1 (Latest 2026/2027) Rasmussen Actual 150 Exam
Questions and ☑VERIFIED ANSWERs
1. A nurse is teaching a couple about conception. Which statement
by the couple indicates understanding?
A. "Fertilization usually occurs in the fallopian tube."
B. "The ovum is viable for about 48 hours after ovulation."
C. "Sperm can survive in the female reproductive tract for up to 24
hours."
D. "Implantation occurs in the ovary."
Verified ☑ ☑VERIFIED ANSWER: A
Rationale: Fertilization typically occurs in the ampulla of the fallopian
tube. The ovum is viable for ~24 hours (not 48). Sperm can survive 3–5
days. Implantation occurs in the endometrium of the uterus.
2. A nurse is calculating a patient's estimated due date (EDD) using
Naegele's rule. The first day of the patient's last menstrual period
(LMP) was May 10. What is the EDD?
A. February 3
,B. February 17
C. March 3
D. March 17
Verified ☑ ☑VERIFIED ANSWER: B
Rationale: Naegele's rule: LMP (May 10) subtract 3 months = February
10, then add 7 days = February 17.
3. A patient at 10 weeks gestation reports frequent urination. The
nurse explains this is due to:
A. Increased blood volume and pressure of the growing uterus on the
bladder.
B. A urinary tract infection.
C. Decreased glomerular filtration rate.
D. Excessive fluid intake.
Verified ☑ ☑VERIFIED ANSWER: A
Rationale: In the first trimester, the enlarging uterus presses on the
bladder, and increased circulating volume leads to increased renal
output. UTIs are possible but not the primary physiological cause.
4. A nurse is providing prenatal education. Which immunization is
recommended during pregnancy?
,A. Measles, mumps, rubella (MMR)
B. Varicella
C. Tdap
D. Human papillomavirus (HPV)
Verified ☑ ☑VERIFIED ANSWER: C
Rationale: Tdap is recommended between 27–36 weeks to protect the
newborn from pertussis. MMR and varicella are live vaccines
contraindicated in pregnancy. HPV vaccine is not routinely given during
pregnancy.
5. A patient at 12 weeks gestation asks about exercise. Which
response is correct?
A. "Avoid any exercise to prevent miscarriage."
B. "You may continue moderate exercise like walking or swimming."
C. "Heart rate should not exceed 100 bpm."
D. "Avoid hydration during exercise."
Verified ☑ ☑VERIFIED ANSWER: B
Rationale: Moderate exercise is safe and beneficial. Avoid supine
position after first trimester. Hydration is important. No arbitrary heart
rate limit; use perceived exertion.
, 6. A nurse is reviewing prenatal lab results. Which finding is
concerning?
A. Hematocrit 35%
B. White blood count 12,000/mm³
C. Platelets 80,000/mm³
D. Fasting glucose 85 mg/dL
Verified ☑ ☑VERIFIED ANSWER: C
Rationale: Platelets 80,000 (normal ~150,000–400,000) indicates
thrombocytopenia, which may be due to gestational thrombocytopenia
or more serious conditions (e.g., HELLP, ITP). WBC 12,000 is normal
in pregnancy. Hematocrit 35% is normal (mild dilutional anemia).
Glucose 85 is normal.
7. A patient at 8 weeks gestation reports nausea and vomiting.
Which non-pharmacologic measure should the nurse recommend?
A. Eat large, heavy meals three times a day.
B. Drink ginger tea or eat dry crackers before getting out of bed.
C. Lie flat after eating.
D. Increase fatty foods.