NUR 231 Exam 1 - Galen Maternal Nursing 2026 UPDATE
1. A pregnant woman reports feeling nauseous in the morning and having breast tenderness.
These symptoms are classified as which type of signs of pregnancy?
A. Positive signs
B. Presumptive signs
C. Probable signs
D. Diagnostic signs
Answer: B
Rationale: Presumptive signs are subjective changes reported by the woman, such as
nausea, vomiting, fatigue, and breast tenderness, which could also be caused by conditions
other than pregnancy.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a woman whose last
menstrual period (LMP) began on February 10th?
A. May 17th
B. November 3rd
C. November 17th
D. October 17th
,Answer: C
Rationale: Naegele’s rule is calculated by subtracting 3 months from the LMP, adding 7
days, and adding 1 year (Feb 10 - 3 months = Nov 10; + 7 days = Nov 17).
3. A nurse is assessing a patient who is currently pregnant, has a 2-year-old born at 39 weeks,
and had a miscarriage at 10 weeks. What is her GTPAL?
A. G2, T1, P0, A1, L1
B. G3, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G3, T1, P1, A0, L1
Answer: B
Rationale: G (Gravida) = 3 pregnancies; T (Term) = 1 (born at 39 weeks); P (Preterm) = 0;
A (Abortion/Miscarriage) = 1; L (Living) = 1.
4. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Hegar’s sign
C. Positive pregnancy test
D. Chadwick’s sign
Answer: A
, Rationale: Positive signs are objective data that can only be attributed to a fetus, such as
fetal heart tones, ultrasound visualization, or palpation of fetal movement by a provider.
5. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which
assessment finding should be reported immediately?
A. Urine output of 40 mL/hr
B. Presence of 2+ deep tendon reflexes
C. Blood pressure of 140/90 mmHg
D. Respiratory rate of 10 breaths/min
Answer: D
Rationale: Magnesium sulfate is a CNS depressant. A respiratory rate below 12
breaths/min is a sign of toxicity and requires immediate intervention.
6. What is the primary purpose of performing Leopold maneuvers?
A. To estimate the volume of amniotic fluid
B. To determine the strength of contractions
C. To identify the fetal position and presentation
D. To assess for cervical dilation
Answer: C
Rationale: Leopold maneuvers are a series of four palpations used to determine fetal lie,
presentation, and position to help locate the best spot for FHR monitoring.
1. A pregnant woman reports feeling nauseous in the morning and having breast tenderness.
These symptoms are classified as which type of signs of pregnancy?
A. Positive signs
B. Presumptive signs
C. Probable signs
D. Diagnostic signs
Answer: B
Rationale: Presumptive signs are subjective changes reported by the woman, such as
nausea, vomiting, fatigue, and breast tenderness, which could also be caused by conditions
other than pregnancy.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a woman whose last
menstrual period (LMP) began on February 10th?
A. May 17th
B. November 3rd
C. November 17th
D. October 17th
,Answer: C
Rationale: Naegele’s rule is calculated by subtracting 3 months from the LMP, adding 7
days, and adding 1 year (Feb 10 - 3 months = Nov 10; + 7 days = Nov 17).
3. A nurse is assessing a patient who is currently pregnant, has a 2-year-old born at 39 weeks,
and had a miscarriage at 10 weeks. What is her GTPAL?
A. G2, T1, P0, A1, L1
B. G3, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G3, T1, P1, A0, L1
Answer: B
Rationale: G (Gravida) = 3 pregnancies; T (Term) = 1 (born at 39 weeks); P (Preterm) = 0;
A (Abortion/Miscarriage) = 1; L (Living) = 1.
4. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Hegar’s sign
C. Positive pregnancy test
D. Chadwick’s sign
Answer: A
, Rationale: Positive signs are objective data that can only be attributed to a fetus, such as
fetal heart tones, ultrasound visualization, or palpation of fetal movement by a provider.
5. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which
assessment finding should be reported immediately?
A. Urine output of 40 mL/hr
B. Presence of 2+ deep tendon reflexes
C. Blood pressure of 140/90 mmHg
D. Respiratory rate of 10 breaths/min
Answer: D
Rationale: Magnesium sulfate is a CNS depressant. A respiratory rate below 12
breaths/min is a sign of toxicity and requires immediate intervention.
6. What is the primary purpose of performing Leopold maneuvers?
A. To estimate the volume of amniotic fluid
B. To determine the strength of contractions
C. To identify the fetal position and presentation
D. To assess for cervical dilation
Answer: C
Rationale: Leopold maneuvers are a series of four palpations used to determine fetal lie,
presentation, and position to help locate the best spot for FHR monitoring.
