NR-327 Maternal-Child Nursing Midterm 1 Exam
Questions And Correct Answers {Verified
Answers} Plus Rationales 2025/2026 Q&A /
Instant Download Pdf
1. Which hormone is primarily responsible for maintaining the uterine lining during
pregnancy?
a. Estrogen
b. Follicle-stimulating hormone (FSH)
c. Progesterone
d. Luteinizing hormone (LH)
Progesterone maintains the endometrial lining and prevents uterine contractions
during pregnancy.
2. The most reliable sign of pregnancy is:
a. Amenorrhea
b. Nausea and vomiting
c. Positive fetal heartbeat detected by Doppler
d. Breast tenderness
A positive fetal heartbeat is a definitive (positive) sign of pregnancy.
3. A pregnant woman’s fundal height at 20 weeks should be:
a. At the level of the symphysis pubis
b. At the level of the umbilicus
c. Midway between pubis and umbilicus
d. At the xiphoid process
At 20 weeks gestation, the fundus is typically at the level of the umbilicus.
4. Which prenatal supplement helps prevent neural tube defects?
a. Iron
b. Vitamin D
c. Folic acid
d. Calcium
Folic acid taken before and during early pregnancy reduces the risk of neural tube
defects.
5. The recommended weight gain for a woman with a normal BMI during pregnancy is:
a. 10–15 lbs
b. 15–20 lbs
, c. 25–35 lbs
d. 35–45 lbs
Normal BMI women should gain about 25–35 lbs to support healthy fetal
development.
6. Which condition is characterized by high blood pressure, proteinuria, and edema
during pregnancy?
a. Gestational diabetes
b. Preeclampsia
c. Placenta previa
d. Hyperemesis gravidarum
Preeclampsia is a hypertensive disorder of pregnancy with proteinuria and edema.
7. A nonstress test (NST) is considered reactive when:
a. There are no accelerations in fetal heart rate
b. There are at least two accelerations of 15 bpm lasting 15 seconds in 20 minutes
c. Fetal movement is absent
d. Fetal heart rate is below baseline
A reactive NST indicates good fetal oxygenation and nervous system function.
8. Which position relieves supine hypotensive syndrome in late pregnancy?
a. Prone
b. High Fowler’s
c. Left lateral
d. Right lateral
Left lateral position improves venous return and cardiac output.
9. The term “quickening” refers to:
a. Onset of labor
b. First fetal movement felt by the mother
c. Cervical dilation
d. Braxton Hicks contractions
Quickening is typically felt between 16–20 weeks as the first fetal movement.
10. Which immunization is safe to administer during pregnancy?
a. MMR
b. Influenza (inactivated)
c. Varicella
d. Rubella
Inactivated influenza vaccine is safe; live vaccines are contraindicated in pregnancy.
11. Which complication is most associated with placenta previa?
a. Hypertension
b. Painless vaginal bleeding
, c. Severe abdominal pain
d. Oligohydramnios
Placenta previa typically presents with painless, bright-red bleeding.
12. Which hormone is detected by pregnancy tests?
a. Progesterone
b. Human chorionic gonadotropin (hCG)
c. Estrogen
d. Oxytocin
hCG is produced by the trophoblast and is detected in urine and blood tests.
13. A pregnant woman with severe vomiting and dehydration likely has:
a. Preeclampsia
b. Hyperemesis gravidarum
c. Placental abruption
d. HELLP syndrome
Hyperemesis gravidarum causes persistent vomiting, dehydration, and electrolyte
imbalance.
14. The primary purpose of Rh immune globulin (RhoGAM) is to:
a. Prevent infection
b. Treat anemia
c. Prevent maternal antibody formation against Rh-positive fetal cells
d. Stimulate labor
RhoGAM prevents sensitization in Rh-negative mothers.
15. Which fetal presentation is most favorable for vaginal delivery?
a. Breech
b. Transverse
c. Vertex
d. Face
Vertex presentation allows optimal passage through the birth canal.
16. The primary reason for increased iron needs in pregnancy is to:
a. Increase bone strength
b. Support increased maternal blood volume and fetal growth
c. Prevent constipation
d. Regulate hormones
Iron supports expanded maternal blood volume and fetal hemoglobin production.
