NUR 2513 MATERNAL FINAL REVIEW | QUESTIONS
AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS - RASMUSSEN COLLEGE.
SECTION 1: GTPAL & OBSTETRIC HISTORY
1. A patient is G3 T2 P0 A0 L2. The nurse correctly interprets this to mean:
A) The patient has been pregnant 3 times, had 2 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
B) The patient has been pregnant 2 times, had 3 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
C) The patient has been pregnant 3 times, had 0 term deliveries, 2 preterm
deliveries, 0 abortions, and has 2 living children
D) The patient has been pregnant 3 times, had 2 deliveries, and has 2 living
children
Correct Answer: A
Rationale: The GTPAL system provides a comprehensive obstetric history. G
(Gravida) = total number of pregnancies, including the current one. T (Term) =
number of pregnancies delivered at ≥37 weeks. P (Preterm) = number of
pregnancies delivered between 20 and 36 6/7 weeks. A (Abortions) = number of
pregnancies ending before 20 weeks. L (Living) = number of living children. G3 T2
P0 A0 L2 = 3 pregnancies, 2 term births, 0 preterm, 0 abortions, 2 living children .
2. A nurse is reviewing a patient's prenatal record with GTPAL documented as 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 the current
pregnancy). P1001: 1 term delivery, 0 preterm, 0 abortions, and 1 living child.
Thus, the patient is currently pregnant with her second child and has one living
child from a term delivery .
3. Which statement about calculating the Estimated Date of Delivery (EDD) using
Nägele's Rule is correct?
A) Add 7 days to the first day of the last menstrual period (LMP) and subtract 3
months
B) Subtract 7 days from the LMP and add 3 months
C) Add 9 months and 7 days to the LMP
D) Add 14 days to the LMP and subtract 1 month
Correct Answer: A
Rationale: Nägele's Rule is calculated by taking the first day of the last menstrual
period (LMP), adding 7 days, then subtracting 3 months (or adding 9 months), and
adjusting the year as needed. Example: LMP 10/01/2019 → July 8, 2020 .
4. The nurse is assessing a patient at 12 weeks gestation. The patient reports she
has had two previous pregnancies—one resulting in a full-term birth and one
ending in miscarriage at 10 weeks. How should the nurse document this history?
A) G2 T1 P0 A1 L1
B) G3 T1 P0 A1 L1
C) G3 T1 P1 A1 L1
D) G2 T1 P1 A0 L1
Correct Answer: B
Rationale: Gravida includes all pregnancies, including the current one. She has had
, 2 previous pregnancies and is currently pregnant, so G3. T1 = 1 term birth. P0 = 0
preterm. A1 = 1 abortion (miscarriage). L1 = 1 living child .
5. A nurse is educating a prenatal patient about the GTPAL system. Which
statement by the patient indicates understanding?
A) "The 'T' stands for the total number of pregnancies I have had."
B) "The 'A' stands for the number of abortions, including both spontaneous and
induced, before 20 weeks."
C) "The 'L' stands for the number of pregnancies I have lost."
D) "The 'P' stands for the number of pregnancies that ended in a C-section."
Correct Answer: B
Rationale: In GTPAL: G = Gravida (total pregnancies), T = Term births (≥37 weeks),
P = Preterm births (20-36 6/7 weeks), A = Abortions (spontaneous or induced
before 20 weeks), L = Living children. Option B correctly defines 'A' .
6. A patient is G4 T2 P1 A0 L3. What is the correct interpretation?
A) 4 pregnancies, 2 term births, 1 preterm birth, 0 abortions, 3 living children
B) 4 pregnancies, 2 term births, 0 preterm births, 1 abortion, 3 living children
C) 4 pregnancies, 2 term births, 1 preterm birth, 0 abortions, 2 living children
D) 4 pregnancies, 2 term births, 0 preterm births, 1 abortion, 2 living children
Correct Answer: A
Rationale: G4 = 4 pregnancies. T2 = 2 term deliveries. P1 = 1 preterm delivery. A0 =
0 abortions. L3 = 3 living children .
SECTION 2: PRENATAL ASSESSMENT & SCREENING (Questions 7-14)
7. A patient at 16 weeks gestation is scheduled for maternal serum alpha-
fetoprotein (MSAFP) screening. The nurse explains that this test screens for:
AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS - RASMUSSEN COLLEGE.
