NU 170
Maternal-Child Nursing Exam
1 Comprehensive Study Guide
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 Maternal-Child Nursing Exam 1 Comprehensive Study Guide 2026/2027 UPDATED –
Galen
1. A patient’s last menstrual period (LMP) began on February 10, 2026. Using Nagele’s Rule,
what is the estimated date of delivery (EDD)?
A. November 10, 2026
B. November 3, 2026
C. November 17, 2026
D. November 17, 2027
Answer: C
Rationale: Nagele’s Rule is calculated by subtracting 3 months from the first day of the
LMP, adding 7 days, and adding 1 year if necessary. Feb 10 minus 3 months = Nov 10; plus
7 days = Nov 17.
2. A woman is currently 16 weeks pregnant. Her history includes a 5-year-old child born at 39
weeks, a 2-year-old born at 34 weeks, and one miscarriage at 10 weeks. What is her GTPAL?
A. G4, T1, P1, A1, L2
B. G3, T1, P1, A1, L2
C. G4, T2, P0, A1, L2
D. G4, T1, P1, A0, L2
, Answer: A
Rationale: G (Gravida) = 4 (current, 5yr old, 2yr old, miscarriage). T (Term) = 1 (5yr old). P
(Preterm) = 1 (2yr old). A (Abortion/Miscarriage) = 1. L (Living) = 2.
3. During a prenatal visit, a patient reports feeling the baby move for the first time. Which
presumptive sign of pregnancy is the patient describing?
A. Goodell’s sign
B. Quickening
C. Ballottement
D. Hegar’s sign
Answer: B
Rationale: Quickening is the patient’s subjective perception of fetal movement, usually felt
between 16-20 weeks, and is considered a presumptive (subjective) sign.
4. Which physiological change is expected in the cardiovascular system during the second
trimester of pregnancy?
A. Increase in heart rate by 10-15 beats per minute
B. Decrease in plasma volume by 20%
C. Significant increase in diastolic blood pressure
D. Decrease in cardiac output
Answer: A
Maternal-Child Nursing Exam
1 Comprehensive Study Guide
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 Maternal-Child Nursing Exam 1 Comprehensive Study Guide 2026/2027 UPDATED –
Galen
1. A patient’s last menstrual period (LMP) began on February 10, 2026. Using Nagele’s Rule,
what is the estimated date of delivery (EDD)?
A. November 10, 2026
B. November 3, 2026
C. November 17, 2026
D. November 17, 2027
Answer: C
Rationale: Nagele’s Rule is calculated by subtracting 3 months from the first day of the
LMP, adding 7 days, and adding 1 year if necessary. Feb 10 minus 3 months = Nov 10; plus
7 days = Nov 17.
2. A woman is currently 16 weeks pregnant. Her history includes a 5-year-old child born at 39
weeks, a 2-year-old born at 34 weeks, and one miscarriage at 10 weeks. What is her GTPAL?
A. G4, T1, P1, A1, L2
B. G3, T1, P1, A1, L2
C. G4, T2, P0, A1, L2
D. G4, T1, P1, A0, L2
, Answer: A
Rationale: G (Gravida) = 4 (current, 5yr old, 2yr old, miscarriage). T (Term) = 1 (5yr old). P
(Preterm) = 1 (2yr old). A (Abortion/Miscarriage) = 1. L (Living) = 2.
3. During a prenatal visit, a patient reports feeling the baby move for the first time. Which
presumptive sign of pregnancy is the patient describing?
A. Goodell’s sign
B. Quickening
C. Ballottement
D. Hegar’s sign
Answer: B
Rationale: Quickening is the patient’s subjective perception of fetal movement, usually felt
between 16-20 weeks, and is considered a presumptive (subjective) sign.
4. Which physiological change is expected in the cardiovascular system during the second
trimester of pregnancy?
A. Increase in heart rate by 10-15 beats per minute
B. Decrease in plasma volume by 20%
C. Significant increase in diastolic blood pressure
D. Decrease in cardiac output
Answer: A
