7.
movement compared with the usual pattern?
A. Suggest waiting several days
B. Assume the fetus is sleeping all day
C. Reassure without further questions
D. Arrange prompt assessment according to the prenatal care plan
8. Which statement about alcohol in pregnancy is appropriate?
A. Alcohol is safe if taken with food
B. Wine is always safe after the first trimester
C. No known safe amount or timing has been established
D. Only liquor can affect fetal development
9. Which approach best supports a pregnant patient who smokes?
A. Offer nonjudgmental cessation support and individualized treatment planning
B. Tell the patient that reduction removes every risk
C. Use shame to encourage cessation
D. Avoid discussing smoking
10. Which advice best addresses common constipation in an uncomplicated
pregnancy?
A. Stop drinking water
B. Avoid all dietary fiber
C. Discuss fiber, fluids, activity, and appropriate treatment options
D. Use frequent enemas without review
11. A pregnant patient has dysuria and urinary frequency. What is appropriate?
A. Start leftover antibiotics independently
B. Assume all urinary symptoms are normal
C. Obtain timely assessment for a urinary tract infection
D. Recommend delaying care until delivery
, 12. Which teaching method best checks understanding of prenatal warning signs?
A. Ask only whether they understand
B. Ask the companion to sign the leaflet
C. Provide a leaflet without discussion
D. Ask the patient to explain when and how they would seek care
Antepartum complications
