NUR 202/NUR202 Exam 1 V2 | Maternal-
Newborn Nursing Q&A with Rationale |
Fortis College
1. A client presents for her first prenatal visit and reports her last menstrual period (LMP)
began on June 15th. Using Nagele’s rule, what is the estimated date of delivery (EDD)?
A. March 22nd
B. March 8th
C. September 22nd
D. March 15th
Correct Answer: A
Expert Explanation: Nagele’s rule is calculated by subtracting 3 months from the first day
of the LMP and adding 7 days. June minus 3 months is March, and adding 7 days to the 15th
equals the 22nd. This calculation is a standard component of early prenatal assessment to
establish the baseline for fetal growth monitoring.
2. A nurse is performing an assessment on a client who is at 20 weeks gestation. At what level
should the nurse expect to palpate the fundus?
A. Halfway between the symphysis pubis and the umbilicus
B. At the level of the umbilicus
C. At the level of the xiphoid process
,D. Slightly above the symphysis pubis
Correct Answer: B
Expert Explanation: At 20 weeks gestation, the fundus is typically located at the level of
the umbilicus. This landmark is critical for assessing appropriate fetal growth and uterine
expansion during the second trimester. Discrepancies in fundal height may indicate issues
such as intrauterine growth restriction or polyhydramnios.
3. A pregnant client reports feeling dizzy and lightheaded while lying on her back for an
abdominal exam. What is the priority nursing action?
A. Assist the client into a side-lying position
B. Administer supplemental oxygen at 10L via mask
C. Assess the fetal heart rate immediately
D. Increase the rate of the intravenous fluids
Correct Answer: A
Expert Explanation: These symptoms indicate supine hypotensive syndrome caused by
the heavy uterus compressing the inferior vena cava. Turning the client to her side
immediately relieves the pressure and restores venous return to the heart. This
intervention is the first-line treatment to prevent maternal syncope and ensure adequate
placental perfusion.
4. Which of the following findings is considered a ‘positive’ sign of pregnancy?
A. A positive serum pregnancy test
, B. Chadwick’s sign
C. Amenorrhea
D. Fetal heart tones heard via Doppler
Correct Answer: D
Expert Explanation: Positive signs of pregnancy are those that can only be attributed to
the presence of a fetus, such as fetal heart tones, ultrasound visualization, or fetal
movement felt by a clinician. Serum pregnancy tests and Chadwick’s sign are considered
‘probable’ signs because they can be caused by other conditions. Amenorrhea is a
‘presumptive’ sign as it is a subjective symptom reported by the client.
5. A nurse is providing education to a pregnant client about iron supplementation. Which
instruction should be included to maximize absorption?
A. Take the iron with a glass of milk
B. Take the iron with an antacid to prevent stomach upset
C. Take the iron immediately after a heavy meal
D. Take the iron with a glass of orange juice
Correct Answer: D
Expert Explanation: Vitamin C, found in orange juice, significantly enhances the
absorption of iron in the gastrointestinal tract. Conversely, calcium in milk and antacids can
Newborn Nursing Q&A with Rationale |
Fortis College
1. A client presents for her first prenatal visit and reports her last menstrual period (LMP)
began on June 15th. Using Nagele’s rule, what is the estimated date of delivery (EDD)?
A. March 22nd
B. March 8th
C. September 22nd
D. March 15th
Correct Answer: A
Expert Explanation: Nagele’s rule is calculated by subtracting 3 months from the first day
of the LMP and adding 7 days. June minus 3 months is March, and adding 7 days to the 15th
equals the 22nd. This calculation is a standard component of early prenatal assessment to
establish the baseline for fetal growth monitoring.
2. A nurse is performing an assessment on a client who is at 20 weeks gestation. At what level
should the nurse expect to palpate the fundus?
A. Halfway between the symphysis pubis and the umbilicus
B. At the level of the umbilicus
C. At the level of the xiphoid process
,D. Slightly above the symphysis pubis
Correct Answer: B
Expert Explanation: At 20 weeks gestation, the fundus is typically located at the level of
the umbilicus. This landmark is critical for assessing appropriate fetal growth and uterine
expansion during the second trimester. Discrepancies in fundal height may indicate issues
such as intrauterine growth restriction or polyhydramnios.
3. A pregnant client reports feeling dizzy and lightheaded while lying on her back for an
abdominal exam. What is the priority nursing action?
A. Assist the client into a side-lying position
B. Administer supplemental oxygen at 10L via mask
C. Assess the fetal heart rate immediately
D. Increase the rate of the intravenous fluids
Correct Answer: A
Expert Explanation: These symptoms indicate supine hypotensive syndrome caused by
the heavy uterus compressing the inferior vena cava. Turning the client to her side
immediately relieves the pressure and restores venous return to the heart. This
intervention is the first-line treatment to prevent maternal syncope and ensure adequate
placental perfusion.
4. Which of the following findings is considered a ‘positive’ sign of pregnancy?
A. A positive serum pregnancy test
, B. Chadwick’s sign
C. Amenorrhea
D. Fetal heart tones heard via Doppler
Correct Answer: D
Expert Explanation: Positive signs of pregnancy are those that can only be attributed to
the presence of a fetus, such as fetal heart tones, ultrasound visualization, or fetal
movement felt by a clinician. Serum pregnancy tests and Chadwick’s sign are considered
‘probable’ signs because they can be caused by other conditions. Amenorrhea is a
‘presumptive’ sign as it is a subjective symptom reported by the client.
5. A nurse is providing education to a pregnant client about iron supplementation. Which
instruction should be included to maximize absorption?
A. Take the iron with a glass of milk
B. Take the iron with an antacid to prevent stomach upset
C. Take the iron immediately after a heavy meal
D. Take the iron with a glass of orange juice
Correct Answer: D
Expert Explanation: Vitamin C, found in orange juice, significantly enhances the
absorption of iron in the gastrointestinal tract. Conversely, calcium in milk and antacids can
