NUR202 Maternal-Newborn Nursing Comprehensive
Review Exam Actual Exam 2026/2027 | Complete
Exam-Style Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
SECTION 1: ANTEPARTUM NURSING CARE (Questions 1–15)
Q1: A nurse is assessing a pregnant patient at 16 weeks gestation. The patient asks
when she should expect to feel the baby move. The nurse should respond that
nulliparous women typically feel fetal movement between:
A. 8 and 12 weeks gestation
B. 14 and 18 weeks gestation
C. 16 and 20 weeks gestation [CORRECT]
D. 24 and 28 weeks gestation
Correct Answer: C
Rationale: Correct because nulliparous women typically perceive quickening between 16
and 20 weeks gestation, while multiparous women may recognize movement earlier at
14 to 18 weeks.
Q2: The nurse is teaching a patient about folic acid supplementation during pregnancy.
The nurse should instruct the patient to take:
A. 200 mcg daily
B. 400 mcg daily [CORRECT]
C. 800 mcg daily
D. 1000 mcg daily
Correct Answer: B
Rationale: Correct because 400 mcg of folic acid daily is recommended before
conception and during early pregnancy to reduce the risk of neural tube defects such as
spina bifida and anencephaly.
,Q3: A pregnant patient at 28 weeks calls the clinic reporting sudden severe headache
and visual disturbances. The nurse should instruct the patient to:
A. Lie down and rest for 30 minutes
B. Take acetaminophen 650 mg and call back if not relieved
C. Come to the clinic immediately for evaluation [CORRECT]
D. Increase fluid intake and monitor blood pressure at home
Correct Answer: C
Rationale: Correct because sudden severe headache and visual disturbances in the
second or third trimester are cardinal warning signs of preeclampsia requiring
immediate medical evaluation to prevent seizure and organ damage.
Q4: A nurse is caring for a patient at 32 weeks gestation. The patient reports feeling
short of breath when lying flat. The nurse should recommend:
A. Sleeping in a supine position with a pillow under the knees
B. Avoiding all physical activity until after delivery
C. Sleeping on the left side with pillows for support [CORRECT]
D. Using supplemental oxygen at 2 L/min during sleep
Correct Answer: C
Rationale: Correct because left lateral positioning displaces the gravid uterus off the
inferior vena cava, improving venous return and cardiac output while relieving supine
hypotensive syndrome and dyspnea.
Q5: During a prenatal visit at 20 weeks gestation, the nurse measures the fundal height
at the umbilicus. The nurse recognizes this finding as:
A. Consistent with expected growth for gestational age [CORRECT]
B. Indicative of intrauterine growth restriction
C. Suggestive of polyhydramnios
D. Evidence of a breech presentation
Correct Answer: A
Rationale: Correct because the fundal height in centimeters approximates gestational
age between 20 and 32 weeks; at 20 weeks the uterine fundus should be at the level of
the umbilicus.
Q6: A patient's last menstrual period began on October 15, 2025. Using Naegele's rule,
what is the estimated date of delivery?
A. July 8, 2026
, B. July 15, 2026
C. July 22, 2026 [CORRECT]
D. August 1, 2026
Correct Answer: C
Rationale: Correct because Naegele's rule calculates the estimated date of delivery by
subtracting 3 months from the first day of the last menstrual period and adding 7 days
plus 1 year; October 15 minus 3 months is July 15, plus 7 days equals July 22.
Q7: A patient at 28 weeks gestation is Rh-negative and has a negative antibody screen.
The nurse should anticipate administration of:
A. Rho(D) immune globulin within 72 hours postpartum only
B. Rho(D) immune globulin at 28 weeks and within 72 hours postpartum [CORRECT]
C. Rho(D) immune globulin only if the infant is Rh-positive at delivery
D. Rho(D) immune globulin at the first prenatal visit and again at 36 weeks
Correct Answer: B
Rationale: Correct because standard protocol for Rh-negative pregnant women with a
negative antibody screen includes antepartum Rho(D) immune globulin at 28 weeks and
a postpartum dose within 72 hours if the infant is Rh-positive.
Q8: A nurse is teaching a pregnant patient about nutritional requirements. The nurse
should instruct the patient to increase daily protein intake by approximately:
A. 10 grams
B. 25 grams [CORRECT]
C. 50 grams
D. 75 grams
Correct Answer: B
Rationale: Correct because pregnancy requires an additional 25 grams of protein daily
to support fetal growth, uterine enlargement, increased blood volume, and mammary
tissue development.
