,NU 171/NU171 Exam 3 – Maternal Child Nursing –
Actual Q&A (GCN) (Updated PDF)
.1. A client at 38 weeks gestation reports contractions that are irregular and
stop when walking. How should the nurse classify this finding?
A) False labor
B) True labor
C) Preterm labor
D) Active labor
Correct Answer: A) False labor
Rationale: False labor, or Braxton Hicks contractions, is irregular and often
subsides with rest or position changes. True labor contractions are regular and
increase in intensity and frequency. The absence of cervical change further
supports false labor.
2. A client asks how to distinguish true labor from false labor. Which statement
is correct?
A) True labor contractions are irregular and decrease with rest.
B) True labor contractions are regular and increase in intensity and frequency.
C) False labor causes progressive cervical dilation.
D) True labor pain is only in the front of the abdomen.
Correct Answer: B) True labor contractions are regular and increase in intensity
and frequency.
,Rationale: True labor is characterized by contractions that become stronger,
longer, and closer together over time. False labor contractions are irregular and
often stop with activity. Cervical dilation occurs with true labor, not false labor.
3. Using Nägele's rule, what is the estimated due date for a client whose last
menstrual period began on October 13?
A) July 6
B) August 20
C) July 20
D) September 13
Correct Answer: C) July 20
Rationale: Nägele's rule subtracts three months and adds seven days to the first
day of the last menstrual period. October 13 minus three months equals July 13,
plus seven days equals July 20.
4. A client's last menstrual period began on March 5. What is the estimated due
date?
A) December 5
B) January 12
C) November 29
D) December 12
Correct Answer: D) December 12
, Rationale: Subtracting three months from March 5 gives December 5, and
adding seven days gives December 12. This is the expected date of delivery
using Nägele's rule.
5. A client at 6 weeks gestation reports abdominal pain, adnexal tenderness,
and abnormal uterine bleeding. Which condition should the nurse suspect?
A) Ectopic pregnancy
B) Placenta previa
C) Hydatidiform mole
D) Abruptio placentae
Correct Answer: A) Ectopic pregnancy
Rationale: Ectopic pregnancy often presents with abdominal pain, adnexal
tenderness, and abnormal bleeding due to implantation outside the uterus,
usually in a fallopian tube. This is a medical emergency requiring prompt
evaluation.
6. A client with a suspected ectopic pregnancy is actively bleeding. What is the
priority nursing action?
A) Place the client in Trendelenburg position
B) Make the client NPO
C) Administer pain medication
D) Prepare for a pelvic exam
Correct Answer: B) Make the client NPO
Actual Q&A (GCN) (Updated PDF)
.1. A client at 38 weeks gestation reports contractions that are irregular and
stop when walking. How should the nurse classify this finding?
A) False labor
B) True labor
C) Preterm labor
D) Active labor
Correct Answer: A) False labor
Rationale: False labor, or Braxton Hicks contractions, is irregular and often
subsides with rest or position changes. True labor contractions are regular and
increase in intensity and frequency. The absence of cervical change further
supports false labor.
2. A client asks how to distinguish true labor from false labor. Which statement
is correct?
A) True labor contractions are irregular and decrease with rest.
B) True labor contractions are regular and increase in intensity and frequency.
C) False labor causes progressive cervical dilation.
D) True labor pain is only in the front of the abdomen.
Correct Answer: B) True labor contractions are regular and increase in intensity
and frequency.
,Rationale: True labor is characterized by contractions that become stronger,
longer, and closer together over time. False labor contractions are irregular and
often stop with activity. Cervical dilation occurs with true labor, not false labor.
3. Using Nägele's rule, what is the estimated due date for a client whose last
menstrual period began on October 13?
A) July 6
B) August 20
C) July 20
D) September 13
Correct Answer: C) July 20
Rationale: Nägele's rule subtracts three months and adds seven days to the first
day of the last menstrual period. October 13 minus three months equals July 13,
plus seven days equals July 20.
4. A client's last menstrual period began on March 5. What is the estimated due
date?
A) December 5
B) January 12
C) November 29
D) December 12
Correct Answer: D) December 12
, Rationale: Subtracting three months from March 5 gives December 5, and
adding seven days gives December 12. This is the expected date of delivery
using Nägele's rule.
5. A client at 6 weeks gestation reports abdominal pain, adnexal tenderness,
and abnormal uterine bleeding. Which condition should the nurse suspect?
A) Ectopic pregnancy
B) Placenta previa
C) Hydatidiform mole
D) Abruptio placentae
Correct Answer: A) Ectopic pregnancy
Rationale: Ectopic pregnancy often presents with abdominal pain, adnexal
tenderness, and abnormal bleeding due to implantation outside the uterus,
usually in a fallopian tube. This is a medical emergency requiring prompt
evaluation.
6. A client with a suspected ectopic pregnancy is actively bleeding. What is the
priority nursing action?
A) Place the client in Trendelenburg position
B) Make the client NPO
C) Administer pain medication
D) Prepare for a pelvic exam
Correct Answer: B) Make the client NPO
