NUR 231 Exam 1: Childbearing and Child Caring Family Professional Study Guide
NUR 231 Exam 1: Childbearing and Child Caring
Family
Comprehensive Study Guide
50 Practice Questions with Detailed Rationales
Update
Galen College of Nursing
High-Yield Practice for Exam Success
Questions include correct answers and clear clinical rationales
to strengthen understanding and retention.
Ideal for exam preparation and NCLEX-style practice
2026/2027 Update • For Educational Use Page 1
,NUR 231 Exam 1: Childbearing and Child Caring Family Professional Study Guide
How to Use This Study Guide
This guide contains 50 practice questions with answers and rationales. Attempt each question before revealing the
answer. Review rationales carefully to reinforce key concepts and priority nursing actions.
• Work through questions under timed conditions when possible.
• Focus extra review on topics you miss.
• Use rationales to create personal summary notes or flashcards.
Good luck with your studies!
2026/2027 Update • For Educational Use Page 2
, NUR 231 Exam 1: Childbearing and Child Caring Family Professional Study Guide
Practice Questions
Question 1
A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual period (LMP) began
on March 15th. Using Naegele’s Rule, what is the correct EDD?
A. December 15th
B. December 22nd
C. December 8th
D. January 22nd
Answer: B
Rationale:
Naegele’s Rule is calculated by subtracting 3 months from the first day of the LMP and adding 7 days and 1 year. March 15
minus 3 months is December 15, plus 7 days is December 22.
Question 2
A pregnant client reports to the clinic for her first prenatal visit. She has a history of one spontaneous abortion at
10 weeks, one term birth at 39 weeks, and a daughter born at 34 weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G3 T2 P0 A1 L2
Answer: B
Rationale:
G (Gravida) is 4 (current pregnancy, term birth, preterm birth, and abortion). T (Term) is 1. P (Preterm) is 1 (the 34-week
birth). A (Abortion) is 1. L (Living) is 2.
Question 3
Which of the following findings is considered a positive sign of pregnancy?
A. A positive serum pregnancy test
B. Hegar’s sign
C. Fetal heart tones heard by Doppler
D. Amenorrhea and morning sickness
Answer: C
Rationale:
Positive signs are objective and can only be attributed to a fetus: fetal heart tones, visualization by ultrasound, or palpable
fetal movement by a provider. Pregnancy tests and Hegar’s sign are ‘probable’ signs.
2026/2027 Update • For Educational Use Page 3
NUR 231 Exam 1: Childbearing and Child Caring
Family
Comprehensive Study Guide
50 Practice Questions with Detailed Rationales
Update
Galen College of Nursing
High-Yield Practice for Exam Success
Questions include correct answers and clear clinical rationales
to strengthen understanding and retention.
Ideal for exam preparation and NCLEX-style practice
2026/2027 Update • For Educational Use Page 1
,NUR 231 Exam 1: Childbearing and Child Caring Family Professional Study Guide
How to Use This Study Guide
This guide contains 50 practice questions with answers and rationales. Attempt each question before revealing the
answer. Review rationales carefully to reinforce key concepts and priority nursing actions.
• Work through questions under timed conditions when possible.
• Focus extra review on topics you miss.
• Use rationales to create personal summary notes or flashcards.
Good luck with your studies!
2026/2027 Update • For Educational Use Page 2
, NUR 231 Exam 1: Childbearing and Child Caring Family Professional Study Guide
Practice Questions
Question 1
A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual period (LMP) began
on March 15th. Using Naegele’s Rule, what is the correct EDD?
A. December 15th
B. December 22nd
C. December 8th
D. January 22nd
Answer: B
Rationale:
Naegele’s Rule is calculated by subtracting 3 months from the first day of the LMP and adding 7 days and 1 year. March 15
minus 3 months is December 15, plus 7 days is December 22.
Question 2
A pregnant client reports to the clinic for her first prenatal visit. She has a history of one spontaneous abortion at
10 weeks, one term birth at 39 weeks, and a daughter born at 34 weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G3 T2 P0 A1 L2
Answer: B
Rationale:
G (Gravida) is 4 (current pregnancy, term birth, preterm birth, and abortion). T (Term) is 1. P (Preterm) is 1 (the 34-week
birth). A (Abortion) is 1. L (Living) is 2.
Question 3
Which of the following findings is considered a positive sign of pregnancy?
A. A positive serum pregnancy test
B. Hegar’s sign
C. Fetal heart tones heard by Doppler
D. Amenorrhea and morning sickness
Answer: C
Rationale:
Positive signs are objective and can only be attributed to a fetus: fetal heart tones, visualization by ultrasound, or palpable
fetal movement by a provider. Pregnancy tests and Hegar’s sign are ‘probable’ signs.
2026/2027 Update • For Educational Use Page 3
