NURS 354: NURSING CARE OF THE
CHILDBEARING FAMILY - QUIZ 1
QUESTIONS AND ANSWERS
1. A woman’s last menstrual period began on June 10, 2023. Using Naegele’s rule, what is her
estimated date of delivery (EDD)?
A. March 10, 2024
B. March 17, 2024
C. March 3, 2024
D. February 17, 2024
Answer: B
Conceptual Explanation: Naegele’s rule involves subtracting 3 months from the first day
of the LMP, adding 7 days, and adding 1 year. June 10 - 3 months = March 10 + 7 days =
March 17.
2. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Positive serum hCG test
B. Fetal heartbeat heard by Doppler
C. Chadwick’s sign
,D. Uterine enlargement
Answer: B
Conceptual Explanation: Positive signs of pregnancy are those that can be attributed only
to the presence of a fetus, such as fetal heart tones, visualization by ultrasound, or
palpation of fetal movement by a clinician.
3. During a prenatal visit, a patient at 20 weeks gestation reports feeling dizzy and faint when
lying on her back. Which physiological process explains this?
A. Orthostatic hypotension
B. Vena cava compression
C. Physiological anemia of pregnancy
D. Increased stroke volume
Answer: B
Conceptual Explanation: Supine hypotensive syndrome occurs when the heavy uterus
compresses the inferior vena cava, reducing venous return to the heart and decreasing
cardiac output.
4. A pregnant woman’s obstetric history is as follows: she is currently pregnant, has a 3-year-
old born at 39 weeks, a 5-year-old born at 34 weeks, and had one miscarriage at 10 weeks.
What is her GTPAL?
A. G4 T1 P1 A0 L2
, B. G3 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G4 T1 P1 A1 L2
Answer: D
Conceptual Explanation: G (Gravida) = 4 (current + 3 prior); T (Term) = 1 (39 weeks); P
(Preterm) = 1 (34 weeks); A (Abortion/Miscarriage) = 1 (10 weeks); L (Living) = 2.
5. What is the primary purpose of administering Folic Acid during the preconception period
and early pregnancy?
A. To prevent gestational diabetes
B. To promote fetal lung maturity
C. To increase maternal hemoglobin levels
D. To reduce the risk of neural tube defects
Answer: D
Conceptual Explanation: Folic acid is essential for DNA synthesis and replication;
adequate levels significantly reduce the incidence of neural tube defects like spina bifida.
6. During the embryonic stage of development (weeks 3-8), which event is most critical?
A. Rapid weight gain
B. Organogenesis
CHILDBEARING FAMILY - QUIZ 1
QUESTIONS AND ANSWERS
1. A woman’s last menstrual period began on June 10, 2023. Using Naegele’s rule, what is her
estimated date of delivery (EDD)?
A. March 10, 2024
B. March 17, 2024
C. March 3, 2024
D. February 17, 2024
Answer: B
Conceptual Explanation: Naegele’s rule involves subtracting 3 months from the first day
of the LMP, adding 7 days, and adding 1 year. June 10 - 3 months = March 10 + 7 days =
March 17.
2. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Positive serum hCG test
B. Fetal heartbeat heard by Doppler
C. Chadwick’s sign
,D. Uterine enlargement
Answer: B
Conceptual Explanation: Positive signs of pregnancy are those that can be attributed only
to the presence of a fetus, such as fetal heart tones, visualization by ultrasound, or
palpation of fetal movement by a clinician.
3. During a prenatal visit, a patient at 20 weeks gestation reports feeling dizzy and faint when
lying on her back. Which physiological process explains this?
A. Orthostatic hypotension
B. Vena cava compression
C. Physiological anemia of pregnancy
D. Increased stroke volume
Answer: B
Conceptual Explanation: Supine hypotensive syndrome occurs when the heavy uterus
compresses the inferior vena cava, reducing venous return to the heart and decreasing
cardiac output.
4. A pregnant woman’s obstetric history is as follows: she is currently pregnant, has a 3-year-
old born at 39 weeks, a 5-year-old born at 34 weeks, and had one miscarriage at 10 weeks.
What is her GTPAL?
A. G4 T1 P1 A0 L2
, B. G3 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G4 T1 P1 A1 L2
Answer: D
Conceptual Explanation: G (Gravida) = 4 (current + 3 prior); T (Term) = 1 (39 weeks); P
(Preterm) = 1 (34 weeks); A (Abortion/Miscarriage) = 1 (10 weeks); L (Living) = 2.
5. What is the primary purpose of administering Folic Acid during the preconception period
and early pregnancy?
A. To prevent gestational diabetes
B. To promote fetal lung maturity
C. To increase maternal hemoglobin levels
D. To reduce the risk of neural tube defects
Answer: D
Conceptual Explanation: Folic acid is essential for DNA synthesis and replication;
adequate levels significantly reduce the incidence of neural tube defects like spina bifida.
6. During the embryonic stage of development (weeks 3-8), which event is most critical?
A. Rapid weight gain
B. Organogenesis
