NUR 230 Exam 1 V3 | NUR 230 The
Childbearing / Child Caring Family | Q&A
with Rationale (NUR230 Exam 1) | Galen
College of Nursing
1. A nurse is reviewing the GTPAL for a client who is currently pregnant, has a 5-year-old son
born at 38 weeks, and had a miscarriage at 12 weeks gestation. How should the nurse
document this?
A. G3 T2 P0 A0 L1
B. G2 T1 P0 A1 L1
C. G3 T1 P0 A1 L1
D. G2 T1 P1 A0 L1
Answer: C
Rationale: Gravida (G) represents the total number of pregnancies, including the current
one, which equals 3. Term (T) represents births from 37 0/7 weeks onward, which is the 5-
year-old son. Abortions (A) include any pregnancy loss before 20 weeks, which accounts
for the miscarriage.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on November 15?
A. August 15
,B. August 29
C. August 22
D. August 8
Answer: C
Rationale: Naegele’s rule is calculated by subtracting 3 months and adding 7 days to the
first day of the last menstrual period. November minus 3 months is August, and 15 plus 7
days is 22. This formula assumes a standard 28-day cycle for accuracy.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard via Doppler
C. Amenorrhea
D. Chadwick’s sign
Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as visualization by ultrasound or hearing fetal heart tones.
Amenorrhea is a presumptive sign because it can be caused by stress or illness. A positive
pregnancy test is a probable sign because it measures hCG, which can be elevated in
conditions like a hydatidiform mole.
, 4. A client at 20 weeks gestation reports feeling dizzy and faint when lying on her back. Which
instruction should the nurse provide?
A. ‘Lie on your left side to move the uterus off the vena cava.’
B. ‘Increase your fluid intake to maintain blood pressure.’
C. ‘This is a sign of gestational hypertension and needs immediate follow-up.’
D. ‘Take deep breaths until the feeling passes.’
Answer: A
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava, decreasing venous return to the heart. Placing the client in a lateral or
side-lying position relieves this pressure and restores cardiac output. The nurse should
explain that this is a normal physiological occurrence due to the enlarging uterus.
5. A nurse is teaching a pregnant client about the importance of folic acid. Which statement
by the client indicates an understanding of the teaching?
A. ‘I need folic acid to help with my morning sickness.’
B. ‘I should take folic acid to prevent gestational diabetes.’
C. ‘Folic acid is only necessary during the third trimester.’
D. ‘Folic acid helps prevent neural tube defects like spina bifida.’
Answer: D
Childbearing / Child Caring Family | Q&A
with Rationale (NUR230 Exam 1) | Galen
College of Nursing
1. A nurse is reviewing the GTPAL for a client who is currently pregnant, has a 5-year-old son
born at 38 weeks, and had a miscarriage at 12 weeks gestation. How should the nurse
document this?
A. G3 T2 P0 A0 L1
B. G2 T1 P0 A1 L1
C. G3 T1 P0 A1 L1
D. G2 T1 P1 A0 L1
Answer: C
Rationale: Gravida (G) represents the total number of pregnancies, including the current
one, which equals 3. Term (T) represents births from 37 0/7 weeks onward, which is the 5-
year-old son. Abortions (A) include any pregnancy loss before 20 weeks, which accounts
for the miscarriage.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on November 15?
A. August 15
,B. August 29
C. August 22
D. August 8
Answer: C
Rationale: Naegele’s rule is calculated by subtracting 3 months and adding 7 days to the
first day of the last menstrual period. November minus 3 months is August, and 15 plus 7
days is 22. This formula assumes a standard 28-day cycle for accuracy.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard via Doppler
C. Amenorrhea
D. Chadwick’s sign
Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as visualization by ultrasound or hearing fetal heart tones.
Amenorrhea is a presumptive sign because it can be caused by stress or illness. A positive
pregnancy test is a probable sign because it measures hCG, which can be elevated in
conditions like a hydatidiform mole.
, 4. A client at 20 weeks gestation reports feeling dizzy and faint when lying on her back. Which
instruction should the nurse provide?
A. ‘Lie on your left side to move the uterus off the vena cava.’
B. ‘Increase your fluid intake to maintain blood pressure.’
C. ‘This is a sign of gestational hypertension and needs immediate follow-up.’
D. ‘Take deep breaths until the feeling passes.’
Answer: A
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava, decreasing venous return to the heart. Placing the client in a lateral or
side-lying position relieves this pressure and restores cardiac output. The nurse should
explain that this is a normal physiological occurrence due to the enlarging uterus.
5. A nurse is teaching a pregnant client about the importance of folic acid. Which statement
by the client indicates an understanding of the teaching?
A. ‘I need folic acid to help with my morning sickness.’
B. ‘I should take folic acid to prevent gestational diabetes.’
C. ‘Folic acid is only necessary during the third trimester.’
D. ‘Folic acid helps prevent neural tube defects like spina bifida.’
Answer: D
