NUR 2513 MATERNAL EXAM 1 | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS.
SECTION 1: GTPAL & OBSTETRIC HISTORY
1. A client's GTPAL is documented as G4 T2 P1 A0 L3. What does this indicate?
A) The client has been pregnant 4 times, had 2 term deliveries, 1 preterm delivery,
0 abortions, and has 3 living children
B) The client has been pregnant 4 times, had 2 term deliveries, 0 preterm
deliveries, 1 abortion, and has 3 living children
C) The client has been pregnant 4 times, had 2 term deliveries, 1 preterm delivery,
0 abortions, and has 2 living children
D) The client has been pregnant 3 times, had 2 term deliveries, 1 preterm delivery,
0 abortions, and has 3 living children
Correct Answer: A
Rationale: GTPAL: G = Gravida (total pregnancies, including current), T = Term (≥37
weeks), P = Preterm (20-36 6/7 weeks), A = Abortions (before 20 weeks), L = Living
children. Therefore, G4 T2 P1 A0 L3 = 4 pregnancies, 2 term births, 1 preterm birth,
0 abortions, 3 living children.
2. A patient's obstetric history includes: one term infant born at 39 weeks, one
preterm infant at 34 weeks, one miscarriage at 10 weeks, and three living
children. Using GTPAL, how should the nurse document this?
A) G4 T1 P1 A1 L3
B) G5 T1 P1 A1 L3
C) G4 T1 P0 A1 L3
D) G3 T1 P1 A1 L3
,Correct Answer: A
Rationale: Gravida (G) includes all pregnancies, current + previous (4). Term (T) = 1
(39 weeks). Preterm (P) = 1 (34 weeks). Abortions (A) = 1 (10-week miscarriage).
Living (L) = 3.
3. A client is G3 T2 P0 A0 L2. The nurse correctly interprets this to mean:
A) The client has been pregnant 3 times, had 2 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
B) The client has been pregnant 2 times, had 3 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
C) The client has been pregnant 3 times, had 0 term deliveries, 2 preterm
deliveries, 0 abortions, and has 2 living children
D) The client has been pregnant 3 times, had 2 term deliveries, and has 2 living
children
Correct Answer: A
Rationale: G3 = 3 pregnancies total. T2 = 2 term deliveries (≥37 weeks). P0 = 0
preterm. A0 = 0 abortions. L2 = 2 living children.
4. A patient is G2 P1001. Which statement accurately reflects this history?
A) The patient has had one miscarriage, one living child, and is currently pregnant
B) The patient has had two term deliveries and no living children
C) The patient is currently pregnant with her second child and has one living child
from a term delivery
D) The patient has had two preterm deliveries
Correct Answer: C
Rationale: G2 indicates the patient has been pregnant twice (including current).
P1001: 1 term delivery, 0 preterm, 0 abortions, and 1 living child.
, 5. A woman who has never given birth to a viable fetus (beyond 20 weeks) is
referred to as:
A) Nulligravida
B) Nullipara
C) Primipara
D) Multipara
Correct Answer: B
Rationale: Nullipara refers to a woman who has never completed a pregnancy
beyond 20 weeks. Nulligravida (A) refers to a woman who has never been
pregnant.
SECTION 2: PRENATAL ASSESSMENT & SCREENING (Questions 6-15)
6. A client at 16 weeks gestation is scheduled for maternal serum alpha-
fetoprotein (MSAFP) screening. The nurse explains that this test screens for:
A) Gestational diabetes
B) Neural tube defects and chromosomal abnormalities
C) Rh incompatibility
D) Group B Streptococcus colonization
Correct Answer: B
Rationale: MSAFP screening is performed between 15-20 weeks. Elevated MSAFP
may indicate neural tube defects (spina bifida, anencephaly). Decreased MSAFP,
when combined with other markers, may indicate increased risk for trisomy 21
(Down syndrome).
7. What is the recommended weight gain for a woman with a normal BMI (18.5-
24.9) during pregnancy?
