NR327/NR 327 Exam 1 V1 | Maternal Child Nursing
Q&A with Rationale | Chamberlain University
1. A nurse is calculating the estimated date of delivery for a client whose last menstrual
period began on October 10th. Using Naegele’s rule, what date should the nurse provide?
A. July 17th
B. July 3rd
C. January 17th
D. June 10th
Correct Answer: A
Explanation: Naegele’s rule is the standard method for determining a client’s estimated
date of birth. The formula requires subtracting three months from the first day of the last
menstrual period and then adding seven days. Adding one year to the final calculation
completes the estimation process for most pregnancies.
2. A client is currently pregnant, has one child born at 39 weeks, and had a miscarriage at 12
weeks. How should the nurse document the GTPAL?
A. G2 T1 P0 A1 L1
B. G2 T2 P0 A0 L2
C. G3 T1 P1 A0 L1
D. G3 T1 P0 A1 L1
,Correct Answer: D
Explanation: The GTPAL system provides a detailed obstetric history for the pregnant
client. In this case, Gravida is 3 because it includes the current pregnancy, the term birth,
and the miscarriage. Term is 1 for the 39-week child, Preterm is 0, Abortion is 1 for the
miscarriage, and Living is 1 child.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Quickening
Correct Answer: C
Explanation: Positive signs of pregnancy are objective findings that can only be attributed
to the presence of a fetus. These include hearing fetal heart sounds, visualizing the fetus via
ultrasound, or palpating fetal movement by a clinician. Other signs like amenorrhea or
positive tests are considered subjective or objective but not definitive.
4. During a routine prenatal visit, a client at 28 weeks gestation reports feeling dizzy and
lightheaded when lying on her back. What is the nurse’s best response?
A. This is a sign of preeclampsia and needs immediate follow-up.
B. Increase your sodium intake to help stabilize your blood pressure.
, C. You should lie on your side to prevent the heavy uterus from pressing on your vena cava.
D. This is likely caused by low blood sugar and you should eat more often.
Correct Answer: C
Explanation: Supine hypotensive syndrome occurs when the weight of the gravid uterus
compresses the inferior vena cava. This compression reduces blood flow back to the heart
and can lead to maternal hypotension and decreased fetal perfusion. Placing the client in a
side-lying position typically resolves these symptoms immediately.
5. A nurse is assessing a client who is at 32 weeks gestation and has a prescription for a Non-
Stress Test (NST). Which result indicates a reactive NST?
A. Two or more accelerations in a 20-minute period.
B. Presence of late decelerations with contractions.
C. Persistent fetal bradycardia below 110 bpm.
D. Absence of fetal movement during the recording.
Correct Answer: A
Explanation: A reactive non-stress test is a reassuring sign of fetal well-being in the third
trimester. It requires the presence of at least two fetal heart rate accelerations within a 20-
minute window. These accelerations must peak at least 15 beats per minute above the
baseline and last for at least 15 seconds.
Q&A with Rationale | Chamberlain University
1. A nurse is calculating the estimated date of delivery for a client whose last menstrual
period began on October 10th. Using Naegele’s rule, what date should the nurse provide?
A. July 17th
B. July 3rd
C. January 17th
D. June 10th
Correct Answer: A
Explanation: Naegele’s rule is the standard method for determining a client’s estimated
date of birth. The formula requires subtracting three months from the first day of the last
menstrual period and then adding seven days. Adding one year to the final calculation
completes the estimation process for most pregnancies.
2. A client is currently pregnant, has one child born at 39 weeks, and had a miscarriage at 12
weeks. How should the nurse document the GTPAL?
A. G2 T1 P0 A1 L1
B. G2 T2 P0 A0 L2
C. G3 T1 P1 A0 L1
D. G3 T1 P0 A1 L1
,Correct Answer: D
Explanation: The GTPAL system provides a detailed obstetric history for the pregnant
client. In this case, Gravida is 3 because it includes the current pregnancy, the term birth,
and the miscarriage. Term is 1 for the 39-week child, Preterm is 0, Abortion is 1 for the
miscarriage, and Living is 1 child.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Quickening
Correct Answer: C
Explanation: Positive signs of pregnancy are objective findings that can only be attributed
to the presence of a fetus. These include hearing fetal heart sounds, visualizing the fetus via
ultrasound, or palpating fetal movement by a clinician. Other signs like amenorrhea or
positive tests are considered subjective or objective but not definitive.
4. During a routine prenatal visit, a client at 28 weeks gestation reports feeling dizzy and
lightheaded when lying on her back. What is the nurse’s best response?
A. This is a sign of preeclampsia and needs immediate follow-up.
B. Increase your sodium intake to help stabilize your blood pressure.
, C. You should lie on your side to prevent the heavy uterus from pressing on your vena cava.
D. This is likely caused by low blood sugar and you should eat more often.
Correct Answer: C
Explanation: Supine hypotensive syndrome occurs when the weight of the gravid uterus
compresses the inferior vena cava. This compression reduces blood flow back to the heart
and can lead to maternal hypotension and decreased fetal perfusion. Placing the client in a
side-lying position typically resolves these symptoms immediately.
5. A nurse is assessing a client who is at 32 weeks gestation and has a prescription for a Non-
Stress Test (NST). Which result indicates a reactive NST?
A. Two or more accelerations in a 20-minute period.
B. Presence of late decelerations with contractions.
C. Persistent fetal bradycardia below 110 bpm.
D. Absence of fetal movement during the recording.
Correct Answer: A
Explanation: A reactive non-stress test is a reassuring sign of fetal well-being in the third
trimester. It requires the presence of at least two fetal heart rate accelerations within a 20-
minute window. These accelerations must peak at least 15 beats per minute above the
baseline and last for at least 15 seconds.
