NUR 231 Exam 1: Childbearing & Child Caring Family 2026 Galen
College
1. A nurse is calculating a client’s estimated date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on March 10.
Which date should the nurse record as the EDD?
A. December 3
B. January 17
C. December 17
D. December 10
Answer: C
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days (and 1 year). March 10 minus 3 months is December 10, plus 7 days
is December 17.
2. A client is pregnant for the fourth time. She has one living child born at 39
weeks, one born at 34 weeks, and had one miscarriage at 12 weeks. What is her
GTPAL?
A. G4 T1 P1 A1 L2
B. G4 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G3 T1 P1 A1 L2
Answer: C
Rationale: G (Gravida) is 4 (current pregnancy included); T (Term) is 1 (39 weeks); P
(Preterm) is 1 (34 weeks); A (Abortion) is 1 (miscarriage); L (Living) is 2.
,3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Hegar’s sign
C. Fetal heart tones heard via Doppler
D. Amenorrhea
Answer: C
Rationale: Positive signs are those attributed only to the presence of a fetus, such as
hearing fetal heart tones, visualizing the fetus via ultrasound, or palpating fetal movement
by an examiner.
4. A client at 32 weeks gestation reports feeling dizzy and lightheaded when
lying on her back. What is the nurse’s priority action?
A. Increase the IV fluid rate
B. Obtain a 12-lead EKG
C. Instruct the client to turn onto her left side
D. Administer supplemental oxygen
Answer: C
Rationale: This is supine hypotensive syndrome caused by the heavy uterus compressing
the inferior vena cava. Turning the client to her side relieves the pressure and improves
cardiac output.
5. Which supplement is most critical during the first trimester to prevent neural
tube defects?
A. Folic Acid
B. Vitamin C
C. Calcium
D. Iron
Answer: A
, Rationale: Folic acid intake of 400-800 mcg daily is essential prior to and during early
pregnancy to prevent neural tube defects like spina bifida.
6. A nurse is monitoring a fetal heart rate (FHR) tracing and notes a decrease in
FHR that begins after the peak of the contraction and returns to baseline after
the contraction ends. What is the nurse’s interpretation?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Answer: C
Rationale: Late decelerations are characterized by a gradual decrease that starts after the
contraction has begun and ends after the contraction is over, indicating placental
insufficiency.
7. What is the drug of choice for preventing seizures in a client with
preeclampsia?
A. Nifedipine
B. Labetalol
C. Magnesium Sulfate
D. Hydralazine
Answer: C
Rationale: Magnesium Sulfate is a central nervous system depressant used specifically to
prevent eclamptic seizures in patients with high blood pressure during pregnancy.
College
1. A nurse is calculating a client’s estimated date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on March 10.
Which date should the nurse record as the EDD?
A. December 3
B. January 17
C. December 17
D. December 10
Answer: C
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days (and 1 year). March 10 minus 3 months is December 10, plus 7 days
is December 17.
2. A client is pregnant for the fourth time. She has one living child born at 39
weeks, one born at 34 weeks, and had one miscarriage at 12 weeks. What is her
GTPAL?
A. G4 T1 P1 A1 L2
B. G4 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G3 T1 P1 A1 L2
Answer: C
Rationale: G (Gravida) is 4 (current pregnancy included); T (Term) is 1 (39 weeks); P
(Preterm) is 1 (34 weeks); A (Abortion) is 1 (miscarriage); L (Living) is 2.
,3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Hegar’s sign
C. Fetal heart tones heard via Doppler
D. Amenorrhea
Answer: C
Rationale: Positive signs are those attributed only to the presence of a fetus, such as
hearing fetal heart tones, visualizing the fetus via ultrasound, or palpating fetal movement
by an examiner.
4. A client at 32 weeks gestation reports feeling dizzy and lightheaded when
lying on her back. What is the nurse’s priority action?
A. Increase the IV fluid rate
B. Obtain a 12-lead EKG
C. Instruct the client to turn onto her left side
D. Administer supplemental oxygen
Answer: C
Rationale: This is supine hypotensive syndrome caused by the heavy uterus compressing
the inferior vena cava. Turning the client to her side relieves the pressure and improves
cardiac output.
5. Which supplement is most critical during the first trimester to prevent neural
tube defects?
A. Folic Acid
B. Vitamin C
C. Calcium
D. Iron
Answer: A
, Rationale: Folic acid intake of 400-800 mcg daily is essential prior to and during early
pregnancy to prevent neural tube defects like spina bifida.
6. A nurse is monitoring a fetal heart rate (FHR) tracing and notes a decrease in
FHR that begins after the peak of the contraction and returns to baseline after
the contraction ends. What is the nurse’s interpretation?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Answer: C
Rationale: Late decelerations are characterized by a gradual decrease that starts after the
contraction has begun and ends after the contraction is over, indicating placental
insufficiency.
7. What is the drug of choice for preventing seizures in a client with
preeclampsia?
A. Nifedipine
B. Labetalol
C. Magnesium Sulfate
D. Hydralazine
Answer: C
Rationale: Magnesium Sulfate is a central nervous system depressant used specifically to
prevent eclamptic seizures in patients with high blood pressure during pregnancy.
