NUR 231 Maternal Nursing Exam 1 Comprehensive Quiz 2026… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Maternal Nursing Exam 1 Comprehensive
Quiz 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 231 Maternal Nursing Exam 1 Comprehensive Quiz 2026… 2026 Update • Verified Answers
Questions & Verified Answers
1. A woman is currently pregnant, has a history of one birth at 39 weeks, one birth at 34 weeks,
and one miscarriage at 12 weeks. What is her GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L3
D. G4, T1, P1, A1, L2
Answer: D
Rationale: G (Gravida) is 4 (current + 3 previous). T (Term) is 1 (39 weeks). P (Preterm) is 1 (34 weeks). A
(Abortion) is 1 (miscarriage). L (Living) is 2. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a patient whose last
menstrual period (LMP) began on March 10.
A. December 10
B. November 17
C. January 17
D. for a patient whose last menstrual period (LMP) began on March 10.
Answer: D
Rationale: Naegele’s Rule: Subtract 3 months from the LMP and add 7 days. March 10 minus 3 months is
December 10, plus 7 days is December 17. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Chadwick’s sign
Answer: C
Rationale: Positive signs are definitive proof of pregnancy: fetal heart sounds, visualization by ultrasound, or
palpation of fetal movement by a clinician. This is an important clinical concept because selecting the correct
answer (C) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 231 Maternal Nursing Exam 1 Comprehensive Quiz 2026… 2026 Update • Verified Answers
4. A pregnant patient at 32 weeks gestation reports feeling dizzy and lightheaded while lying on
her back. What is the priority nursing action?
A. Check the patient’s blood pressure immediately
B. Administer oxygen via nasal cannula
C. Turn the patient onto her left side
D. Increase the IV fluid rate
Answer: C
Rationale: This is supine hypotensive syndrome caused by the uterus compressing the inferior vena cava.
Turning to the side relieves the pressure. This is an important clinical concept because selecting the correct
answer (C) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
5. What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to an Rh-
negative mother?
A. To prevent ABO incompatibility
B. To treat fetal hemolytic disease
C. To change the mother’s blood type to Rh-positive
D. immune globulin (RhoGAM) to an Rh- negative mother?
Answer: D
Rationale: RhoGAM prevents the Rh-negative mother’s immune system from recognizing and attacking
Rh-positive fetal red blood cells. This is an important clinical concept because selecting the correct answer (D)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
6. A patient at 36 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio Placentae
B. Preterm Labor
C. Uterine Rupture
D. Placenta Previa
Answer: D
Rationale: Painless bright red bleeding is the classic sign of placenta previa. Abruption usually involves painful,
dark red bleeding. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Maternal Nursing Exam 1 Comprehensive
Quiz 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 231 Maternal Nursing Exam 1 Comprehensive Quiz 2026… 2026 Update • Verified Answers
Questions & Verified Answers
1. A woman is currently pregnant, has a history of one birth at 39 weeks, one birth at 34 weeks,
and one miscarriage at 12 weeks. What is her GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L3
D. G4, T1, P1, A1, L2
Answer: D
Rationale: G (Gravida) is 4 (current + 3 previous). T (Term) is 1 (39 weeks). P (Preterm) is 1 (34 weeks). A
(Abortion) is 1 (miscarriage). L (Living) is 2. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a patient whose last
menstrual period (LMP) began on March 10.
A. December 10
B. November 17
C. January 17
D. for a patient whose last menstrual period (LMP) began on March 10.
Answer: D
Rationale: Naegele’s Rule: Subtract 3 months from the LMP and add 7 days. March 10 minus 3 months is
December 10, plus 7 days is December 17. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Chadwick’s sign
Answer: C
Rationale: Positive signs are definitive proof of pregnancy: fetal heart sounds, visualization by ultrasound, or
palpation of fetal movement by a clinician. This is an important clinical concept because selecting the correct
answer (C) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 231 Maternal Nursing Exam 1 Comprehensive Quiz 2026… 2026 Update • Verified Answers
4. A pregnant patient at 32 weeks gestation reports feeling dizzy and lightheaded while lying on
her back. What is the priority nursing action?
A. Check the patient’s blood pressure immediately
B. Administer oxygen via nasal cannula
C. Turn the patient onto her left side
D. Increase the IV fluid rate
Answer: C
Rationale: This is supine hypotensive syndrome caused by the uterus compressing the inferior vena cava.
Turning to the side relieves the pressure. This is an important clinical concept because selecting the correct
answer (C) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
5. What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to an Rh-
negative mother?
A. To prevent ABO incompatibility
B. To treat fetal hemolytic disease
C. To change the mother’s blood type to Rh-positive
D. immune globulin (RhoGAM) to an Rh- negative mother?
Answer: D
Rationale: RhoGAM prevents the Rh-negative mother’s immune system from recognizing and attacking
Rh-positive fetal red blood cells. This is an important clinical concept because selecting the correct answer (D)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
6. A patient at 36 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio Placentae
B. Preterm Labor
C. Uterine Rupture
D. Placenta Previa
Answer: D
Rationale: Painless bright red bleeding is the classic sign of placenta previa. Abruption usually involves painful,
dark red bleeding. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