17. Which is the earliest presumptive sign of pregnancy?
a. Positive fetal heart tones
b. Amenorrhea
c. Uterine enlargement
Questions And Correct Answers {Verified
Answers} Plus Rationales 2025/2026 Q&A /
Instant Download Pdf
1. Which hormone is primarily responsible for maintaining the uterine lining during
pregnancy?
a. Estrogen
b. Follicle-stimulating hormone (FSH)
c. Progesterone
d. Luteinizing hormone (LH)
Progesterone maintains the endometrial lining and prevents uterine contractions
during pregnancy.
2. The most reliable sign of pregnancy is:
a. Amenorrhea
b. Nausea and vomiting
c. Positive fetal heartbeat detected by Doppler
d. Breast tenderness
A positive fetal heartbeat is a definitive (positive) sign of pregnancy.
3. A pregnant woman’s fundal height at 20 weeks should be:
a. At the level of the symphysis pubis
b. At the level of the umbilicus
c. Midway between pubis and umbilicus
d. At the xiphoid process
At 20 weeks gestation, the fundus is typically at the level of the umbilicus.
4. Which prenatal supplement helps prevent neural tube defects?
a. Iron
b. Vitamin D
c. Folic acid
d. Calcium
Folic acid taken before and during early pregnancy reduces the risk of neural tube
defects.
5. The recommended weight gain for a woman with a normal BMI during pregnancy is:
a. 10–15 lbs
b. 15–20 lbs
, c. 25–35 lbs
d. 35–45 lbs
Normal BMI women should gain about 25–35 lbs to support healthy fetal
development.
6. Which condition is characterized by high blood pressure, proteinuria, and edema
during pregnancy?
a. Gestational diabetes
b. Preeclampsia
c. Placenta previa
d. Hyperemesis gravidarum
Preeclampsia is a hypertensive disorder of pregnancy with proteinuria and edema.
7. A nonstress test (NST) is considered reactive when:
a. There are no accelerations in fetal heart rate
b. There are at least two accelerations of 15 bpm lasting 15 seconds in 20 minutes
c. Fetal movement is absent
d. Fetal heart rate is below baseline
A reactive NST indicates good fetal oxygenation and nervous system function.
8. Which position relieves supine hypotensive syndrome in late pregnancy?
a. Prone
b. High Fowler’s
c. Left lateral
d. Right lateral
Left lateral position improves venous return and cardiac output.
9. The term “quickening” refers to:
a. Onset of labor
b. First fetal movement felt by the mother
c. Cervical dilation
d. Braxton Hicks contractions
Quickening is typically felt between 16–20 weeks as the first fetal movement.
10. Which immunization is safe to administer during pregnancy?
a. MMR
b. Influenza (inactivated)
c. Varicella
d. Rubella
Inactivated influenza vaccine is safe; live vaccines are contraindicated in pregnancy.
11. Which complication is most associated with placenta previa?
a. Hypertension
b. Painless vaginal bleeding
, c. Severe abdominal pain
d. Oligohydramnios
Placenta previa typically presents with painless, bright-red bleeding.
12. Which hormone is detected by pregnancy tests?
a. Progesterone
b. Human chorionic gonadotropin (hCG)
c. Estrogen
d. Oxytocin
hCG is produced by the trophoblast and is detected in urine and blood tests.
13. A pregnant woman with severe vomiting and dehydration likely has:
a. Preeclampsia
b. Hyperemesis gravidarum
c. Placental abruption
d. HELLP syndrome
Hyperemesis gravidarum causes persistent vomiting, dehydration, and electrolyte
imbalance.
14. The primary purpose of Rh immune globulin (RhoGAM) is to:
a. Prevent infection
b. Treat anemia
c. Prevent maternal antibody formation against Rh-positive fetal cells
d. Stimulate labor
RhoGAM prevents sensitization in Rh-negative mothers.
15. Which fetal presentation is most favorable for vaginal delivery?
a. Breech
b. Transverse
c. Vertex
d. Face
Vertex presentation allows optimal passage through the birth canal.
16. The primary reason for increased iron needs in pregnancy is to:
a. Increase bone strength
b. Support increased maternal blood volume and fetal growth
c. Prevent constipation
d. Regulate hormones
Iron supports expanded maternal blood volume and fetal hemoglobin production.
17. Which is the earliest presumptive sign of pregnancy?
a. Positive fetal heart tones
b. Amenorrhea
c. Uterine enlargement
