NUR 254 Complete Exam Pack – Galen
College of Nursing
150-Question Practice Exam | Full Exams
1–4 + Final | 2025/2026
Section I: Antepartum Nursing Care (1–35)
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose
last menstrual period began on June 5. Using Naegele's rule, what is the EDD?
A. March 5
B. March 12
C. March 19
D. March 26
Correct Answer: B
Rationale: Naegele's rule: subtract 3 months (June → March) and add 7 days
(5 + 7 = 12). EDD = March 12.
2. A nurse is assessing a client at 10 weeks' gestation. Which finding should be
reported to the provider?
A. Nausea and vomiting
B. Urinary frequency
C. Vaginal bleeding
D. Breast tenderness
Correct Answer: C
Rationale: Vaginal bleeding at any time during pregnancy is abnormal and
may indicate miscarriage, ectopic pregnancy, or other complications.
,3. A nurse is teaching a client about folic acid. The nurse should explain that folic
acid prevents which condition?
A. Gestational diabetes
B. Neural tube defects
C. Preeclampsia
D. Preterm labor
Correct Answer: B
Rationale: Folic acid (400–800 mcg/day) prevents neural tube defects such as
spina bifida.
4. A nurse is assessing a client at 20 weeks' gestation. The client asks when she
should feel fetal movement. The nurse should respond that quickening typically
occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Correct Answer: C
Rationale: Quickening typically occurs between 16 and 20 weeks.
5. A nurse is reviewing laboratory results for a client at 28 weeks' gestation.
Which finding should be reported?
A. Hemoglobin 11.5 g/dL
B. Glucose 200 mg/dL on 1-hour GTT
C. Platelet count 200,000/mm³
D. WBC 10,000/mm³
Correct Answer: B
Rationale: A 1-hour glucose tolerance test ≥140 mg/dL is abnormal and
requires a 3-hour GTT.
,6. A nurse is measuring fundal height on a client at 24 weeks' gestation. The nurse
should expect the fundus to be at which level?
A. At the symphysis pubis
B. At the umbilicus
C. 2 cm above the umbilicus
D. At the xiphoid process
Correct Answer: C
Rationale: At 20–22 weeks, the fundus is at the umbilicus. At 24 weeks, it is
approximately 2 cm above.
7. A nurse is teaching a client about the alpha-fetoprotein (AFP) test. The nurse
should explain that this test screens for:
A. Gestational diabetes
B. Neural tube defects
C. Group B streptococcus
D. Rh incompatibility
Correct Answer: B
Rationale: AFP screens for neural tube defects and Down syndrome,
performed between 15 and 22 weeks.
8. A nurse is assessing a client at 36 weeks' gestation. Which finding indicates a
potential complication?
A. Braxton Hicks contractions
B. Blood pressure 150/95 mm Hg
C. Mild ankle edema
D. Cervical dilation of 1 cm
, Correct Answer: B
Rationale: Blood pressure ≥140/90 mm Hg after 20 weeks may indicate
gestational hypertension or preeclampsia.
9. A nurse is teaching a pregnant client about danger signs. Which should the
nurse include?
A. Mild fatigue
B. Occasional heartburn
C. Severe headache with visual changes
D. Braxton Hicks contractions
Correct Answer: C
Rationale: Severe headache with visual changes may indicate preeclampsia.
10. A nurse is assessing a client at 10 weeks' gestation with hyperemesis
gravidarum. Which finding is most concerning?
A. Nausea
B. Vomiting
C. Weight loss of 5% of prepregnancy weight
D. Increased salivation
Correct Answer: C
Rationale: Weight loss >5% with dehydration and electrolyte imbalances
indicates severe hyperemesis gravidarum.
11. A nurse is performing a pelvic examination on a client at 8 weeks' gestation.
Which finding is a probable sign of pregnancy?
