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TI RN Maternity Exam 2025 – Prenatal, Intrapartum,
A
Postpartum & Newborn Nursing Questions & Answers
with Rationales | 100% Verified | Graded A+
Student Name:_________________________
Date:_______________
ime Limit:90 minutes
T
Total Questions:70
Instructions
● T his exam contains 70 questions, including multiple-choice, select-all-that-apply (SATA), and
clinical scenarios.
● Read each question carefully and select the best answer(s) as indicated.
● For SATA questions, select all correct options.
● Time limit: 90 minutes.
● No external resources are permitted during the exam.
Prenatal Care
1. A
primigravida at 12 weeks gestation asks about the purpose of the quad screen. What should the
nurse explain?
A. It assesses fetal heart rate.
B.🟨It screens for neural tube defects and chromosomalabnormalities.🟨
C. It measures maternal blood pressure.
D. It confirms gestational age.
Rationale: The quad screen assesses risk for neural tube defects, Down syndrome, and other
chromosomal abnormalities, per ACOG guidelines.
2. ( SATA)Which interventions promote prenatal health at the first trimester visit? (Select all that
apply)
A.🟨Start prenatal vitamins with folic acid.🟨
, .🟨Educate about avoiding alcohol.🟨
B
C. Encourage smoking.
D.🟨Recommend regular exercise.🟨
E. Avoid weight gain monitoring.
Rationale: Folic acid, avoiding alcohol, and exercisepromote fetal health; smoking and avoiding
weight monitoring increase risks, per ACOG prenatal care guidelines.
3. A
pregnant client at 20 weeks gestation has a fundal height of 18 cm. What should the nurse do?
A. Document the finding as normal.
B.🟨Notify the provider.🟨
C. Encourage increased fluid intake.
D. Reassure the client it’s expected.
Rationale: Fundal height should approximate gestationalage in centimeters (±2 cm); 18 cm at 20
weeks suggests growth restriction, requiring provider notification, per maternity assessment
protocols.
4. A
client at 16 weeks gestation asks about safe weight gain. What should the nurse teach for a
client with a normal pre-pregnancy BMI?
A. 5–10 pounds total
B.🟨25–35 pounds total🟨
C. 40–50 pounds total
D. No weight gain needed
Rationale: For a normal BMI, 25–35 pounds is the recommendedweight gain for a singleton
pregnancy, per IOM guidelines.
5. C
linical Scenario: A client at 28 weeks gestationreports blurred vision and a headache. What is
the nurse’s priority action?
A. Encourage rest only.
B.🟨Assess blood pressure and notify the provider.🟨
C. Administer an analgesic.
D. Document the symptoms.
Rationale: Blurred vision and headache suggest preeclampsia;assessing blood pressure and
notifying the provider are critical, per ACOG preeclampsia guidelines.
6. A
client at 10 weeks gestation reports nausea and vomiting. What should the nurse recommend?
A. Increase fatty food intake.
B.🟨Eat small, frequent meals.🟨
C. Avoid all fluids.
D. Ignore the symptoms.
Rationale: Small, frequent meals reduce nausea andvomiting in early pregnancy, per maternity
care protocols.
7. A
client asks about the purpose of the glucose challenge test at 24 weeks. What should the nurse
explain?
, . It screens for fetal growth.
A
B.🟨It screens for gestational diabetes.🟨
C. It assesses placental function.
D. It monitors maternal anemia.
Rationale: The glucose challenge test screens forgestational diabetes between 24–28 weeks, per
ADA guidelines.
Prenatal Labs
8. A
client’s prenatal lab results show a hemoglobin of 9.5 g/dL. What should the nurse do?
A. Document the result as normal.
B.🟨Notify the provider.🟨
C. Encourage reduced iron intake.
D. Reassure the client it’s expected.
Rationale: Hemoglobin <11 g/dL in pregnancy indicatesanemia, requiring provider evaluation,
per ACOG guidelines.
9. ( SATA)Which labs are routinely checked at the firstprenatal visit? (Select all that apply)
A.🟨Blood type and Rh factor🟨
B.🟨Complete blood count🟨
C. Thyroid function tests
D.🟨Rubella titer🟨
E. Lipid profile
Rationale: Blood type, CBC, and rubella titer arestandard prenatal labs; thyroid and lipid tests
are not routine unless indicated, per ACOG guidelines.
10. A client’s prenatal labs show a positive Group B Streptococcus (GBS) result at 36 weeks. What
should the nurse expect?
A. No action needed.
B.🟨Administer antibiotics during labor.🟨
C. Administer antibiotics immediately.
D. Document the result only.
Rationale: GBS-positive clients receive intrapartumantibiotics to prevent neonatal infection, per
CDC guidelines.
11. A client at 12 weeks gestation has a positive rubella titer. What does this indicate?
A. Need for immediate vaccination
B.🟨Immunity to rubella🟨
C. Active rubella infection
D. Need for antibiotics
Rationale: A positive rubella titer indicates immunity,protecting the fetus from congenital
rubella syndrome, per ACOG guidelines.
