NUR2513 MATERNAL-CHILD NURSING
FINAL EXAM STUDY GUIDE
1. A nurse is calculating a pregnant client’s estimated date of delivery (EDD) using Naegele’s
rule. The client’s last menstrual period (LMP) began on February 10. What is the expected
EDD?
A. October 17
B. November 3
C. November 17
D. December 10
Answer: C
Conceptual Explanation: Naegele’s rule involves subtracting 3 months and adding 7 days
and 1 year to the first day of the LMP. February minus 3 months is November, and 10 plus 7
days is 17.
2. A woman is pregnant for the 4th time. She has one living child born at 38 weeks, one
miscarriage at 12 weeks, and one set of twins born at 34 weeks. What is her GTPAL?
A. G4, T1, P2, A1, L3
,B. G4, T1, P1, A1, L3
C. G3, T2, P1, A0, L2
D. G4, T2, P1, A1, L3
Answer: B
Conceptual Explanation: G (Gravida) is total pregnancies (4); T (Term) is 37+ weeks (1
child); P (Preterm) is 20-36 weeks (1 set of twins counts as 1 event); A (Abortion) is <20
weeks (1 miscarriage); L (Living) is current living children (1+2=3).
3. Which assessment finding is a hallmark sign of preeclampsia?
A. Hypotension and bradycardia
B. Hypertension and proteinuria
C. Glucosuria and increased thirst
D. Generalized edema and weight loss
Answer: B
Conceptual Explanation: Preeclampsia is clinically defined by hypertension (BP >140/90)
and proteinuria occurring after 20 weeks of gestation.
4. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
, C. Ectopic pregnancy
D. Preterm labor
Answer: B
Conceptual Explanation: Painless, bright red vaginal bleeding in the second or third
trimester is the classic sign of placenta previa. Abruption is typically painful.
5. The nurse is monitoring a client in labor and notes variable decelerations on the fetal heart
rate monitor. What is the priority nursing action?
A. Increase the rate of Oxytocin (Pitocin)
B. Prepare for immediate forceps delivery
C. Change the client’s position
D. Administer oxygen via nasal cannular at 2L/min
Answer: C
Conceptual Explanation: Variable decelerations are caused by umbilical cord
compression. The first action is to change the maternal position to relieve pressure on the
cord.
6. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which finding
would indicate toxicity?
A. Respiratory rate of 10 breaths per minute
B. Deep tendon reflexes 2+
FINAL EXAM STUDY GUIDE
1. A nurse is calculating a pregnant client’s estimated date of delivery (EDD) using Naegele’s
rule. The client’s last menstrual period (LMP) began on February 10. What is the expected
EDD?
A. October 17
B. November 3
C. November 17
D. December 10
Answer: C
Conceptual Explanation: Naegele’s rule involves subtracting 3 months and adding 7 days
and 1 year to the first day of the LMP. February minus 3 months is November, and 10 plus 7
days is 17.
2. A woman is pregnant for the 4th time. She has one living child born at 38 weeks, one
miscarriage at 12 weeks, and one set of twins born at 34 weeks. What is her GTPAL?
A. G4, T1, P2, A1, L3
,B. G4, T1, P1, A1, L3
C. G3, T2, P1, A0, L2
D. G4, T2, P1, A1, L3
Answer: B
Conceptual Explanation: G (Gravida) is total pregnancies (4); T (Term) is 37+ weeks (1
child); P (Preterm) is 20-36 weeks (1 set of twins counts as 1 event); A (Abortion) is <20
weeks (1 miscarriage); L (Living) is current living children (1+2=3).
3. Which assessment finding is a hallmark sign of preeclampsia?
A. Hypotension and bradycardia
B. Hypertension and proteinuria
C. Glucosuria and increased thirst
D. Generalized edema and weight loss
Answer: B
Conceptual Explanation: Preeclampsia is clinically defined by hypertension (BP >140/90)
and proteinuria occurring after 20 weeks of gestation.
4. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
, C. Ectopic pregnancy
D. Preterm labor
Answer: B
Conceptual Explanation: Painless, bright red vaginal bleeding in the second or third
trimester is the classic sign of placenta previa. Abruption is typically painful.
5. The nurse is monitoring a client in labor and notes variable decelerations on the fetal heart
rate monitor. What is the priority nursing action?
A. Increase the rate of Oxytocin (Pitocin)
B. Prepare for immediate forceps delivery
C. Change the client’s position
D. Administer oxygen via nasal cannular at 2L/min
Answer: C
Conceptual Explanation: Variable decelerations are caused by umbilical cord
compression. The first action is to change the maternal position to relieve pressure on the
cord.
6. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which finding
would indicate toxicity?
A. Respiratory rate of 10 breaths per minute
B. Deep tendon reflexes 2+
