Maryville NR 410 Maternal Child
Nursing Exam 1 With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a client who is 12 weeks pregnant. Which of the following is an
expected finding at this stage of pregnancy?
a. Quickening
b. Fetal heart tones with Doppler
c. Uterine fundus at the level of the umbilicus
d. Braxton Hicks contractions
b. Fetal heart tones with Doppler
Rationale: By 10–12 weeks, fetal heart tones can be detected with a Doppler
device. Quickening occurs around 16–20 weeks, and the fundus reaches the
umbilicus at 20–22 weeks. Braxton Hicks contractions are more common in later
pregnancy.
2. Which hormone is responsible for maintaining the pregnancy during the first
trimester?
a. Estrogen
b. Progesterone
c. Prolactin
d. Oxytocin
b. Progesterone
Rationale: Progesterone maintains the endometrium and prevents uterine
contractions, sustaining the pregnancy in early stages.
3. A nurse is teaching a pregnant client about nutrition. Which statement indicates
understanding?
, a. “I should increase my calorie intake by 800 calories per day.”
b. “I should avoid fish because it always contains mercury.”
c. “I need an additional 300 calories per day during pregnancy.”
d. “I should double my protein intake.”
c. I need an additional 300 calories per day during pregnancy.
Rationale: Pregnant women need an additional 300 calories per day during the
second and third trimesters, along with a balanced diet rich in nutrients.
4. A nurse is assessing a pregnant client at 28 weeks. Which finding should be reported
to the provider?
a. Dependent edema
b. Hemoglobin of 10 g/dL
c. Weight gain of 2 pounds in a week
d. Blood pressure of 150/95 mmHg
d. Blood pressure of 150/95 mmHg
Rationale: A BP of 140/90 or higher is abnormal and may indicate preeclampsia.
Mild anemia and dependent edema are common in pregnancy.
5. Which prenatal screening test is typically performed between 15–20 weeks of
gestation?
a. Nonstress test
b. Quad screen
c. Amniocentesis for lung maturity
d. Group B strep culture
b. Quad screen
Rationale: The quad screen is performed between 15–20 weeks to assess for neural
tube defects and chromosomal abnormalities.
6. A client at 10 weeks gestation reports morning sickness. Which nursing intervention
is appropriate?
a. Encourage three large meals daily
b. Drink fluids with meals
c. Eat dry crackers before rising
d. Increase intake of spicy foods
c. Eat dry crackers before rising
Rationale: Dry carbohydrates before rising can help reduce nausea. Small frequent
meals and avoiding spicy/greasy foods are also recommended.
7. A nurse is assessing fetal development at 20 weeks. Which finding is expected?
a. Lanugo covers the body
b. Fetal lungs mature
c. Fingernails reach fingertips
d. Testes descend into scrotum
, a. Lanugo covers the body
Rationale: Lanugo appears around 20 weeks. Lungs mature near 36 weeks,
fingernails reach tips by 40 weeks, and testes descend later in the third trimester.
8. Which maternal position improves uteroplacental perfusion?
a. Supine with pillow under head
b. Left lateral
c. Trendelenburg
d. Semi-Fowler’s
b. Left lateral
Rationale: The left lateral position reduces pressure on the inferior vena cava,
improving blood flow to the placenta and fetus.
9. A client at 34 weeks reports severe right upper quadrant pain and visual
disturbances. What complication is suspected?
a. Placenta previa
b. Preeclampsia
c. Preterm labor
d. Hyperemesis gravidarum
b. Preeclampsia
Rationale: Hypertension with RUQ pain and visual changes suggests preeclampsia
with possible liver involvement.
10. Which statement by a pregnant woman indicates correct understanding of iron
supplementation?
a. “I should take iron with milk to help absorption.”
b. “I will take my iron supplement on an empty stomach.”
c. “I should avoid vitamin C while taking iron.”
d. “Constipation is not expected with iron.”
b. I will take my iron supplement on an empty stomach.
Rationale: Iron is best absorbed on an empty stomach with vitamin C. Milk inhibits
absorption. Constipation is a common side effect.
11. A nurse is caring for a client in the first trimester. Which vaccine is contraindicated?
a. Influenza (inactivated)
b. Hepatitis B
c. MMR
d. Tdap
c. MMR
Rationale: Live vaccines, such as MMR and varicella, are contraindicated during
pregnancy.
