,NR 327 Maternal-Child Nursing Exam Prep —
Comprehensive Review + Practice MCQs —
Chamberlain College of Nursing 2025/2026
1. A nurse is calculating a client's estimated date of delivery using Naegele's rule. The client's last menstrual
period began on May 10th. What is the expected delivery date?
A. February 3rd
B. February 17th
C. August 17th
D. May 17th
Correct Answer: B. February 17th
Rationale: Naegele's rule involves subtracting 3 months from the first day of the last menstrual period and
adding 7 days. May 10 minus 3 months is February 10, plus 7 days is February 17th.
2. A client is pregnant for the 4th time. She has one child born at 39 weeks, twins born at 34 weeks, and had
one miscarriage at 12 weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T1 P2 A1 L3
C. G4 T1 P1 A1 L3
D. G4 T2 P1 A1 L3
Correct Answer: C. G4 T1 P1 A1 L3
,Rationale: Gravida (G) is 4 (current pregnancy included). Term (T) is 1 (39-weeker). Preterm (P) is 1 (the twin
birth counts as one event). Abortion (A) is 1. Living (L) is 3 (one single birth + twins).
3. Which of the following is considered a positive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive pregnancy test
C. Morning sickness
D. Amenorrhea
Correct Answer: A. Fetal heart tones heard by Doppler
Rationale: Positive signs are those that can only be attributed to the fetus: fetal heart sounds, visualization by
ultrasound, or palpation of fetal movement by a clinician. Pregnancy tests are probable signs.
4. A client at 20 weeks gestation reports feeling dizzy and faint when lying on her back. What is the best
nursing intervention?
A. Advise her to lie on her left side
B. Tell her to increase her salt intake
C. Inform her this is a sign of preeclampsia
D. Encourage her to drink more caffeine
Correct Answer: A. Advise her to lie on her left side
, Rationale: This is supine hypotensive syndrome, caused by the weight of the uterus compressing the vena
cava. Turning to the side (preferably left) relieves the pressure.
5. Which supplement is primarily recommended to prevent neural tube defects?
A. Vitamin C
B. Iron
C. Calcium
D. Folic acid
Correct Answer: D. Folic acid
Rationale: Folic acid (Vitamin B9) intake before and during early pregnancy significantly reduces the risk of
neural tube defects like spina bifida.
6. Where should the nurse expect to find the fundus in a client at 20 weeks gestation?
A. At the symphysis pubis
B. Halfway between the umbilicus and xiphoid process
C. At the level of the umbilicus
D. At the xiphoid process
Correct Answer: C. At the level of the umbilicus
Rationale: At 20 weeks, the fundus is typically at the level of the umbilicus. After 20 weeks, the height in
centimeters usually matches the weeks of gestation.
Comprehensive Review + Practice MCQs —
Chamberlain College of Nursing 2025/2026
1. A nurse is calculating a client's estimated date of delivery using Naegele's rule. The client's last menstrual
period began on May 10th. What is the expected delivery date?
A. February 3rd
B. February 17th
C. August 17th
D. May 17th
Correct Answer: B. February 17th
Rationale: Naegele's rule involves subtracting 3 months from the first day of the last menstrual period and
adding 7 days. May 10 minus 3 months is February 10, plus 7 days is February 17th.
2. A client is pregnant for the 4th time. She has one child born at 39 weeks, twins born at 34 weeks, and had
one miscarriage at 12 weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T1 P2 A1 L3
C. G4 T1 P1 A1 L3
D. G4 T2 P1 A1 L3
Correct Answer: C. G4 T1 P1 A1 L3
,Rationale: Gravida (G) is 4 (current pregnancy included). Term (T) is 1 (39-weeker). Preterm (P) is 1 (the twin
birth counts as one event). Abortion (A) is 1. Living (L) is 3 (one single birth + twins).
3. Which of the following is considered a positive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive pregnancy test
C. Morning sickness
D. Amenorrhea
Correct Answer: A. Fetal heart tones heard by Doppler
Rationale: Positive signs are those that can only be attributed to the fetus: fetal heart sounds, visualization by
ultrasound, or palpation of fetal movement by a clinician. Pregnancy tests are probable signs.
4. A client at 20 weeks gestation reports feeling dizzy and faint when lying on her back. What is the best
nursing intervention?
A. Advise her to lie on her left side
B. Tell her to increase her salt intake
C. Inform her this is a sign of preeclampsia
D. Encourage her to drink more caffeine
Correct Answer: A. Advise her to lie on her left side
, Rationale: This is supine hypotensive syndrome, caused by the weight of the uterus compressing the vena
cava. Turning to the side (preferably left) relieves the pressure.
5. Which supplement is primarily recommended to prevent neural tube defects?
A. Vitamin C
B. Iron
C. Calcium
D. Folic acid
Correct Answer: D. Folic acid
Rationale: Folic acid (Vitamin B9) intake before and during early pregnancy significantly reduces the risk of
neural tube defects like spina bifida.
6. Where should the nurse expect to find the fundus in a client at 20 weeks gestation?
A. At the symphysis pubis
B. Halfway between the umbilicus and xiphoid process
C. At the level of the umbilicus
D. At the xiphoid process
Correct Answer: C. At the level of the umbilicus
Rationale: At 20 weeks, the fundus is typically at the level of the umbilicus. After 20 weeks, the height in
centimeters usually matches the weeks of gestation.
