NUR 230 Exam 1 V1 | NUR 230 The
Childbearing / Child Caring Family | Q&A
with Rationale (NUR230 Exam 1) | Galen
College of Nursing
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client
whose last menstrual period (LMP) began on February 10th. Which date should the nurse
identify as the EDD?
A. November 10th
B. November 17th
C. October 17th
D. November 3rd
Answer: B
Rationale: Naegele’s rule involves subtracting 3 months from the first day of the LMP and
adding 7 days and 1 year. Subtracting 3 months from February 10th results in November
10th, and adding 7 days yields November 17th. This calculation is a standard method used
by nurses to provide a baseline for prenatal care scheduling.
2. Which of the following findings is considered a positive sign of pregnancy during a physical
assessment?
A. Positive serum pregnancy test
,B. Fetal heart tones heard via Doppler
C. Amenorrhea and morning sickness
D. Chadwick’s sign observed by the provider
Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones, ultrasound visualization, or palpation of fetal
movement by an examiner. Presumptive signs are subjective reports from the patient, such
as amenorrhea or nausea. Probable signs, like a positive pregnancy test or Chadwick’s sign,
are objective but could potentially be caused by other conditions.
3. A client is currently 24 weeks pregnant. Her history includes one birth at 39 weeks, one
birth at 34 weeks, and one miscarriage at 12 weeks. Using the GTPAL system, how should the
nurse document this?
A. G4 T2 P1 A1 L2
B. G3 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G3 T1 P1 A1 L3
Answer: C
Rationale: The client is currently pregnant, making her G4 (four pregnancies total). T1
represents the full-term birth at 39 weeks, while P1 represents the preterm birth at 34
, weeks. A1 indicates the miscarriage (abortion) before 20 weeks, and L2 signifies the two
living children.
4. A nurse is teaching a pregnant client about physiological changes. The nurse explains that
the dark line that develops on the abdomen during pregnancy is known as:
A. Chloasma
B. Striae gravidarum
C. Angiomas
D. Linea nigra
Answer: D
Rationale: Linea nigra is the dark, pigmented line that extends from the symphysis pubis
to the top of the fundus in the midline of the abdomen. Chloasma refers to the ‘mask of
pregnancy’ or hyperpigmentation on the face. Striae gravidarum are stretch marks
resulting from separation of the underlying connective tissue.
5. During a prenatal visit at 32 weeks gestation, a client reports feeling dizzy and lightheaded
when lying on her back. What is the nurse’s priority action?
A. Notify the provider immediately for suspected preeclampsia
B. Increase the client’s intravenous fluid rate
C. Instruct the client to lie on her side
D. Check the client’s blood glucose level
Childbearing / Child Caring Family | Q&A
with Rationale (NUR230 Exam 1) | Galen
College of Nursing
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client
whose last menstrual period (LMP) began on February 10th. Which date should the nurse
identify as the EDD?
A. November 10th
B. November 17th
C. October 17th
D. November 3rd
Answer: B
Rationale: Naegele’s rule involves subtracting 3 months from the first day of the LMP and
adding 7 days and 1 year. Subtracting 3 months from February 10th results in November
10th, and adding 7 days yields November 17th. This calculation is a standard method used
by nurses to provide a baseline for prenatal care scheduling.
2. Which of the following findings is considered a positive sign of pregnancy during a physical
assessment?
A. Positive serum pregnancy test
,B. Fetal heart tones heard via Doppler
C. Amenorrhea and morning sickness
D. Chadwick’s sign observed by the provider
Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones, ultrasound visualization, or palpation of fetal
movement by an examiner. Presumptive signs are subjective reports from the patient, such
as amenorrhea or nausea. Probable signs, like a positive pregnancy test or Chadwick’s sign,
are objective but could potentially be caused by other conditions.
3. A client is currently 24 weeks pregnant. Her history includes one birth at 39 weeks, one
birth at 34 weeks, and one miscarriage at 12 weeks. Using the GTPAL system, how should the
nurse document this?
A. G4 T2 P1 A1 L2
B. G3 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G3 T1 P1 A1 L3
Answer: C
Rationale: The client is currently pregnant, making her G4 (four pregnancies total). T1
represents the full-term birth at 39 weeks, while P1 represents the preterm birth at 34
, weeks. A1 indicates the miscarriage (abortion) before 20 weeks, and L2 signifies the two
living children.
4. A nurse is teaching a pregnant client about physiological changes. The nurse explains that
the dark line that develops on the abdomen during pregnancy is known as:
A. Chloasma
B. Striae gravidarum
C. Angiomas
D. Linea nigra
Answer: D
Rationale: Linea nigra is the dark, pigmented line that extends from the symphysis pubis
to the top of the fundus in the midline of the abdomen. Chloasma refers to the ‘mask of
pregnancy’ or hyperpigmentation on the face. Striae gravidarum are stretch marks
resulting from separation of the underlying connective tissue.
5. During a prenatal visit at 32 weeks gestation, a client reports feeling dizzy and lightheaded
when lying on her back. What is the nurse’s priority action?
A. Notify the provider immediately for suspected preeclampsia
B. Increase the client’s intravenous fluid rate
C. Instruct the client to lie on her side
D. Check the client’s blood glucose level
