PNR 203/PNR203 Exam 1 V1 | Maternal-
Newborn Nursing Q&A with Rationale |
Fortis College
1. A nurse is calculating a client’s expected date of delivery using Naegele’s rule. The client’s
last menstrual period began on May 10th. Which of the following is the correct EDD?
A. February 3rd
B. January 17th
C. February 17th
D. February 10th
Correct Answer: C
Expert Explanation: To calculate the EDD using Naegele’s rule, subtract 3 months from
the first day of the last menstrual period and add 7 days and 1 year. For May 10th,
subtracting three months leads to February, and adding seven days results in February
17th. This method assumes a standard 28-day menstrual cycle and is the clinical standard
for initial dating.
2. A nurse is assessing a client at 22 weeks of gestation. Which of the following findings
should the nurse report to the provider?
A. Increased vaginal discharge
B. Periodic numbness in fingers
,C. Swelling of the face and fingers
D. Dependent edema of the ankles
Correct Answer: C
Expert Explanation: Swelling of the face and fingers can be a clinical indicator of
gestational hypertension or preeclampsia. While dependent ankle edema is common in the
second and third trimesters, facial edema suggests systemic fluid retention and vascular
changes. The nurse must prioritize this assessment to prevent complications such as
eclampsia.
3. A nurse is providing teaching about physiological changes during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
A. My blood pressure should increase significantly in the second trimester.
B. It is normal for my heart rate to increase by 10 to 15 beats per minute.
C. I should expect to feel less short of breath as my pregnancy progresses.
D. My hematocrit level will likely increase due to more red blood cells.
Correct Answer: B
Expert Explanation: Maternal heart rate increases by approximately 10 to 15 beats per
minute during pregnancy to accommodate increased cardiac output. Blood pressure
typically remains stable or slightly decreases in the second trimester due to peripheral
vasodilation. Shortness of breath usually increases as the uterus displaces the diaphragm
upward.
, 4. A nurse is caring for a client who is at 36 weeks gestation and has a prescription for a non-
stress test (NST). Which of the following is an expected result for a reactive NST?
A. Fetal heart rate baseline of 140/min with two accelerations in 20 minutes.
B. Fetal heart rate baseline of 110/min with no accelerations.
C. Occasional late decelerations with fetal movement.
D. Fetal heart rate baseline of 170/min with variable decelerations.
Correct Answer: A
Expert Explanation: A reactive non-stress test is defined by at least two fetal heart rate
accelerations of at least 15 beats per minute above baseline lasting at least 15 seconds
within a 20-minute window. This indicates fetal well-being and an intact autonomic
nervous system. Non-reactive results or decelerations require further investigation, such as
a biophysical profile.
5. A nurse is assessing a client at 20 weeks gestation. Where should the nurse expect to
palpate the fundus?
A. At the level of the umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Halfway between the symphysis pubis and the umbilicus
Correct Answer: A
Newborn Nursing Q&A with Rationale |
Fortis College
1. A nurse is calculating a client’s expected date of delivery using Naegele’s rule. The client’s
last menstrual period began on May 10th. Which of the following is the correct EDD?
A. February 3rd
B. January 17th
C. February 17th
D. February 10th
Correct Answer: C
Expert Explanation: To calculate the EDD using Naegele’s rule, subtract 3 months from
the first day of the last menstrual period and add 7 days and 1 year. For May 10th,
subtracting three months leads to February, and adding seven days results in February
17th. This method assumes a standard 28-day menstrual cycle and is the clinical standard
for initial dating.
2. A nurse is assessing a client at 22 weeks of gestation. Which of the following findings
should the nurse report to the provider?
A. Increased vaginal discharge
B. Periodic numbness in fingers
,C. Swelling of the face and fingers
D. Dependent edema of the ankles
Correct Answer: C
Expert Explanation: Swelling of the face and fingers can be a clinical indicator of
gestational hypertension or preeclampsia. While dependent ankle edema is common in the
second and third trimesters, facial edema suggests systemic fluid retention and vascular
changes. The nurse must prioritize this assessment to prevent complications such as
eclampsia.
3. A nurse is providing teaching about physiological changes during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
A. My blood pressure should increase significantly in the second trimester.
B. It is normal for my heart rate to increase by 10 to 15 beats per minute.
C. I should expect to feel less short of breath as my pregnancy progresses.
D. My hematocrit level will likely increase due to more red blood cells.
Correct Answer: B
Expert Explanation: Maternal heart rate increases by approximately 10 to 15 beats per
minute during pregnancy to accommodate increased cardiac output. Blood pressure
typically remains stable or slightly decreases in the second trimester due to peripheral
vasodilation. Shortness of breath usually increases as the uterus displaces the diaphragm
upward.
, 4. A nurse is caring for a client who is at 36 weeks gestation and has a prescription for a non-
stress test (NST). Which of the following is an expected result for a reactive NST?
A. Fetal heart rate baseline of 140/min with two accelerations in 20 minutes.
B. Fetal heart rate baseline of 110/min with no accelerations.
C. Occasional late decelerations with fetal movement.
D. Fetal heart rate baseline of 170/min with variable decelerations.
Correct Answer: A
Expert Explanation: A reactive non-stress test is defined by at least two fetal heart rate
accelerations of at least 15 beats per minute above baseline lasting at least 15 seconds
within a 20-minute window. This indicates fetal well-being and an intact autonomic
nervous system. Non-reactive results or decelerations require further investigation, such as
a biophysical profile.
5. A nurse is assessing a client at 20 weeks gestation. Where should the nurse expect to
palpate the fundus?
A. At the level of the umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Halfway between the symphysis pubis and the umbilicus
Correct Answer: A
