NSG 3500
Exam 1 Maternal Health Nursing Practice
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
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,NSG 3500 Exam 1: Maternal Health Nursing Practice 2026/2027 UPDATED – Galen
1. A nurse is reviewing a patient’s obstetric history: the patient has one child born at 39
weeks, one child born at 32 weeks, and had two spontaneous abortions at 10 and 12 weeks.
She is currently 14 weeks pregnant. What is her GTPAL?
A. G4 T1 P1 A2 L2
B. G4 T2 P0 A2 L2
C. G5 T2 P1 A1 L2
D. G5 T1 P1 A2 L2
Answer: D
Rationale: G (Gravida) is 5 (current, 39w, 32w, two abortions). T (Term) is 1 (39w). P
(Preterm) is 1 (32w). A (Abortions) is 2 (10w and 12w). L (Living) is 2.
2. A client’s last menstrual period began on October 14. Using Naegele’s rule, what is the
estimated date of delivery (EDD)?
A. July 21
B. July 7
C. July 14
D. August 21
, Answer: A
Rationale: Naegele’s rule: Subtract 3 months from the LMP and add 7 days and 1 year.
October minus 3 months is July. 14 plus 7 days is 21.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard via Doppler
C. Hegar’s sign
D. Braxton Hicks contractions
Answer: B
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.
4. During a prenatal visit at 24 weeks gestation, where should the nurse expect to find the
fundus?
A. At the level of the symphysis pubis
B. 4 cm above the umbilicus
C. At the level of the umbilicus
D. At the xiphoid process
Answer: B
Exam 1 Maternal Health Nursing Practice
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Exam 1: Maternal Health Nursing Practice 2026/2027 UPDATED – Galen
1. A nurse is reviewing a patient’s obstetric history: the patient has one child born at 39
weeks, one child born at 32 weeks, and had two spontaneous abortions at 10 and 12 weeks.
She is currently 14 weeks pregnant. What is her GTPAL?
A. G4 T1 P1 A2 L2
B. G4 T2 P0 A2 L2
C. G5 T2 P1 A1 L2
D. G5 T1 P1 A2 L2
Answer: D
Rationale: G (Gravida) is 5 (current, 39w, 32w, two abortions). T (Term) is 1 (39w). P
(Preterm) is 1 (32w). A (Abortions) is 2 (10w and 12w). L (Living) is 2.
2. A client’s last menstrual period began on October 14. Using Naegele’s rule, what is the
estimated date of delivery (EDD)?
A. July 21
B. July 7
C. July 14
D. August 21
, Answer: A
Rationale: Naegele’s rule: Subtract 3 months from the LMP and add 7 days and 1 year.
October minus 3 months is July. 14 plus 7 days is 21.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard via Doppler
C. Hegar’s sign
D. Braxton Hicks contractions
Answer: B
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.
4. During a prenatal visit at 24 weeks gestation, where should the nurse expect to find the
fundus?
A. At the level of the symphysis pubis
B. 4 cm above the umbilicus
C. At the level of the umbilicus
D. At the xiphoid process
Answer: B
