NR-327 Maternal-Child Nursing Final Practice
Exam Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1.
A nurse is teaching a pregnant client about expected weight gain.
What is the recommended total weight gain for a woman with a
normal BMI?
A. 10–15 lb
B. 25–35 lb
C. 40–45 lb
D. 15–20 lb
Rationale: Women with a normal BMI are recommended to gain 25–
35 pounds during pregnancy to support fetal growth and maternal
health.
2.
Which hormone is primarily responsible for maintaining pregnancy in
the early weeks?
A. Estrogen
B. Oxytocin
C. Progesterone
D. Prolactin
Rationale: Progesterone maintains the uterine lining and prevents
uterine contractions during early pregnancy.
3.
,A nurse assesses a pregnant client at 10 weeks gestation. Which
finding is considered normal?
A. Decreased blood volume
B. Increased urinary frequency
C. Hypotension
D. Reduced cardiac output
Rationale: Urinary frequency occurs due to uterine pressure on the
bladder and increased renal blood flow.
4.
Which sign is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Nausea and vomiting
D. Ultrasound visualization
Rationale: Presumptive signs are subjective symptoms experienced by
the woman, such as nausea and fatigue.
5.
A client at 32 weeks gestation reports sudden painless vaginal
bleeding. Which condition is suspected?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Uterine rupture
Rationale: Placenta previa often presents with painless bright red
bleeding in the third trimester.
,6.
Which assessment finding indicates placental abruption?
A. Bright red bleeding
B. Soft abdomen
C. Severe abdominal pain with rigid uterus
D. Painless bleeding
Rationale: Placental abruption causes painful bleeding and uterine
rigidity.
7.
Which nutrient is most important in preventing neural tube defects?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin D
Rationale: Folic acid supplementation reduces the risk of neural tube
defects such as spina bifida.
8.
A nurse is caring for a client with hyperemesis gravidarum. What is
the priority nursing intervention?
A. Encourage exercise
B. Maintain fluid and electrolyte balance
C. Provide high-fat foods
D. Restrict fluids
Rationale: Severe vomiting can cause dehydration and electrolyte
imbalance, making fluid replacement a priority.
, 9.
Which medication is commonly used to prevent seizures in
preeclampsia?
A. Oxytocin
B. Magnesium sulfate
C. Nifedipine
D. Methylergonovine
Rationale: Magnesium sulfate depresses the central nervous system
and prevents seizures in severe preeclampsia.
10.
Which symptom is a warning sign of preeclampsia?
A. Increased appetite
B. Severe headache
C. Increased urination
D. Weight loss
Rationale: Severe headache may indicate hypertension-related
cerebral edema.
11.
The first stage of labor begins with:
A. Delivery of the fetus
B. Onset of regular contractions and cervical dilation
C. Delivery of placenta
D. Complete dilation
Exam Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1.
A nurse is teaching a pregnant client about expected weight gain.
What is the recommended total weight gain for a woman with a
normal BMI?
A. 10–15 lb
B. 25–35 lb
C. 40–45 lb
D. 15–20 lb
Rationale: Women with a normal BMI are recommended to gain 25–
35 pounds during pregnancy to support fetal growth and maternal
health.
2.
Which hormone is primarily responsible for maintaining pregnancy in
the early weeks?
A. Estrogen
B. Oxytocin
C. Progesterone
D. Prolactin
Rationale: Progesterone maintains the uterine lining and prevents
uterine contractions during early pregnancy.
3.
,A nurse assesses a pregnant client at 10 weeks gestation. Which
finding is considered normal?
A. Decreased blood volume
B. Increased urinary frequency
C. Hypotension
D. Reduced cardiac output
Rationale: Urinary frequency occurs due to uterine pressure on the
bladder and increased renal blood flow.
4.
Which sign is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Nausea and vomiting
D. Ultrasound visualization
Rationale: Presumptive signs are subjective symptoms experienced by
the woman, such as nausea and fatigue.
5.
A client at 32 weeks gestation reports sudden painless vaginal
bleeding. Which condition is suspected?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Uterine rupture
Rationale: Placenta previa often presents with painless bright red
bleeding in the third trimester.
,6.
Which assessment finding indicates placental abruption?
A. Bright red bleeding
B. Soft abdomen
C. Severe abdominal pain with rigid uterus
D. Painless bleeding
Rationale: Placental abruption causes painful bleeding and uterine
rigidity.
7.
Which nutrient is most important in preventing neural tube defects?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin D
Rationale: Folic acid supplementation reduces the risk of neural tube
defects such as spina bifida.
8.
A nurse is caring for a client with hyperemesis gravidarum. What is
the priority nursing intervention?
A. Encourage exercise
B. Maintain fluid and electrolyte balance
C. Provide high-fat foods
D. Restrict fluids
Rationale: Severe vomiting can cause dehydration and electrolyte
imbalance, making fluid replacement a priority.
, 9.
Which medication is commonly used to prevent seizures in
preeclampsia?
A. Oxytocin
B. Magnesium sulfate
C. Nifedipine
D. Methylergonovine
Rationale: Magnesium sulfate depresses the central nervous system
and prevents seizures in severe preeclampsia.
10.
Which symptom is a warning sign of preeclampsia?
A. Increased appetite
B. Severe headache
C. Increased urination
D. Weight loss
Rationale: Severe headache may indicate hypertension-related
cerebral edema.
11.
The first stage of labor begins with:
A. Delivery of the fetus
B. Onset of regular contractions and cervical dilation
C. Delivery of placenta
D. Complete dilation
