NUR 230 MATERNAL EXAM 11 EXAM
PREPARATION NEWEST 2026-2027 WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS
|BRAND NEW VERSION!
1. A nurse is assessing a pregnant client in the first trimester.
Which finding is expected?
A. Quickening
B. Nausea and vomiting
C. Braxton Hicks contractions
D. Colostrum leakage
Answer: B. Nausea and vomiting
Rationale: Nausea and vomiting (“morning sickness”)
commonly occur in the first trimester.
2. Which hormone maintains the corpus luteum in early
pregnancy?
A. Estrogen
B. Progesterone
C. Human chorionic gonadotropin (hCG)
D. Oxytocin
Answer: C. Human chorionic gonadotropin (hCG)
Rationale: hCG preserves the corpus luteum until the placenta
takes over hormone production.
,3. A pregnant client reports back pain. What is the best initial
nursing advice?
A. Bed rest all day
B. Wear high heels
C. Use good posture
D. Limit fluid intake
Answer: C. Use good posture
Rationale: Proper posture helps reduce musculoskeletal strain
during pregnancy.
4. Fundal height at the level of the umbilicus typically occurs
at:
A. 12 weeks
B. 16 weeks
C. 20 weeks
D. 28 weeks
Answer: C. 20 weeks
Rationale: At approximately 20 weeks, the fundus reaches the
umbilicus.
5. Which sign is a presumptive sign of pregnancy?
A. Positive ultrasound
B. Chadwick sign
,C. Fetal heartbeat
D. Visualization of fetus
Answer: B. Chadwick sign
Rationale: Chadwick sign (bluish cervix) is a presumptive sign; it
suggests but does not confirm pregnancy.
6. The priority nursing action during a variable fetal heart rate
deceleration is to:
A. Start oxytocin
B. Reposition the mother
C. Increase pushing
D. Prepare for discharge
Answer: B. Reposition the mother
Rationale: Variable decelerations usually result from cord
compression; repositioning may relieve pressure.
7. Which maternal position improves uteroplacental
perfusion?
A. Supine
B. Left lateral
C. Prone
D. Lithotomy
, Answer: B. Left lateral
Rationale: The left side position prevents vena cava
compression and improves blood flow.
8. A normal fetal heart rate baseline is:
A. 90–110 bpm
B. 110–160 bpm
C. 160–190 bpm
D. 70–100 bpm
Answer: B. 110–160 bpm
Rationale: This is the accepted normal baseline range.
9. Which finding indicates true labor rather than false labor?
A. Contractions stop with rest
B. Cervical dilation occurs
C. Pain only in abdomen
D. Irregular contractions
Answer: B. Cervical dilation occurs
Rationale: True labor produces progressive cervical change.
10. During the second stage of labor, the nurse expects:
A. Full cervical dilation
B. Placental delivery
PREPARATION NEWEST 2026-2027 WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS
|BRAND NEW VERSION!
1. A nurse is assessing a pregnant client in the first trimester.
Which finding is expected?
A. Quickening
B. Nausea and vomiting
C. Braxton Hicks contractions
D. Colostrum leakage
Answer: B. Nausea and vomiting
Rationale: Nausea and vomiting (“morning sickness”)
commonly occur in the first trimester.
2. Which hormone maintains the corpus luteum in early
pregnancy?
A. Estrogen
B. Progesterone
C. Human chorionic gonadotropin (hCG)
D. Oxytocin
Answer: C. Human chorionic gonadotropin (hCG)
Rationale: hCG preserves the corpus luteum until the placenta
takes over hormone production.
,3. A pregnant client reports back pain. What is the best initial
nursing advice?
A. Bed rest all day
B. Wear high heels
C. Use good posture
D. Limit fluid intake
Answer: C. Use good posture
Rationale: Proper posture helps reduce musculoskeletal strain
during pregnancy.
4. Fundal height at the level of the umbilicus typically occurs
at:
A. 12 weeks
B. 16 weeks
C. 20 weeks
D. 28 weeks
Answer: C. 20 weeks
Rationale: At approximately 20 weeks, the fundus reaches the
umbilicus.
5. Which sign is a presumptive sign of pregnancy?
A. Positive ultrasound
B. Chadwick sign
,C. Fetal heartbeat
D. Visualization of fetus
Answer: B. Chadwick sign
Rationale: Chadwick sign (bluish cervix) is a presumptive sign; it
suggests but does not confirm pregnancy.
6. The priority nursing action during a variable fetal heart rate
deceleration is to:
A. Start oxytocin
B. Reposition the mother
C. Increase pushing
D. Prepare for discharge
Answer: B. Reposition the mother
Rationale: Variable decelerations usually result from cord
compression; repositioning may relieve pressure.
7. Which maternal position improves uteroplacental
perfusion?
A. Supine
B. Left lateral
C. Prone
D. Lithotomy
, Answer: B. Left lateral
Rationale: The left side position prevents vena cava
compression and improves blood flow.
8. A normal fetal heart rate baseline is:
A. 90–110 bpm
B. 110–160 bpm
C. 160–190 bpm
D. 70–100 bpm
Answer: B. 110–160 bpm
Rationale: This is the accepted normal baseline range.
9. Which finding indicates true labor rather than false labor?
A. Contractions stop with rest
B. Cervical dilation occurs
C. Pain only in abdomen
D. Irregular contractions
Answer: B. Cervical dilation occurs
Rationale: True labor produces progressive cervical change.
10. During the second stage of labor, the nurse expects:
A. Full cervical dilation
B. Placental delivery
