NU 170
Exam 1 Maternal-Child Nursing
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Exam 1: Maternal-Child Nursing 2026/2027 UPDATE – Galen
1. A client at 10 weeks gestation reports sharp, one-sided pelvic pain and vaginal spotting.
The nurse notes a rigid abdomen and signs of hypovolemic shock. What is the priority nursing
intervention?
A. Administer Rho(D) immune globulin
B. Instruct the client to remain on bed rest for 24 hours
C. Perform a sterile vaginal examination to check cervical dilation
D. Prepare the client for immediate surgical intervention
Answer: D
Rationale: The symptoms suggest a ruptured ectopic pregnancy, which is a medical
emergency requiring surgery to stop internal bleeding and manage hemorrhage.
2. Using Naegele’s Rule, what is the Estimated Date of Delivery (EDD) for a woman whose
Last Normal Menstrual Period (LNMP) began on February 14?
A. November 7
B. November 28
C. November 21
D. December 14
, Answer: C
Rationale: Naegele’s Rule: Subtract 3 months from the first day of the LNMP and add 7
days. February 14 minus 3 months is November 14, plus 7 days is November 21.
3. A nurse is reviewing the chart of a pregnant client: 1 living child born at 39 weeks, 1
miscarriage at 12 weeks, and currently pregnant. How should the nurse document the TPAL
status?
A. T:2, P:0, A:1, L:1
B. T:1, P:1, A:0, L:1
C. T:1, P:0, A:1, L:1
D. T:0, P:1, A:1, L:1
Answer: C
Rationale: T (Term) = 1 (39 weeks); P (Preterm) = 0; A (Abortion/Miscarriage) = 1 (12
weeks); L (Living) = 1.
4. Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy until the placenta takes over?
A. Follicle-stimulating hormone (FSH)
B. Luteinizing hormone (LH)
C. Progesterone
D. Estrogen
Exam 1 Maternal-Child Nursing
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Exam 1: Maternal-Child Nursing 2026/2027 UPDATE – Galen
1. A client at 10 weeks gestation reports sharp, one-sided pelvic pain and vaginal spotting.
The nurse notes a rigid abdomen and signs of hypovolemic shock. What is the priority nursing
intervention?
A. Administer Rho(D) immune globulin
B. Instruct the client to remain on bed rest for 24 hours
C. Perform a sterile vaginal examination to check cervical dilation
D. Prepare the client for immediate surgical intervention
Answer: D
Rationale: The symptoms suggest a ruptured ectopic pregnancy, which is a medical
emergency requiring surgery to stop internal bleeding and manage hemorrhage.
2. Using Naegele’s Rule, what is the Estimated Date of Delivery (EDD) for a woman whose
Last Normal Menstrual Period (LNMP) began on February 14?
A. November 7
B. November 28
C. November 21
D. December 14
, Answer: C
Rationale: Naegele’s Rule: Subtract 3 months from the first day of the LNMP and add 7
days. February 14 minus 3 months is November 14, plus 7 days is November 21.
3. A nurse is reviewing the chart of a pregnant client: 1 living child born at 39 weeks, 1
miscarriage at 12 weeks, and currently pregnant. How should the nurse document the TPAL
status?
A. T:2, P:0, A:1, L:1
B. T:1, P:1, A:0, L:1
C. T:1, P:0, A:1, L:1
D. T:0, P:1, A:1, L:1
Answer: C
Rationale: T (Term) = 1 (39 weeks); P (Preterm) = 0; A (Abortion/Miscarriage) = 1 (12
weeks); L (Living) = 1.
4. Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy until the placenta takes over?
A. Follicle-stimulating hormone (FSH)
B. Luteinizing hormone (LH)
C. Progesterone
D. Estrogen
