NUR 418 FINAL EXAM (CONCORDIA) NEWEST 2026
ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY FINAL EXAM REVIEW
WITH 300 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
1. A nurse is calculating an estimated due date (EDD) using
Naegele’s rule for a patient whose last menstrual period
(LMP) began on September 23, 2023. Which date is correct?
A) June 30, 2024
B) July 7, 2024
C) July 16, 2024
D) August 23, 2024
Answer: A
Rationale: Naegele’s rule: subtract 3 months from LMP
(September 23 → June 23) then add 7 days → June 30, 2024.
This assumes a 28-day cycle.
1
,2. A primigravida at 10 weeks gestation reports frequent
urination without dysuria. What is the best nursing
explanation?
A) “This is a sign of a urinary tract infection; you need a
urine culture.”
B) “Your growing uterus is pressing on your bladder, which
is normal.”
C) “You should limit fluids after 6 PM to reduce nighttime
trips.”
D) “It may indicate gestational diabetes; we will screen you
early.”
Answer: B
Rationale: In first trimester, the enlarging uterus sits within the
pelvis and directly compresses the bladder, causing urinary
frequency. This is a normal physiologic change, not infection or
diabetes.
3. A patient at 16 weeks gestation has a fundal height
palpated at the umbilicus. What should the nurse suspect?
A) Normal for gestational age
2
, B) Multiple gestation (twins) or molar pregnancy
C) Intrauterine growth restriction (IUGR)
D) Incorrect pregnancy dating
Answer: B
Rationale: At 16 weeks, the fundus should be halfway between
the symphysis pubis and the umbilicus. At the umbilicus suggests
uterine overdistension from twins, polyhydramnios, or
hydatidiform mole.
4. A nurse is teaching a patient about expected weight gain in
a singleton pregnancy with normal BMI (18.5–24.9). Which
range is correct?
A) 15–25 lbs
B) 25–35 lbs
C) 28–40 lbs
D) 11–20 lbs
Answer: B
Rationale: IOM guidelines: Normal BMI → 25–35 lbs.
3
, Underweight: 28–40 lbs. Overweight: 15–25 lbs. Obese: 11–20
lbs.
5. At a routine prenatal visit at 28 weeks, a patient’s blood
pressure is 148/92 mmHg. Prior BPs were 110/70. Urine
dipstick shows 1+ protein. What is the priority action?
A) Recheck BP in 15 minutes after rest
B) Send urine for culture and sensitivity
C) Notify provider immediately
D) Advise patient to reduce salt intake
Answer: C
Rationale: New-onset hypertension + proteinuria after 20 weeks
suggests preeclampsia. Immediate provider notification is
required for further evaluation (lab work, possible admission).
6. A patient at 32 weeks reports regular, painless uterine
contractions every 10 minutes for 2 hours. She is well
hydrated and rested. What is the most appropriate response?
4
ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY FINAL EXAM REVIEW
WITH 300 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
1. A nurse is calculating an estimated due date (EDD) using
Naegele’s rule for a patient whose last menstrual period
(LMP) began on September 23, 2023. Which date is correct?
A) June 30, 2024
B) July 7, 2024
C) July 16, 2024
D) August 23, 2024
Answer: A
Rationale: Naegele’s rule: subtract 3 months from LMP
(September 23 → June 23) then add 7 days → June 30, 2024.
This assumes a 28-day cycle.
1
,2. A primigravida at 10 weeks gestation reports frequent
urination without dysuria. What is the best nursing
explanation?
A) “This is a sign of a urinary tract infection; you need a
urine culture.”
B) “Your growing uterus is pressing on your bladder, which
is normal.”
C) “You should limit fluids after 6 PM to reduce nighttime
trips.”
D) “It may indicate gestational diabetes; we will screen you
early.”
Answer: B
Rationale: In first trimester, the enlarging uterus sits within the
pelvis and directly compresses the bladder, causing urinary
frequency. This is a normal physiologic change, not infection or
diabetes.
3. A patient at 16 weeks gestation has a fundal height
palpated at the umbilicus. What should the nurse suspect?
A) Normal for gestational age
2
, B) Multiple gestation (twins) or molar pregnancy
C) Intrauterine growth restriction (IUGR)
D) Incorrect pregnancy dating
Answer: B
Rationale: At 16 weeks, the fundus should be halfway between
the symphysis pubis and the umbilicus. At the umbilicus suggests
uterine overdistension from twins, polyhydramnios, or
hydatidiform mole.
4. A nurse is teaching a patient about expected weight gain in
a singleton pregnancy with normal BMI (18.5–24.9). Which
range is correct?
A) 15–25 lbs
B) 25–35 lbs
C) 28–40 lbs
D) 11–20 lbs
Answer: B
Rationale: IOM guidelines: Normal BMI → 25–35 lbs.
3
, Underweight: 28–40 lbs. Overweight: 15–25 lbs. Obese: 11–20
lbs.
5. At a routine prenatal visit at 28 weeks, a patient’s blood
pressure is 148/92 mmHg. Prior BPs were 110/70. Urine
dipstick shows 1+ protein. What is the priority action?
A) Recheck BP in 15 minutes after rest
B) Send urine for culture and sensitivity
C) Notify provider immediately
D) Advise patient to reduce salt intake
Answer: C
Rationale: New-onset hypertension + proteinuria after 20 weeks
suggests preeclampsia. Immediate provider notification is
required for further evaluation (lab work, possible admission).
6. A patient at 32 weeks reports regular, painless uterine
contractions every 10 minutes for 2 hours. She is well
hydrated and rested. What is the most appropriate response?
4
