,1. A pregnant patient's last normal menstrual period (LNMP) began on May 4th. Using Naegele's
rule, what is the estimated date of delivery (EDD)?
A) February 1st
B) February 11th
C) January 28th
D) February 18th
Correct Answer: February 11th
Rationale: Naegele's rule calculates EDD by subtracting 3 months from the first day of the LNMP
and adding 7 days and 1 year if needed. May 4 minus 3 months equals February 4, plus 7 days
equals February 11 .
2. A nurse is assessing a pregnant patient at 12 weeks gestation. Which of the following is a
presumptive (possible) sign of pregnancy?
A) Chadwick's sign
B) Positive pregnancy test
C) Hegar's sign
D) Breast tenderness and fatigue
Correct Answer: Breast tenderness and fatigue
Rationale: Presumptive signs are subjective and felt by the patient, such as amenorrhea,
nausea, fatigue, and breast tenderness. Probable signs are observed by the examiner
(Chadwick's sign, Hegar's sign, positive pregnancy test), and positive signs confirm pregnancy
(fetal heartbeat on ultrasound) .
,3. The nurse is teaching a client who is in the 10th week of pregnancy about morning sickness.
Which of the following should the nurse include in the teaching?
A) Avoid all fluids during meals to prevent nausea
B) Eat small, frequent meals throughout the day
C) Increase intake of spicy and fatty foods to settle the stomach
D) Take antiemetic medication immediately upon waking
Correct Answer: Eat small, frequent meals throughout the day
Rationale: Eating small, frequent meals helps stabilize blood sugar and prevents an empty
stomach, which can trigger nausea. Dry carbohydrates (crackers, toast) before rising are also
recommended. Avoiding fluids during meals can worsen dehydration, and spicy/fatty foods may
aggravate symptoms .
4. A pregnant patient asks the nurse, "When will I start to feel the baby move?" The nurse
knows that quickening (fetal movement) is typically felt by a primigravida at:
A) 12-14 weeks
B) 16-20 weeks
C) 24-26 weeks
D) 28-30 weeks
Correct Answer: 16-20 weeks
Rationale: Quickening is typically felt by a primigravida at 16–20 weeks. A multigravida may feel
it earlier, around 14–16 weeks, because they recognize the sensation .
5. Which hormone is responsible for maintaining the corpus luteum during early pregnancy and
is the hormone detected in pregnancy tests?
, A) Progesterone
B) Estrogen
C) Human chorionic gonadotropin (hCG)
D) Human placental lactogen (hPL)
Correct Answer: Human chorionic gonadotropin (hCG)
Rationale: Human chorionic gonadotropin (hCG) is produced by the developing placenta,
maintains the corpus luteum, and is the hormone detected in urine and serum pregnancy tests .
6. A nurse is performing Leopold's maneuvers. What is the purpose of the first maneuver?
A) To determine the presentation (which part is in the pelvis)
B) To determine the fetal lie (longitudinal or transverse)
C) To determine the position of the fetal back
D) To determine the engagement of the presenting part
Correct Answer: To determine the fetal lie (longitudinal or transverse)
Rationale: The first maneuver (fundal grip) determines the fetal lie and what is at the fundus.
The second maneuver identifies the fetal back, the third determines the presenting part, and
the fourth confirms engagement .
7. A patient at 28 weeks gestation is scheduled for a 1-hour glucose tolerance test. Which
instruction should the nurse provide?
A) "Fast for 12 hours before the test."
B) "Eat a high-protein meal right before the test."
C) "Drink the glucose solution within 5 minutes, and your blood will be drawn 1 hour later."
rule, what is the estimated date of delivery (EDD)?
A) February 1st
B) February 11th
C) January 28th
D) February 18th
Correct Answer: February 11th
Rationale: Naegele's rule calculates EDD by subtracting 3 months from the first day of the LNMP
and adding 7 days and 1 year if needed. May 4 minus 3 months equals February 4, plus 7 days
equals February 11 .
2. A nurse is assessing a pregnant patient at 12 weeks gestation. Which of the following is a
presumptive (possible) sign of pregnancy?
A) Chadwick's sign
B) Positive pregnancy test
C) Hegar's sign
D) Breast tenderness and fatigue
Correct Answer: Breast tenderness and fatigue
Rationale: Presumptive signs are subjective and felt by the patient, such as amenorrhea,
nausea, fatigue, and breast tenderness. Probable signs are observed by the examiner
(Chadwick's sign, Hegar's sign, positive pregnancy test), and positive signs confirm pregnancy
(fetal heartbeat on ultrasound) .
,3. The nurse is teaching a client who is in the 10th week of pregnancy about morning sickness.
Which of the following should the nurse include in the teaching?
A) Avoid all fluids during meals to prevent nausea
B) Eat small, frequent meals throughout the day
C) Increase intake of spicy and fatty foods to settle the stomach
D) Take antiemetic medication immediately upon waking
Correct Answer: Eat small, frequent meals throughout the day
Rationale: Eating small, frequent meals helps stabilize blood sugar and prevents an empty
stomach, which can trigger nausea. Dry carbohydrates (crackers, toast) before rising are also
recommended. Avoiding fluids during meals can worsen dehydration, and spicy/fatty foods may
aggravate symptoms .
4. A pregnant patient asks the nurse, "When will I start to feel the baby move?" The nurse
knows that quickening (fetal movement) is typically felt by a primigravida at:
A) 12-14 weeks
B) 16-20 weeks
C) 24-26 weeks
D) 28-30 weeks
Correct Answer: 16-20 weeks
Rationale: Quickening is typically felt by a primigravida at 16–20 weeks. A multigravida may feel
it earlier, around 14–16 weeks, because they recognize the sensation .
5. Which hormone is responsible for maintaining the corpus luteum during early pregnancy and
is the hormone detected in pregnancy tests?
, A) Progesterone
B) Estrogen
C) Human chorionic gonadotropin (hCG)
D) Human placental lactogen (hPL)
Correct Answer: Human chorionic gonadotropin (hCG)
Rationale: Human chorionic gonadotropin (hCG) is produced by the developing placenta,
maintains the corpus luteum, and is the hormone detected in urine and serum pregnancy tests .
6. A nurse is performing Leopold's maneuvers. What is the purpose of the first maneuver?
A) To determine the presentation (which part is in the pelvis)
B) To determine the fetal lie (longitudinal or transverse)
C) To determine the position of the fetal back
D) To determine the engagement of the presenting part
Correct Answer: To determine the fetal lie (longitudinal or transverse)
Rationale: The first maneuver (fundal grip) determines the fetal lie and what is at the fundus.
The second maneuver identifies the fetal back, the third determines the presenting part, and
the fourth confirms engagement .
7. A patient at 28 weeks gestation is scheduled for a 1-hour glucose tolerance test. Which
instruction should the nurse provide?
A) "Fast for 12 hours before the test."
B) "Eat a high-protein meal right before the test."
C) "Drink the glucose solution within 5 minutes, and your blood will be drawn 1 hour later."
