NUR 254 Exam 1A The Childbearing/
Child Caring Family Review of all 50
Questions and Correct Answers / NUR
254 Exam 1A
SECTION 1: PRENATAL CARE & FETAL DEVELOPMENT
Question 1
A client's last menstrual period (LMP) was March 12, 2026. Using Nagele's rule, what is
the estimated date of delivery (EDD)?
• A) December 5, 2026
• B) December 19, 2026
• C) January 9, 2027
• D) November 26, 2026
Rationale: Nagele's rule: Subtract 3 months from the first day of the LMP and add 7
days. March 12 → subtract 3 months = December 12; add 7 days = December 19, 2026 .
Question 2
A woman is pregnant for the third time. She had a set of twins (both living) from her first
pregnancy, and one miscarriage at 10 weeks. She currently has 2 living children. What is
her GTPAL?
• A) G3 T1 P1 A1 L2
• B) G3 T2 P0 A1 L2
• C) G2 T1 P0 A1 L2
, • D) G4 T1 P1 A1 L2
Rationale: G (Gravida) = 3 pregnancies total. T (Term births) = 1 pregnancy (twins count
as 1 delivery) delivered at term. P (Preterm births) = 0. A (Abortions) = 1 miscarriage at
10 weeks. L (Living children) = 2 .
Question 3
Which of the following are considered presumptive (subjective) signs of pregnancy?
(Select all that apply)
• A) Amenorrhea
• B) Nausea
• C) Fetal heart tones
• D) Quickening
• E) Positive hCG
Rationale: Presumptive signs are subjective experiences reported by the woman,
including amenorrhea, nausea, vomiting, fatigue, and quickening. Fetal heart tones and
positive hCG are considered positive (objective) signs of pregnancy .
Question 4
Fertilization typically occurs in which anatomical location?
• A) Ovary
• B) Isthmus of the fallopian tube
• C) Ampulla of the fallopian tube
• D) Fundus of the uterus
Rationale: The ampulla is the widest and longest portion of the fallopian tube and is the
usual site where fertilization of the ovum by sperm occurs .
,Question 5
At approximately what gestational age does the embryonic heart begin to beat?
• A) 2 weeks post-conception
• B) 5 weeks post-conception (3 weeks post-conception)
• C) 8 weeks post-conception
• D) 12 weeks post-conception
Rationale: The embryonic heart begins to beat around 21-22 days post-conception,
which corresponds to approximately 5 weeks from the last menstrual period (LMP). It
can often be detected by transvaginal ultrasound at this time .
Question 6
A client at 12 weeks gestation asks the nurse about safe exercise during pregnancy.
Which activity should the nurse recommend?
• A) Water aerobics
• B) Scuba diving
• C) Contact sports like soccer
• D) Hot yoga
Rationale: Water aerobics, walking, and swimming are safe exercises during pregnancy.
Scuba diving is contraindicated due to the risk of decompression sickness. Contact
sports carry a risk of abdominal trauma, and hot yoga can cause maternal hyperthermia,
which is teratogenic .
Question 7
The embryonic period (weeks 3-8) is considered the most critical time for teratogenic
effects because:
• A) The fetus is growing most rapidly during this time
, • B) Organogenesis—the development of major organ systems—is occurring
during this period
• C) The placenta is not yet fully functional
• D) The amniotic fluid volume is at its highest
Rationale: Organogenesis occurs during the embryonic period, making the developing
fetus highly susceptible to structural abnormalities from teratogens. Rapid fetal growth
occurs later in the third trimester .
Question 8
A pregnant client asks about the purpose of the placenta. The nurse's most accurate
response is that the placenta:
• A) Produces hormones that maintain pregnancy and allows exchange of
nutrients and wastes between mother and fetus
• B) Protects the fetus from all harmful substances
• C) Stores all the nutrients the fetus needs throughout pregnancy
• D) Removes all waste products from the maternal circulation
Rationale: The placenta is a temporary organ that produces hormones (hCG,
progesterone, estrogen, hPL) to maintain pregnancy and facilitates the exchange of
oxygen, nutrients, and waste products between maternal and fetal circulations. It does
not block all harmful substances .