SECTION 1: GTPAL & OBSTETRIC HISTORY
1. A patient is G3 T2 P0 A0 L2. The nurse correctly interprets this to mean:
A) The patient has been pregnant 3 times, had 2 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
B) The patient has been pregnant 2 times, had 3 term deliveries, 0 preterm
deliveries, 0 abortions, and has 2 living children
C) The patient has been pregnant 3 times, had 0 term deliveries, 2 preterm
deliveries, 0 abortions, and has 2 living children
D) The patient has been pregnant 3 times, had 2 deliveries, and has 2 living
children
Correct Answer: A
Rationale: The GTPAL system provides a comprehensive obstetric history. G
(Gravida) = total number of pregnancies, including the current one. T (Term) =
number of pregnancies delivered at ≥37 weeks. P (Preterm) = number of
pregnancies delivered between 20 and 36 6/7 weeks. A (Abortions) = number of
pregnancies ending before 20 weeks. L (Living) = number of living children. G3 T2
P0 A0 L2 = 3 pregnancies, 2 term births, 0 preterm, 0 abortions, 2 living children .
2. A nurse is reviewing a patient's prenatal record with GTPAL documented as 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 the current
pregnancy). P1001: 1 term delivery, 0 preterm, 0 abortions, and 1 living child.
Thus, the patient is currently pregnant with her second child and has one living
child from a term delivery .
3. Which statement about calculating the Estimated Date of Delivery (EDD) using
Nägele's Rule is correct?
A) Add 7 days to the first day of the last menstrual period (LMP) and subtract 3
months
B) Subtract 7 days from the LMP and add 3 months
C) Add 9 months and 7 days to the LMP
D) Add 14 days to the LMP and subtract 1 month
Correct Answer: A
Rationale: Nägele's Rule is calculated by taking the first day of the last menstrual
period (LMP), adding 7 days, then subtracting 3 months (or adding 9 months), and
adjusting the year as needed. Example: LMP 10/01/2019 → July 8, 2020 .
4. The nurse is assessing a patient at 12 weeks gestation. The patient reports she
has had two previous pregnancies—one resulting in a full-term birth and one
ending in miscarriage at 10 weeks. How should the nurse document this history?
A) G2 T1 P0 A1 L1
B) G3 T1 P0 A1 L1
C) G3 T1 P1 A1 L1
D) G2 T1 P1 A0 L1
Correct Answer: B
Rationale: Gravida includes all pregnancies, including the current one. She has had
, 2 previous pregnancies and is currently pregnant, so G3. T1 = 1 term birth. P0 = 0
preterm. A1 = 1 abortion (miscarriage). L1 = 1 living child .
5. A nurse is educating a prenatal patient about the GTPAL system. Which
statement by the patient indicates understanding?
A) "The 'T' stands for the total number of pregnancies I have had."
B) "The 'A' stands for the number of abortions, including both spontaneous and
induced, before 20 weeks."
C) "The 'L' stands for the number of pregnancies I have lost."
D) "The 'P' stands for the number of pregnancies that ended in a C-section."
Correct Answer: B
Rationale: In GTPAL: G = Gravida (total pregnancies), T = Term births (≥37 weeks),
P = Preterm births (20-36 6/7 weeks), A = Abortions (spontaneous or induced
before 20 weeks), L = Living children. Option B correctly defines 'A' .
6. A patient is G4 T2 P1 A0 L3. What is the correct interpretation?
A) 4 pregnancies, 2 term births, 1 preterm birth, 0 abortions, 3 living children
B) 4 pregnancies, 2 term births, 0 preterm births, 1 abortion, 3 living children
C) 4 pregnancies, 2 term births, 1 preterm birth, 0 abortions, 2 living children
D) 4 pregnancies, 2 term births, 0 preterm births, 1 abortion, 2 living children
Correct Answer: A
Rationale: G4 = 4 pregnancies. T2 = 2 term deliveries. P1 = 1 preterm delivery. A0 =
0 abortions. L3 = 3 living children .
SECTION 2: PRENATAL ASSESSMENT & SCREENING (Questions 7-14)
7. A patient at 16 weeks gestation is scheduled for maternal serum alpha-
fetoprotein (MSAFP) screening. The nurse explains that this test screens for:
