NSG-432 Exam 1: (Latest 2026/2027 Update) Family-Centered Nursing,
Antepartum Care, Intrapartum & Fetal Monitoring | Q&A | Grade A | 100%
Correct (Verified Answers)
Subject: Maternal-Newborn Nursing / Obstetric & Intrapartum Care
Source: NSG-432 Exam 1 – Comprehensive Review
Format: Q&A Guide with Clinical Rationale
1: Which type of anesthetic is an epidural?
Correct Answer: Regional anesthesia (blocks sensation in lower body).
1. Epidural is a type of regional anesthesia.
2. Provides pain relief for labor and delivery.
3. Does not affect consciousness.
2: Which position is best for laboring?
Correct Answer: Squatting (uses gravity, increases pelvic outlet diameter).
1. Squatting opens pelvis by 10-28%.
2. Uses gravity to assist fetal descent.
3. Reduces need for episiotomy, instrumental delivery.
3: Braxton Hicks contractions characteristics
Correct Answer: No dilation, stop with activity, around 16-28 weeks (false labor).
1. Irregular, non-progressive contractions.
2. Do not cause cervical change.
3. Relieved by walking, position change, hydration.
4: What does GTPAL stand for?
Correct Answer: Gravida (total pregnancies), Term (38-42 weeks), Preterm (20-37 weeks), Abortion
(<20 weeks), Living children.
1. Gravida includes current pregnancy.
2. Multiple gestation counts as one pregnancy.
3. Abortion includes spontaneous and therapeutic.
5: heart rate changes during pregnancy
Correct Answer: Increases by 5 weeks (not permanent, 10-15 bpm increase).
1. Heart rate peaks at third trimester.
2. Changes accommodate increased cardiac output (30-50%).
3. Returns to baseline postpartum.
,6: Goodell sign
Correct Answer: Softening cervix (probable sign of pregnancy, weeks 6-8).
1. Due to increased vascularity and edema.
2. Cervix feels like lip tissue.
3. Also Chadwick sign (blue cervix) at 6-8 weeks.
7: maternal blood glucose during labor
Correct Answer: Increased (watch diabetics).
1. Stress response increases glucose.
2. Diabetics at risk for hypoglycemia.
3. Monitor blood glucose during labor.
8: What are folate sources for pregnancy?
Correct Answer: Meats, legumes (beans, peas, chickpeas), dark green veggies, grains, egg, corn,
papaya, avocado, orange.
1. Folic acid prevents neural tube defects.
2. Recommended 600 mcg/day during pregnancy.
3. Supplementation recommended for all pregnant women.
9: What is a sentinel event?
Correct Answer: Unexpected, reportable (unanticipated death or serious injury).
1. Requires immediate investigation (root cause analysis).
2. Examples: maternal death, wrong-site surgery, infant abduction.
3. Reportable to The Joint Commission.
10: What is melasma?
Correct Answer: Hyperpigmentation around the mouth (mask of pregnancy).
1. Chloasma of pregnancy.
2. Sun exposure worsens condition.
3. Fades postpartum.
11: HRSA
Correct Answer: Reduce disparities.
1. Health Resources and Services Administration.
2. Improves access to health care for vulnerable populations.
3. Supports maternal-child health programs.
, 12: NIH
Correct Answer: Health of minorities.
1. National Institutes of Health.
2. Addresses health disparities research.
3. Supports minority health initiatives.
13: National Institute of Nursing Research
Correct Answer: Health equity.
1. Funds nursing research on health disparities.
2. Promotes equitable care for all populations.
3. Focuses on social determinants of health.
14: CDC
Correct Answer: Trends in health.
1. Centers for Disease Control and Prevention.
2. Monitors maternal mortality, infant outcomes.
3. Provides national health statistics.
15: USDHHS
Correct Answer: Eliminate disparities.
1. U.S. Department of Health and Human Services.
2. Healthy People 2030 goals.
3. Leads federal efforts to improve maternal-child health.
16: health promotion: obstetric care
Correct Answer: Primary and secondary.
1. Primary: preconception counseling, prenatal vitamins.
2. Secondary: screening for gestational diabetes, preeclampsia.
3. Tertiary: management of high-risk pregnancy complications.
17: health promotion: postpartum
Correct Answer: Tertiary.
