A detailed NCLEX-style revision test bank for NSG 3500
(Maternal–Newborn Nursing) at Galen College of Nursing. 50
multiple-choice questions, each with detailed rationales for the
correct answers, reflecting the actual exam setting.
Maternal–Newborn Nursing NCLEX-style Practice Questions
Prenatal Care
1. A pregnant woman with a pre-pregnancy BMI of 22 asks
about recommended weight gain. The nurse’s best answer
is “25–35 pounds”. This recommendation is based on
Institute of Medicine (IOM) guidelines: women of healthy
weight (BMI 18.5–24.9) should gain about 25–35 lbs.
(Underweight women require more [28–40 lbs],
overweight 15–25 lbs, obese 11–20 lbs.)
2. A 28-year-old woman planning pregnancy asks about folic
acid supplementation. The nurse should teach that 400
micrograms (0.4 mg) daily is recommended for average-
risk women. This dose has been shown to reduce neural
tube defects. (Higher doses (4 mg) are reserved for high-
risk women with prior NTD pregnancies.)
3. During the first prenatal visit, the nurse expects which
routine test?
, o A. Oral glucose tolerance test
o B. Group B Streptococcus culture
o C. Blood type and Rh factor (Correct)
o D. Amniotic fluid alpha-fetoprotein
Answer: C. In early pregnancy, routine labs include CBC and
determination of blood type and Rh status. (Glucose screening
and GBS culture occur later.)
4. A pregnant patient asks when she should receive the Tdap
vaccine. The nurse replies “During the third trimester (27–
36 weeks)”. The CDC recommends Tdap in the early part
of week 27–36 of each pregnancy to maximize antibody
transfer to the fetus.
5. An uncomplicated pregnant woman arrives for care. When
should the nurse schedule her gestational diabetes
screening?
o A. 16–18 weeks
o B. 20–24 weeks
o C. 24–28 weeks (Correct)
o D. 32–34 weeks
Answer: C. A glucose screening test is usually done at 24–28
weeks’ gestation. (If high-risk, screening can be done earlier.)
6. At what gestation is Group B Streptococcus (GBS)
screening performed?
(Maternal–Newborn Nursing) at Galen College of Nursing. 50
multiple-choice questions, each with detailed rationales for the
correct answers, reflecting the actual exam setting.
Maternal–Newborn Nursing NCLEX-style Practice Questions
Prenatal Care
1. A pregnant woman with a pre-pregnancy BMI of 22 asks
about recommended weight gain. The nurse’s best answer
is “25–35 pounds”. This recommendation is based on
Institute of Medicine (IOM) guidelines: women of healthy
weight (BMI 18.5–24.9) should gain about 25–35 lbs.
(Underweight women require more [28–40 lbs],
overweight 15–25 lbs, obese 11–20 lbs.)
2. A 28-year-old woman planning pregnancy asks about folic
acid supplementation. The nurse should teach that 400
micrograms (0.4 mg) daily is recommended for average-
risk women. This dose has been shown to reduce neural
tube defects. (Higher doses (4 mg) are reserved for high-
risk women with prior NTD pregnancies.)
3. During the first prenatal visit, the nurse expects which
routine test?
, o A. Oral glucose tolerance test
o B. Group B Streptococcus culture
o C. Blood type and Rh factor (Correct)
o D. Amniotic fluid alpha-fetoprotein
Answer: C. In early pregnancy, routine labs include CBC and
determination of blood type and Rh status. (Glucose screening
and GBS culture occur later.)
4. A pregnant patient asks when she should receive the Tdap
vaccine. The nurse replies “During the third trimester (27–
36 weeks)”. The CDC recommends Tdap in the early part
of week 27–36 of each pregnancy to maximize antibody
transfer to the fetus.
5. An uncomplicated pregnant woman arrives for care. When
should the nurse schedule her gestational diabetes
screening?
o A. 16–18 weeks
o B. 20–24 weeks
o C. 24–28 weeks (Correct)
o D. 32–34 weeks
Answer: C. A glucose screening test is usually done at 24–28
weeks’ gestation. (If high-risk, screening can be done earlier.)
6. At what gestation is Group B Streptococcus (GBS)
screening performed?