TI RN Maternity Exam 2025 – Prenatal, Intrapartum,
A
Postpartum & Newborn Nursing Questions & Answers
with Rationales | 100% Verified | Graded A+
Student Name:_________________________
Date:_______________
ime Limit:90 minutes
T
Total Questions:70
Instructions
● T his exam contains 70 questions, including multiple-choice, select-all-that-apply (SATA), and
clinical scenarios.
● Read each question carefully and select the best answer(s) as indicated.
● For SATA questions, select all correct options.
● Time limit: 90 minutes.
● No external resources are permitted during the exam.
Prenatal Care
1. A
primigravida at 12 weeks gestation asks about the purpose of the quad screen. What should the
nurse explain?
A. It assesses fetal heart rate.
B.🟨It screens for neural tube defects and chromosomalabnormalities.🟨
C. It measures maternal blood pressure.
D. It confirms gestational age.
Rationale: The quad screen assesses risk for neural tube defects, Down syndrome, and other
chromosomal abnormalities, per ACOG guidelines.
2. ( SATA)Which interventions promote prenatal health at the first trimester visit? (Select all that
apply)
A.🟨Start prenatal vitamins with folic acid.🟨
, .🟨Educate about avoiding alcohol.🟨
B
C. Encourage smoking.
D.🟨Recommend regular exercise.🟨
E. Avoid weight gain monitoring.
Rationale: Folic acid, avoiding alcohol, and exercisepromote fetal health; smoking and avoiding
weight monitoring increase risks, per ACOG prenatal care guidelines.
3. A
pregnant client at 20 weeks gestation has a fundal height of 18 cm. What should the nurse do?
A. Document the finding as normal.
B.🟨Notify the provider.🟨
C. Encourage increased fluid intake.
D. Reassure the client it’s expected.
Rationale: Fundal height should approximate gestationalage in centimeters (±2 cm); 18 cm at 20
weeks suggests growth restriction, requiring provider notification, per maternity assessment
protocols.
4. A
client at 16 weeks gestation asks about safe weight gain. What should the nurse teach for a
client with a normal pre-pregnancy BMI?
A. 5–10 pounds total
B.🟨25–35 pounds total🟨
C. 40–50 pounds total
D. No weight gain needed
Rationale: For a normal BMI, 25–35 pounds is the recommendedweight gain for a singleton
pregnancy, per IOM guidelines.
5. C
linical Scenario: A client at 28 weeks gestationreports blurred vision and a headache. What is
the nurse’s priority action?
A. Encourage rest only.
B.🟨Assess blood pressure and notify the provider.🟨
C. Administer an analgesic.
D. Document the symptoms.
Rationale: Blurred vision and headache suggest preeclampsia;assessing blood pressure and
notifying the provider are critical, per ACOG preeclampsia guidelines.
6. A
client at 10 weeks gestation reports nausea and vomiting. What should the nurse recommend?
A. Increase fatty food intake.
B.🟨Eat small, frequent meals.🟨
C. Avoid all fluids.
D. Ignore the symptoms.
Rationale: Small, frequent meals reduce nausea andvomiting in early pregnancy, per maternity
care protocols.
7. A
client asks about the purpose of the glucose challenge test at 24 weeks. What should the nurse
explain?
, . It screens for fetal growth.
A
B.🟨It screens for gestational diabetes.🟨
C. It assesses placental function.
D. It monitors maternal anemia.
Rationale: The glucose challenge test screens forgestational diabetes between 24–28 weeks, per
ADA guidelines.
Prenatal Labs
8. A
client’s prenatal lab results show a hemoglobin of 9.5 g/dL. What should the nurse do?
A. Document the result as normal.
B.🟨Notify the provider.🟨
C. Encourage reduced iron intake.
D. Reassure the client it’s expected.
Rationale: Hemoglobin <11 g/dL in pregnancy indicatesanemia, requiring provider evaluation,
per ACOG guidelines.
9. ( SATA)Which labs are routinely checked at the firstprenatal visit? (Select all that apply)
A.🟨Blood type and Rh factor🟨
B.🟨Complete blood count🟨
C. Thyroid function tests
D.🟨Rubella titer🟨
E. Lipid profile
Rationale: Blood type, CBC, and rubella titer arestandard prenatal labs; thyroid and lipid tests
are not routine unless indicated, per ACOG guidelines.
10. A client’s prenatal labs show a positive Group B Streptococcus (GBS) result at 36 weeks. What
should the nurse expect?
A. No action needed.
B.🟨Administer antibiotics during labor.🟨
C. Administer antibiotics immediately.
D. Document the result only.
Rationale: GBS-positive clients receive intrapartumantibiotics to prevent neonatal infection, per
CDC guidelines.
11. A client at 12 weeks gestation has a positive rubella titer. What does this indicate?
A. Need for immediate vaccination
B.🟨Immunity to rubella🟨
C. Active rubella infection
D. Need for antibiotics
Rationale: A positive rubella titer indicates immunity,protecting the fetus from congenital
rubella syndrome, per ACOG guidelines.