A. Amenorrhea
B. Nausea
C. Chadwick's sign
D. Breast tenderness
College of Nursing
150-Question Practice Exam | Full Exams
1–4 + Final | 2025/2026
Section I: Antepartum Nursing Care (1–35)
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose
last menstrual period began on June 5. Using Naegele's rule, what is the EDD?
A. March 5
B. March 12
C. March 19
D. March 26
Correct Answer: B
Rationale: Naegele's rule: subtract 3 months (June → March) and add 7 days
(5 + 7 = 12). EDD = March 12.
2. A nurse is assessing a client at 10 weeks' gestation. Which finding should be
reported to the provider?
A. Nausea and vomiting
B. Urinary frequency
C. Vaginal bleeding
D. Breast tenderness
Correct Answer: C
Rationale: Vaginal bleeding at any time during pregnancy is abnormal and
may indicate miscarriage, ectopic pregnancy, or other complications.
,3. A nurse is teaching a client about folic acid. The nurse should explain that folic
acid prevents which condition?
A. Gestational diabetes
B. Neural tube defects
C. Preeclampsia
D. Preterm labor
Correct Answer: B
Rationale: Folic acid (400–800 mcg/day) prevents neural tube defects such as
spina bifida.
4. A nurse is assessing a client at 20 weeks' gestation. The client asks when she
should feel fetal movement. The nurse should respond that quickening typically
occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Correct Answer: C
Rationale: Quickening typically occurs between 16 and 20 weeks.
5. A nurse is reviewing laboratory results for a client at 28 weeks' gestation.
Which finding should be reported?
A. Hemoglobin 11.5 g/dL
B. Glucose 200 mg/dL on 1-hour GTT
C. Platelet count 200,000/mm³
D. WBC 10,000/mm³
Correct Answer: B
Rationale: A 1-hour glucose tolerance test ≥140 mg/dL is abnormal and
requires a 3-hour GTT.
,6. A nurse is measuring fundal height on a client at 24 weeks' gestation. The nurse
should expect the fundus to be at which level?
A. At the symphysis pubis
B. At the umbilicus
C. 2 cm above the umbilicus
D. At the xiphoid process
Correct Answer: C
Rationale: At 20–22 weeks, the fundus is at the umbilicus. At 24 weeks, it is
approximately 2 cm above.
7. A nurse is teaching a client about the alpha-fetoprotein (AFP) test. The nurse
should explain that this test screens for:
A. Gestational diabetes
B. Neural tube defects
C. Group B streptococcus
D. Rh incompatibility
Correct Answer: B
Rationale: AFP screens for neural tube defects and Down syndrome,
performed between 15 and 22 weeks.
8. A nurse is assessing a client at 36 weeks' gestation. Which finding indicates a
potential complication?
A. Braxton Hicks contractions
B. Blood pressure 150/95 mm Hg
C. Mild ankle edema
D. Cervical dilation of 1 cm
, Correct Answer: B
Rationale: Blood pressure ≥140/90 mm Hg after 20 weeks may indicate
gestational hypertension or preeclampsia.
9. A nurse is teaching a pregnant client about danger signs. Which should the
nurse include?
A. Mild fatigue
B. Occasional heartburn
C. Severe headache with visual changes
D. Braxton Hicks contractions
Correct Answer: C
Rationale: Severe headache with visual changes may indicate preeclampsia.
10. A nurse is assessing a client at 10 weeks' gestation with hyperemesis
gravidarum. Which finding is most concerning?
A. Nausea
B. Vomiting
C. Weight loss of 5% of prepregnancy weight
D. Increased salivation
Correct Answer: C
Rationale: Weight loss >5% with dehydration and electrolyte imbalances
indicates severe hyperemesis gravidarum.
11. A nurse is performing a pelvic examination on a client at 8 weeks' gestation.
Which finding is a probable sign of pregnancy?
A. Amenorrhea
B. Nausea
C. Chadwick's sign
D. Breast tenderness