Q9: A patient at 8 weeks gestation asks the nurse about the effects of alcohol
consumption. The nurse should explain that alcohol during pregnancy:
A. Is safe in moderation during the first trimester only
B. Can cause fetal alcohol spectrum disorders at any stage of pregnancy [CORRECT]
C. Only affects the fetus if consumed after 20 weeks gestation
D. Is safer than tobacco use during pregnancy
Review Exam Actual Exam 2026/2027 | Complete
Exam-Style Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
SECTION 1: ANTEPARTUM NURSING CARE (Questions 1–15)
Q1: A nurse is assessing a pregnant patient at 16 weeks gestation. The patient asks
when she should expect to feel the baby move. The nurse should respond that
nulliparous women typically feel fetal movement between:
A. 8 and 12 weeks gestation
B. 14 and 18 weeks gestation
C. 16 and 20 weeks gestation [CORRECT]
D. 24 and 28 weeks gestation
Correct Answer: C
Rationale: Correct because nulliparous women typically perceive quickening between 16
and 20 weeks gestation, while multiparous women may recognize movement earlier at
14 to 18 weeks.
Q2: The nurse is teaching a patient about folic acid supplementation during pregnancy.
The nurse should instruct the patient to take:
A. 200 mcg daily
B. 400 mcg daily [CORRECT]
C. 800 mcg daily
D. 1000 mcg daily
Correct Answer: B
Rationale: Correct because 400 mcg of folic acid daily is recommended before
conception and during early pregnancy to reduce the risk of neural tube defects such as
spina bifida and anencephaly.
,Q3: A pregnant patient at 28 weeks calls the clinic reporting sudden severe headache
and visual disturbances. The nurse should instruct the patient to:
A. Lie down and rest for 30 minutes
B. Take acetaminophen 650 mg and call back if not relieved
C. Come to the clinic immediately for evaluation [CORRECT]
D. Increase fluid intake and monitor blood pressure at home
Correct Answer: C
Rationale: Correct because sudden severe headache and visual disturbances in the
second or third trimester are cardinal warning signs of preeclampsia requiring
immediate medical evaluation to prevent seizure and organ damage.
Q4: A nurse is caring for a patient at 32 weeks gestation. The patient reports feeling
short of breath when lying flat. The nurse should recommend:
A. Sleeping in a supine position with a pillow under the knees
B. Avoiding all physical activity until after delivery
C. Sleeping on the left side with pillows for support [CORRECT]
D. Using supplemental oxygen at 2 L/min during sleep
Correct Answer: C
Rationale: Correct because left lateral positioning displaces the gravid uterus off the
inferior vena cava, improving venous return and cardiac output while relieving supine
hypotensive syndrome and dyspnea.
Q5: During a prenatal visit at 20 weeks gestation, the nurse measures the fundal height
at the umbilicus. The nurse recognizes this finding as:
A. Consistent with expected growth for gestational age [CORRECT]
B. Indicative of intrauterine growth restriction
C. Suggestive of polyhydramnios
D. Evidence of a breech presentation
Correct Answer: A
Rationale: Correct because the fundal height in centimeters approximates gestational
age between 20 and 32 weeks; at 20 weeks the uterine fundus should be at the level of
the umbilicus.
Q6: A patient's last menstrual period began on October 15, 2025. Using Naegele's rule,
what is the estimated date of delivery?
A. July 8, 2026
, B. July 15, 2026
C. July 22, 2026 [CORRECT]
D. August 1, 2026
Correct Answer: C
Rationale: Correct because Naegele's rule calculates the estimated date of delivery by
subtracting 3 months from the first day of the last menstrual period and adding 7 days
plus 1 year; October 15 minus 3 months is July 15, plus 7 days equals July 22.
Q7: A patient at 28 weeks gestation is Rh-negative and has a negative antibody screen.
The nurse should anticipate administration of:
A. Rho(D) immune globulin within 72 hours postpartum only
B. Rho(D) immune globulin at 28 weeks and within 72 hours postpartum [CORRECT]
C. Rho(D) immune globulin only if the infant is Rh-positive at delivery
D. Rho(D) immune globulin at the first prenatal visit and again at 36 weeks
Correct Answer: B
Rationale: Correct because standard protocol for Rh-negative pregnant women with a
negative antibody screen includes antepartum Rho(D) immune globulin at 28 weeks and
a postpartum dose within 72 hours if the infant is Rh-positive.
Q8: A nurse is teaching a pregnant patient about nutritional requirements. The nurse
should instruct the patient to increase daily protein intake by approximately:
A. 10 grams
B. 25 grams [CORRECT]
C. 50 grams
D. 75 grams
Correct Answer: B
Rationale: Correct because pregnancy requires an additional 25 grams of protein daily
to support fetal growth, uterine enlargement, increased blood volume, and mammary
tissue development.
Q9: A patient at 8 weeks gestation asks the nurse about the effects of alcohol
consumption. The nurse should explain that alcohol during pregnancy:
A. Is safe in moderation during the first trimester only
B. Can cause fetal alcohol spectrum disorders at any stage of pregnancy [CORRECT]
C. Only affects the fetus if consumed after 20 weeks gestation
D. Is safer than tobacco use during pregnancy