Question 9
Which of the following are warning signs of potential complications in the first trimester
that should be reported? (Select all that apply)
• A) Vaginal bleeding
• B) Severe abdominal pain
• C) Persistent vomiting
• D) Fever
Child Caring Family Review of all 50
Questions and Correct Answers / NUR
254 Exam 1A
SECTION 1: PRENATAL CARE & FETAL DEVELOPMENT
Question 1
A client's last menstrual period (LMP) was March 12, 2026. Using Nagele's rule, what is
the estimated date of delivery (EDD)?
• A) December 5, 2026
• B) December 19, 2026
• C) January 9, 2027
• D) November 26, 2026
Rationale: Nagele's rule: Subtract 3 months from the first day of the LMP and add 7
days. March 12 → subtract 3 months = December 12; add 7 days = December 19, 2026 .
Question 2
A woman is pregnant for the third time. She had a set of twins (both living) from her first
pregnancy, and one miscarriage at 10 weeks. She currently has 2 living children. What is
her GTPAL?
• A) G3 T1 P1 A1 L2
• B) G3 T2 P0 A1 L2
• C) G2 T1 P0 A1 L2
, • D) G4 T1 P1 A1 L2
Rationale: G (Gravida) = 3 pregnancies total. T (Term births) = 1 pregnancy (twins count
as 1 delivery) delivered at term. P (Preterm births) = 0. A (Abortions) = 1 miscarriage at
10 weeks. L (Living children) = 2 .
Question 3
Which of the following are considered presumptive (subjective) signs of pregnancy?
(Select all that apply)
• A) Amenorrhea
• B) Nausea
• C) Fetal heart tones
• D) Quickening
• E) Positive hCG
Rationale: Presumptive signs are subjective experiences reported by the woman,
including amenorrhea, nausea, vomiting, fatigue, and quickening. Fetal heart tones and
positive hCG are considered positive (objective) signs of pregnancy .
Question 4
Fertilization typically occurs in which anatomical location?
• A) Ovary
• B) Isthmus of the fallopian tube
• C) Ampulla of the fallopian tube
• D) Fundus of the uterus
Rationale: The ampulla is the widest and longest portion of the fallopian tube and is the
usual site where fertilization of the ovum by sperm occurs .
,Question 5
At approximately what gestational age does the embryonic heart begin to beat?
• A) 2 weeks post-conception
• B) 5 weeks post-conception (3 weeks post-conception)
• C) 8 weeks post-conception
• D) 12 weeks post-conception
Rationale: The embryonic heart begins to beat around 21-22 days post-conception,
which corresponds to approximately 5 weeks from the last menstrual period (LMP). It
can often be detected by transvaginal ultrasound at this time .
Question 6
A client at 12 weeks gestation asks the nurse about safe exercise during pregnancy.
Which activity should the nurse recommend?
• A) Water aerobics
• B) Scuba diving
• C) Contact sports like soccer
• D) Hot yoga
Rationale: Water aerobics, walking, and swimming are safe exercises during pregnancy.
Scuba diving is contraindicated due to the risk of decompression sickness. Contact
sports carry a risk of abdominal trauma, and hot yoga can cause maternal hyperthermia,
which is teratogenic .
Question 7
The embryonic period (weeks 3-8) is considered the most critical time for teratogenic
effects because:
• A) The fetus is growing most rapidly during this time
, • B) Organogenesis—the development of major organ systems—is occurring
during this period
• C) The placenta is not yet fully functional
• D) The amniotic fluid volume is at its highest
Rationale: Organogenesis occurs during the embryonic period, making the developing
fetus highly susceptible to structural abnormalities from teratogens. Rapid fetal growth
occurs later in the third trimester .
Question 8
A pregnant client asks about the purpose of the placenta. The nurse's most accurate
response is that the placenta:
• A) Produces hormones that maintain pregnancy and allows exchange of
nutrients and wastes between mother and fetus
• B) Protects the fetus from all harmful substances
• C) Stores all the nutrients the fetus needs throughout pregnancy
• D) Removes all waste products from the maternal circulation
Rationale: The placenta is a temporary organ that produces hormones (hCG,
progesterone, estrogen, hPL) to maintain pregnancy and facilitates the exchange of
oxygen, nutrients, and waste products between maternal and fetal circulations. It does
not block all harmful substances .
Question 9
Which of the following are warning signs of potential complications in the first trimester
that should be reported? (Select all that apply)
• A) Vaginal bleeding
• B) Severe abdominal pain
• C) Persistent vomiting
• D) Fever