A) 11-20 pounds
B) 15-25 pounds
ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS.
SECTION 1: GTPAL & OBSTETRIC HISTORY
1. A client's GTPAL is documented as G4 T2 P1 A0 L3. What does this indicate?
A) The client has been pregnant 4 times, had 2 term deliveries, 1 preterm delivery,
0 abortions, and has 3 living children
B) The client has been pregnant 4 times, had 2 term deliveries, 0 preterm
deliveries, 1 abortion, and has 3 living children
C) The client has been pregnant 4 times, had 2 term deliveries, 1 preterm delivery,
0 abortions, and has 2 living children
D) The client has been pregnant 3 times, had 2 term deliveries, 1 preterm delivery,
0 abortions, and has 3 living children
Correct Answer: A
Rationale: GTPAL: G = Gravida (total pregnancies, including current), T = Term (≥37
weeks), P = Preterm (20-36 6/7 weeks), A = Abortions (before 20 weeks), L = Living
children. Therefore, G4 T2 P1 A0 L3 = 4 pregnancies, 2 term births, 1 preterm birth,
0 abortions, 3 living children.
2. A patient's obstetric history includes: one term infant born at 39 weeks, one
preterm infant at 34 weeks, one miscarriage at 10 weeks, and three living
children. Using GTPAL, how should the nurse document this?
A) G4 T1 P1 A1 L3
B) G5 T1 P1 A1 L3
C) G4 T1 P0 A1 L3
D) G3 T1 P1 A1 L3
,Correct Answer: A
Rationale: Gravida (G) includes all pregnancies, current + previous (4). Term (T) = 1
(39 weeks). Preterm (P) = 1 (34 weeks). Abortions (A) = 1 (10-week miscarriage).
Living (L) = 3.
3. A client is G3 T2 P0 A0 L2. The nurse correctly interprets this to mean:
A) The client has been pregnant 3 times, had 2 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
B) The client has been pregnant 2 times, had 3 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
C) The client has been pregnant 3 times, had 0 term deliveries, 2 preterm
deliveries, 0 abortions, and has 2 living children
D) The client has been pregnant 3 times, had 2 term deliveries, and has 2 living
children
Correct Answer: A
Rationale: G3 = 3 pregnancies total. T2 = 2 term deliveries (≥37 weeks). P0 = 0
preterm. A0 = 0 abortions. L2 = 2 living children.
4. A patient is G2 P1001. Which statement accurately reflects this history?
A) The patient has had one miscarriage, one living child, and is currently pregnant
B) The patient has had two term deliveries and no living children
C) The patient is currently pregnant with her second child and has one living child
from a term delivery
D) The patient has had two preterm deliveries
Correct Answer: C
Rationale: G2 indicates the patient has been pregnant twice (including current).
P1001: 1 term delivery, 0 preterm, 0 abortions, and 1 living child.
, 5. A woman who has never given birth to a viable fetus (beyond 20 weeks) is
referred to as:
A) Nulligravida
B) Nullipara
C) Primipara
D) Multipara
Correct Answer: B
Rationale: Nullipara refers to a woman who has never completed a pregnancy
beyond 20 weeks. Nulligravida (A) refers to a woman who has never been
pregnant.
SECTION 2: PRENATAL ASSESSMENT & SCREENING (Questions 6-15)
6. A client at 16 weeks gestation is scheduled for maternal serum alpha-
fetoprotein (MSAFP) screening. The nurse explains that this test screens for:
A) Gestational diabetes
B) Neural tube defects and chromosomal abnormalities
C) Rh incompatibility
D) Group B Streptococcus colonization
Correct Answer: B
Rationale: MSAFP screening is performed between 15-20 weeks. Elevated MSAFP
may indicate neural tube defects (spina bifida, anencephaly). Decreased MSAFP,
when combined with other markers, may indicate increased risk for trisomy 21
(Down syndrome).
7. What is the recommended weight gain for a woman with a normal BMI (18.5-
24.9) during pregnancy?
A) 11-20 pounds
B) 15-25 pounds