Nursing Exam 1 With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a client who is 12 weeks pregnant. Which of the following is an
expected finding at this stage of pregnancy?
a. Quickening
b. Fetal heart tones with Doppler
c. Uterine fundus at the level of the umbilicus
d. Braxton Hicks contractions
b. Fetal heart tones with Doppler
Rationale: By 10–12 weeks, fetal heart tones can be detected with a Doppler
device. Quickening occurs around 16–20 weeks, and the fundus reaches the
umbilicus at 20–22 weeks. Braxton Hicks contractions are more common in later
pregnancy.
2. Which hormone is responsible for maintaining the pregnancy during the first
trimester?
a. Estrogen
b. Progesterone
c. Prolactin
d. Oxytocin
b. Progesterone
Rationale: Progesterone maintains the endometrium and prevents uterine
contractions, sustaining the pregnancy in early stages.
3. A nurse is teaching a pregnant client about nutrition. Which statement indicates
understanding?
, a. “I should increase my calorie intake by 800 calories per day.”
b. “I should avoid fish because it always contains mercury.”
c. “I need an additional 300 calories per day during pregnancy.”
d. “I should double my protein intake.”
c. I need an additional 300 calories per day during pregnancy.
Rationale: Pregnant women need an additional 300 calories per day during the
second and third trimesters, along with a balanced diet rich in nutrients.
4. A nurse is assessing a pregnant client at 28 weeks. Which finding should be reported
to the provider?
a. Dependent edema
b. Hemoglobin of 10 g/dL
c. Weight gain of 2 pounds in a week
d. Blood pressure of 150/95 mmHg
d. Blood pressure of 150/95 mmHg
Rationale: A BP of 140/90 or higher is abnormal and may indicate preeclampsia.
Mild anemia and dependent edema are common in pregnancy.
5. Which prenatal screening test is typically performed between 15–20 weeks of
gestation?
a. Nonstress test
b. Quad screen
c. Amniocentesis for lung maturity
d. Group B strep culture
b. Quad screen
Rationale: The quad screen is performed between 15–20 weeks to assess for neural
tube defects and chromosomal abnormalities.
6. A client at 10 weeks gestation reports morning sickness. Which nursing intervention
is appropriate?
a. Encourage three large meals daily
b. Drink fluids with meals
c. Eat dry crackers before rising
d. Increase intake of spicy foods
c. Eat dry crackers before rising
Rationale: Dry carbohydrates before rising can help reduce nausea. Small frequent
meals and avoiding spicy/greasy foods are also recommended.
7. A nurse is assessing fetal development at 20 weeks. Which finding is expected?
a. Lanugo covers the body
b. Fetal lungs mature
c. Fingernails reach fingertips
d. Testes descend into scrotum
, a. Lanugo covers the body
Rationale: Lanugo appears around 20 weeks. Lungs mature near 36 weeks,
fingernails reach tips by 40 weeks, and testes descend later in the third trimester.
8. Which maternal position improves uteroplacental perfusion?
a. Supine with pillow under head
b. Left lateral
c. Trendelenburg
d. Semi-Fowler’s
b. Left lateral
Rationale: The left lateral position reduces pressure on the inferior vena cava,
improving blood flow to the placenta and fetus.
9. A client at 34 weeks reports severe right upper quadrant pain and visual
disturbances. What complication is suspected?
a. Placenta previa
b. Preeclampsia
c. Preterm labor
d. Hyperemesis gravidarum
b. Preeclampsia
Rationale: Hypertension with RUQ pain and visual changes suggests preeclampsia
with possible liver involvement.
10. Which statement by a pregnant woman indicates correct understanding of iron
supplementation?
a. “I should take iron with milk to help absorption.”
b. “I will take my iron supplement on an empty stomach.”
c. “I should avoid vitamin C while taking iron.”
d. “Constipation is not expected with iron.”
b. I will take my iron supplement on an empty stomach.
Rationale: Iron is best absorbed on an empty stomach with vitamin C. Milk inhibits
absorption. Constipation is a common side effect.
11. A nurse is caring for a client in the first trimester. Which vaccine is contraindicated?
a. Influenza (inactivated)
b. Hepatitis B
c. MMR
d. Tdap
c. MMR
Rationale: Live vaccines, such as MMR and varicella, are contraindicated during
pregnancy.
