Nursing Exam 1 (Latest 2026/2027)
Rasmussen – Complete Questions 1-
150 with Detailed ☑VERIFIED
ANSWERs
& Rationales
NUR 2513 / NUR2513: Maternal-Child Nursing Exam 1
Complete Questions 1-150 with Detailed ☑ ☑VERIFIED ANSWERs &
Rationales
SECTION 1: Foundations & Reproductive Health (Questions 1-15)
Q1: What is the primary hormone responsible for maintaining the uterine lining
during pregnancy? A) Estrogen
B) Progesterone
C) Oxytocin
D) Prolactin
☑ ☑VERIFIED ANSWER: B) Progesterone
Rationale: Progesterone maintains the uterine lining and prevents contractions to
support pregnancy. The corpus luteum produces progesterone during the first
trimester until the placenta takes over around week 10 .
Q2: What is the primary role of the placenta?
☑ ☑VERIFIED ANSWER: Provides oxygen and nutrients to the fetus and
removes waste products.
,Rationale: The placenta facilitates nutrient and gas exchange, and waste removal
for the fetus .
Q3: A nurse is caring for a client who is prescribed Rho immune globulin
standard dose IM (Rhogam). What is the action of this medication?
☑ ☑VERIFIED ANSWER: Prevents an immune response to Rh-positive blood
in people with Rh-negative blood type.
Rationale: RhoGAM is given to Rh-negative mothers to prevent the formation of
anti-Rh antibodies that could harm future Rh-positive fetuses. It is administered
at 26-28 weeks gestation, after delivery, and after pregnancy loss .
Q4: At what gestational age is a fetus considered viable outside the womb?
A) 20 weeks
B) 24 weeks
C) 28 weeks
D) 32 weeks
☑ ☑VERIFIED ANSWER: B) 24 weeks
Rationale: Fetuses born at or after 24 weeks have a chance of survival with
medical support, considered the threshold of viability .
Q5: What is the function of amniotic fluid?
☑ ☑VERIFIED ANSWER: Cushions the fetus, allows movement, and maintains
temperature.
Rationale: Amniotic fluid permits free movement of the baby, provides cushioning
from minor trauma, and helps with temperature control .
Q6: What does the term "nullipara" mean?
☑ ☑VERIFIED ANSWER: A woman who has delivered no viable offspring (no
births after 20 weeks).
Rationale: Nullipara refers to a woman who has never given birth to a viable
fetus. This is different from nulligravida (never pregnant) .
,Rationale:
Q7: What is the normal duration of pregnancy?
☑ ☑VERIFIED ANSWER: Approximately 40 weeks from the last menstrual
period.
A full-term pregnancy is approximately 40 weeks (280 days) from the
first day of the last menstrual period .
Q8: What is the purpose of the umbilical cord?
☑ ☑VERIFIED ANSWER: Connects the fetus to the placenta for nutrient and
oxygen exchange.
Rationale: The umbilical cord contains two arteries and one vein that transport
blood between the fetus and placenta .
Q9: Which of the following is a presumptive sign of pregnancy?
A) Positive pregnancy test
B) Fetal heartbeat detected by Doppler
C) Amenorrhea
D) Visualization of fetus on ultrasound
☑ ☑VERIFIED ANSWER: C) Amenorrhea
Rationale: Amenorrhea (absence of menstruation) is a common early subjective
sign reported by the woman, hence presumptive. Presumptive signs are
subjective and could have other causes .
Q10: When does the embryonic period occur?
A) Weeks 1-2
B) Weeks 3-8
C) Weeks 9-12
D) Weeks 13-16
☑ ☑VERIFIED ANSWER: B) Weeks 3-8
Rationale: The embryonic period is critical for organogenesis (formation of
organs), occurring during weeks 3 to 8 of gestation. This is the most vulnerable
period for teratogen exposure .
, Q11: What structure produces progesterone during the first trimester?
☑ ☑VERIFIED ANSWER: Corpus luteum
Rationale: The corpus luteum produces progesterone until the placenta takes
over around week 10 of gestation .
Q12: What is the correct site for fundal height measurement?
A) Symphysis pubis to fundus
B) Fundus to xiphoid process
C) Umbilicus to fundus
D) Fundus to iliac crest
☑ ☑VERIFIED ANSWER: A) Symphysis pubis to fundus
Rationale: Fundal height is measured in centimeters from the pubic symphysis to
the top of the uterine fundus. Between 20-36 weeks, the measurement in cm
roughly equals weeks gestation .
Q13: At how many weeks gestation does the fundus reach the umbilicus?
☑ ☑VERIFIED ANSWER: 20 weeks
Rationale: At 20 weeks gestation, the fundal height will be at the level of the
umbilicus .
Q14: What is "quickening"?
☑ ☑VERIFIED ANSWER: The first perception of fetal movements by the
mother.
Rationale: Quickening is the first perception of fetal movements by the mother,
usually felt between 16-20 weeks gestation. Primigravidas typically feel it later
(closer to 20 weeks) than multigravidas (around 16 weeks) .
Q15: What is the normal range for fetal heart rate?
☑ ☑VERIFIED ANSWER: 110-160 beats per minute (bpm)
Rationale: The normal fetal heart rate range is 110-160 bpm. It can be heard by
Doppler as early as 10-12 weeks gestation .