NUR 231 Exam 1 - Childbearing and Child Caring Family 2… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Exam 1 - Childbearing and Child Caring
Family 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 Exam 1 - Childbearing and Child Caring Family 2… 2026 Update • Verified Answers
Questions & Verified Answers
1. A woman is pregnant for the third time. She has one child born at 38 weeks, one child born at
34 weeks, and one miscarriage at 12 weeks. What is her GTPAL?
A. G4 T1 P1 A1 L2
B. G3 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G3 T2 P1 A0 L3
Answer: A
Rationale: Gravida is total pregnancies (current + 3 past = 4). Term is 38 weeks (1). Preterm is 34 weeks (1).
Abortion is the miscarriage (1). Living children (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, what is 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 LMP and add 7 days (March 10 - 3 months = Dec 10 + 7
days = Dec 17). 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.
3. Which of the following is considered a ‘Positive’ sign of pregnancy?
A. Amenorrhea
B. Positive urine pregnancy test
C. Goodell’s sign
D. Fetal heart tones heard by Doppler
Answer: D
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart sounds, visualization by
ultrasound, or palpation of fetal movement by a clinician. 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 Exam 1 - Childbearing and Child Caring Family 2… 2026 Update • Verified Answers
4. At which week of gestation does the fetal heart begin to beat?
A. Week 8
B. Week 4
C. Week 12
D. Week 16
Answer: B
Rationale: The heart begins to beat and circulate blood by the end of the 4th week of gestation. 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.
5. A pregnant woman complains of dizziness and faintness when lying on her back. What is the
nurse’s best response?
A. Elevate your feet to increase blood flow to the head.
B. Increase your fluid intake as you are likely dehydrated.
C. Turn onto your left side to relieve pressure on the vena cava.
D. Take deep breaths to improve oxygenation.
Answer: C
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the inferior vena cava.
Side-lying relieves this pressure. 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.
6. What is the primary function of the amniotic fluid?
A. Providing oxygen to the fetus
B. Allowing for fetal movement and temperature regulation
C. Transferring nutrients from mother to fetus
D. Removing waste products from the fetal blood
Answer: B
Rationale: Amniotic fluid cushions the fetus, allows for symmetrical growth, maintains constant temperature,
and allows for movement. This is an important clinical concept because selecting the correct answer (B)
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 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Exam 1 - Childbearing and Child Caring
Family 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 Exam 1 - Childbearing and Child Caring Family 2… 2026 Update • Verified Answers
Questions & Verified Answers
1. A woman is pregnant for the third time. She has one child born at 38 weeks, one child born at
34 weeks, and one miscarriage at 12 weeks. What is her GTPAL?
A. G4 T1 P1 A1 L2
B. G3 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G3 T2 P1 A0 L3
Answer: A
Rationale: Gravida is total pregnancies (current + 3 past = 4). Term is 38 weeks (1). Preterm is 34 weeks (1).
Abortion is the miscarriage (1). Living children (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, what is 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 LMP and add 7 days (March 10 - 3 months = Dec 10 + 7
days = Dec 17). 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.
3. Which of the following is considered a ‘Positive’ sign of pregnancy?
A. Amenorrhea
B. Positive urine pregnancy test
C. Goodell’s sign
D. Fetal heart tones heard by Doppler
Answer: D
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart sounds, visualization by
ultrasound, or palpation of fetal movement by a clinician. 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 Exam 1 - Childbearing and Child Caring Family 2… 2026 Update • Verified Answers
4. At which week of gestation does the fetal heart begin to beat?
A. Week 8
B. Week 4
C. Week 12
D. Week 16
Answer: B
Rationale: The heart begins to beat and circulate blood by the end of the 4th week of gestation. 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.
5. A pregnant woman complains of dizziness and faintness when lying on her back. What is the
nurse’s best response?
A. Elevate your feet to increase blood flow to the head.
B. Increase your fluid intake as you are likely dehydrated.
C. Turn onto your left side to relieve pressure on the vena cava.
D. Take deep breaths to improve oxygenation.
Answer: C
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the inferior vena cava.
Side-lying relieves this pressure. 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.
6. What is the primary function of the amniotic fluid?
A. Providing oxygen to the fetus
B. Allowing for fetal movement and temperature regulation
C. Transferring nutrients from mother to fetus
D. Removing waste products from the fetal blood
Answer: B
Rationale: Amniotic fluid cushions the fetus, allows for symmetrical growth, maintains constant temperature,
and allows for movement. This is an important clinical concept because selecting the correct answer (B)
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 3
