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Maternal-Child Nursing (NUR 2513)
MATERNAL FINAL Exam 2026;Three
Different Versions Actual Questions and
Answers Solved 100%- Rasmussen
1. A newly pregnant patient with irregular periods is unsure of her last
menstrual period. When is the best time to schedule an ultrasound to
assess gestational age?
Answer: Immediately
Rationale: An ultrasound performed immediately can assess gestational
age using crown-rump length (CRL) as early as 5-6 weeks, which is the
most accurate method when the last menstrual period is unknown.
2. What is the purpose of alpha-fetoprotein (AFP) screening at 16
weeks' gestation?
Answer: Screen for neural tube defects
Rationale: AFP screening, typically performed between 15-20 weeks,
measures the level of alpha-fetoprotein in the mother's blood to assess
the risk of neural tube defects like spina bifida and anencephaly, as well
as chromosomal abnormalities like Down syndrome.
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3. What are the important functions of amniotic fluid for fetal well-
being? (Select all that apply)
A. Providing oxygen to the lungs
B. Cushioning the baby from minor trauma
C. Temperature control
D. Nutrition for the baby
E. Permits free movement of the baby
Answer: B. Cushioning the baby from minor trauma, C. Temperature
control, E. Permits free movement of the baby
Rationale: Amniotic fluid cushions the fetus, regulates temperature, and
allows movement. Oxygen and nutrition are provided via the placenta,
not amniotic fluid.
4. A pregnant client is concerned her baby will drown in amniotic
fluid. How should the nurse respond?
Answer: "Oxygen is provided to the baby through the placenta."
Rationale: The placenta delivers oxygen to the fetus via the umbilical
cord; amniotic fluid does not enter the lungs or provide oxygen.
5. Which maternal condition increases the risk of Down syndrome?
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Answer: Advanced maternal age
Rationale: Advanced maternal age (greater than 35 years) increases the
risk of chromosomal abnormalities like Down syndrome.
6. What is a key risk factor for gestational diabetes mellitus (GDM)?
Answer: Obesity
Rationale: Obesity increases insulin resistance, which is a major
physiological risk factor for the development of gestational diabetes
mellitus during pregnancy.
7. Which assessment finding is classic for a diagnosis of
preeclampsia?
Answer: Blood pressure greater than or equal to 140/90 mmHg with
proteinuria
Rationale: Preeclampsia is specifically defined by the new onset of
hypertension (blood pressure greater than or equal to 140/90 mmHg)
and proteinuria (or other end-organ dysfunction) after 20 weeks of
gestation in a previously normotensive woman.
8. A priority nursing intervention for a patient experiencing preterm
labor is:
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Answer: Administer tocolytics as prescribed
Rationale: Tocolytics are medications used to suppress uterine
contractions. Administering them as prescribed is a priority intervention
to attempt to delay preterm labor and allow for administration of
corticosteroids to accelerate fetal lung maturity.
9. Which condition is typically associated with painless vaginal
bleeding in the third trimester?
Answer: Placenta previa
Rationale: Painless, bright red vaginal bleeding is the hallmark sign of
placenta previa, a condition where the placenta implants low in the
uterus, covering part or all of the cervical os.
10. What is a key nursing intervention during the first prenatal visit?
Answer: Obtain a complete health history
Rationale: A complete health history identifies risk factors to guide
individualized prenatal care.
11. Which nutrient is critical for preventing neural tube defects?
Answer: Folic acid
Maternal-Child Nursing (NUR 2513)
MATERNAL FINAL Exam 2026;Three
Different Versions Actual Questions and
Answers Solved 100%- Rasmussen
1. A newly pregnant patient with irregular periods is unsure of her last
menstrual period. When is the best time to schedule an ultrasound to
assess gestational age?
Answer: Immediately
Rationale: An ultrasound performed immediately can assess gestational
age using crown-rump length (CRL) as early as 5-6 weeks, which is the
most accurate method when the last menstrual period is unknown.
2. What is the purpose of alpha-fetoprotein (AFP) screening at 16
weeks' gestation?
Answer: Screen for neural tube defects
Rationale: AFP screening, typically performed between 15-20 weeks,
measures the level of alpha-fetoprotein in the mother's blood to assess
the risk of neural tube defects like spina bifida and anencephaly, as well
as chromosomal abnormalities like Down syndrome.
, 2
3. What are the important functions of amniotic fluid for fetal well-
being? (Select all that apply)
A. Providing oxygen to the lungs
B. Cushioning the baby from minor trauma
C. Temperature control
D. Nutrition for the baby
E. Permits free movement of the baby
Answer: B. Cushioning the baby from minor trauma, C. Temperature
control, E. Permits free movement of the baby
Rationale: Amniotic fluid cushions the fetus, regulates temperature, and
allows movement. Oxygen and nutrition are provided via the placenta,
not amniotic fluid.
4. A pregnant client is concerned her baby will drown in amniotic
fluid. How should the nurse respond?
Answer: "Oxygen is provided to the baby through the placenta."
Rationale: The placenta delivers oxygen to the fetus via the umbilical
cord; amniotic fluid does not enter the lungs or provide oxygen.
5. Which maternal condition increases the risk of Down syndrome?
, 3
Answer: Advanced maternal age
Rationale: Advanced maternal age (greater than 35 years) increases the
risk of chromosomal abnormalities like Down syndrome.
6. What is a key risk factor for gestational diabetes mellitus (GDM)?
Answer: Obesity
Rationale: Obesity increases insulin resistance, which is a major
physiological risk factor for the development of gestational diabetes
mellitus during pregnancy.
7. Which assessment finding is classic for a diagnosis of
preeclampsia?
Answer: Blood pressure greater than or equal to 140/90 mmHg with
proteinuria
Rationale: Preeclampsia is specifically defined by the new onset of
hypertension (blood pressure greater than or equal to 140/90 mmHg)
and proteinuria (or other end-organ dysfunction) after 20 weeks of
gestation in a previously normotensive woman.
8. A priority nursing intervention for a patient experiencing preterm
labor is:
, 4
Answer: Administer tocolytics as prescribed
Rationale: Tocolytics are medications used to suppress uterine
contractions. Administering them as prescribed is a priority intervention
to attempt to delay preterm labor and allow for administration of
corticosteroids to accelerate fetal lung maturity.
9. Which condition is typically associated with painless vaginal
bleeding in the third trimester?
Answer: Placenta previa
Rationale: Painless, bright red vaginal bleeding is the hallmark sign of
placenta previa, a condition where the placenta implants low in the
uterus, covering part or all of the cervical os.
10. What is a key nursing intervention during the first prenatal visit?
Answer: Obtain a complete health history
Rationale: A complete health history identifies risk factors to guide
individualized prenatal care.
11. Which nutrient is critical for preventing neural tube defects?
Answer: Folic acid
