NUR 231 Exam 1 Actual Exam V1 | NUR 231 Childbearing & Child
Caring Family (NUR231 Exam 1) | Galen College of Nursing
1. A nurse is calculating the estimated date of birth (EDB) using Nagele’s Rule for a client
whose last menstrual period began on November 1. Which date should the nurse identify as
the EDB?
A. August 1
B. August 11
C. July 25
D. August 8
Answer: D
Rationale: To calculate the EDB using Nagele’s rule, subtract 3 months and add 7 days to
the first day of the last menstrual period. November 1 minus 3 months is August 1, plus 7
days equals August 8. This exam represents a comprehensive assessment of maternal-child
nursing concepts including prenatal, intrapartum, and pediatric growth, ensuring students
meet clinical competencies for family-centered care.
2. A nurse is assessing a client who is pregnant and has a history of one birth at 39 weeks, one
birth at 34 weeks, and one miscarriage at 12 weeks. She has two living children. Which GTPAL
notation should the nurse record?
A. G3, T1, P1, A1, L2
B. G4, T1, P1, A1, L2
C. G4, T2, P0, A1, L2
D. G3, T2, P1, A0, L2
Answer: B
Rationale: G (Gravida) is 4 (current pregnancy + 3 previous); T (Term) is 1 (39 weeks); P
(Preterm) is 1 (34 weeks); A (Abortion/Miscarriage) is 1; L (Living) is 2.
3. Which of the following findings is considered a positive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive serum pregnancy test
C. Chadwick’s sign
D. Amenorrhea
Answer: A
, Rationale: Positive signs of pregnancy are those that can be attributed only to the
presence of a fetus, such as hearing fetal heart tones, visualizing the fetus via ultrasound, or
palpating fetal movement by an examiner.
4. A nurse is teaching a client about alpha-fetoprotein (AFP) screening. Which statement by
the client indicates an understanding of the test?
A. This test tells me for sure if my baby has Down syndrome.
B. I will need to have a full bladder for this procedure.
C. This test is used to detect neural tube defects.
D. This test will determine the sex of my baby.
Answer: C
Rationale: AFP is a screening tool used to identify candidates for further testing regarding
neural tube defects or chromosomal anomalies; it is not diagnostic on its own.
5. During a routine prenatal visit at 24 weeks gestation, the nurse measures the fundal
height. Where should the nurse expect to find the fundus?
A. At the level of the symphysis pubis
B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the xiphoid process
D. Approximately 4 cm above the umbilicus
Answer: D
Rationale: After 20 weeks, fundal height in centimeters generally correlates with the
weeks of gestation (plus or minus 2 cm). At 24 weeks, it should be about 24 cm, which is
roughly 4 cm above the umbilicus (the umbilicus is at 20 weeks).
6. A client at 32 weeks gestation is diagnosed with preeclampsia. Which of the following
findings should the nurse report to the provider immediately?
A. Blurred vision or epigastric pain
B. A blood pressure of 138/88 mmHg
C. 1+ pitting edema in the ankles
D. Weight gain of 1 lb in one week
Answer: A
Rationale: Blurred vision and epigastric pain are signs of worsening preeclampsia (severe
features) and potential progression to eclampsia or HELLP syndrome.
Caring Family (NUR231 Exam 1) | Galen College of Nursing
1. A nurse is calculating the estimated date of birth (EDB) using Nagele’s Rule for a client
whose last menstrual period began on November 1. Which date should the nurse identify as
the EDB?
A. August 1
B. August 11
C. July 25
D. August 8
Answer: D
Rationale: To calculate the EDB using Nagele’s rule, subtract 3 months and add 7 days to
the first day of the last menstrual period. November 1 minus 3 months is August 1, plus 7
days equals August 8. This exam represents a comprehensive assessment of maternal-child
nursing concepts including prenatal, intrapartum, and pediatric growth, ensuring students
meet clinical competencies for family-centered care.
2. A nurse is assessing a client who is pregnant and has a history of one birth at 39 weeks, one
birth at 34 weeks, and one miscarriage at 12 weeks. She has two living children. Which GTPAL
notation should the nurse record?
A. G3, T1, P1, A1, L2
B. G4, T1, P1, A1, L2
C. G4, T2, P0, A1, L2
D. G3, T2, P1, A0, L2
Answer: B
Rationale: G (Gravida) is 4 (current pregnancy + 3 previous); T (Term) is 1 (39 weeks); P
(Preterm) is 1 (34 weeks); A (Abortion/Miscarriage) is 1; L (Living) is 2.
3. Which of the following findings is considered a positive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive serum pregnancy test
C. Chadwick’s sign
D. Amenorrhea
Answer: A
, Rationale: Positive signs of pregnancy are those that can be attributed only to the
presence of a fetus, such as hearing fetal heart tones, visualizing the fetus via ultrasound, or
palpating fetal movement by an examiner.
4. A nurse is teaching a client about alpha-fetoprotein (AFP) screening. Which statement by
the client indicates an understanding of the test?
A. This test tells me for sure if my baby has Down syndrome.
B. I will need to have a full bladder for this procedure.
C. This test is used to detect neural tube defects.
D. This test will determine the sex of my baby.
Answer: C
Rationale: AFP is a screening tool used to identify candidates for further testing regarding
neural tube defects or chromosomal anomalies; it is not diagnostic on its own.
5. During a routine prenatal visit at 24 weeks gestation, the nurse measures the fundal
height. Where should the nurse expect to find the fundus?
A. At the level of the symphysis pubis
B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the xiphoid process
D. Approximately 4 cm above the umbilicus
Answer: D
Rationale: After 20 weeks, fundal height in centimeters generally correlates with the
weeks of gestation (plus or minus 2 cm). At 24 weeks, it should be about 24 cm, which is
roughly 4 cm above the umbilicus (the umbilicus is at 20 weeks).
6. A client at 32 weeks gestation is diagnosed with preeclampsia. Which of the following
findings should the nurse report to the provider immediately?
A. Blurred vision or epigastric pain
B. A blood pressure of 138/88 mmHg
C. 1+ pitting edema in the ankles
D. Weight gain of 1 lb in one week
Answer: A
Rationale: Blurred vision and epigastric pain are signs of worsening preeclampsia (severe
features) and potential progression to eclampsia or HELLP syndrome.