1. Prevention of postpartum complications (hemorrhage, infection, depression).
2. Breastfeeding support and education.
3. Rehabilitation and recovery after birth.
Antepartum Care, Intrapartum & Fetal Monitoring | Q&A | Grade A | 100%
Correct (Verified Answers)
Subject: Maternal-Newborn Nursing / Obstetric & Intrapartum Care
Source: NSG-432 Exam 1 – Comprehensive Review
Format: Q&A Guide with Clinical Rationale
1: Which type of anesthetic is an epidural?
Correct Answer: Regional anesthesia (blocks sensation in lower body).
1. Epidural is a type of regional anesthesia.
2. Provides pain relief for labor and delivery.
3. Does not affect consciousness.
2: Which position is best for laboring?
Correct Answer: Squatting (uses gravity, increases pelvic outlet diameter).
1. Squatting opens pelvis by 10-28%.
2. Uses gravity to assist fetal descent.
3. Reduces need for episiotomy, instrumental delivery.
3: Braxton Hicks contractions characteristics
Correct Answer: No dilation, stop with activity, around 16-28 weeks (false labor).
1. Irregular, non-progressive contractions.
2. Do not cause cervical change.
3. Relieved by walking, position change, hydration.
4: What does GTPAL stand for?
Correct Answer: Gravida (total pregnancies), Term (38-42 weeks), Preterm (20-37 weeks), Abortion
(<20 weeks), Living children.
1. Gravida includes current pregnancy.
2. Multiple gestation counts as one pregnancy.
3. Abortion includes spontaneous and therapeutic.
5: heart rate changes during pregnancy
Correct Answer: Increases by 5 weeks (not permanent, 10-15 bpm increase).
1. Heart rate peaks at third trimester.
2. Changes accommodate increased cardiac output (30-50%).
3. Returns to baseline postpartum.
,6: Goodell sign
Correct Answer: Softening cervix (probable sign of pregnancy, weeks 6-8).
1. Due to increased vascularity and edema.
2. Cervix feels like lip tissue.
3. Also Chadwick sign (blue cervix) at 6-8 weeks.
7: maternal blood glucose during labor
Correct Answer: Increased (watch diabetics).
1. Stress response increases glucose.
2. Diabetics at risk for hypoglycemia.
3. Monitor blood glucose during labor.
8: What are folate sources for pregnancy?
Correct Answer: Meats, legumes (beans, peas, chickpeas), dark green veggies, grains, egg, corn,
papaya, avocado, orange.
1. Folic acid prevents neural tube defects.
2. Recommended 600 mcg/day during pregnancy.
3. Supplementation recommended for all pregnant women.
9: What is a sentinel event?
Correct Answer: Unexpected, reportable (unanticipated death or serious injury).
1. Requires immediate investigation (root cause analysis).
2. Examples: maternal death, wrong-site surgery, infant abduction.
3. Reportable to The Joint Commission.
10: What is melasma?
Correct Answer: Hyperpigmentation around the mouth (mask of pregnancy).
1. Chloasma of pregnancy.
2. Sun exposure worsens condition.
3. Fades postpartum.
11: HRSA
Correct Answer: Reduce disparities.
1. Health Resources and Services Administration.
2. Improves access to health care for vulnerable populations.
3. Supports maternal-child health programs.
, 12: NIH
Correct Answer: Health of minorities.
1. National Institutes of Health.
2. Addresses health disparities research.
3. Supports minority health initiatives.
13: National Institute of Nursing Research
Correct Answer: Health equity.
1. Funds nursing research on health disparities.
2. Promotes equitable care for all populations.
3. Focuses on social determinants of health.
14: CDC
Correct Answer: Trends in health.
1. Centers for Disease Control and Prevention.
2. Monitors maternal mortality, infant outcomes.
3. Provides national health statistics.
15: USDHHS
Correct Answer: Eliminate disparities.
1. U.S. Department of Health and Human Services.
2. Healthy People 2030 goals.
3. Leads federal efforts to improve maternal-child health.
16: health promotion: obstetric care
Correct Answer: Primary and secondary.
1. Primary: preconception counseling, prenatal vitamins.
2. Secondary: screening for gestational diabetes, preeclampsia.
3. Tertiary: management of high-risk pregnancy complications.
17: health promotion: postpartum
Correct Answer: Tertiary.
1. Prevention of postpartum complications (hemorrhage, infection, depression).
2. Breastfeeding support and education.
3. Rehabilitation and recovery after birth.
