1|Page
INTERNATIONAL COLLEGE OF HEALTH SCIENCES
(ICHS)**OB/PEDIATRICS EXAM BANK**
**200+ PRACTICE QUESTIONS WITH VERIFIED
ANSWERS & DETAILED RATIONALES**MATERNAL-
NEWBORN NURSING • PEDIATRIC NURSING**HIGH-
YIELD CONTENT • FIRST-TIME PASS**
# PART 1: OBSTETRIC NURSING
## SECTION 1: ANTEPARTUM (Prenatal Care, Fetal Development,
Complications) – Questions 1–35
**1. A pregnant patient at 12 weeks gestation asks when she will first
feel fetal movement. The nurse should respond:**
A) "You should have felt movement by now"
B) "Most women feel fetal movement (quickening) between 16-22
weeks"
C) "Fetal movement is not felt until 28 weeks"
D) "You will not feel movement in this pregnancy"
**Answer: B**
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*Rationale:* Quickening (first fetal movements) typically occurs
between 16 and 22 weeks. Primigravidas (first pregnancy) feel
movement later (~18-20 weeks), multigravidas earlier (~16 weeks).
**2. A patient at 8 weeks gestation reports nausea and vomiting. Which
intervention should the nurse recommend first?**
A) Prescribe antiemetic medication
B) Eat small, frequent meals; avoid an empty stomach; dry crackers
before rising
C) Hospitalize for IV fluids
D) Stop all prenatal vitamins
**Answer: B**
*Rationale:* Non-pharmacologic interventions are first-line: small
frequent meals, crackers before getting out of bed, avoid triggers, ginger,
vitamin B6. If severe, metoclopramide or ondansetron may be
prescribed.
**3. The nurse is calculating a patient's estimated due date (EDD) using
Naegele's rule. The first day of the last menstrual period (LMP) was
May 10, 2026. What is the EDD?**
A) February 17, 2027
B) February 3, 2027
C) March 10, 2027
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D) January 20, 2027
**Answer: A**
*Rationale:* Naegele's rule: LMP – 3 months + 7 days. May 10 →
subtract 3 months = February 10, add 7 days = February 17, 2027.
**4. A patient at 24 weeks gestation has a positive 1-hour glucose
challenge test (GCT) of 155 mg/dL. The next step is:**
A) Diagnose gestational diabetes
B) Perform a 3-hour oral glucose tolerance test (OGTT)
C) Start insulin immediately
D) Repeat the 1-hour GCT in 2 weeks
**Answer: B**
*Rationale:* 1-hour GCT >130-140 mg/dL requires 3-hour OGTT.
Diagnosis of gestational diabetes requires two or more elevated values
on the 3-hour OGTT.
**5. Which fetal presentation is most favorable for vaginal delivery?**
A) Breech (Frank, Complete, Footling)
B) Transverse lie
C) Cephalic (vertex) – head down
D) Face presentation
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**Answer: C**
*Rationale:* Vertex (head-down) presentation is optimal for vaginal
delivery. Breech, transverse, and face presentations increase risk of
complications and often require Cesarean section.
**6. A patient at 16 weeks gestation reports mild, painless vaginal
bleeding. The nurse should suspect:**
A) Placenta previa (painless bleeding in second half of pregnancy)
B) Abruptio placentae (painful bleeding)
C) Normal pregnancy
D) Ectopic pregnancy
**Answer: A**
*Rationale:* Placenta previa presents as painless, bright red vaginal
bleeding in the second or third trimester. Abruptio placentae presents
with painful, dark bleeding. Ectopic presents with abdominal pain and
bleeding in first trimester.
**7. The nurse is assessing fetal heart rate (FHR) at 12 weeks gestation.
The normal FHR range is:**
A) 80-100 bpm
B) 110-160 bpm
C) 160-200 bpm
INTERNATIONAL COLLEGE OF HEALTH SCIENCES
(ICHS)**OB/PEDIATRICS EXAM BANK**
**200+ PRACTICE QUESTIONS WITH VERIFIED
ANSWERS & DETAILED RATIONALES**MATERNAL-
NEWBORN NURSING • PEDIATRIC NURSING**HIGH-
YIELD CONTENT • FIRST-TIME PASS**
# PART 1: OBSTETRIC NURSING
## SECTION 1: ANTEPARTUM (Prenatal Care, Fetal Development,
Complications) – Questions 1–35
**1. A pregnant patient at 12 weeks gestation asks when she will first
feel fetal movement. The nurse should respond:**
A) "You should have felt movement by now"
B) "Most women feel fetal movement (quickening) between 16-22
weeks"
C) "Fetal movement is not felt until 28 weeks"
D) "You will not feel movement in this pregnancy"
**Answer: B**
,2|Page
*Rationale:* Quickening (first fetal movements) typically occurs
between 16 and 22 weeks. Primigravidas (first pregnancy) feel
movement later (~18-20 weeks), multigravidas earlier (~16 weeks).
**2. A patient at 8 weeks gestation reports nausea and vomiting. Which
intervention should the nurse recommend first?**
A) Prescribe antiemetic medication
B) Eat small, frequent meals; avoid an empty stomach; dry crackers
before rising
C) Hospitalize for IV fluids
D) Stop all prenatal vitamins
**Answer: B**
*Rationale:* Non-pharmacologic interventions are first-line: small
frequent meals, crackers before getting out of bed, avoid triggers, ginger,
vitamin B6. If severe, metoclopramide or ondansetron may be
prescribed.
**3. The nurse is calculating a patient's estimated due date (EDD) using
Naegele's rule. The first day of the last menstrual period (LMP) was
May 10, 2026. What is the EDD?**
A) February 17, 2027
B) February 3, 2027
C) March 10, 2027
,3|Page
D) January 20, 2027
**Answer: A**
*Rationale:* Naegele's rule: LMP – 3 months + 7 days. May 10 →
subtract 3 months = February 10, add 7 days = February 17, 2027.
**4. A patient at 24 weeks gestation has a positive 1-hour glucose
challenge test (GCT) of 155 mg/dL. The next step is:**
A) Diagnose gestational diabetes
B) Perform a 3-hour oral glucose tolerance test (OGTT)
C) Start insulin immediately
D) Repeat the 1-hour GCT in 2 weeks
**Answer: B**
*Rationale:* 1-hour GCT >130-140 mg/dL requires 3-hour OGTT.
Diagnosis of gestational diabetes requires two or more elevated values
on the 3-hour OGTT.
**5. Which fetal presentation is most favorable for vaginal delivery?**
A) Breech (Frank, Complete, Footling)
B) Transverse lie
C) Cephalic (vertex) – head down
D) Face presentation
, 4|Page
**Answer: C**
*Rationale:* Vertex (head-down) presentation is optimal for vaginal
delivery. Breech, transverse, and face presentations increase risk of
complications and often require Cesarean section.
**6. A patient at 16 weeks gestation reports mild, painless vaginal
bleeding. The nurse should suspect:**
A) Placenta previa (painless bleeding in second half of pregnancy)
B) Abruptio placentae (painful bleeding)
C) Normal pregnancy
D) Ectopic pregnancy
**Answer: A**
*Rationale:* Placenta previa presents as painless, bright red vaginal
bleeding in the second or third trimester. Abruptio placentae presents
with painful, dark bleeding. Ectopic presents with abdominal pain and
bleeding in first trimester.
**7. The nurse is assessing fetal heart rate (FHR) at 12 weeks gestation.
The normal FHR range is:**
A) 80-100 bpm
B) 110-160 bpm
C) 160-200 bpm
