NUR 2421C Maternal Child Nursing – Complete
Exam Q&A Bank
Keiser University, Ft. Lauderdale | 2026/2027 | Verified Answers
SECTION 1: GTPAL & OBSTETRIC HISTORY
Q1. A patient who is 6 weeks pregnant is at the OB office for her first prenatal
visit. She reports that she has 3 children at home: a 2-year-old and a set of twins.
Prior to giving birth, she experienced two spontaneous abortions in her first
trimester. How would you document this in the patient's chart?
- A. G 5, T 2, P 0, A 2, L 3
- B. G 5, T 3, P 0, A 2, L 3
- C. G 6, T 2, P 0, A 2, L 3
- D. G 4, T 2, P 0, A 2, L 3
Answer: A
Rationale: GTPAL: G = total number of pregnancies (including current), T = term
births (≥37 weeks), P = preterm births (20-37 weeks), A = abortions/miscarriages,
L = living children. This patient has 5 pregnancies total (3 children + 2 abortions +
current), 2 term births (the twins were likely full term), 0 preterm, 2 abortions, and
3 living children .
1
,Q2. A woman tells the nurse that this is her third pregnancy. She had twin girls at
full term and one miscarriage. How does the nurse record this using GTPAL?
- A. G3 T1 A1 L2
- B. G3 T2 A1 L2
- C. G3 T1 A2 L2
- D. G4 T1 A1 L2
Answer: A
Rationale: G = 3 (total pregnancies), T = 1 (twin girls at full term counts as one
term birth), A = 1 (one miscarriage), L = 2 (two living children) .
SECTION 2: NORMAL PREGNANCY CHANGES
Q3. A nurse is reinforcing teaching with a client who is pregnant about expected
changes related to pregnancy. Which statement by the client indicates correct
understanding?
- A. "It is normal to have white vaginal discharge."
- B. "I should expect my blood pressure to increase significantly."
- C. "I will not have any vaginal discharge during pregnancy."
2
,- D. "Increased vaginal discharge is a sign of infection."
Answer: A
Rationale: Leukorrhea (increased white vaginal discharge) is a normal physiologic
change of pregnancy due to increased estrogen and increased blood flow to the
pelvic area. It is not a sign of infection unless accompanied by odor, itching, or
other symptoms .
Q4. An expectant mother is concerned about darkened skin on her forehead and
cheeks. The nurse assures her that this is a normal change in pregnancy and will
fade after she gives birth. This condition is called:
- A. Linea nigra
- B. Chloasma (melasma)
- C. Striae gravidarum
- D. Spider angiomas
Answer: B
Rationale: Chloasma (melasma or "mask of pregnancy") is an irregular
pigmentation of the cheeks, forehead, and nose that occurs due to increased
melanocyte-stimulating hormone during pregnancy. Linea nigra is the dark line on
the abdomen, and striae are stretch marks .
3
, Q5. A patient has just given birth to a healthy full-term baby. When she is given the
baby after birth, she expresses concern that the baby is "covered in peach fuzz,"
referring to a fine layer of hair on the baby's body. The nurse informs her that this
is normal for a newborn and tells her that the hair is called:
- A. Lanugo
- B. Vernix caseosa
- C. Milia
- D. Mongolian spots
Answer: A
Rationale: Lanugo is the fine, downy hair that covers the body of the fetus and may
be present on preterm or full-term newborns. It is normal and typically sheds
within a few weeks after birth .
Q6. A nurse is reinforcing teaching about expected gestational changes with a
client who is at 12 weeks of gestation. Which statement by the client indicates a
need for further teaching?
- A. "I will use only nonprescription medications while pregnant."
- B. "I should sleep on my left side to improve circulation."
4
Exam Q&A Bank
Keiser University, Ft. Lauderdale | 2026/2027 | Verified Answers
SECTION 1: GTPAL & OBSTETRIC HISTORY
Q1. A patient who is 6 weeks pregnant is at the OB office for her first prenatal
visit. She reports that she has 3 children at home: a 2-year-old and a set of twins.
Prior to giving birth, she experienced two spontaneous abortions in her first
trimester. How would you document this in the patient's chart?
- A. G 5, T 2, P 0, A 2, L 3
- B. G 5, T 3, P 0, A 2, L 3
- C. G 6, T 2, P 0, A 2, L 3
- D. G 4, T 2, P 0, A 2, L 3
Answer: A
Rationale: GTPAL: G = total number of pregnancies (including current), T = term
births (≥37 weeks), P = preterm births (20-37 weeks), A = abortions/miscarriages,
L = living children. This patient has 5 pregnancies total (3 children + 2 abortions +
current), 2 term births (the twins were likely full term), 0 preterm, 2 abortions, and
3 living children .
1
,Q2. A woman tells the nurse that this is her third pregnancy. She had twin girls at
full term and one miscarriage. How does the nurse record this using GTPAL?
- A. G3 T1 A1 L2
- B. G3 T2 A1 L2
- C. G3 T1 A2 L2
- D. G4 T1 A1 L2
Answer: A
Rationale: G = 3 (total pregnancies), T = 1 (twin girls at full term counts as one
term birth), A = 1 (one miscarriage), L = 2 (two living children) .
SECTION 2: NORMAL PREGNANCY CHANGES
Q3. A nurse is reinforcing teaching with a client who is pregnant about expected
changes related to pregnancy. Which statement by the client indicates correct
understanding?
- A. "It is normal to have white vaginal discharge."
- B. "I should expect my blood pressure to increase significantly."
- C. "I will not have any vaginal discharge during pregnancy."
2
,- D. "Increased vaginal discharge is a sign of infection."
Answer: A
Rationale: Leukorrhea (increased white vaginal discharge) is a normal physiologic
change of pregnancy due to increased estrogen and increased blood flow to the
pelvic area. It is not a sign of infection unless accompanied by odor, itching, or
other symptoms .
Q4. An expectant mother is concerned about darkened skin on her forehead and
cheeks. The nurse assures her that this is a normal change in pregnancy and will
fade after she gives birth. This condition is called:
- A. Linea nigra
- B. Chloasma (melasma)
- C. Striae gravidarum
- D. Spider angiomas
Answer: B
Rationale: Chloasma (melasma or "mask of pregnancy") is an irregular
pigmentation of the cheeks, forehead, and nose that occurs due to increased
melanocyte-stimulating hormone during pregnancy. Linea nigra is the dark line on
the abdomen, and striae are stretch marks .
3
, Q5. A patient has just given birth to a healthy full-term baby. When she is given the
baby after birth, she expresses concern that the baby is "covered in peach fuzz,"
referring to a fine layer of hair on the baby's body. The nurse informs her that this
is normal for a newborn and tells her that the hair is called:
- A. Lanugo
- B. Vernix caseosa
- C. Milia
- D. Mongolian spots
Answer: A
Rationale: Lanugo is the fine, downy hair that covers the body of the fetus and may
be present on preterm or full-term newborns. It is normal and typically sheds
within a few weeks after birth .
Q6. A nurse is reinforcing teaching about expected gestational changes with a
client who is at 12 weeks of gestation. Which statement by the client indicates a
need for further teaching?
- A. "I will use only nonprescription medications while pregnant."
- B. "I should sleep on my left side to improve circulation."
4
